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Avera St. Luke's

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

Quality Reporting - Avera St. Luke's

Pneumonia

Pneumonia is an infection of the lungs. These indicators apply to pneumonia that started prior to hospital admission. Although children also can develop pneumonia, current nationally endorsed indicators apply only to persons age 18 or older. These indicators examine the initial care of pneumonia patients, and the extent to which the hospital staff help the patient prevent future lung problems.  

April 2009 - June 2009

Pneumonia - Influenza Vaccination

Technical

Pneumonia patients age 50 years and older, hospitalized during October, November, December, January, or February who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated.

Area/Measure Avera Facility HQID Ranking HQID Median HQA Median / Average

 

NA

 
Pneumonia - Pneumococcal Vaccination
Number of pneumonia patients aged 65 and older, per 100, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated. Pneumococcal vaccination for persons 65 years and older is effective in preventing pneumococcal bacterial infection.  
  
Technical  
Includes inpatients discharged with a principal diagnosis of pneumonia who are age 65 years and older. Excludes patients transferred from another hospital, patients who died or left AMA, patients who had no working diagnosis of pneumonia, and patients admitted for comfort measures only.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/ Average
56 patients discharged; 54 patients received pneumococcal vaccination 96.43% 95.45%

NA

 
Pneumonia - Blood Culture Before First Antibiotic 

Number of pneumonia patients per 100, who had blood collected for a culture before the first hospital dose of antibiotic.  Blood cultures provide more useful information about treatment, if collected before antibiotics are given.  
  
Technical  
Includes inpatients discharged with a principal diagnosis of pneumonia. Excludes patients transferred from another hospital, patients who had no working diagnosis of pneumonia at time of admission, patients admitted for comfort measures only, and patients who did not receive antibiotics or a blood culture.

Area/Measure Avera Facility HQID Ranking HQID Median HQA Median / Average
36 patients discharged; 35 patients received blood culture before 1st antibiotic 97.22% 97.06%

NA

 
Pneumonia - Adult Smoking Cessation Advice/Counseling

Number of pneumonia patients who smoke per 100, who received smoking cessation counseling in the hospital. Smoking increases the risk of pneumonia.  
  
Technical  
Includes inpatients discharged with a principal diagnosis of pneumonia and a history of smoking in the prior year. Excludes patients transferred to or from another hospital, patients who died or left AMA, patients who had no working diagnosis of pneumonia at time of admission, and those admitted for comfort measures only.

Area/Measure Avera Facility HQID Ranking HQID Median HQA Median / Average

17 patients discharged; 17 patients received smoking cessation advice

100% 100%

NA

 
Pneumonia - Initial Antibiotic Received within 6 Hours of Hospital Arrival

Number of patients per 100, who received their first dose of antibiotic within six hours after hospital arrival.  Quicker antibiotic administration helps pneumonia patients get well faster.  
  
Technical  
Includes inpatients discharged with a principal diagnosis of pneumonia.  Excludes patients received in transfer from another hospital, patients who received antibiotic within 36 hours prior to arrival, patients who had no working diagnosis of pneumonia at time of admission, patients admitted for comfort measures only, and patients who did not receive antibiotics during hospitalization.

Area/Measure

Avera Facility HQID Ranking

HQID Median

HQA Median/ Average
52 patients discharged; 50 patients received antibiotic within 4 hours of arrival 96.15% 96.58% NA
 
Pneumonia - Initial Antibiotic for CAP in Immunocompetent Patient

Percent of pneumonia patients whose initial antibioitic selection in immunocompetent patient.

Area/Measure Avera Facility HQID Ranking HQID Median HQA Median/ Average
39 patients discharged; 33 patient received antibiotic selection for CAP patient 84.62% 93.33%

NA

 

 

Area/Measure Avera Facility HQID Ranking HQID Median HQA Median/ Average