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Avera St. Luke's

  • Quality Indicators - Avera St. Luke's (Heart Attack)

Quality Reporting - Avera St. Luke's

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
18 patients discharged; 18 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
20 patients discharged; 20 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

6 patients discharged; 6 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
6 patients discharged; 6 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

NA

NA%

100%

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

21 patients discharged; 21 patients received beta blocker at discharge

100%

100%

NA