Quality Measures and Outcomes

HEART CARE  |  PNEUMONIA CARE  |  SURGICAL CARE 

At Saint Francis Hospital and Medical Center we are committed to providing our patients with the most advanced care, highest level of safety, and access to an experienced team of medical providers with leading-edge technology at their fingertips. We deliver this care in a coordinated, comprehensive continuum to ensure that each patient's care is tailored to individual needs.

As a leader of healthcare in the community, we believe in quality transparency. This means giving you the quality information about Saint Francis that is needed to make the best possible healthcare decisions for you and your family.

The data seen here reflect our performance with certain Process of Care Measures, developed by the federal government through the Centers for Medicare and Medicaid Services (CMS). More specifically, these data show how often we provide certain aspects of care that are recommended for patients being treated for acute myocardial infarction or heart attack, heart failure, pneumonia, or patients undergoing certain surgical procedures.

Acute Myocardial Infarction (AMI)

Dr. Diver 
Dr. Daniel Diver, Chief of Cardiology 

“Heart disease is the leading cause of death in the United States.  That is why Saint Francis has dedicated a specialized concentration of high-quality medical care and advanced technology through the establishment of the Hoffman Heart and Vascular Institute of Connecticut.

“A multidisciplinary team cares for AMI patients based on the core measure model - ensuring that patients receive the best care according to clinical standards.

“The Institute also offers comprehensive, state-of-the-art diagnostic and therapeutic services, and is one of New England's highest-volume centers for cardiac catheterizations and open heart procedures.” 

Performance Measures for Heart Attack 
 

Third Quarter 2009  Through Second Quarter 2010

  Saint Francis State Average National Average
Giving aspirin within 24 hours of arrival  99% 99% 99%
Giving a prescription for aspirin upon discharge 

99%

99% 98%
Giving an ACE inhibitor if heart function is impaired  93% 94% 96%
Smoking Cessation  100% 100% 99%
Giving a prescription for a beta-blocker upon discharge  98% 98% 98%
Primary PCI Received Within 90 Minutes of arrival  96% 87% 90%
*Data available as of January 12, 2011

Return to top  

Heart Failure

Dr. Soucier 
Dr. Richard Soucier,
Medical Director, Congestive Heart Failure (CHF) Program
 

“Saint Francis has taken a multidisciplinary approach to the management of congestive heart failure (CHF) patients.  We have implemented the first-of-its-kind heart failure disease management program.  We have a team that meets daily to review important aspects of each patient's care.  We have documented improved core measures, with patients more likely to receive proper discharge education, life-saving medications, appropriate testing, and smoking cessation counseling if cared for in our dedicated unit.

"Through ongoing dialogue and staff education, we have positively affected patient outcomes with this unique method, including a one-day decrease in length of stay.”

 

 

Performance Measures for Heart Failure 
 

Third Quarter 2009  Through Second Quarter 2010

  Saint Francis State Average National Average
Discharge Instructions  64% 86% 88%
Performing a left ventricular function (LVF) assessment  100% 99% 98%
Giving an ACE inhibitor if heart function is impaired  94% 93% 94%
Smoking Cessation  100% 99% 98%
*Data available as of January 12, 2011

Return to top  

Inpatient Pneumonia

Dr. ZuWallack 
Dr. Richard ZuWallack, Associate Chief, Pulmonary Medicine 

“Pneumonia is linked to increased mortality rates and re-hospitalization rates.  At Saint Francis, an initiative is underway involving the vaccine pneumovax for patients over 65.  The vaccine is effective against the 23 most common strains of pneumococcus.   

"Our physicians also work closely with our medical staff in the emergency department to ensure timely treatment if a patient is diagnosed with pneumonia. This collaboration has resulted in improved outcomes for our patients." 

 

 

 

Performance Measures for Pneumonia 
 

Third Quarter 2009  Through Second Quarter 2010

  Saint Francis State Average National Average
Oxygenation assessment within 24 hours of arrival  100% 100% 99%
Screening for and /or giving a pneumonia vaccination before discharge  94% 96% 96%
Blood Cultures (before first antibiotic)  94% 96% 96%
Smoking Cessation  100% 98% 97%
Giving an antibiotic within 4 hours of arrival  90% 96% 95%
Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients(CMS)  92% 91% 91%
*Data available as of January 12, 2011

Return to top  

Surgical Care Management

Dr. Steinberg 

Dr. Jeffrey Steinberg,
Chairman and Director, Department of Surgery 

“In the past year, we have created a disciplined team approach toward improving surgical services and overall performance.  The team meets once a month to report on core measures and other PI initiatives. 

“Through the establishment of this multi-faceted team, this unique approach has enabled us to make dramatic improvements in core measures for surgery.”

 

 

 

 

Performance Measures for Surgery 
 

Third Quarter 2009  Through Second Quarter 2010

  Saint Francis State Average National Average
Percent of Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Surgery if appropriate  97% 96% 97%
Percent of Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery if appropriate*  98% 97% 97%
Percent of Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery if appropriate*  96% 95% 94%
Percent of Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots For Certain Types of Surgeries if appropriate*  97% 96% 94%
Percent of Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots if appropriate*   95% 95% 92%
*Data available as of January 12, 2011

Return to top