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HHC - New York Health and Hospitals Corporation - nyc.gov/hhc - Charlynn Goins, Chairperson - Alan D Aviles, President
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Press Release

April 13, 2005

FOR IMMEDIATE RELEASE
April 13, 2005


NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (HHC) OUTPERFORMS OTHER NEW YORK CITY HOSPITALS AND HOSPITALS NATIONWIDE ON KEY QUALITY INDICATOR

New York City Health and Hospitals Corporation (HHC) hospitals on average performed better than other New York City hospitals and hospitals nationwide on 11 out of 15 quality measures listed on the Centers for Medicare and Medicaid Services (CMS) consumer web site, Hospital Compare (www.hospitalcompare.hhs.gov). The web site compares individual hospital performance on best practice measures for three (3) common clinical conditions: heart attack, heart failure, and pneumonia. National averages are based on data reported by 4,200 hospitals throughout the country. The data is for adult discharges for the 1st and 2nd quarter of 2004. (See attached chart for data and summary of the 11 indicators).

The quality measures were developed by the Hospital Quality Alliance (HQA), a national public-private collaboration, and are based on recommended care proven to give the best results to most adults with heart attack, heart failure, or pneumonia.

Hospital participation is voluntary. Data is derived from individual medical records and includes all payers. The goal is not to rank hospitals but to make important information about hospital performance accessible to the public and to inform and invigorate efforts to improve quality.


Contact: Kate McGrath, 212-788-3339

Selected Hospital Compare Best Practice Measures (Goal: 100%)

  1 2 3 4 5 6 7 8 9 10 11
HHC 99% 98% 95% 85% 93% 91% 96% 91% 85% 79% 89%
NYC 91% 86% 75% 75% 83% 84% 78% 74% 65% 43% 61%
USA 94% 90% 80% 61% 91% 90% 85% 78% 67% 50% 59%


Description of Best Practice Measures


Heart Attack Best Practice Measures:

  1. Aspirin at arrival - Acute myocardial infarction (AMI) patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival.
  2. Aspirin at discharge - AMI patients without aspirin contraindications who were prescribed aspirin at hospital discharge.
  3. ACE inhibitor for left ventricular systolic dysfunction - AMI patients with left ventricular systolic dysfunction (LVSD) and without angiotensin converting enzyme inhibitor (ACE inhibitor) contraindications who are prescribed an ACE inhibitor at hospital discharge.
  4. Adult smoking cessation advice/counseling - AMI patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during a hospital stay.
  5. Beta Blocker at arrival - AMI patients without beta - blocker contraindications who received a beta-blocker within 24 hours after hospital arrival.
  6. Beta Blocker at discharge - AMI patients without beta-blocker contraindications who were prescribed a beta-blocker at hospital discharge.

  7. Heart Failure Best Practice Measures:

  8. Left ventricular function (LVF) assessment - Heart failure patients with documentation in the hospital record that left ventricular function (LVF) was assessed before arrival, during hospitalization, or is planned for after discharge.

  9. ACE inhibitor for left ventricular systolic dysfunction - Heart failure patients with left ventricular systolic dysfunction (LVSD) and without angiotensin converting enzyme inhibitor (ACE inhibitor) contraindications who are prescribed an ACE inhibitor at hospital discharge.
  10. Adult smoking cessation advice/counseling - Heart failure patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during a hospital stay.

    Community Acquired Pneumonia (CAP) Best Practice Measures:

10. Pneumococcal Vaccination - Pneumonia inpatients age 65 and older who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated.
11. Adult smoking cessation advice/counseling - Pneumonia patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during a hospital stay.




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