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Excela Health

Frick

Frick - Heart Attack
October 2013 to June 2014

Measure Our % PA Avg.
Aspirin prescribed at discharge 97% 100%
Statin prescribed at discharge 98% 99%
     


Frick - Heart Failure
October 2013 to June 2014

Measure Our % PA Avg.
Discharge Instructions 99% 96%
Evaluation of LVS Function 99% 100%
ACEI or ARB for LVSD 90% 98%
     


Frick - Pneumonia
October 2013 to June 2014

Measure Our % PA Avg.
Initial antibiotic selection for CAP in immunocompetent patient 97% 97%
     


Frick - Surgical Care Improvement Project
October 2013 to June 2014

Measure Our % PA Avg.
Prophylactic antibiotic received within 1 hour prior to surgical incision 100% 99%
Prophylactic antibiotic selection for surgical patients 100% 99%
Prophylactic antibiotics discontinued within 24 hours after surgery end time 91% 99%
Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period 91% 99%
Surgery patient swho received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery 98% 99%
Urinary catheter removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with day of surgery being Day Zero 100% 99%
Surgery patients with perioperative temperature management 100% 100%


Frick - Venous Thromboembolism
October 2013 to June 2014


Measure Our % PA Avg.
Venous thromboembolism prophylaxis 100% 93%
Intensive Care Unit venous thromboembolism prophylaxis 98% 96%
Venous thromboembolism patients with anticoagulation overlap therapy 100% 95%
Venous thromboembolism patients receiving unfractionated Heparin with dosages/platelet count monitoring by protocol or nomogram 100% 99%
Venous thromboembolism Warfarin therapy discharge instructions 100%  87%
 Hospital acquired potentially preventable venous thromboembolism (Lower rate is the preferred rate) 0% 6%

 

Frick - Emergency Department
October 2013 to June 2014
 

Measure Our % PA Avg.
Median time from ED arrival to ED departure for admitted ED patients 205 minutes Average: 270 minutes
Admit decision time to ED departure time for admitted patients 57 minutes Average: 100 minutes

Frick - Influenza Immunization
October 2013 to June 2014

Measure Our % PA Avg.
Influenza immunization 99% 94%

 

Frick - Stroke Care
October 2013 to June 2014

Measure Our % PA Avg.
Venous thromboembolism (VTE) prophylaxis 100% 96%
Prescribed antithrombotics at discharge 100% 99%
Anticoagulation therapy for atrial fib/flutter 100% 97%
Thrombolytic therapy 0% 79%
Prescribed antithrombotics by end of hospital day 2 100% 99%
Discharged on statin medication 86% 96%
Stroke education 83% 93%
Assessed for rehabilitation 100% 99%

 

Frick - Mortality -Acute Myocardial Infarction 
July 2010 to June 2013

Measure
Ours

Nat'l. Rate

Acute myocardial infarction (AMI) 30-day mortality rate
No different than the national rate 14.9

 

Frick - Mortality -Heart Failure
July 2010 to June 2013
 

 Measure

Ours 

Nat'l. Rate 

 Heart failure (HF) 30-day mortality rate

No different than the
national rate

11.9 

     
     

Frick - Mortality -Pneumonia
July 2010 to June 2013
 

Measure

Ours

Nat'l. Rate

Pneumonia (PN) 30-day mortality rate

No different than the
national rate

11.9

 

Frick - Mortality - Acute Ischemic Stroke
July 2010 to June 2013
 

Measure

Ours

Nat'l. Rate

Acute ischemic stroke (STK) 30-day mortality rate

No different than the national rate

15.3

Frick - Mortality - Chronic Obstructive Pulmonary Disease
July 2010 to June 2013
 

Measure

Ours

Nat'l. Rate

Chronic obstructive pulmonary disease (COPD) 30-day mortality rate

No different than the national average

7.8 

 

Frick - Readmissions - Acute Myocardial Infarction
July 2010 to June 2013
  

Measure

Ours

Nat'l. Rate

Acute myocardial infarction (AMI) 30-day readmission rate

Number of cases too small

17.8

 

Frick - Readmissions -Heart Failure
July 2010 to June 2013
  

Measure

Ours

Nat'l. Rate

Heart failure (HF) 30-day readmission rate

No different than the
national rate

22.7 

 

Frick - Readmissions - Pneumonia
July 2010 to June 2013
  

Measure

Ours

Nat'l. Rate

Pneumonia (PN) 30-day readmission rate

No different than the
national rate

17.3

 

Frick - Readmissions - Stroke
July 2010 to June 2013
 

Measure

Ours

Nat'l. Rate

Stroke (STK) 30-day readmission rate

No different than the
national rate

13.3

 

Frick - Readmissions - Chronic Obstructive Pulmonary Disease
July 2010 to June 2013
  

Measure

Ours

Nat'l. Rate

Chronic obstructive pulmonary disease (COPD) 30-day readmission rate

No different than the
national rate

20.7 

 

Frick - Readmissions - Hip/Knee
July 2010 to June 2013
  

Measure

Ours

Nat'l. Rate

30-day readmission rate following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA)

No different than the
national rate

11.9

 

Frick - Readmissions - Hospital-Wide
July 2010 to June 2013
  

Measure

Ours

Nat'l. Rate

30-day hospital-wide all-cause unplanned readmission rate

No different than the national rate

15.6 

More Information:

Heart Failure
Heart Attack
Surgical Infection
Stroke
Pneumonia 

Additional Resources

 
Find A Physician


Excela Health
Administrative Offices
532 West Pittsburgh Street
Greensburg, PA, 15601
1-877-771-1234