Comprehensive diagnostic testing, interventions, education and rehabilitation.

Quality Reports

At Elliot Hospital we continuously monitor our performance and make improvements to deliver the highest quality services to our community. We participate in reporting quality measures for heart attack, heart failure, pneumonia and the surgical care improvement program. The scores provided reflect our performance for the most recent quarter as well as comparative data as appears on www.nhqualitycare.org

Quality Measures for Heart Attack

Aspirin at Arrival for Heart Attack: 
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

100%

99%

Why is this important?
Aspirin has been shown to prevent clotting and to restore blood flow to the heart.  Taking an aspirin as soon as symptoms of a heart attack begin may reduce the severity of the attack.  Patients should take aspirin within 24 hours of arrival at the hospital.



Aspirin at Discharge for Heart Attack:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

100%

99%

Why is this important?
Aspirin has been shown to prevent blockage of blood flow to the heart.  To help prevent further heart problems, aspirin should be prescribed to eligible patients when they leave the hospital.



Beta Blockers at Discharge for Heart Attack: 
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

99%

99%

Why is this important?
Beta blockers relieve the stress on the heart by slowing the heart rate and reducing the force that the heart muscle uses to contract.  Beta blocker medications are recommended at discharge to help prevent future heart attacks. 



ACE Inhibitor or ARB for LVSD for Heart Attack: 
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

97%

97%

Why is this important?
Angiotensin converting enzyme  inhibitors (ACEI) and angiotensin receptor blockers (ARBs) are medicines used to treat heart attacks, high blood pressure, and heart failure.  ACEI and ARBs are frequently prescribed for a condition called "left ventricular systolic dysfunction" which is a decreased function of the left part of the heart.  ACE inhibitor and ARB should be prescribed at discharge to help prevent further heart problems. 



Heart Attack Patients with Statin  Prescribed at Discharge
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

96%

100%

97%

97%

Why is this important?
Statins are drugs used to lower cholesterol. Cholesterol is a fat (also called a lipid) that your body needs to work properly. Cholesterol levels that are too high can increase your chance of getting heart disease, stroke, and other problems. For patients who had a heart attack and have high cholesterol, taking Statins can lower the chance that they’ll have another heart attack or die.



Quality Measures for Heart Failure

Assessment of Left Ventricular Function for Heart Failure:
Higher scores are better.

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

99%

98%

Why is this important?
Assessment of left ventricular function (LVF), the heart's ability to pump blood effectively, is a standard of care for heart failure patients.   Health care providers will use this test, along with other tests to determine if the left side of the heart is pumping properly.



ACE Inhibitor or ARB at Discharge for Heart Failure Patients: 
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

95%

95%

Why is this important?
Angiotensin converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) are types of medications that have been shown to help lower blood pressure and prevent future heart problems.  Eligible patients should have ACE inhibitors or ARBs prescribed when they leave the hospital.



Discharge Instructions for Heart Failure:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

97.7%

88%

94%

91%

Why is this important?
Heart failure is a chronic condition with symptoms including shortness of breath, dizziness, and fatigue. Before leaving the hospital you and/or your caregivers should be provided with information to help manage the symptoms when you are at home. The information should include: activity level (what you can and can’t do), diet (what you should, and shouldn’t eat or drink), medications, follow-up appointments, monitoring of daily weights, and what to do if symptoms get worse.



Quality Measures for Pneumonia

Initial blood culture in the Emergency Department performed prior to first dose of antibiotic:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

97%

97%

96%

Why is this important? 
A blood culture is a test that can help your health care provider identify which bacteria may have caused pneumonia and assist in determining which antibiotic should be prescribed. A blood culture is not always needed, but for patients who are first seen in the hospital emergency department, it is important for the accuracy of the test that blood culture be conducted before any antibiotics are started.



Initial Selection of Appropriate Antibiotic:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

93%

96%

94%

Why is this important? 
Pneumonia is a lung infection that is usually caused by bacteria or a virus. Bacterial pneumonia is treated with antibiotics. Different antibiotics are selected based on factors including drug resistant types of bacteria, patient allergies, and the setting where the patient is treated.



