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One way to judge healthcare quality is to measure the efficiency and extent to which specific assessments and treatments are provided. Administering aspirin to heart attack victims is a familiar example. When this is done within 24 hours of a heart attack, the victim’s chances of survival increase.
Memorial Hermann measures widely accepted clinical indicators in cases of heart attack (acute myocardial infarction), heart failure (congestive heart failure) and pneumonia – three of the most common reasons for hospitalization. These evidence-based measures were developed by The Joint Commission (TJC), in conjunction with the American Hospital Association (AHA) and the Centers for Medicare and Medicaid Services (CMS).
How do Memorial Hermann facilities measure up? The following following clinical indicators have been conducted:
Aspirin administered at arrivalAspirin prescribed at dischargeACEI or ARB for LVSDAdult smoking cessation advice/counselingBeta blocker prescribed at dischargeFibrinolysis therapy received within 30 min of arrivalPrimary PCI within 90 minutes of arrival
All Discharge InstructionsEvaluation of LVS FunctionACEI or ARB for LVSDAdult smoking cessation advice/counseling
Pneumococcal VaccinationBlood culture in ED prior to initial antibioticAdult smoking cessation advice/counselingAntibiotic within 6 hours of arrivalAntibiotic selection for ICU/non-ICU patientsInfluenza vaccination