Medicare Core Measures

  

Connecticut hospitals track several measures, including quality of care for patients diagnosed with a heart attack, heart failure, or pneumonia, which are three common and costly medical conditions for which people go to the hospital. Hospital performance rates are provided for ten clinical measures that focus on treatments for these three conditions. Statewide reporting concluded that although Connecticut's median is higher than the national median for reported measures, there is still room for improvement. 

See how the simplest treatments can help reduce patient risk »

Read more about the Connecticut Department of Public Health Quality of Care Report »

Griffin's Performance

  

The section below provides specific scores for Griffin Hospital. We have achieved high scores, nevertheless we have also identified and acted upon areas where we can improve.

Click on the tabs below to see a description of each measure and a table tracking our hospitals' performance against state and national medians, each individual measure page includes explanations of what the data tells you, why it is important, and questions you can ask of your healthcare providers regarding the recommended treatment.

A heart attack also called an acute myocardial infarction (AMI) occurs when the arteries leading to the heart become blocked and the heart does not receive enough oxygen and nutrients from the blood. The part of the heart muscle that is not receiving enough blood may become damaged or die.

The symptoms of a heart attack can include chest pain, or pain in other areas of the upper body, shortness of breath, dizziness, faintness, chills, sweating and nausea. The symptoms may be mild or severe and may come and go.

The graph below is a combination of five ways to measure hospital care of people with heart attack (AMI), specifically the percentage of people who received aspirin at arrival, who were prescribed aspirin at discharge, who received an angiotensin converting enzyme (ACE) inhibitor at discharge, who were prescribed a beta blocker at discharge, and who received a beta blocker at arrival at the hospital.

FY 2014 (6 Months)

Aspirin at Arrival:   100%
Aspirin at Discharge:   100%
ACEI or ARB for LVEF:   N/P
Adult Smoking Cessation:   N/P
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   N/P

FY 2013

Aspirin at Arrival:   100%
Aspirin at Discharge:   100%
ACEI or ARB for LVEF:   N/P
Adult Smoking Cessation:   N/P
Beta Blocker Prescribed at Discharge:   96%
Thrombolytic Agent Within 30 Minutes of Arrival:   N/P

FY 2012

Aspirin at Arrival:   100%
Aspirin at Discharge:   100%
ACEI or ARB for LVEF:   100%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   N/P

FY 2011

Aspirin at Arrival:   100%
Aspirin at Discharge:   100%
ACEI or ARB for LVEF:   100%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   N/P

FY 2010

Aspirin at Arrival:   100%*
Aspirin at Discharge:   98%
ACEI or ARB for LVEF:   100%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   N/P

*Explanation.

FY 2009

Aspirin at Arrival:   97%
Aspirin at Discharge:   94%
ACEI or ARB for LVEF:   100%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   0%

FY 2008

Aspirin at Arrival:   98%
Aspirin at Discharge:   95%
ACEI or ARB for LVEF:   90%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   -

FY 2007

Aspirin at Arrival:   100%
Aspirin at Discharge:   95%
ACEI or ARB for LVEF:   93%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   98%
Thrombolytic Agent Within 30 Minutes of Arrival:   -

FY 2006

Aspirin at Arrival:   100%
Aspirin at Discharge:   98%
ACEI or ARB for LVEF:   89%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   95%
Thrombolytic Agent Within 30 Minutes of Arrival:   100%

FY 2005

Aspirin at Arrival:   99%
Aspirin at Discharge:   100%
ACEI or ARB for LVEF:   95%
Adult Smoking Cessation:   100%
Beta Blocker Prescribed at Discharge:   100%
Thrombolytic Agent Within 30 Minutes of Arrival:   22%

Heart failure is a weakening of the heart's ability to pump blood, which results in insufficient oxygen and nutrients pumped throughout the body. As the heart tries to pump more blood to meet the body's needs, the heart continues to become weaker.

Symptoms of heart failure may include shortness of breath from fluid in the lungs, swelling (such as in legs, ankles or abdomen), dizziness, fatigue, weakness, and a rapid or irregular heartbeat.

Heart failure can be a result of many different types of heart conditions, including coronary artery disease, a heart attack, cardiomyopathy, or an overworked heart.

