Page 19 - Hoag Orthopedic Institute 2012 Outcomes Report

Hoag Orthopedic Institute FY12 Hoag Orthopedic Institute on www.calhospitalcompare.org
Studies have demonstrated that timely antibiotic administration is best practice because the risk of infection increases progressively with greater time intervals between administration and skin incision.
Antibiotics within 1 Hour of Incision
Average for all reporting Average for all reporting hospitals in California hospitals in the United States
Unnecessary use of antibiotics can contribute to the spread of drug-resistant infections that are difficult to treat.
Antibiotics Discontinued within 24 Hours
Percent (Higher is Better)
Percent (Higher is Better)
100 98% 99% 80
60
40
20 0
97%
100
80
60
40
20
0
99.6%
99%
98% 98%
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services - HHS.gov, updated October 11, 2012
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services - HHS.gov, updated October 11, 2012
Studies have shown that abrupt discontinuation of beta blockers during the perioperative period in patients who were on chronic beta blocker therapy prior to surgery led to increased mortality during the intraoperative and postoperative periods.
Beta Blocker Administration
Optimal use of prophylactic antibiotics involves use of appropriate agents; proper dosing, route of administration, timing, and duration; and intraoperative dosing when appropriate. HOI has had perfect performance on this measure for five consecutive quarters.
Antibiotic Selection
Percent (Higher is Better)
100
Percent (Higher is Better) 96%
91%
96% 96%
100 100% 100%
95%
80
60
40
20
0
96%
80
60
40
20
0
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services - HHS.gov, updated October 11, 2012
VTE is one of the most common postoperative complications and prophylaxis is the most effective strategy to reduce morbidity and mortality. Studies have shown that appropriately used thromboprophylaxis may help to prevent blood clots from forming after surgery.
Venous Thromboembolism (VTE) Prophylaxis Ordered
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services - HHS.gov, updated October 11, 2012
For maximum effectiveness, VTE prophylaxis needs to be started at the right time with the right modality.
Venous Thromboembolism (VTE) Timing
Percent (Higher is Better)
Percent (Higher is Better)
100 99% 99% 80
60
40
20 0
96%
97%
96%
100 99% 80
60
40
20 0
100%
97%
98%
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services - HHS.gov, updated October 11, 2012
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services - HHS.gov, updated October 11, 2012
2012 OUTCOMES REPORT | 19