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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

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 7/1/2012 to 6/30/2013.


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 55 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
0 Minutes 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 75% 57%
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% 58%
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
100% 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 7/1/2012 to 6/30/2013.


EFFECTIVE HEART FAILURE CARE

Measure 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
98% 96% 97%

PNEUMONIA CARE

Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue. These measures show some of the recommended treatments for pneumonia.

Data collected from 7/1/2012 to 6/30/2013


EFFECTIVE PNEUMONIA CARE

Measure 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
100% 98% 98%
Pneumonia patients given the most appropriate initial antibiotic(s)

Higher percentages are better
99% 97% 95%

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 7/1/2012 to 6/30/2013

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
96% 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
99% 99% 99%
Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Higher percentages are better
99% 99% 99%
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

Measure MetroWest
Medical Center
Massachusetts
Average
National
Average
Outpatients having surgery who got the right kind of antibiotic

Higher percentages are better
98% 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
100% 98% 98%
Surgery patients who were given the right kind of antibiotic to help prevent infection

Higher percentages are better
98% 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% 97%
Surgery patients whose urinary catheters were removed on the first or second day after surgery

Higher percentages are better
98% 99% 99%
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 7/1/2012 to 6/30/2013

Measure 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
305 Minutes 313 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
114 Minutes 118 Minutes 98 Minutes
Average time patients spent in the emergency department before being sent home

A lower number of minutes is better
155 Minutes 156 Minutes 135 Minutes
Average time patients spent in the emergency department before they were seen by a healthcare professional

A lower number of minutes is better
33 Minutes 37 Minutes 26 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
34 Minutes 60 Minutes 58 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
69% 68% 54%

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 7/1/2012 to 6/30/2013 and 10/1/2012 to 3/31/2013

Measure MetroWest
Medical Center
Massachusetts
Average
National
Average
Patients assessed and given pneumonia vaccination

Higher percentages are better
95% 91% 90%
Patients assessed and given influenza vaccination

Higher percentages are better
97% 90% 91%
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