The graph below is a combination of two ways to measure hospital care of people with heart failure, specifically the percentage of people who received a left ventricular function (LVF) assessment and angiotensin converting enzyme (ACE) inhibitors.

FY 2014 (6 Months)

Discharge Instructions:   100%
LVF Assessment:   100%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   N/P

FY 2013

Discharge Instructions:   100%
LVF Assessment:   100%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   N/P

FY 2012

Discharge Instructions:   100%
LVF Assessment:   100%
ACEI/ARB For LVSD:   97%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2011

Discharge Instructions:   100%
LVF Assessment:   100%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2010

Discharge Instructions:   99%
LVF Assessment:   100%
ACEI/ARB For LVSD:   97%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2009

Discharge Instructions:   98%
LVF Assessment:   100%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2008

Discharge Instructions:   90%
LVF Assessment:   100%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2007

Discharge Instructions:   93%
LVF Assessment:   98%
ACEI/ARB For LVSD:   93%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2006

Discharge Instructions:   90%
LVF Assessment:   99%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   100%

FY 2005

Discharge Instructions:   100%
LVF Assessment:   100%
ACEI/ARB For LVSD:   100%
Adult Smoking Cessation Advice/Counseling:   100%

Pneumonia is an infection or inflammation that fills your lungs with fluid, lowering the oxygen level in your blood. Symptoms of pneumonia can include fever, fatigue, difficulty breathing, chills, cough, and chest pain.

The information in this section shows how often we provided some common recommended treatments for people with pneumonia who were in the hospital.

FY 2014 (6 Months)

Oxygenation Assessment:   N/P
Pneumoccal Screening and/or Vaccination:   N/P
Blood Cultures Prior To Admin Of First Dose:   98%
Adult Smoking Cessation Advice:   N/P
Antibiotic Within 6 Hours Of Arrival:   N/P
Initial Antibiotic Consistent With Current Recomme:   99%
Influenza Screen Or Vacciniation:   N/P

FY 2013

Oxygenation Assessment:   N/P
Pneumoccal Screening and/or Vaccination:   N/P
Blood Cultures Prior To Admin Of First Dose:   98%
Adult Smoking Cessation Advice:   N/P
Antibiotic Within 6 Hours Of Arrival:   N/P
Initial Antibiotic Consistent With Current Recomme:   99%
Influenza Screen Or Vacciniation:   N/P

FY 2012

Oxygenation Assessment:   N/A
Pneumoccal Screening and/or Vaccination:   98%
Blood Cultures Prior To Admin Of First Dose:   99%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   98%
Initial Antibiotic Consistent With Current Recomme:   97%
Influenza Screen Or Vacciniation:   100%

FY 2011

Oxygenation Assessment:   N/A
Pneumoccal Screening and/or Vaccination:   99%
Blood Cultures Prior To Admin Of First Dose:   95%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   99%
Initial Antibiotic Consistent With Current Recomme:   95%
Influenza Screen Or Vacciniation:   97%

FY 2010

Oxygenation Assessment:   N/A
Pneumoccal Screening and/or Vaccination:   97%
Blood Cultures Prior To Admin Of First Dose:   99%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   100%
Initial Antibiotic Consistent With Current Recomme:   99%
Influenza Screen Or Vacciniation:   95%

FY 2009

Oxygenation Assessment:   100%
Pneumoccal Screening and/or Vaccination:   98%
Blood Cultures Prior To Admin Of First Dose:   97%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   97%
Initial Antibiotic Consistent With Current Recomme:   99%
Influenza Screen Or Vacciniation:   97%

FY 2008

Oxygenation Assessment:   100%
Pneumoccal Screening and/or Vaccination:   91%
Blood Cultures Prior To Admin Of First Dose:   98%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   97%
Initial Antibiotic Consistent With Current Recomme:   95%
Influenza Screen Or Vacciniation:   93%

FY 2007

Oxygenation Assessment:   100%
Pneumoccal Screening and/or Vaccination:   97%
Blood Cultures Prior To Admin Of First Dose:   96%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   99%
Initial Antibiotic Consistent With Current Recomme:   91%
Influenza Screen Or Vacciniation:   96%

