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 2011 – June 2013
||Rate per 1,000 Hospitalized Patients
||U.S. National Average
|Death among surgical patients with serious treatable complications
|Collapsed lung due to medical treatment
|Blood clot in the lung or large vein after surgery
|Wound that splits open after surgery
|Accidental cut or tear during surgery or other procedure
|Eight different complications (combined)
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.
Preventing Patient Falls
Nationally, falls are a leading cause of hospital patient injury. A fall is more likely to occur in an environment that is unfamiliar such as a hospital room. Other risks for falling in the hospital include: medications that cause dizziness and tests or treatments that make you feel weak or unsteady. Some falls cause moderate to severe injuries.
How is Lutheran Hospital Doing at Preventing Falls with Injuries?
This score tells you how many patients fell during their hospital stay and had a moderate or serious injury such as a cut that needed stitches, a head injury or a hip fracture.
This information is important because one way to tell if a hospital is doing a good job is to look at how many patients are moderately or seriously injured due to falls.
Lower numbers are better.
|Lutheran Hospital (January 2013 – December 2013)
What we are doing to prevent falls
All hospitals aim for zero patient injuries. Our fall prevention efforts include: identifying patients who are at risk for falls, checking on them frequently, assisting them to the bathroom and providing non-skid footwear. Caregivers make sure patients have all necessary items, including a call light, within easy reach.
Updated: March 2014