Quality Measures for Surgical Care Improvement Project

Prophylactic Antibiotic Received within 1 Hour Prior to Surgery:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

96.9%

98%

98%

98%

Why is this important?
Antibiotics are medicines to prevent and treat infections. Research shows that surgery patients who get antibiotics within the hour before their operation are less likely to get wound infections. Getting an antibiotic earlier, or after surgery begins, is not as effective. This shows how often hospitals make sure surgery patients get antibiotics at the right time.



Prophylactic Antibiotic Selection:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

97%

99%

98%

Why is this important?
A goal of prophylaxis with antibiotics is to use an agent that is safe, inexpensive, and has a spectrum of action that covers most of the probable intraoperative contaminants for the operation. Patients undergoing the following procedures are included: Colon surgery, hip arthroplasty, knee arthroplasty, hysterectomy and vascular surgery.



Prophylactic Antibiotic Discontinued within 24 Hours After Surgery:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

95.3%

98%

97%

96%

Why is this important?
While infection after surgery can be reduced by giving patients preventative antibiotics, taking these antibiotics for more than 24 hours after routine surgery is usually not necessary and can increase the risk of side effects including stomach aches, diarrhea, and antibiotic resistance. There are exceptions, so talk to your doctor if you have questions about how long you should take antibiotics after surgery.



Recommended VTE Prophylaxis Ordered:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

97.4%

99%

98%

96%

Why is this important?
Surgery patients who receive appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to surgery to 24 hours after surgery are at lower risk for deep vein thrombosis and pulmonary embolism. Without preventive treatment, or prophylaxis, deep vein thrombosis occurs in 25% and pulmonary embolism (clots in arteries supplying blood to the lungs) occurs in 7% of all major surgical procedures.



Recommended VTE Prophylaxis Received:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

96.1%

98%

97%

94%

Why is this important?
Surgery patients who receive appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery are at lower risk for deep vein thrombosis and pulmonary embolism. Despite the well-established efficacy and safety of preventive measures, studies show that prophylaxis is often underused or inappropriately used.



Appropriate Hair Removal for Surgical Patients:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

100%

100%

100%

100%

Why is this important?
Evidence supports that the removal of hair using depilatory or electric clippers immediately prior to surgery (when hair removal is required) can reduce the risk of surgical site .


Surgery patients with urinary catheters  removed on the first or second day after surgery.:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

98.4%

91%

93%

91%

Why is this important?
Surgery patients can develop infections when urinary catheters are left in place too long after surgery. Infections are dangerous for patients, cause longer hospital stays, and increase costs. Evidence supports that the early removal urinary catheters, on or before the second day after surgery, can reduce the chances of developing a urinary tract infection.
 

Quality Measures for Global Immunization

Global Immunization for Influenza:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

97.4%

NA- New measure

-

-

Why is this important?
Flu shots reduce the risk of influenza, a serious and sometimes deadly lung infection that can spread quickly in a community or facility. Immunization of patients who are at high risk for the flu, including children, the elderly and individuals with certain medical conditions, should be vaccinated during flu season to protect them from another lung infection and to help prevent the spread of influenza.

Global Immunization for Pneumonia:
Higher scores are better

Elliot Jan '12 -
Mar '12

Elliot Oct '10 -
Sept '11

NH
Average

National
Average

92.1%

NA- New measure

-

-

Why is this important?
The pneumococcal vaccine may help prevent, or lower the risk of complications of pneumonia caused by bacteria. Immunization of patients who are at high risk for the infections should be assessed for the pneumonia vaccination when hospitalized and given the pneumonia vaccine if the patient has not already received the vaccine.

 

Patient Satisfaction

The Elliot Hospital is committed to meeting or exceeding expectations and creating an exceptional experience for the patient and their family.  Our goal is to provide the best possible personal service.   To monitor achievement of this goal, Elliot Hospital patients receive a survey designed to measure their satisfaction with the care and services provided to them.  Our patients provide us with valuable feedback that we use to improve our services in the hospital as well as services within the community. 

Elliot Hospital contracts with an independent, private market research company to conduct patient satisfaction surveys.   Individual survey responses are confidential, and patients are not identified unless they wish to be contacted for further information. Results are, however, distributed to all hospital department directors, managers and physicians to ensure continuous quality improvement. You can view our latest Survey of Patients' Hospital Experience (HCAHPS)scores as well as comparative data on www.nhqualitycare.org.