Employers Health Ohio Hospital Compare Guide : Page 3

http://ohiohospitalcompare.ohio.gov/ T ABLE O F C ONTENTS H EART S URGERY OPEN HEART SURGERY # ..................................................................................................4 OPEN HEART MORTALITY ................................................................................................5 ANGIOPLASTY # ..................................................................................................................6 ANGIOPLASTY MORTALITY ..............................................................................................7 ANGIOPLASTY QUICKLY ....................................................................................................8 In general, hospitals that perform more heart procedure cases have better outcomes for their patients. This series of reports shows the number of procedures and death rates for two common procedures, open heart surgery and angio-plasty. Angioplasty is a procedure where a tube is inserted through a blood vessel in the arm or groin and directed to the blood vessels in the heart using x-ray. Blood vessels that are blocked or narrowed due to coronary artery disease can then be dilated (opened) using a balloon to stretch open the vessel, and a wire mesh tube (stent) can be inserted in the vessel to hold it open. For individuals having a heart attack, it is important that angioplasty happen quickly to restore blood flow to the heart. The Angioplasty Quickly report shows how often hospitals perform this procedure within 90 minutes of arrival at the hospital. To learn more about performance measures and quality, visit the following websites: Centers for Medicaid and Medicare Services Hospital Compare http://www.hospitalcompare.hhs.gov/ hospital-search.aspx Joint Commission's Patient Safety and Quality Standards http://www.qualitycheck.org/ consumer/searchQCR.aspx I NFECTION SURGICAL SITE INFECTION OPEN HEART ....................................................................9 SURGICAL SITE INFECTION C-SECTION ....................................................................10 SURGICAL SITE INFECTION KNEE ................................................................................12 C. DIFF ACQUIRED ............................................................................................................14 MRSA ....................................................................................................................................16 MSSA ....................................................................................................................................18 Infections are an uncommon complication of surgery, and can cause major problems for patients. These reports provide information about hospital infection rates after surgery. The first three reports show infection rates associated with specific procedures, open heart surgery, C-sections and knee surgery. The last three reports provide information about infections caused by specific bacteria. C. diff (Clostridium difficile) can cause fever and diarrhea. Both MRSA (Methicillin-resistant Staph aureus) and MSSA (Methicillin-sensitive Staph aureus) can cause severe infections that may begin in the hospital. Careful attention during hospital care can help reduce infection rates. Agency for Healthcare Research and Quality State Snapshots http://statesnapshots.ahrq.gov/ snaps09/index.jsp P ATIENT S ATISFACTION COMMUNICATION WITH NURSES................................................................................20 COMMUNICATION WITH DOCTORS ..........................................................................22 RESPONSIVENESS ..............................................................................................................24 PAIN MANAGEMENT ........................................................................................................26 COMMUNICATION MEDICINE ......................................................................................28 CLEANLINESS......................................................................................................................30 QUIETNESS..........................................................................................................................32 DISCHARGE INFORMATION ..........................................................................................34 OVERALL RATING ..............................................................................................................36 A good patient experience at the hospital may make help make a stressful time more manageable. This series of reports provides details about specific aspects of the patient’s experience in the hospital. Hospitals with higher scores are likely paying more attention to the needs of their patients. Ohio Hospital Compare is designed to provide important information to help you make informed decisions. Use this website in conjunction with other information in making decisions about hospitals. Ohio Hospital Compare is not intended to be anyone's sole source of information about hospital quality. Rather, it is designed to provide helpful information that can play an important role in an evaluation of hospital quality, along with other sources including doctor recommendations. P REGNANCY C-SECTION..........................................................................................................................38 STEROIDS ............................................................................................................................39 OHIO S URGICAL C ARE SURGICAL CARE IMPROVEMENT ..................................................................................40 PRE-SURGERY ANTIBIOTICS ..........................................................................................42 PREVENTATIVE ANTIBIOTICS ........................................................................................44 POST-SURGERY ANTIBIOTICS ........................................................................................46 BLOOD CLOT PREVENTION TREATMENT ORDERED ..............................................48 BLOOD CLOT PREVENTION TREATMENT RECEIVED..............................................50 Overall surgical care improvement is a composite score quantifying how many surgery patients received all of the appropriate care they qualified for. Even with careful attention, complications can happen following surgery. Hospitals can help to reduce the risk of infections and blood clots by using the right treatments. These reports show how these treatments are used in the different hospitals. Hospitals with higher numbers in these reports are paying close attention to preventing complications. Hospitals performing fewer than 25 procedures are not included in the provided rankings. Additional information can be found at http://ohiohospitalcompare.ohio.gov/ This part of the report shows the rate of C-sections use for low-risk pregnancies compared to normal vaginal deliveries. C-sections require surgery, which increases the risk of complications related to pregnancy and delivery. Steroids are used to improve the lung function of premature babies. High rates of steroid use during premature births can help to reduce complications for the baby. 3

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