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.
Data are consolidated for all hospitals in the Christiana Care Health System system: Christiana Hospital, Wilmington Hospital.
System Name: Christiana Care Health System
Wilmington Hospital
501 West 14th Street
Wilmington, DE 19801
(302) 733-1000

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  484    99%  99%  100%  99%
AMI-2. Aspirin at Discharge  632    99%  98%  100%  99%
AMI-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)  114    94%  96%  100%  95%
AMI-4. Smoking Cessation Advice/Counseling  220    100%  99%  100%  100%
AMI-5. Beta Blocker at Discharge  609    99%  98%  100%  98%
AMI-7a. Fibrinolytic Medication Within 30 Minutes Of Arrival  1  1  0%  55%  100%  67%
AMI-8a. PCI Within 90 Minutes Of Arrival  140    89%  90%  100%  90%

Condition: Heart Failure
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
HF-1. Discharge Instructions  616  2  86%  88%  100%  92%
HF-2. Evaluation of Left Ventricular Systolic (LVS) Function  802  2  99%  98%  100%  99%
HF-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)  284  2  89%  94%  100%  94%
HF-4. Smoking Cessation Advice/Counseling  121  2  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  N/A  5  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  N/A  5  N/A  95%  100%  100%
OP-5. Median Time to ECG  N/A  5  N/A  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  903     89%  92%  99%  90%
OP-7. Prophylactic Antiobiotic Selection  872     83%  94%  100%  87%

Condition: Pneumonia
Measure Number Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
PN-2. Pneumococcal Vaccination Status  411  2  80%  93%  100%  91%
PN-3b. Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospita  450  2  87%  96%  100%  94%
PN-4. Smoking Cessation Advice/Counseling  171  2  100%  97%  100%  100%
PN-5c. Initial Antibiotic(s) within 6 Hours After Arrival  492  2  92%  95%  100%  94%
PN-6. Appropriate Initial Antibiotic Selection  310  2  85%  92%  99%  90%
PN-7. Influenza Vaccination Status  284  2  73%  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  321  2  97%  93%  100%  95%
SCIP-INF-1. Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision  716  2  97%  97%  100%  97%
SCIP-INF-2. Prophylactic Antibiotic Selection  725  2  100%  97%  100%  99%
SCIP-INF-3. Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time  682  2  98%  94%  100%  97%
SCIP-INF-4. Blood glucose controlled in days following heart surgery  195  2  91%  93%  99%  94%
SCIP-INF-6. Safe method of hair removal from surgical site used when needed  1096  2  100%  99%  100%  100%
SCIP-INF-9. Urinary catheter removed within two days following surgery  249  2  94%  90%  100%  95%
SCIP-VTE-1. Recommended Venous Thromboembolism Prophylaxis Ordered  278  2  98%  94%  100%  96%
SCIP-VTE-2. Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery  278  2  95%  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 20% Sometimes 4%
Doctors communicated well Always 78% Usually 17% Sometimes 5%
Help received quickly Always 66% Usually 26% Sometimes 8%
Pain controlled well Always 70% Usually 24% Sometimes 6%
Staff explained medicines Always 61% Usually 17% Sometimes 22%
Room and bath kept clean Always 69% Usually 21% Sometimes 10%
Area quiet at night Always 49% Usually 34% Sometimes 17%
Given discharge instructions Yes 79% No 21%    
Overall hospital rating High 67% Medium 24% Low 9%
Would recommend hospital Definitely 76% Probably 21% No 3%

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 924 16.4% 14.3% 18.7% 16.2%
Heart Failure 2,119 10.2% 9.0% 11.4% 11.2%
Pneumonia 1,735 10.9% 9.6% 12.2% 11.6%

30-Day Risk Adjusted Readmission Rates
Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack 999 19.5% 17.5% 21.9% 19.9%
Heart Failure 2,521 24.2% 22.6% 25.8% 24.7%
Pneumonia 1,828 19.1% 17.4% 20.9% 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  252    32.5%  32.7%  25.8%
OP-9. Mammography Follow-up Rates  2424    7.8%  8.4%  7.3%
OP-10. Abdomen CT - Use of Contrast Material  2682    0.029%  0.191%  0.258%
OP-11. Thorax CT - Use of Contrast Material  2929    0.000%  0.054%  0.037%

 

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