INTEGRIS Canadian Valley Regional Hospital: Community Acquired Pneumonia

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INTEGRIS Canadian Valley Regional Hospital
1201 Health Center Parkway
Yukon, OK 73099

(405) 717-6800

Community Acquired Pneumonia Measures

INTEGRIS Canadian Valley Regional Hospital (ICVRH) is continuously working to improve the care of patients who suffer from Community Acquired Pneumonia (CAP).

In December 2005, ICVRH instituted the use of order sets to ensure that our medical and nursing staffs have an opportunity to utilize the latest evidence-based protocols for the treatment of pneumonia. Prior to the use of order sets, there was much variability among the medical staff in how pneumonia was managed. The pneumonia order set provides structure and consistency to the management of patients diagnosed with pneumonia.

ICVRH has the expectation that each patient who is placed in our care receives the highest quality medical care that can be offered.

	INTEGRIS Canadian Valley Regional Hospital	United States Top 10%	United States Average	Oklahoma Average
	(January-March 2008)	Jan 2007 - Dec 2007	July 2006 - June 2007	July 2006 - June 2007

Oxygenation Assessment	100%	100%	99%	100%
Pneumococcal Vaccination	88.9%	97%	75%	73%
Blood Cultures for Pneumonia Patients in ICU	87.5%	100%	Not Reported	Not Reported
Blood Cultures In ER Before Initial Antibiotic	100%	97%	90%	92%
Smoking Cessation Advice	100%	100%	84%	79%
Initial Antibiotic Within 4 Hours of Arrival	90.2%	Not Reported	Not Reported	Not Reported
Initial Antibiotic Within 6 Hours of Arrival	97.6%	99%	93%	95%
Initial Antibiotic Selection in Immunocompetent Patient	92.6%	Not Reported	Not Reported	Not Reported
Initial Antibiotic Selection in Immunocompetent - ICU Patient	50%	93%	Not Reported	Not Reported
Initial Antibiotic Selection Immunocompetent - Non ICU Patient	100%	98%	Not Reported	Not Reported
Influenza Vaccination	92.9%	97%	75%	75%

Click on the bars in the table below for trend data and
more explanation about each measure.

A -	Oxygenation Assessment
B -	Pneumococcal Vaccination
C -	Blood Cultures Perf 24hrs Prior/24hrs After Hosp Arrival for Patients Transf/Admit to ICU within 24hrs Hosp
D -	Blood Cultures Performed In Emergency Room Before Initial Antibiotic
E -	Adult smoking cessation advice/counseling
F -	Initial Antibiotic Received within 4 Hours of Hospital Arrival
G -	Initial Antibiotic Received within 6 Hours of Hospital Arrival
H -	Initial Antibiotic Selection in Immunocompetent Patient
I -	Initial Antibiotic Selection in Immunocompetent - ICU Patient
J -	Initial Antibiotic Selection in Immunocompetent - Non ICU Patient
K -	Influenza Vaccination