2006 BISHCA COMPARISON REPORT OF 2005 DATA

HEART ATTACK CARE MEASURES

A heart attack (also called an AMI or acute myocardial infarction) happens when arteries leading to the heart become blocked and the blood supply is slowed or stopped.  The measures below show some of the recommended care given to patients, if appropriate, when admitted to a hospital for a heart attack.

 

INTERPRETING THE DATA:

 

Be careful when drawing conclusions from this information. Small numbers of patients may distort reported performance.

What does the fraction mean in all of the reports?
The denominator represents all those patients who were medically eligible to receive the particular treatment. The numerator represents all those patients who actually received the particular treatment for which they were medically qualified.
For example:

Aspirin at Arrival: 80%; 8/10
This means that 10 patients were medically eligible to receive an aspirin on arrival to the hospital and 8 patients actually received it. If a patient is allergic to aspirin, that patient would NOT be part of the denominator. “0/0” means that no patients were medically eligible to receive that particular treatment.
 Data Report Period: Discharges January through September 2005:
  Aspirin at
Arrival
Aspirin at
Discharge
Beta Blocker
at Arrival
Beta Blocker at Discharge ACEI or ARB's
for LVSD
Smoking Cessation
Counseling
Thrombolytic Agent Within
30 Minutes
PCI Within
120 Minutes
Composite Score
Click "Define" for expanded explanation
of the term above it
Define Define Define Define Define Define Define Define Define
National Average 95%89860/94431 95%97678/102476 92%
71130 / 77671
94%99168/105163 83%21943/26535 91%
32672/35750
39%
1154/2983
68%
8817/12986

N/A

State Average 95%
487/510
97%
589/610
94%
423/449
97%
624/643
67%
126/189
83%
140/168
50%
5/10
74%
28/38
83%
752/911
Achievable Benchmark
(Represents the average performance achieved by the top hospitals in the U.S.)
100%
9589/9598
100%
10550/10562
100%
7883/7905
100%
10502/10528
98%
2626/2670
100%
3586/3590
88%
495/565
96%
1336/1388

N/A

Brattleboro Memorial Hospital 100%
36/36
100%
12/12
100%
39/39
92%
12/13
60%
3/5
0/0 0/0 0/0 95%
38/40
Central Vermont
Medical Center
90%
38/42
93%
13/14
94%
32/34
93%
14/15
50%
1/2
50%
1/2
0/0 0/0 87%
39/45
Copley Hospital 93%
13/14
75%
3/4
92%
11/12
100%
4/4
0/0 100%
1/1
0/0 0/0 87%
13/15
Fletcher Allen
Health Care
99%
168/170
99%
460/464
93%
129/138
98%
475/486
65%
88/136
84%
124/148
0/0 74%
28/38
82%
440/539
Gifford Medical Center 75%
3/4
75%
3/4
100%
4/4
100%
4/4
100%
1/1
0/0 0/0 0/0 75%
3/4
Grace Cottage Hospital 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Mt. Ascutney Hospital and Health Center 100%
1/1
0/0 0%
0/1
0/0 0/0 0/0 0/0 0/0 0%
0/1
North Country Hospital 67%
6/9
67%
4/6
100%
8/8
100%
7/7
67%
4/6
67%
2/3
0/0 0/0 58%
7/12
Northeastern Vermont Regional Hospital 96%
23/24
80%
8/10
100%
25/25
92%
11/12
80%
4/5
0%
0/1
0/0 0/0 85%
22/26
Northwestern Medical Center 78%
18/23
75%
9/12
70%
16/23
85%
11/13
100%
4/4
0/0 0/0 0/0 52%
12/23
Porter Hospital 100%
20/20
86%
6/7
100%
14/14
100%
5/5
50%
1/2
0/0 0/0 0/0 90%
18/20
Rutland Regional
 Medical Center
93%
69/74
81%
22/27
94%
68/72
94%
32/34
56%
9/16
100%
1/1
67%
2/3
0/0 81%
68/84
Southwestern Vermont Medical Center 99%
73/74
98%
43/44
100%
59/59
98%
41/42
100%
8/8
100%
11/11
43%
3/7
0/0 93%
75/81
Springfield Hospital 100%
19/19
100%
6/6
90%
18/20
100%
8/8
75%
3/4
0%
0/1
0/0 0/0 81%
17/21
VA Medical Center 100%
17/17
100%
3/3
100%
17/17
100%
4/4
100%
2/2
75%
3/4
0/0 0/0 N/A
 

Would you like to see a further source of hospital performance data?  See Vermont information on the "Hospital Compare" website.
"Hospital Compare" was developed in conjunction with the Centers for Medicare and Medicaid Services (CMS), an agency under the U.S. Department of Health and Human Services, and the Hospital Quality Alliance (HQA). "Hospital Compare" shows measures based on data from hospitals' patient records. The data is converted to rates that measure how well hospitals care for their patients.

The table format, measure descriptions and definition of "Achievable Benchmark" were developed by the New Hampshire-based Foundation for Healthy Communities. The Northeast Healthcare Quality Foundation provided the data analysis. The Vermont Department of Banking, Insurance, Securities and Health Care Administration expresses its gratitude to both organizations.