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Excela Health

Latrobe

October 2013 to June 2014
Measure Our % PA Avg.
Aspirin prescribed at discharge 96% 100%
Beta blocker prescribed at discharge 96% 99%


Latrobe - Heart Failure
October 2013 to June 2014

Measure Our % PA Avg.
Discharge Information 92% 96%
Evaluation of LVS Function 100% 100%
ACEI or ARB for LVSD 84% 98%



Latrobe - Pneumonia
October 2013 to June 2014

Measure Our % PA Avg.
Initial antibiotic selection appropriate 97% 97%


Latrobe - Surgical Care Improvement Project
October 2013 to June 2014

Measure Our % PA Avg.
% pre-op antibiotic within one hour prior of incision 99% 99%
Appropriate pre-op antibiotics 99% 99%
Post-op antibiotic discontinued  with 24 hours 99% 99%
Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery 99% 99%
Surgery patients on bet-blocker therapy prior to arrival who received a beta-blocker during the perioperative period 98% 99%
Urinary catheter removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with day of surgery being Day Zero 97%  99% 
Surgery patients with peroperative temperature management 100%  100%
 


Latrobe - Stroke Care
October 2013 to June 2014

Measure Our % PA Avg.
Venous thromboembolism (VTE) prophylaxis 97% 96%
Prescribed antithrombotics by end of day 2 100% 99%
Prescribed antithrombotics at discharge 100% 99%
Anticoagulation therapy for atrial fib/flutter 100% 97%
Thrombolytic therapy 0% 79%
Discharged on statin medication 100% 96%
Stroke education 72% 93%
Assessed for rehabilitation 96% 99%



Latrobe - Emergency Department
October 2013 to June 2014

Measure Our PA Avg.
Median time from ED arrival to ED departure for admitted ED patients 220 minutes  Average: 270 minutes
Admit decision time to ED departure time for admitted patients 68 minutes

Average:
100 minutes



Latrobe - Influenza Immunization
October 2013 to June 2014
 

Measure Our % PA Avg.
Influenza immunization 97% 94%

Latrobe - Venous Thromboembolism
October 2013 to June 2014

Measure Our % PA Avg.
Venous thromboembolism prophylaxis 97% 93%
Intensive Care Unit venous thromboembolism prophylaxis 99% 96%
Venous thromboembolism patients with anticoagulation overlap therapy 94% 95%
Venous thromboembolism patients receiving unfractionated Heparing with dosage/platelet count monitoring by protocol or nomogram 100% 99%
Venous thromboembolism Warfarin therapy discharge instructions 95% 87%
Hospital acquired potentially preventable venous thromboembolism  (Lower rate is the desired rate) 0% 6%

 

Latrobe - 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



Latrobe - 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



 

Latrobe - 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



Latrobe - 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



 

Latrobe - 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 rate 7.8



 

Latrobe - Readmission - Acute Myocardial Infarction
July 2010 to June 2013
 

Measure Ours Nat'l. Rate
Acute myocardial infarction (AMI) 30-day readmission rate No different than the national rate 17.8



Latrobe - Readmission - 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



 

Latrobe - Readmission - 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



 

Latrobe - Readmission - 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



 

Latrobe - Readmission - COPD
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



 

Latrobe - Readmission - 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 5.2



 

Latrobe - Readmission - 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

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