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Timely and Effective Care

Data collection period 4/1/2012 through 3/31/2013

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

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
Not Available 
55 Minutes 58 Minutes
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
A lower number of minutes is better
1 Minute 
7 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 
68% 7 Minutes
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Higher percentages are better
100%
97% 96%
Heart attack patients given fibrinolytic medication within 30 minutes of arrival
Higher percentages are better
Not Available
100% 61%
Heart attack patients given PCI within 90 minutes of arrival
Higher percentages are better
100%
96% 95%

EFFECTIVE HEART ATTACK CARE

MetroWest
Medical Center
Massachusetts
Average
National
Average
Heart attack patients given aspirin at discharge
Higher percentages are better
100% 
100% 99%
Heart attack patients given a prescription for a statin at discharge
Higher percentages are better
99%
99% 98%

EFFECTIVE HEART FAILURE CARE

MetroWest
Medical Center
Massachusetts
Average
National
Average
Heart failure patients given discharge instructions
Higher percentages are better
98% 
94% 94%
Heart failure patients given an evaluation of left ventricular systolic (LVS) function
Higher percentages are better
99%
100% 99%
Heart failure patients given ACE inhibitor or ARB for left ventricular systolic dysfunction (LVSD)
Higher percentages are better
99%
96% 97%

EFFECTIVE PNEUMONIA CARE

MetroWest
Medical Center
Massachusetts
Average
National
Average
Pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics
Higher percentages are better
99% 
98% 98%
Pneumonia patients given the most appropriate initial antibiotic(s)
Higher percentages are better
99%
97% 95%

TIMELY SURGICAL CARE

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
97% 
97% 97%
Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Higher percentages are better
98%
99% 99%
Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Higher percentages are better
99%
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
99%
99% 98%

EFFECTIVE SURGICAL CARE

MetroWest
Medical Center
Massachusetts
Average
National
Average
Outpatients having surgery who got the right kind of antibiotic
Higher percentages are better
97% 
97% 97%
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
100%
98% 97%
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% 96%
Surgery patients whose urinary catheters were removed on the first or second day after surgery
Higher percentages are better
99%
97% 97%
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%

EFFECTIVE SURGICAL CARE

Timely and effective care in hospital emergency departments is essential for good patient outcomes. Delays before receiving care in the emergency department can reduce the quality of care and increase risks and discomfort for patients with serious illnesses or injuries. Waiting times at different hospitals can vary widely, depending on the number of patients seen, staffing levels, efficiency, admitting procedures, or the availability of inpatient beds.

MetroWest
Medical Center
Massachusetts
Average
National
Average
Average time patients spent in the emergency department, before they were admitted to the hospital as an inpatient
A lower number of minutes is better
300 Minutes 
312 Minutes 275 Minutes
Average time 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
113 Minutes
117 Minutes 97 Minutes
Average time patients spent in the emergency department before being sent home
A lower number of minutes is better
148 Minutes
154 Minutes 137 Minutes
Average time patients spent in the emergency department before they were seen by a healthcare professional
A lower number of minutes is better
28 Minutes
37 Minutes 27 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
33 Minutes
62 Minutes 59 Minutes
Percentage of patients who left the emergency department before being seen
Lower percentages are better
1%
Not Available Not Available
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
67%
64% 51%
mammogram

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