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Avera St. Luke's

  • Quality Indicators - Avera St. Luke's (Hip & Knee Replacement)

Quality Reporting - Avera St. Luke's

Hip & Knee Replacement (Medicare Only)

Major joint replacement or reattachment of lower extremity. 

April 2009 - June 2009

Hip & Knee Replacement - Prophylactic abx received within 1 hour prior to surgical incision 

Number of select surgical patients per 100, who received antibiotics for infection prevention within the recommended time before surgical incision (one hour for most antibiotics). This recommended time is most  effective for preventing surgical infections.  
  
Technical   
Includes patients with open heart, colon, hip and knee procedures, abdominal and vaginal hysterectomies, or vascular surgical procedures performed.  Excludes patients who had a principal or admission diagnosis suggestive of infection prior to surgery, patients receiving antibiotics at the time of admission or greater than 24 hours prior to surgery.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/ Average
43 patients discharged; 42 patients received prophylactic abx within one hour 97.67% 98.97% NA
 
Hip & Knee Replacement - Prophylactic abx discontinued within 24 hours after surgery end time

Number of select surgical patients per 100, whose antibiotics to prevent infection were discontinued within 24 hours after surgery end time. A brief course of prophylactic antibiotics is as effective as longer courses, and earlier discontinuation helps to reduce antibiotic resistance.  
  
Technical  
Includes patients with open heart, colon, hip and knee procedures, abdominal and vaginal hysterectomies, or vascular surgical procedures.  Excludes patients who had a principal or admission diagnosis suggestive of infection prior to surgery, patients receiving antibiotics at time of admission or greater than 24 hours prior to surgery, patients who did not receive any antibiotics before, during, or within 24 hours after surgery end time, those who did not receive antibiotics during hospitalization, and those who were diagnosed and treated for infection within two days after surgery.    

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/ Average
40 patients discharged; 37 patients discontinued prophylactic abx within 24 hours after surgery end time 92.50% 97.44% NA