Delaware Hospital Guide - A public service of the Delaware Healthcare Association

Quality Measures

Quality Measurements as reported on Hospital Compare / Definitions
Note that measures for systems have been consolidated for member hospitals.
Data are for the collection period beginning 07/01/2009 to 06/30/2010 and posted on 04/20/2011
This report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA). The HQA is a public-private collaboration established to promote reporting on hospital quality of care.
Nanticoke Memorial Hospital
801 Middleford Road
Seaford, DE 19973
(302) 629-6611

Click here for information about the Measures and Conditions reported.
 
Condition: Heart Attack
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
AMI-1. Aspirin at Arrival  97    100%  99%  100%  99%
AMI-2. Aspirin at Discharge  81    99%  98%  100%  99%
AMI-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)  11  1  100%  96%  100%  95%
AMI-4. Smoking Cessation Advice/Counseling  27    100%  99%  100%  100%
AMI-5. Beta Blocker at Discharge  83    99%  98%  100%  98%
AMI-7a. Fibrinolytic Medication Within 30 Minutes Of Arrival  2  1  100%  55%  100%  67%
AMI-8a. PCI Within 90 Minutes Of Arrival  19  1  100%  90%  100%  90%

Condition: Heart Failure
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
HF-1. Discharge Instructions  166    98%  88%  100%  92%
HF-2. Evaluation of Left Ventricular Systolic (LVS) Function  202    99%  98%  100%  99%
HF-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)  37    100%  94%  100%  94%
HF-4. Smoking Cessation Advice/Counseling  39    100%  98%  100%  100%

Condition: Emergency Department: AMI Cardiac Care
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
OP-2. Fibrinolytic Therapy received within 30 minutes  0  3  N/A  54%  100%  0%
OP-3b. Median Time to transfer patients for Acute Coronary Intervention  N/A  5  N/A  61 minutes  40 minutes  72 minutes
OP-4. Aspirin at Arrival  15  1  100%  95%  100%  100%
OP-5. Median Time to ECG  15  1  7 minutes  8 minutes  3 minutes  6 minutes

Condition: Emergency Department: Surgical Care
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
OP-6. Timing of Antibiotic Prophylaxis  103     93%  92%  99%  90%
OP-7. Prophylactic Antiobiotic Selection  98     80%  94%  100%  87%

Condition: Pneumonia
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
PN-2. Pneumococcal Vaccination Status  170    98%  93%  100%  91%
PN-3b. Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospita  158    100%  96%  100%  94%
PN-4. Smoking Cessation Advice/Counseling  94    100%  97%  100%  100%
PN-5c. Initial Antibiotic(s) within 6 Hours After Arrival  168    98%  95%  100%  94%
PN-6. Appropriate Initial Antibiotic Selection  103    97%  92%  99%  90%
PN-7. Influenza Vaccination Status  136    89%  91%  100%  87%

Condition: Surgical Care Improvement
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
SCIP-CARD-2. Patients on beta blocker at admission who received beta blocker during perioperative period  50  2  100%  93%  100%  95%
SCIP-INF-1. Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision  69  2  97%  97%  100%  97%
SCIP-INF-2. Prophylactic Antibiotic Selection  70  2  97%  97%  100%  99%
SCIP-INF-3. Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time  62  2  90%  94%  100%  97%
SCIP-INF-4. Blood glucose controlled in days following heart surgery  0  2  N/A  93%  99%  94%
SCIP-INF-6. Safe method of hair removal from surgical site used when needed  170  2  100%  99%  100%  100%
SCIP-INF-9. Urinary catheter removed within two days following surgery  18  1, 2  89%  90%  100%  95%
SCIP-VTE-1. Recommended Venous Thromboembolism Prophylaxis Ordered  86  2  95%  94%  100%  96%
SCIP-VTE-2. Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery  86  2  91%  92%  100%  93%

Condition: Children’s Asthma Care
Measure Number of Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
No Data are available for this hospital.

Hospital Compare - Survey of Patient Hospital Experiences

Data are for the collection period beginning 07/01/2009 to 06/30/2010 posted on 04/20/2011 / Definitions
Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

Click individual questions for detailed definitions and comparisons.
Survey question Measure Percent Measure Percent Measure Percent
Nurses communicated well Always 76% Usually 19% Sometimes 5%
Doctors communicated well Always 81% Usually 15% Sometimes 4%
Help received quickly Always 59% Usually 29% Sometimes 12%
Pain controlled well Always 68% Usually 23% Sometimes 9%
Staff explained medicines Always 62% Usually 18% Sometimes 20%
Room and bath kept clean Always 70% Usually 21% Sometimes 9%
Area quiet at night Always 44% Usually 38% Sometimes 18%
Given discharge instructions Yes 84% No 16%    
Overall hospital rating High 61% Medium 28% Low 11%
Would recommend hospital Definitely 62% Probably 32% No 6%

Hospital Compare - Outcome Measures

Data are for the collection period beginning 07/01/2006 to 06/30/2009 and posted on 04/20/2011

Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

Click here for information about the Outcome Measures reported.

30-Day Risk Adjusted Mortality Rates
Measure Hospital Predicted Range National Average
Number Patients Mortality Rate from to
Heart Attack 158 14.5% 11.5% 18.1% 16.2%
Heart Failure 279 11.0% 8.6% 14.1% 11.2%
Pneumonia 297 11.4% 8.8% 14.5% 11.6%

30-Day Risk Adjusted Readmission Rates
Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack 111 19.4% 16.1% 22.7% 19.9%
Heart Failure 309 21.6% 18.5% 25.0% 24.7%
Pneumonia 314 18.7% 15.8% 22.1% 18.3%

Hospital Compare - Efficiency Measures

Data are for the collection period beginning 01/01/2008 to 12/31/2008 and posted on 04/20/2011

Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

Click here for information about the Outcome Measures reported.

Imaging Efficiency
Measure Number Patients Hospital Footnotes Hospital Score National Average State Average
OP-8. MRI Lumbar Spine for Low Back Pain  92    21.7%  32.7%  25.8%
OP-9. Mammography Follow-up Rates  1178    6.9%  8.4%  7.3%
OP-10. Abdomen CT - Use of Contrast Material  694    0.268%  0.191%  0.258%
OP-11. Thorax CT - Use of Contrast Material  521    0.021%  0.054%  0.037%

 

Site Map / Email: wayne@deha.org
All users should read notice, disclaimer, and agreement.

Copyright 2011 Delaware Healthcare Association. All rights reserved. / Powered By ahd.com