An analysis of clinical process measures for acute healthcare delivery in Appalachia: The Roane Medical Center experience

Table 1 Quality measure comparisons for Roane Medical Center, Tennessee state average, and USA national average for selected clinical parameters as assessed by the Hospital Quality Alliance

Parameter	RMC (n)	State	USA	Comparison
ACE inhibitor for MI^a	75 (8)	79	80	-
ASA for MI (on arrival)	94 (47)	85	91	+
ASA for MI (at discharge)	92 (25)	80	87	+
β-blocker for MI (on arrival)	98 (42)	76	84	+
β-blocker for MI (at discharge)	96 (25)	78	86	+
Smoking cessation for MI	83 (6)	80	75	+
ACE for HF^a	75 (16)	76	79	-
Assessment of LV function for HF	98 (148)	74	79	+
Discharge instructions for HF	70 (102)	50	48	+
Smoking cessation for HF	85 (26)	75	68	+
Vaccination for pneumonia	82 (195)	57	51	+
ABX within 4 h for pneumonia	79 (269)	76	75	+
O₂ assessment in pneumonia	100 (316)	99	98	+
Smoking cessation for pneumonia	89 (108)	76	66	+
Most appropriate ABX for pneumonia^b	87 (197)	75	76	+
Blood cultures for pneumonia	78 (285)	79	82	-
	p < 0.01^c

Notes: All data presented as percentages (n), and were collected from July 2004–March 2005, except as noted. n = total patients in criteria set (denominator) ACE = angiotensin converting enzyme inhibitor MI = myocardial infarction ASA = aspirin PCI = percutaneous coronary intervention HF = heart failure ABX = antibiotics
^a Data for this process measure were available for the January 2005–March 2005 interval only
^b Data for this process measure were available for the July 2004–March 2005 interval only
^c by sign test

ISSN: 1478-4505