FY 2006

Oxygenation Assessment:   100%
Pneumoccal Screening and/or Vaccination:   91%
Blood Cultures Prior To Admin Of First Dose:   97%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   98%
Initial Antibiotic Consistent With Current Recomme:   94%
Influenza Screen Or Vacciniation:   93%

FY 2005

Oxygenation Assessment:   100%
Pneumoccal Screening and/or Vaccination:   98%
Blood Cultures Prior To Admin Of First Dose:   92%
Adult Smoking Cessation Advice:   100%
Antibiotic Within 6 Hours Of Arrival:   96%
Initial Antibiotic Consistent With Current Recomme:   100%
Influenza Screen Or Vacciniation:   95%

Hospitals can reduce the risk of wound infection after surgery by making sure patients get the right medicines at the right time on the day of their surgery. These quality measures show some of the standards of care.

These process of care measures, tracked as part of the national Surgical Care Improvement Project (SCIP), tell you how many patients at Griffin Hospital get treatments recommended for most adult surgical patients.

*Not tracked as SCIP measure in FY06 and FY05

FY 2014 (6 Months)

Antibiotics Within 1 Hour Before Surgical Incision:   99%
Prophylactic Antibiotics Consistent With Current R:   100%
Prophylactic Antibiotics Discontinued Within 24 Ho:   100%
Surgery Patients with Appropriate Hair Removal:   100%
Beta Blocker Prior to Surgery:   98%
Urinary Catheter Removed on POD 1 or POD 2:   100%
Perioperative Temperature Management:   100%
Surgery Patients With Recommended VTE Ordered:   N/P
Surgery Patients Who Received Appropriate VTE With:   100%

FY 2013

Antibiotics Within 1 Hour Before Surgical Incision:   99%
Prophylactic Antibiotics Consistent With Current R:   100%
Prophylactic Antibiotics Discontinued Within 24 Ho:   99%
Surgery Patients with Appropriate Hair Removal:   100%
Beta Blocker Prior to Surgery:   99%
Urinary Catheter Removed on POD 1 or POD 2:   100%
Perioperative Temperature Management:   100%
Surgery Patients With Recommended VTE Ordered:   99%
Surgery Patients Who Received Appropriate VTE With:   99%

FY 2012

Antibiotics Within 1 Hour Before Surgical Incision:   99%
Prophylactic Antibiotics Consistent With Current R:   98%
Prophylactic Antibiotics Discontinued Within 24 Ho:   98%
Surgery Patients with Appropriate Hair Removal:   100%
Beta Blocker Prior to Surgery:   99%
Urinary Catheter Removed on POD 1 or POD 2:   97%
Perioperative Temperature Management:   100%
Surgery Patients With Recommended VTE Ordered:   98%
Surgery Patients Who Received Appropriate VTE With:   98%

FY 2011

Antibiotics Within 1 Hour Before Surgical Incision:   99%
Prophylactic Antibiotics Consistent With Current R:   98%
Prophylactic Antibiotics Discontinued Within 24 Ho:   97%
Surgery Patients with Appropriate Hair Removal:   100%
Beta Blocker Prior to Surgery:   100%
Urinary Catheter Removed on POD 1 or POD 2:   99%
Perioperative Temperature Management:   100%
Surgery Patients With Recommended VTE Ordered:   99%
Surgery Patients Who Received Appropriate VTE With:   99%

FY 2010

Antibiotics Within 1 Hour Before Surgical Incision:   99%
Prophylactic Antibiotics Consistent With Current R:   96%
Prophylactic Antibiotics Discontinued Within 24 Ho:   98%
Surgery Patients with Appropriate Hair Removal:   100%
Beta Blocker Prior to Surgery:   96%
Urinary Catheter Removed on POD 1 or POD 2:   95%
Perioperative Temperature Management:   100%
Surgery Patients With Recommended VTE Ordered:   99%
Surgery Patients Who Received Appropriate VTE With:   99%

