Professional Practice

Medicare Quality Measures: Pneumonia

Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue. These quality measures show some of the recommended treatments for pneumonia. Below is how Holy Spirit Hospital ranks with both national and state averages. This information is available at Hospital Compare.

Pneumonia Report National Avg July 2012 to June 2013 State Avg July 2012 to June 2013 HSH Avg July 2012 to June 2013 HSH Monthly for April 14
Patient Appropriateness of Care Compliance 96% 97% 100% 94%

The Hospital Compare Parameters was created by The Centers for Medicare and Medicaid Services (CMS). Please visit The Centers for Medicare and Medicaid Services (CMS) to view more details about the compare parameters.

Clinical parameters tracked in patients admitted to Holy Spirit Hospital with pneumonia focus on the timely and appropriate treatment and measures to prevent further episodes. Studies have shown that early administration of antibiotics for patients with pneumonia improves the outcome. Administering the Pneumonia Vaccine and stopping smoking will decrease the likelihood of further lung infections.

Performance Improvement initiatives underway at Holy Spirit Hospital to improve the care of patients with pneumonia include:

  • Early identification of patients with symptoms of pneumonia so antibiotics can be given within the four-hour recommended time limit.
  • Improved documentation of update vaccination status so patients who are not up-to-date can be vaccinated.
  • Improved identification of patients who smoke, so smoking cessation counseling can begin while the patient is in the hospital.
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