SAFE & EFFECTIVE CARE    CH 2008* Top 10% of Hospitals** Heart Attack    ASPIRIN at ARRIVAL 100% 100% ASPIRIN at DISCHARGE 100% 100% ACEI or ARB for LVSD at Discharge 100% 100% BETA BLOCKER at ARRIVAL 96% 100% BETA BLOCKER at DISCHARGE 100% 100% PCI RECEIVED WITHIN 90 MINS of HOSPITAL ARRIVAL 86% 94% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Heart Failure  LVS ASSESSMENT 100% 100% ACEI or ARB for LVSD 96% 100% DISCHARGE INSTRUCTIONS 88% 98% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Pneumonia   INITIAL ANTIBIOTIC 93% 100% INITIAL ANTIBIOTIC SELECTION for CAP in IMMUNOCOMPETENT Patients 96% 97% PNEUMOCOCCAL VACCINATION 95% 98% INFLUENZA VACCINATION 91% 97% BLOOD CULTURE PERFORMED BEFORE FIRST ANTIBIOTIC RECEIVED in HOSPITAL 90% 100% ADULT SMOKING CESSATION ADVICE/COUNSELING 97% 100% Surgical Infection Prevention   PREVENTATIVE ANTIBIOTIC(S) GIVEN ONE HOUR BEFORE INCISION 98% 98% PREVENTATIVE ANTIBIOTIC(S) STOPPED WITHIN 24 HOURS AFTER SURGERY 91% 98% PREVENTATIVE ANTIBIOTIC(S) SELECTION for SURGICAL PATIENTS 99% 99% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECEIVED WITHIN 24 HOURS PRIOR to SURGERY 100% 97% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECOMMENDED and ORDERED 100% 98%   INFECTION OCCURRENCES       CH 2008*** VENTILATOR-ASSOCIATED PNEUMONIA 0 n=0/d=472 CENTRAL LINE-RELATED BLOOD STREAM INFECTIONS 0 n=0/d=516

*The percentages and scores displayed represent Concord Hospital data for the time period of October - December 2008.

** The benchmark rates are from the most recent HQA Preview Report for Q3 2007 - Q2 2008.

***The infection occurrences represent Concord Hospital data for the time period of October - December 2008.

**** Patient satsfaction scores represent Concord Hospital data for the time period of February 2009 - April 2009. This is the most recent data available for posting.

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