Find a Doctor
Home >
About Us >
Quality & Patient Safety >
Performance MeasuresPerformance Measures
NorthShore University HealthSystem actively monitors the quality and patient safety provided to patients throughout our system according to our Performance Improvement Plan. Click on the highlighted term below to see the graph and additional information about the measure. Please revisit this page from time to time as we update the existing measures and add new ones.
| NorthShore Q1 2007 | National Average | |
|---|---|---|
Acute Myocardial Infarction (Heart Attack Care) | ||
AMI-1 Aspirin at Arrival: % of acute myocardial infarction (AMI) patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival. | 100% | 99.9% |
AMI-2 Aspirin Prescribed at Discharge: % of acute myocardial infarction (AMI) patients without aspirin contraindications who are prescribed aspirin at hospital discharge. | 100% | 99.9% |
AMI-3 ACEI or ARB for Left Ventricular Systolic Dysfunction: % of acute myocardial infarction (AMI) patients with left ventricular systolic dysfunction (LVSD) and without angiotensin converting enzyme inhibitor (ACEI) contraindications who are prescribed an ACEI at hospital discharge. | 100% | 99.3% |
AMI-4 Adult Smoking Cessation Advice/Counseling: % of acute myocardial infarction (AMI) patients who smoke and who received advice or counseling to stop smoking | 100% | 100% |
AMI-5 Beta Blocker Prescribed at Discharge: % of acute myocardial infarction (AMI) patients without beta blocker contraindications who are prescribed a beta blocker at hospital discharge. | 99.1% | 99.9% |
AMI-6 Beta Blocker at Arrival: % of acute myocardial infarction (AMI) patients without beta blocker contraindications who received a beta blocker within 24 hours after hospital arrival. | 96.7% | 99.8% |
AMI-8a PCI Received Within 120 Minutes of Hospital Arrival: % of eligible patients having a percutaneous cardiac intervention PCI within 120 minutes of arrival at the hospital | 56.3% | 95.7% |
Heart Failure | ||
HF-1 Discharge Instructions Received: % of eligible patients with heart failure receiving detailed instructions at discharge | 71.2% | 98.6% |
HF-2 Left Ventricular Function Assessment: % of heart failure patients with documentation in the hospital record that left ventricular function (LVF) were assessed before arrival, during hospitalization, or planned for after discharge. | 99.1% | 99.9% |
HF-3 ACE Inhibitor for Left Ventricular Systolic Dysfunction: % of heart failure patients with left ventricular systolic dysfunction (LVSD) and without angiotensin converting enzyme inhibitor (ACEI) contraindications who are prescribed an ACEI at hospital discharge. | 84.7% | 99.4% |
HF-4 Adult Smoking Cessation Advice/Counseling: % of patients with heart failure who smoke and who received advice or counseling to stop smoking | 100% | 99.9% |
Community Acquired Pneumonia | ||
PN-1 Oxygenation Assessment: % of patients with community acquired pneumonia (CAP) who had an assessment of arterial oxygenation by arterial blood gas measurement or pulse oximetry within 24 hours prior to or after arrival at the hospital. | 100% | 100% |
PN-2 Pneumococcal Vaccination: % of patients with community acquired pneumonia age 65 and older who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated. | 70.8% | 98.4% |
PN-3b Blood Cultures Performed Before First Antiobiotic Received: % of patients with community acquired pneumonia having blood culture tests performed before first antiobiotic received | 95.7% | 99.0% |
PN-4 Adult Smoking Cessation Advice/Counseling: % of patients with community acquired pneumonia who smoke and who received advice or counseling to stop smoking | 88.0% | 99.9% |
PN-5b Initial Antibiotic Received Within 4 Hours of Hospital Arrival (CMS): % of patients with community acquired pneumonia who receive their first dose of antibiotics within 4 hours after arrival at the hospital. | 89.7% | 96.4% |
PN-6 Initial Antibiotic Selection for CAP in Immunocompetent Patients: % of patients with community acquired pneumonia whose initial antibiotic treatment was appropriate antibiotic | 89.8% | 98.5% |
PN-7 Influenza Vaccine: % of eligible patients who received an influenza vaccination or who previously had one | 57.4% | 94.7% |