Q-HIP Targets, Averages and Definitions

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Q-HIP Targets, Averages and Definitions

We challenge each Q-HIP hospital to meet several performance benchmarks for a successful treatment.  You can see that, on average, Q-HIP hospitals are meeting some high standards and the goal is to promote improvement each year. 
Click on highlighted terms below for their definitions.  
 
 

Angioplasty measures

Virginia Q-HIP Average Hospital Score

National Hospital Average

Heart Attack Diagnosis-to-Angioplasty time < 90 minutes

95.81% 
93.07% 

Vascular access site (groin) injury requiring treatment or major bleeding

1.00% 
0.84% 

Patient prescribed cholesterol lowering drug (statin) at discharge

97.06% 
94.99% 
 

Heart Attack measures

Virginia Q-HIP Average Hospital Score

National Hospital Average

Asprin prescribed at discharge

99.27% 
99.21% 

 
 
 

Heart Failure measures

Virginia Q-HIP Average Hospital Score

National Hospital Average

Discharge instructions

94.29% 
93.84% 

Heart chamber assessment

99.32% 
99.37% 

Medication to improve heart pumping

96.55% 
96.97% 
 
 

Pneumonia measures

Virginia Q-HIP Average Hospital Score

National Hospital Average

Blood cultures performed in Emergency Dept prior to intital antibiotic

97.67% 
97.53% 

Initial antibiotic selection

95.63% 
96.28% 

Surgical Infection Prevention measures (hip, knee, hysterectomy and colon)

Virginia Q-HIP Average Hospital Score

National Hospital Average

Preventive antibiotic given 1 hour before surgery

98.53% 
98.41% 

Preventive antibiotic selection for surgical patients

98.81% 
98.67% 

Preventative antibiotic stopped within 24 hours after surgery

97.51% 
97.36% 

Cardiac surgery patients with 6AM post-op serum glucose

96.43% 
95.98% 

Surgery patients on beta blockers that received beta blocker during procedure

97.33% 
96.95% 

Surgery patients with recommended blood clot prevention ordered

97.78% 
98.28% 

Surgery patient received appropriate measures to prevent blood clots within 24 hours prior to surgery and 24 hours after surgery

96.84% 
97.57% 
 
 
National averages for all measures - July 1, 2011 to June 30, 2012 
Angioplasty: Angioplasty is a procedure in which a catheter-guided balloon is used to open a narrowed coronary artery that supplies blood to your heart muscle. This narrowing is often corrected with the placement of a metal stent to help keep the artery open.  
Heart Attack Diagnosis-to-Angioplasty time: Once a patient arrives at the hospital with a heart attack, the time it takes for being diagnosed with a heart attack to the time a patient has a narrowed artery opened with a balloon. Faster times can mean better patient health outcomes and fewer complications.  
Vascular access site (groin) injury requiring treatment or major bleeding: This is a measure of the number of times that an unfavorable result of bleeding in the groin area occurs as the result of an angioplasty procedure. 
Patient prescribed cholesterol lowering drug (statin) at discharge): After an angioplasty, the percent of patients given statins to lower LDL cholesterol (the bad cholesterol) and reduce the risk of heart attacks and strokes.  
Mortality Rate: Number of patients who died during hospitalization that involved an angioplasty.  
Heart Attack: A heart attack happens when the supply of blood and oxygen to your heart is slowed or stopped, usually by a clot in a coronary artery.  
Aspirin prescribed at discharge: At discharge, heart attack patients prescribed aspirin. 
Heart Failure: Heart failure means that your heart has grown progressively weaker over time, until it’s too weak to pump enough blood throughout your body.  
Discharge Instructions: Heart failure patients given written instructions or materials about: staying active, healthy diet, ideal weight, prescribed medications, follow-up appointments, and what to do if symptoms get worse.  
Heart Chamber Assessment: Heart failure patients whose lower left heart chamber – a critical area for heart problems – was tested to make sure it’s working as it should.  
Medication to Improve Heart Pumping: At discharge, heart failure patients prescribed Angiotensin converting enzyme inhibitor (ACEI) or Angiotension II receptor blocker (ARB), common high blood pressure drugs that control the amount of blood pumped out of the heart.  
Pneumonia: Pneumonia is a lung infection caused by either bacteria or viruses. It can cause difficulty breathing, fever, cough and fatigue.  
Blood cultures performed in Emergency Department prior to initial antibiotic: Pneumonia patients who had a blood culture collected prior to first hospital dose of antibiotics.  
Initial antibiotic selection: Patients with pneumonia that received antibiotics within 24 hours of hospital admission that follow the current guidelines.  
Surgical Infection Prevention: Measures aimed at improving surgical care by reducing surgical complications.  
Preventive antibiotic given 1 hour before surgery: Surgical patients (hip, knee, hysterectomy, and colon) who received preventive antibiotics within one hour of surgical incision to reduce risk of infection.  
Preventive antibiotic selection for surgical patients: Surgical patients (hip, knee, hysterectomy, and colon) whose preventive antibiotics administered according to the current guidelines.  
Preventive antibiotic stopped within 24 hours after surgery: Surgical patients (hip, knee, hysterectomy, and colon) whose preventive antibiotics were stopped within 24 hours after the surgery was complete.  
Cardiac surgery patients with 6AM post-op serum glucose: Surgery patients with a controlled blood glucose level the day after their surgery. 
Surgery patients on beta blockers that received beta blocker during procedure: Surgery patients that were taking a beta blocker on admission that continue to receive the beta blocker during their surgery. 
Surgery patients with recommended blood clot prevention ordered and Surgery patient received appropriate measures to prevent blood clots within 24 hours prior to surgery and 24 hours after surgery: Measures are taken to prevent blood clots in patients undergoing surgery. These measures could include medication and/or mechanical methods such as compression stockings.  

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