Montrose Memorial Hospital
Quality & Core Measures
Pneumonia
Pneumonia is an
infection in one or both lungs caused by bacteria. Every
year there are approximately 3 million cases of pneumonia in
the USA, and over 500,000 of these cases are admitted to
hospitals. Every year 5% will die, causing pneumonia to be
the 6th leading cause of death in the USA.
The goal of
treating pneumonia is to ensure patients with the diagnosis
are receiving the most appropriate antibiotics, at the
earliest possible stage. Another goal is prevention; by
making sure individuals over 65years of age receive the
pneumonia vaccine.
About the data below:
Below you will find MMH's
performance in the Core Measures relating to Pneumonia.
Above each graph (or sections of graphs), you'll also find
helpful definitions and information that can help you
understand the data presented. In the upper right-hand
corner of each, you will notice a colored octagon-- this is
our "stop-sign" system for a quick glance at how we are
doing:
Green = Meeting Identified Goal of Compliance for Most
Current Month;
Red = Not
Meeting Identified Goal for Most Current Month;
No Color Indicates No Data for the Current Month (it is not
unusual for a small hospital to have "no data" on a
particular indicator due to the small number of cases seen
at the facility).
Pneumonia Appropriate
Care Measures:
Data current
through June 2007
OXYGENATION
ASSESSMENTS: A higher score is better.
What this means:
This is a measure that shows the
percentage of pneumonia patients that had their blood oxygen
level measured.
Why this is important:
Pneumonia affects the lungs in
patients and can cause a decrease in the amount of oxygen
that is carried throughout the body.
PNEUMONIA
VACCINATION GIVEN: A higher score is better.
What this means:
This is a measure that shows how
well the hospital has documented that pneumonia patients
over the age of 65years have been screened for or asked if
they wish vaccination.
Why this is important:
Scientific literature has shown
that people over the age of 65 years of age are more at risk
for pneumonia.
SMOKING
CESSATION ADVICE/COUNSELING: A higher score is better.
What this means:
This measure shows
how well a hospital documents the education given to heart
attack patients regarding smoking cessation.
Why this is important:
Smoking is known to
cause damage to the heart, the lungs and the circulatory
system. Smoking makes heart disease worse.
INITIAL
ANTIBIOTIC WITHIN 4 HOURS: A higher score is better.
What this means:
This is the measure that shows
the percentage of pneumonia patients who were given an
appropriate antibiotic within 4 hour of arriving at the
hospital.
Why this is important:
Patients who receive appropriate
antibiotics within 4 hours of their arrival at the hospital
has been shown to be very effective in treating community
acquired pneumonia.
ANTIBIOTIC SELECTION FOR COMMUNITY ACQUIRED PNEUMONIA IN AN
IMMUNOCOMPETENT PATIENT:
A
higher score is better.
What this means:
This is the measure that shows
the percentage of community acquired pneumonia patients who
were given appropriate antibiotics within 24 hours of their
hospital admission.
Why this is important:
Patients who receive appropriate
antibiotics within 24 hours of their hospital admission has
been shown to be very effective in treating community
acquired pneumonia.
