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Timely and Effective Care

Data collection period 4/1/2013 to 3/31/2014

These measures show how often hospitals provide care that research shows gets the best results for patients with certain conditions. This information can help you compare which hospitals give recommended care most often as part of the overall care they provide to patients


HEART ATTACK CARE

An acute myocardial infarction (AMI), also called a heart attack, happens when one of the heart’s arteries becomes blocked and the supply of blood and oxygen to part of the heart muscle is slowed or stopped. When the heart muscle doesn’t get the oxygen and nutrients it needs, the affected heart tissue may die. These measures show some of the standards of care provided, if appropriate, for most adults who have had a heart attack.  Data collected from 4/1/2013 to 3/31/2014.


TIMELY HEART ATTACK CARE

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital
A lower number of minutes is better

Too few cases

56 Minutes

59 Minutes

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
A lower number of minutes is better

2 Minutes

8 Minutes

7 Minutes

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival
Higher percentages are better

Not Available

76%

59%

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Higher percentages are better

100%

98%

97%

Heart attack patients given fibrinolytic medication within 30 minutes of arrival
Higher percentages are better

Not Available

67%

55%

Heart attack patients given PCI within 90 minutes of arrival
Higher percentages are better

100%

96%

96%



EFFECTIVE HEART ATTACK CARE

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Heart attack patients given aspirin at discharge
Higher percentages are better

99%

100%

99%

Heart attack patients given a prescription for a statin at discharge
Higher percentages are better

100%

99%

98%


HEART FAILURE CARE

Heart Failure is a weakening of the heart's pumping power. With heart failure, your body doesn't get enough oxygen and nutrients to meet its needs. These measures show some of the process of care provided for most adults with heart failure. Data collected from 4/1/2013 to 12/31/2013 and 4/1/2013 to 3/31/2014 and 4/1/2013 to 12/31/2013.


EFFECTIVE HEART FAILURE CARE

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Heart failure patients given discharge instructions
Higher percentages are better

92%

96%

95%

Heart failure patients given an evaluation of Left Ventricular Systolic (LVS) function
Higher percentages are better

100%

100%

99%

Heart failure patients given ACE inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Higher percentages are better

98%

97%

97%


PNEUMONIA CARE

Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue. These measures shows some of the recommended treatments for pneumonia. Data collected from 4/1/2013 to 3/31/2014.


EFFECTIVE PNEUMONIA CARE

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Pneumonia patients given the most appropriate initial antibiotic(s)
Higher percentages are better

99%

98%

96%


SURGICAL CARE

Hospitals can reduce the risk of infection after surgery by making sure they provide care that’s known to get the best results for most patients. Data collected from 4/1/2013 to 3/31/2014

 Here are some examples:

  • Giving the recommended antibiotics at the right time before surgery
  • Stopping the antibiotics within the right timeframe after surgery
  • Maintaining the patient’s temperature and blood glucose (sugar) at normal levels
  • Removing catheters that are used to drain the bladder in a timely manner after surgery.

Hospitals can also reduce the risk of cardiac problems associated with surgery by:

  • Making sure that certain prescription drugs are continued in the time before, during, and just after the surgery. This includes drugs used to control heart rhythms and blood pressure.
  • Giving drugs that prevent blood clots and using other methods such as special stockings that increase circulation in the legs

TIMELY SURGICAL CARE

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Outpatients having surgery who got an antibiotic at the right time (within one hour before surgery)
Higher percentages are better

99%

98%

98%

Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Higher percentages are better

100%

99%

99%

Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Higher percentages are better

100%

99%

98%

Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery
Higher percentages are better

 

98%

 

99%

 

99%


EFFECTIVE SURGICAL CARE

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Outpatients having surgery who got the right kind of antibiotic
Higher percentages are better

99%

98%

98%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery
Higher percentages are better

99%

99%

98%

Surgery patients who were given the right kind of antibiotic to help prevent infection
Higher percentages are better

 

99%

 

99%

 

99%

Heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery
Higher percentages are better

 

Not Available

 

96%

 

94%

Surgery patients whose urinary catheters were removed on the first or second day after surgery
Higher percentages are better

 

98%

 

98%

 

98%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery
Higher percentages are better

 

100%

 

100%

 

100%


TIMELY & EFFECTIVE CARE: EMERGENCY DEPARTMENT CARE DETAILS

Data collected from 4/1/2013 to 3/31/2014

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Averagetime patients spent in the emergency department, before they were admitted to the hospital as an inpatient
A lower number of minutes is better

 

315 Minutes

 

316 Minutes

 

272 Minutes

Averagetime patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room
A lower number of minutes is better

 

112 Minutes

 

120 Minutes

 

97 Minutes

Average time patients spent in the emergency department before being sent home
A lower number of minutes is better

 

145 Minutes

 

159 Minutes

 

133 Minutes

Average time patients spent in the emergency department before they were seen by a healthcare professional
A lower number of minutes is better

 

30 Minutes

 

35 Minutes

 

24 Minutes

Average time patients who came to the emergency department with broken bones had to wait before receiving pain medication
A lower number of minutes is better

 

37 Minutes

 

57 Minutes

 

55 Minutes

Percentage of patients who left the emergency department before being seen
Lower percentages are better

 

1%

 

2%

 

2%

Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival
Higher percentages are better

 

75%

 

72%

 

61%


PREVENTIVE CARE

Hospitals and other healthcare providers play a crucial role in promoting, providing and educating patients about preventive services and screenings and maintaining the health of their communities. Many diseases are preventable through immunizations, screenings, treatment, and lifestyle changes. The information below shows how well the hospitals you selected are providing preventive services.  Data collected from 10/1/2013 to 3/31/2014.

Measure

MetroWest Medical Center

Massachusetts Average

National Average

Healthcare workers given influenza vaccination

Higher percentages are better

 

71%

 

85%

 

79%

Patients assessed and given influenza vaccination
Higher percentages are better

 

96%

 

93%

 

93%

FYH

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