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1、Health Quality Performance MeasurementHealth Quality Performance Measurement R H O D E I S L A N D D E P A R T M E N T O F H E A LT H P AT R I C I A A . N O L A N , M D , M P H , D I R E C T O R O F H E A LT H HOSPITAL PERFORMANCE IN RHODE ISLAND How Often Our Hospitals Provide Recommended Care for
2、Heart Attack, Heart Failure, and Pneumonia. November 2002 Health Quality Performance MeasurementHealth Quality Performance Measurement Health Quality Performance MeasurementHealth Quality Performance Measurement The Office of Performance Measurement reports on the performance and quality of healthca
3、re provided by healthcare facilities and health plans in Rhode Island Copies of this information are available in alternative formats uponrequest. Contact Gina Rocha at Rhode Island Department of Health, Three Capitol Hill, Providence, RI 02908. Telephone: 222-4872 or Rhode Island Relay 711 Hospital
4、 Performance in Rhode Island How Often Our Hospitals Provide Recommended Care for Heart Attack, Heart Failure, and Pneumonia. Rhode Island Department of Health November 2002 1 November, 2002 Dear Rhode Islander, This is a report on how often hospitals in Rhode Island are providing recommended care t
5、o their patients. The report is one of many reports that have already been put out or will be put out soon by the Department of Health on different aspects of quality of care provided by licensed health care facilities in our State. For example, the Department of Health has issued reports on patient
6、 satisfaction with hospital care and the quality of nursing home care. This report was prepared by Qualidigm and Rhode Island Quality Partners and was made possible, in part, with support from the Centers for Medicare 500,000 hospitalizations; and 45,000 deaths. Patients receiving recommended care f
7、or pneumonia are less likely to require a return visit to the hospital. Even with the best quality care, some patients may not recover. How was the quality of hospital care determined for patients with pneumonia? The first step was to identify recommended treatments for pneumonia that research shows
8、 make a big difference in whether people recover. This report examined how often patients with pneumonia were given the following types of recommended care: Giving the patient an antibiotic within 8 hours of arrival at the hospital. Giving the patient a diagnostic test to determine what bacteria are
9、 causing the pneumonia before giving an antibiotic. Doing a diagnostic test to determine if the patient is getting enough oxygen. Giving the patient a pneumonia vaccine if they have not been given one within 5 years. The next step was to examine the hospital medical records of patients who had pneum
10、onia, to see how often they got the recommended treatments. Then, based on those records, it was possible to calculate the “hospital performance rate”the percentage of times that patients got the recommended treatments for pneumonia. 14 Pneumonia Care How often do hospitals give recommended care? Th
11、is graph shows the hospital performance rate for 10 different hospitals in Rhode Island for the period May 2001 through December 2001. The hospital performance rate is the percentage of times that the hospital gave the recommended care for patients with pneumonia. A higher number is better. If you n
12、eed help understanding this graph, refer to page 7. * Fifty-seven hospitals in conjunction with five state hospital associations participated in the quality measurement project for pneumonia care conducted by the Joint Commission on Accreditation of Healthcare Organizations. All Participating Hospit
13、als Kent County Memorial Hospital Landmark Medical Center Memorial Hospital of Rhode Island The Miriam Hospital Newport Hospital Rhode Island Hospital Roger Williams Medical Center Our Lady of Fatima Hospital South County Hospital Westerly Hospital 020406080100 76% 76% (3%) 80% (3%) 79% (3%) 82% (2%
14、) 87% (3%) 79% (2%) 76% (4%) 74% (9%) 80% (4%) Hospital Performance Rate 83% (3%) * 15 How Can I Get More Information? For more details about the clinical performance of hospitals in Rhode Island, you can request a copy of the Hospital Performance in Rhode Island: How Often Our Hospitals Provide Rec
15、ommended Care for Heart Attack, Heart Failure, and Pneumonia Technical Report from the Rhode Island Department of Health by visiting their web site, www.healthri.org, or by calling (401) 222-2550. For more information about the hospitals in Rhode Island, you may contact the Hospital Association of R
16、hode Island by visiting their web site, www.hari.org, or by calling (401) 274-4274. For more information about the law on public reporting for health care facilities contact the Rhode Island Department of Health at (401) 222-2550, or you can view it at www.rilin.state.ri.us/Statutes/TITLE23/23-17-17
17、/INDEX.HTM. For more information on the Joint Commission on Accreditation of Healthcare Organizations Pilot Project for Quality Measurement and Improvement (Core Measures), refer to their web site at www.jcaho.org. For more information about patient satisfaction for hospitals in Rhode Island, you ma
18、y view a detailed report at the Rhode Island Department of Healths website, www.healthri.org/chic/performance/satisfaction.htm. 16 Acknowledgements This report was prepared by Qualidigm and Rhode Island Quality Partners and was made possible, in part, with support from the Centers for Medicare & Med
19、icaid Services. Many organizations helped to conduct this project. Appreciation is given to those groups and individuals who assisted in the development of this report. Community Organizations & Government Agencies Aging 2000 International Institute of Rhode Island Rhode Island Department of Health
20、Urban League of Rhode Island Westminster Senior Center Health Care Organizations Hospital Clinical Measures Workgroup Hospital Association of Rhode Island Joint Commission on the Accreditation of Healthcare Organizations The People of Rhode Island More than 20 Rhode Islanders took time to participate in cognitive testing for this report.