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Avera McKennan

  • Quality Indicators - Avera McKennan (Heart Attack)

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 2009 - June 2009

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.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/Average 

14 patients discharged; 14 received aspirin at arrival  100% 100% NA
 
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.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/Average 

14 patients discharged; 14 patients received aspirin prescription at discharge 100% 100% NA
 AMI (Heart Attack) - ACEI or ARB for LVSD

Number of heart attack patients with left ventricular systolic dysfunction (LVSD), a particular form of heart failure, per 100, who were prescribed an angiotensin converting enzyme inhibitor (ACEI) or an angiotensin receptor blocker (ARB), a class of drugs used in the treatment of heart failure, upon discharge from the hospital. ACEI therapy improves survival for heart attack patients. Recent medical recommendations also include angiotensin II receptor blocker (ARB) therapy, and patients given ARBs will be counted as meeting this indicator, starting with 2005 discharges.
  
Technical  
Includes inpatients discharged with a principal diagnosis of AMI and with moderate or severe systolic dysfunction (decreased filling pressure congestion). Excludes patients with contraindication to ACEI, patients transferred to another hospital, patients who died, and patients discharged to hospice.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/Average 

4 patients discharged; 4 patients received ACEI or ARB for LVSD

100% 100% NA
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.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/Average 

4 patients discharged;4 patients received smoking cessation advice

 100% 100% NA
 
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.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/Average 

11 patients admitted; 10 patients received beta blocker at arrival 90.91% 90.91% NA
 

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 

14 patients discharged; 14 received beta blocker upon discharge

100% 100% NA
 
AMI (Heart Attack) - PCI Received Within 90 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 90 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 

3 patients discharged; 4 patients received PCI within 90 minutes of arrival

75% 90.91% NA