UHS Quality

Heart Care Quality Reports
UHS Hospitals (UHS Binghamton General Hospital & UHS Wilson Medical Center)

UHS hospitals collect and report quality measures in four major clinical categories. These measures are tracked by the Centers for Medicare and Medicaid Services and are among 27 measures prepared by the Agency for Healthcare Research and Quality.

Heart Attack (Acute Myocardial Infarction) Measures

Coronary artery disease (CAD) is the most common form of heart disease. CAD is caused by a build-up of fatty substances called plaque in the arteries that supply the heart muscle with oxygen and other nutrients. As CAD progresses, it "starves" heart muscle of oxygen and can lead to a heart attack. A heart attack (also called acute myocardial infarction or AMI) is a serious condition that occurs when a blood clot forms in a diseased artery. This blockage prevents blood from reaching the heart an causes part of the heart muscle to die. Heart attacks can be prevented if people with heart attack symptoms get to the emergency department right away, so lifesaving care can be rapidly delivered to restore blood flow to the heart.

For each of the measures below, a higher number is better.

Aspirin given at arrival

Why is this important?
Aspirin reduces the tendency of blood to clot in heart vessels and thus improves survival rates.

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Aspirin given at discharge

Why is this important?
Aspirin reduces the tendency of blood to clot in hear vessels and thus improves survival rates.

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ACE inhibitor, or ARB, prescribed for LVSD (left ventricular systolic dysfunction)

Why is this important?
Heart attack patients who receive ACE an ARB medications generally have better outcomes.

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Smoking cessation advice/counseling

Why is this important?
Smoking harms the heart, lungs, and blood vessels and worsens existing heart disease.

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Beta Blocker at discharge

Why is this important?
Heart attack patients who receive this treatment may have less heart damage.

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Beta blocker at admission

Why is this important?
Heart attack patient who receive this treatment may have less heart damage.

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Congestive Heart Failure

Heart failure is a condition that results in weakened heart muscle. Common causes of heart failure are high blood pressure, coronary artery disease (CAD), heart attack, or cardiomyopathy disease (disease of the heart muscle). When the heart muscle is weakened it cannot pump enough blood to meet the needs of the body. To improve the pumping of the heart, the body holds onto extra salt and fluid. This process enlarges the heart and worsens heart function. As fluid collects in the lungs and other tissues of the body, people with heart failure develop shortness of breath or awaken during the night feeling short of breath. Other signs of heart failure include weight gain, swelling in the feet, ankles, or stomach, rapid or irregular heart beat, fatigue, or loss of appetite.

For each of the measures below, a higher number is better.

Patients given discharge instructions

Why is this important?
This is a chronic condition which requires that the patient know how to manage the condition and what the symptoms are. The information needed includes safe/advisable activity level, diet, medications, follow-up appointment, watching weight, actions to take if symptoms worsen

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Patients given evaluation of LVS (Left Ventricular Systolic) function

Why is this important?
The proper treatment of heart failure depends on what area of your heart is affected. An important test to see how your heart is pumping, called an evaluation of the left ventricular systolic function, will show your provider whether the left side of the heart is pumping properly.

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Patient given ACE inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Why is this important?
These medications are indicated to treat patients with heart failure, particularly in patients with heart failure and decreased function of the left side of the heart.

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Patient given smoking cessation advice/counseling

Why is this important?
Smoking increases risk of heart attack, lung cancer, and other conditions which can lead to premature death.

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