Quality Reporting - Avera McKennan
Acute Myocardial Infarction (Heart Attack)
Heart attack, also called acute myocardial infarction (AMI or MI), is a life-threatening event caused by insufficient oxygen reaching the heart. When a heart attack occurs, quick use of aspirin and other treatments can reduce damage to the heart and reduce the chance of death. The indicators in this section examine the initial care of heart attack patients and whether patients leave the hospital with medications known to be helpful after a heart attack.
April 2007 - June 2007
| AMI (Heart Attack) - Aspirin at arrival |
|
Number of heart attack patients per 100, who received an aspirin within 24 hours before or after arrival at the hospital. The early use of aspirin improves survival for heart attack patients.
Technical
Includes inpatients discharged with a principal diagnosis of AMI. Excludes patients with contraindication to aspirin, patients transferred from another hospital, and patients who were discharged, left AMA, or died the day of arrival.
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Area / Measure
|
Avera Facility HQID Ranking
|
HQID Median
|
HQA Median/
Average
|
| 12 patients discharged; 12 received aspirin at arrival |
100% |
100% |
Not available |
| |
| AMI (Heart Attack) - Aspirin prescribed at discharge |
|
Number of heart attack patients per 100, who had aspirin prescribed upon discharge from the hospital. Aspirin therapy improves survival for heart attack patients.
Technical
Includes inpatients discharged with a principal diagnosis of AMI. Excludes patients with contraindication to aspirin, patients transferred to another hospital, and patients who died.
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|
Area / Measure
|
Avera Facility HQID Ranking
|
HQID Median
|
HQA Median/
Average
|
| 18 patients discharged; 18 received aspirin prescription at discharge |
100% |
100% |
Not available |
|
| AMI (Heart Attack) - Adult Smoking Cessation Advice / Counseling |
|
Number of heart attack patients who smoke per 100, who received smoking cessation counseling in the hospital. Smoking increases the risk of another heart attack.
Technical
Includes patients discharged with a principal diagnosis of AMI and history of smoking within the prior year. Excludes patients transferred to another hospital, patients who died, left AMA or were discharged to hospice.
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Area / Measure
|
Avera Facility HQID Ranking
|
HQID Median
|
HQA Median/
Average
|
| 6 patients discharged; 6 received smoking cessation advice |
100% |
100% |
Not Available |
| |
| AMI (Heart Attack) - Beta Blocker at Arrival |
|
Number of heart attack patients per 100, who received beta blocker, a class of drugs that relieves stress on the heart, within 24 hours after hospital arrival. Early use of beta blockers lowers the risk of heart attacks.
Technical
Includes inpatients discharged with a principal diagnosis of AMI. Excludes patients with contraindication to beta blocker, patients transferred to another hospital, patients who died, left AMA or were discharged to hospice.
|
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Area / Measure
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Avera Facility HQID Ranking
|
HQID Median
|
HQA Median/Average
|
| 9 patients admitted; 9 received beta blocker at arrival |
100% |
97.50% |
Not Available |
| |
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AMI (Heart Attack) - Beta Blocker Prescribed at Discharge
|
|
Number of heart attack patients per 100, who had beta blocker, a class of drugs that relieves stress on the heart, prescribed upon discharge from the hospital. Use of beta blockers lowers the risk of heart attacks.
Technical
Includes inpatients discharged with a principal diagnosis of AMI. Excludes patients with contraindication to beta blocker, patients transferred to another hospital, patients who died, left AMA, or were discharged to hospice.
|
|
Area / Measure
|
Avera Facility HQID Ranking
|
HQID Median
|
HQA Median /
Average
|
|
16 patients discharged; 16 received beta blocker upon discharge
|
100% |
100% |
Not Available |
| |
| AMI (Heart Attack) - PCI Received Within 120 Minutes of Hospital Arrival |
Number of heart attack patients receiving percutaneous coronary intervention (PCI), a procedure to relieve coronary narrowing, per 100, who received the PCI within 120 minutes of hospital arrival. Early use of PCI in eligible patients increases the survival rate of heart attack patients.
Technical
Includes inpatients discharged with a principal diagnosis of AMI and ST segment elevation, segment in EKG most affected in ischemic conditions, or left bundle branch block, a delay in left ventricular firing, who had PCI performed. Excludes patients transferred from another hospital and patients administered thrombolytic agents, clot-dissolving drugs. |
| Area / Measure |
Avera Facility HQID Ranking
|
HQID Median
|
HQA Median /
Average
|
|
4 patients discharged; 4 patients received PCI within 120 minutes of arrival
|
100% |
97.30% |
Not Available |