Hospital Outcome of Care

Measures:
Heart failure and Pneumonia

Michelle Wisniewski & Amy Larrabee

HIA 333E
Healthcare Statistics, Research, and Quality Improvement

Hospitals of Comparison

Mercy Hospital
Buffalo, NY
Erie County Medical Center
Buffalo, NY
Mount St. Marys Hospital
Lewiston, NY

Heart Failure Timely and Effective Care Measures from 10/1/2011 9/30/2012

MEASURES

MERCY
HOSPITAL

MOUNT ST.
ERIE COUNTY
MARYS
MEDICAL
HOSPITAL AND
CENTER
HEALTH
CENTER

NEW YORK
AVERAGE

NATIONAL
AVERAGE

Patients given
discharge
instructions

98%

98%

99%

94%

93%

Patients given
an evaluation of
Left Ventricular
Systolic (LVS)
function

100%

99%

100%

99%

99%

Patients given
ACE inhibitor or
ARB for Left
Ventricular
Systolic
Dysfunction
(LVSD)

100%

94%

100%

96%

97%

Heart Failure Timely and Effective Care 10/1/2011 - 9/30/2012

102%

100%

98%

96%

94%

92%

90%

88%
Mercy Hosp.

ECMC

Mount St. Mary's

NY Avg.

Patients given discharge instructions

Patients given an evaluation for Left Ventricular Systoloic function
Patients given an ACE inhibitor or ARB for LVSD

National Avg.

Heart failure timely and effective care

comparison
Based on the comparison, all three area hospitals rated higher than the
NYS and National average where patients were given discharge instructions
All three hospitals were on target with the NY and National average for
Patients who were given an evaluation of Left Ventricular Systolic (LVS)
function

Both Mercy Hospital and Mount St.Marys Hospital were at 100% for
Patients given ACE inhibitor or ARB for Left Ventricular Systolic Dysfunction
(LVSD) which was above the NYS and National average.
ECMC was below the NYS and National average for Patients given ACE
inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Pneumonia Timely and Effective Care Measures From 10/1/2011 9/30/2012

MEASURE

MERCY
HOSPITAL

MOUNT ST.
ERIE COUNTY
MARYS
MEDICAL
HOSPITAL AND
CENTER
HEALTH
CENTER

NEW YORK
AVERAGE

NATIONAL
AVERAGE

Patients whose
initial
emergency
room blood
culture was
performed prior
to the
administration
of the first
hospital dose of
antibiotic

98%

96%

99%

97%

97%

Patients given
the most
appropriate
initial
antibiotic(s)

99%

92%

91%

95%

95%

Pneumonia Timely and Effective Care Measures

10/1/11 - 9/30/12
100%
98%
96%
94%
92%
90%
88%
86%
Mercy Hosp.

ECMC

Mount St. Mary's

NY Avg

National Avg.

Patients whose initial E.R blood culture was performed prior to administration of
the first hospital dose of antibiotic
Patients given the most appropriate intial antibiotic

Pneumonia Timely and Effective Care Comparison

Mercy Hospital and Mount St.Marys Hospital were measured above the NYS
and National average for Patients whose initial emergency room blood culture
was performed prior to the administration of the first hospital dose of antibiotic
ECMC was 1% lower than the NYS and National average for Patients whose
initial emergency room blood culture was performed prior to the administration
of the first hospital dose of antibiotic
Mercy Hospital was higher than the NYS and National average for Patients
given the most appropriate initial antibiotic(s)
ECMC and Mount St. Marys Hospital were below the NYS and National
average for Patients given the most appropriate initial antibiotic(s)

Heart Failure 30-Day Readmission and Death

Rates (7/1/09-6/30/12)
MEASURES

Readmission
Rate

Death Rate

MERCY
HOSPITAL

ERIE
COUNTY
MEDICAL
CENTER

MOUNT ST.
MARYS
HOSPITAL
AND HEALTH
CENTER

U.S.
NATIONAL
RATE

Not Available

Not
Available

Not Available

Not Available

No different from
U.S National
Rate

No different
from U.S
National
Rate

No different
from U.S
National Rate

11.7%

Heart Failure 30-Day Readmission and Death Rates

(7/1/09-6/30/12)
The readmission rate for Heart Failure was not available for any of the 3 Hospitals
or the U.S National
The U.S National death rate for Heart Failure was 11.7%
All 3 Hospitals were no different than the 11.7% U.S National rate for Heart
Failure

Pneumonia 30-Day Readmission and Death Rates

(7/1/09-6/30/12)
MEASURES

MERCY
HOSPITAL

ERIE
COUNTY
MEDICAL
CERNTER

MOUNT ST.
MARYS
HOSPITAL
AND HEALTH
CENTER

U.S.
NATIONAL
RATE

Readmission
Rate

Not Available

Not Available

Not Available

Not Available

Death Rate

No different
from U.S
National Rate

No different
from U.S
National Rate

No different
from U.S
National Rate

11.9%

Pneumonia 30-Day Readmission and Death

Rates (7/1/09-6/30/12)
The readmission rates for pneumonia within 30 days was not available
for the 3 hospitals or the U.S National average
The U.S National Death Rate for Pneumonia was 11.9%
All 3 Hospitals were no different than the 11.9% U.S National rate for Pneumonia

Reference
https://data.medicare.gov/