Community Acquired Pneumonia: Genesis Medical Center Hospitals
Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue. These quality measures show some of the recommended treatments for pneumonia. These tables and graphs include six months of data beyond what is available on the CMS Hospital Compare Web site.
Many initiatives are underway at Genesis Health System to improve the quality of care for patients with pneumonia. A team has been formed to address opportunities for improvement. A routine physician order set for patients with community acquired pneumonia has been developed, and the nursing assessment tools for administering the pneumoccocal vaccines have been improved. Education about the key indicators for pneumonia has been provided for all clinical staff. Our goal is to continuously improve our performance in all indicators until we have succeeded in providing the highest quality of care for all of our patients.
| Performance Key |
| within the top 10% in nation |
at or better than national average |
below national average |
NA = Data is not applicable |
| Number of Community Acquired Pneumonia (CAP) Patients |
# |
# |
# |
|
# |
# |
 |
| October '06 - September '07 (12 Months) |
809 |
35 |
221 |
|
NA |
NA |
|
| October '07 - March '08 (6 Months) |
452 |
27 |
160 |
|
NA |
NA |
|
| Percent of CAP Patients Assessed & Given Pneumococcal Vaccination (View graphs here) |
% |
% |
% |
|
% |
% |
|
| October '06 - September '07 |
80 |
88 |
90 |
|
77 |
96 |
|
| October '07 - March '08 |
91 |
100 |
96 |
|
NA |
NA |
|
| Percent of CAP Patients Given Initial Antiobiotic(s) within 6 Hours After Arrival (View graphs here) |
% |
% |
% |
|
% |
% |
|
| April '07 - September '07 |
94 |
100 |
100 |
|
93 |
100 |
|
| October '07 - March '08 |
95 |
100 |
96 |
|
NA |
NA |
|
| Percent of CAP Patients Given Oxygenation Assessment (View graphs here) |
% |
% |
% |
|
% |
% |
|
| October '06 - September '07 |
100 |
100 |
100 |
|
99 |
100 |
|
| October '07 - March '08 |
99 |
100 |
100 |
|
NA |
NA |
|
| Percent of CAP Patients Given Smoking Cessation Advice/Counseling (View graphs here) |
% |
% |
% |
|
% |
% |
|
| October '06 - September '07 |
91 |
33 |
98 |
|
85 |
100 |
|
| October '07 - March '08 |
100 |
100 |
100 |
|
NA |
NA |
|
| Percent of CAP Patients Given the Most Appropriate Initial Antibiotic(s) (View graphs here) |
% |
% |
% |
|
% |
% |
|
| October '06 - September '07 |
91 |
100 |
88 |
|
87 |
97 |
|
| October '07 - March '08 |
100 |
100 |
90 |
|
NA |
NA |
|
| Percent of CAP Patients Assessed and Given Influenza Vaccination (View graphs here) |
% |
% |
% |
|
% |
% |
|
| October '06 - September '07 |
76 |
90 |
67 |
|
75 |
98 |
|
| October '07 - March '08 |
89 |
100 |
89 |
|
NA |
NA |
|
| Percent of CAP Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose of Antibiotics (View graphs here) |
% |
% |
% |
|
% |
% |
|
| October '06 - September '07 |
82 |
92 |
87 |
|
90 |
100 |
|
| October '07 - March '08 |
93 |
90 |
95 |
|
NA |
NA |
|
View Community Acquired Pneumonia.