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Excela Health

Westmoreland

Westmoreland - Heart Attack
October 2013 to June 2014

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

 Average:
270 minutes

Admit decision time to ED departure time for admitted patients 85 minutes Average: 100 minutes



Westmoreland - Influenza Immunization
October 2013 to June 2014

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

Westmoreland - Stroke Care
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  (Lower rate is the desired rate) 13% 6%



 

Westmoreland - 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 
     

 

Westmoreland - 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

     
     

 

 Westmoreland - 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

     
     

Westmoreland - 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

     
     

Westmoreland - 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

     
     

Westmoreland - 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

     
     

Westmoreland - 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

     
     

Westmoreland - Readmission - 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

     
     

Westmoreland - 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

     
     

Westmoreland - Readmission - 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

     
     

Westmoreland - 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

     
     

Westmoreland - 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