FY 2009

Antibiotics Within 1 Hour Before Surgical Incision:   97%
Prophylactic Antibiotics Consistent With Current R:   96%
Prophylactic Antibiotics Discontinued Within 24 Ho:   97%
Surgery Patients with Appropriate Hair Removal:   100%
Beta Blocker Prior to Surgery:   88%
Urinary Catheter Removed on POD 1 or POD 2:   -
Perioperative Temperature Management:   -
Surgery Patients With Recommended VTE Ordered:   98%
Surgery Patients Who Received Appropriate VTE With:   96%

FY 2008

Antibiotics Within 1 Hour Before Surgical Incision:   97%
Prophylactic Antibiotics Consistent With Current R:   100%
Prophylactic Antibiotics Discontinued Within 24 Ho:   93%
Surgery Patients with Appropriate Hair Removal:   99%
Beta Blocker Prior to Surgery:   92%
Urinary Catheter Removed on POD 1 or POD 2:   -
Perioperative Temperature Management:   -
Surgery Patients With Recommended VTE Ordered:   98%
Surgery Patients Who Received Appropriate VTE With:   96%

FY 2007

Antibiotics Within 1 Hour Before Surgical Incision:   91%
Prophylactic Antibiotics Consistent With Current R:   97%
Prophylactic Antibiotics Discontinued Within 24 Ho:   93%
Surgery Patients with Appropriate Hair Removal:   99%
Beta Blocker Prior to Surgery:   -
Urinary Catheter Removed on POD 1 or POD 2:   -
Perioperative Temperature Management:   -
Surgery Patients With Recommended VTE Ordered:   98%
Surgery Patients Who Received Appropriate VTE With:   97%

FY 2006

Antibiotics Within 1 Hour Before Surgical Incision:   84%
Prophylactic Antibiotics Consistent With Current R:   88%
Prophylactic Antibiotics Discontinued Within 24 Ho:   95%
Surgery Patients with Appropriate Hair Removal:   -
Beta Blocker Prior to Surgery:   -
Urinary Catheter Removed on POD 1 or POD 2:   -
Perioperative Temperature Management:   -
Surgery Patients With Recommended VTE Ordered:   -
Surgery Patients Who Received Appropriate VTE With:   -

FY 2005

Antibiotics Within 1 Hour Before Surgical Incision:   94%
Prophylactic Antibiotics Consistent With Current R:   98%
Prophylactic Antibiotics Discontinued Within 24 Ho:   90%
Surgery Patients with Appropriate Hair Removal:   -
Beta Blocker Prior to Surgery:   -
Urinary Catheter Removed on POD 1 or POD 2:   -
Perioperative Temperature Management:   -
Surgery Patients With Recommended VTE Ordered:   -
Surgery Patients Who Received Appropriate VTE With:   -


Connecticut Department of Public Health Quality of Care Report

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*The following information is provided by the Connecticut Hospital Association (CHA), the Connecticut Department of Public Health (DPH), and the Centers for Medicare & Medicaid Services (CMS).

Connecticut's not-for-profit hospitals are committed to public accountability and to providing the highest quality healthcare for every patient. This commitment is exemplified by the fact that Connecticut was the first state in which all hospitals volunteered to participate in the National Voluntary Hospital Reporting Initiative by releasing their hospital performance data to the public on a federal website, and Connecticut is still one of only a few states with 100% participation (see CMS website).

CHA and its members are working actively with partners including CMS, the Connecticut Department of Public Health (DPH), the American Hospital Association (AHA), and Qualidigm to design a system for public reporting of hospital quality that will provide consumers with the consistent, structured information they need to make informed healthcare decisions and will contribute to improving the quality of patient care in Connecticut.

As mandated by state law, the Connecticut Department of Public Health (DPH) has prepared a report to the General Assembly that provides comparative information about hospital clinical performance. The report compares the performance of Connecticut's adult acute care hospitals in treating three of the most common medical conditions requiring hospitalization - heart attack, heart failure, and pneumonia. The report is available on the DPH website.

Connecticut hospitals track several measures, including quality of care for patients diagnosed with a heart attack, heart failure, or pneumonia, which are three common and costly medical conditions for which people go to the hospital. Hospital performance rates are provided for ten clinical measures that focus on treatments for these three conditions. Statewide reporting concluded that although Connecticut's median is higher than the national median for reported measures, there is still room for improvement.


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