Quality at GMH

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Gaston Memorial Hospital's commitment to excellence in patient care is exemplified through continual improvement in clinical and organizational performance.  Performance improvement efforts support the organization's mission, vision and values. We voluntarily participate in several national and state programs to measure the quality and value of the care we provide.
National Quality Reports
Results  On the Web

Hospital Compare - Report from U.S. Department of Health and Human Resources : This report examines the measures for three serious medical conditions that are common among the Medicare population. Scientifc evidence shows that these measures represent the best standard of care for treatment.

Indicator

National

Average

North

Carolina

Average

Gaston

Memorial

Hospital

Heart Failure

Percent of heart failure patients given discharge instructions

71%

73%

95%

Percent of heart failure patients given an evaluation of LVS function

87

93

100

Percent of heart failure patients given ACE inhibitor or ARB for LVS dysfunction

88

89

98

Percent of heart failure patients given smoking cessation advice/counseling

90

95

100

Pneumonia

Percent of pneumonia patients given oxygenation assessment

99

99

100

Percent of pneumonia assessment patients assessed and given pneumococcal vaccination

80

84

99

Percent of pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics

90

91

99

Percent of pneumonia patients given smoking cessation advice/ counseling

87

92

100

Percent of pneumonia patients given initial antibiotics within six hours after arrival

93

93

98

Percent of pneumonia patients given the most appropriate initial antibiotic(s)

87

86

99

Percent of pneumonia patients assessed and given influenza vaccination

79

84

98

Heart Attack

Percent of heart attack patients given aspirin at arrival

94

95

99

Percent of heart attack patients given aspirin at discharge

91

93

100

Percent of heart attack patients given ACE inhibitor or ARB for LVS dysfunction

89

90

94

Percent of heart attack patients given smoking cessation advice/counseling

93

94

100

Percent of heart attack patients given beta blocker at discharge

92

94

99

Percent of heart attack patients given beta blocker at arrival

89

91

98

Percent of heart attack patients given fibrinolytic medication within 30 minutes of arrival

40

43

100

Percent of heart attack patients given PCI within 90 minutes of arrival

70

83

89

Surgical Care Improvement/Surgical Infection Prevention

Percent of surgery patients who received preventive antibiotics one hour before incision

85

90

99

Percent of surgery patients who received the appropriate preventive antibiotics for their surgery

92

93

97

Percent of surgery patients whose preventive antibiotics are stopped within 24 hours after surgery

83

86

97

Percent of surgery patients whose doctors ordered treatments to prevent blood clots (venous thromboembolism) for certain types of surgeries

82

85

96

Percent of surgery patients who received treatment to prevent blood clots within 24 hours before or after selected surgeries

79

81

93

Percent of heart surgery patients whose blood glucose was kept under good control in the days right after surgery

86

87

100

Percent of surgery patients needing hair removed from the surgical area before surgery using safer method - clipping

95

96

100

Source: www.hospitalcompare.hhs.gov   Data from April 2007 - March 2008

 


JCAHO Oryx Indicators

  • AMI Care - Above the state and national averages
  • Heart Failure Care - Above the state and national averages
  • Pneumonia Care - Above the state and national averages
  • Surgical Care - Above the state and national averages 

Third quarter, 2007- Second quarter, 2008

 


Institute for Healthcare Improvement

  • 100  K Lives – Safety Initiatve
  • 5 Million Lives from Harm – Safety Initiative 
  • Sepsis Care - Early detection and intervention for patients with sepsis
  • “Move Your Dot” - Avoidable mortality reduced by 50% in the past two years
 


Premier/Centers for Medicaid/Medicare Services - Hospital Quality Incentive Demonstration Project

Year 4:  Oct. 2006-Sept. 2007

 


Premier - Quest: First National Quality Initiative 

Year One   (Third quarter, 2008)

  • Appropriate Care - Top Quartile - Top Hospital in Program
  • Efficiency /The Cost of Care - Top Quartile 
  • Decreasing Avoidable Mortality Care - Top Quartile  

Year Two

  • Decreasing Harm Focus
  • Patient/Family Satisfaction Focus
 


State-wide Quality Initiatives  

North Carolina Hospital Quality 

  •  
    • AMI Care – top 15% in the state
    • Heart Failure Care – top 10% in state
    • Pneumonia Care – top 10% in state
    • Surgical Care (SCIP) – top 10 % in the state

First & Second quarters, 2008

 


RACE – Reperfusion of Acute Myocardial Infarction in Carolina Emergency Departments Project - Gaston Memorial Hospital ranks at 100% fro getting patients in the cardiac cath lab for care within 90 minutes of when a heart attack started.

 


North Carolina Stroke Registry  

 


Private Quality Initiatives  


American Nurses Credentialing Center

  • Magnet Recognition, 2007 - Gaston Memorial Hospital was awarded this prestigious award for excellence in nursing care
 


Blue Cross/Blue Shield

•·         Blue Distinction Center for Cardiac Care - 2009

 

  

  

 Aetna

·         Recognized as Institute of Quality Cardiac Care - 2009

 
 
  
 
 

 HealthGrades

  • We lead the region with 7 five-star designations in Back and Neck Surgery (spinal fusion), Heart Valve Replacement Surgery, Sepsis Care, Respiratory Failure Care, Pulmonary Care and Gastrointestinal Procedures & Surgeries.  This includes an award for excellence in care of the Back and Neck Surgery.

Based on Centers for Medicare and Medicaid Services Reporting Data for 2005-2007

 


 

 

 

 

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