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Lutheran Hospital

The Quality Performance Report shows how Lutheran Hospital has been doing at providing the right care for certain common conditions and preventing certain types of infections.

Why Heart Failure Care Measures are Important

Heart failure is a weakening of the heart's pumping power. With heart failure, your body doesn't get enough oxygen and nutrients to meet its needs. Your heart tries to pump more blood, but the muscle walls become weaker over time. These measures show some of the standards of care provided for most adults with heart failure.

Symptoms of heart failure may include:

  • shortness of breath from fluid in the lungs
  • swelling (such as in legs, ankles or abdomen)
  • dizziness
  • fatigue
  • weakness
  • cold or clammy skin
  • a rapid or irregular heartbeat

Heart failure can be a result of heart condition due to:

  • hardening of the arteries, also known as coronary artery disease a heart attack
  • cardiomyopathy (heart muscle damage from infection or alcohol or drug abuse)
  • an overworked heart (caused over time by conditions like high blood pressure, kidney disease, diabetes, or a defect from birth)

For more information about heart health go to:

What is Pneumonia?

Pneumonia is an infection of the lungs. It is caused by bacteria or a virus. The lungs fill with mucus. This lowers the oxygen level in your blood. Symptoms of pneumonia can include the following:

  • difficulty breathing
  • "wet" cough – mucus may look green or bloody
  • chest pain
  • fever and chills
  • fatigue

You should also be aware that flu shots reduce the risk of influenza, a serious and sometimes deadly lung infection that can spread quickly in a community. Hospitals should check to make sure that pneumonia patients get a flu shot during flu season to protect them from another lung infection and to help prevent the spread of influenza in the community.

For more information about lung health go to:

These scores tell you about how often patients had certain serious, but potentially preventable complications (listed below) related to medical or surgical inpatient hospital care.

Where does the score come from? The information comes from documenting certain events in patient medical records. These events are then “coded” by the hospital for billing Medicare. Coded information is sometimes called “administrative” data.

This information is important because one way to tell if a hospital is doing a good job is to look at how often patients experienced certain complications that might have been preventable.

Lower numbers are better.

How is Lutheran Hospital doing with preventing certain serious complications?

July 2013 – June 2015 Rate per 1,000 Hospitalized Patients
Serious Complication U.S. National Average Lutheran Hospital
Death among surgical patients with serious treatable complications 136.48 too few cases to rate
Collapsed lung due to medical treatment 0.41 0.38*
Blood clot in the lung or large vein after surgery 5.31 6.04*
Wound that splits open after surgery 2.32 too few cases to rate
Accidental cut or tear during surgery or other procedure 1.43 1.07*
Eight different complications (combined) 0.90 0.86*

Includes only people with “regular” Medicare. People in Medicare Advantage (managed care plans) and people who do not have Medicare are not included.

* The difference between Lutheran Hospital and the national average is not significant. This means that Lutheran Hospital’s rate is basically the same as the national average.

What is Lutheran Hospital doing to improve?

Lutheran Hospital has many initiatives underway to keep patients safe. Standard “best” practices are the key to success. Examples:

  • To prevent collapsed lungs due to medical treatment, Lutheran Hospital implemented a standard procedure for placing and checking central lines (small tubes inserted and passed into a large vein or the heart).
  • To prevent blood clots in the lung or large vein after surgery, Lutheran Hospital implemented a standard approach that includes checking each hospitalized patient’s risk for blood clots and providing medications or other treatment as indicated.

Updated: July 2016

Keep in mind that you should not choose a hospital based solely on reported data.
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