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Excela Health

Westmoreland - Heart Attack
October 2013 to June 2014

Measure Our % PA Avg.
Aspirin prescribed at discharge 98% 100%
Fibrinolytic therapy received within 30 minutes of hospital arrival NA 67%
Primary PCI within 90 minutes of hospital arrival 97% 96%
Statin prescribed at discharge 98% 99%



Westmoreland - Heart Failure
October 2013 to June 2014

Measure Our % PA Avg.
Discharge instructions 95% 96%
Evaluation of LVS Function 100% 100%
ACEI orARB for LVSD 88% 98%



Westmoreland - Pneumonia
October 2013 to June 2014

Measure Our % PA Avg.
Initial antibiotic selection for CAP in immunocompetent patients 98% 97%



Westmoreland - Surgical Care Improvement Project
October 2013 to June 2014

Measure Our % PA Avg.
Prophylactic antibiotic received within one hour prior of incision 100% 99%
Prophylactic antibiotic selection for surgical patients 100% 99%
Prophylactic antibiotics discontinued within 24 hours after surgery end time 99% 99%
Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period 100% 99%
Cardiac surgery patients with controlled postoperative blood glucose 91% 94%
Urinary catheter removal on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with day of surgery being Day Zero 98% 99%
 Surgery patients with perioperative temperature management 100% 100%
 Surgery patients who receive appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery and 24 hours after surgery 99%  99%

 

Westmoreland - Emergency Department
October 2013 to June 2014
 

Measure Our % PA Avg.
Median time from ED arrival to ED departure for admitted ED patients 257 minutes based on 932 patients Overall average: 270 minutes
Admit decision time to ED departure time for admitted patients 85 minutes based on 929 patients Overall average: 100 minutes

Westmoreland - Influenza Immunization
October 2013 to June 2014

Measure Our % PA Avg.
Influenza Immunization 96% 94%

Westmoreland - Get with the Guidelines Stroke
October 2013 to June 2014

Measure Our % PA Avg.
Venous thromboembolism (VTE) prophylaxis 96% 96%
Discharged on antithrombotic therapy 100% 99%
Antithrombolytic therapy by end of hospital day 2 98% 99%
Thrombolytic therapy 18% 79%
Discharged on statin medication 88% 96%
Anticoagulation therapy for atrial fib/flutter 92% 97%
Stroke education 81% 93%
Assessed for rehabilitation 96% 99%

Westmoreland - Perinatal Care
October 2013 to June 2014
 

Measure Our % PA Avg.
Elective delivery 1% 3%

Westmoreland - Venous Thromboembolism
October 2013 to June 2014

Measure Our % PA Avg.
Venous thromboembolism prophylaxis 97% 93%
Intensive Care Unit venous thromboembolism prophylaxis 98% 96%
Venous thromboembolism patients with anticoagulation overlap therapy 92% 95%
Venous thromboembolism patients receiving unfractionated Heparin with dosages/platelet count monitoring by protocol or nomogram 100% 99%
Venous thromboembolism Warfarin therapy discharge instructions 88% 87%
Hospital acquired potentially preventable venous thromboembolism 13% 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