Page 17 - Hoag Orthopedic Institute 2015 Outcomes Report

“NATIONWIDE, SURGICAL SITE INFECTIONS ACCOUNT FOR 38 PERCENT
OF ALL HOSPITAL-ACQUIRED INFECTIONS. HOI PROTECTS PATIENTS BY FULLY ADHERING TO AND REPORTING ON ALL OF SCIP’S EVIDENCE-BASED BEST PRACTICES.”
KLANE HALES, MD, CO-MEDICAL DIRECTOR, ANESTHESIOLOGY
Unnecessary, prolonged use of antibiotics can contribute to the spread of drug resistant infections that are difficult to treat.
Antibiotics Discontinued within 24 Hours
Abrupt discontinuation of beta blockers (heart medication) during the perioperative (around the time of surgery) period in patients who are on chronic beta blocker therapy prior to surgery leads to increased morbidity.
Beta Blocker Administration
(Percent - Higher is Better)
(Percent - Higher is Better)
100 98% 80
60
40
20 0
98% 99%
99.8%
100 98% 80
60
40
20 0
97% 99% 100%
Source: www.medicare.gov/hospitalcompare for data from 10/2012 to 9/2013, retrieved 11/2014. Hoag internal data, FY 2014
Evidence has shown that prophylaxis (preventive measures) is the most effective strategy to prevent postoperative VTE, which includes deep vein thrombosis/pulmonary embolisms (potentially fatal blood clots). For maximum effectiveness, VTE prophylaxis needs to be started at the right time with the right modality.
Venous Thromboembolism (VTE) Prophylaxis Timing (Percent - Higher is Better)
Source: www.medicare.gov/hospitalcompare for data from 10/2012 to 9/2013, retrieved 11/2014. Hoag internal data, FY 2014
100 98% 98% 80
60
40
20 0
99% 100%
Source: www.medicare.gov/hospitalcompare for data from 10/2012 to 9/2013, retrieved 11/2014. Hoag internal data, FY 2014
Average for all reporting Average for all reporting hospitals in the United States hospitals in California
Hoag Orthopedic Institute on www.medicare.gov/ hospitalcompare
Hoag Orthopedic Institute internal data
2015 OUTCOMES REPORT | 17