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PO Box 360
Trenton, NJ 08625-0360
|Fred M. Jacobs, M.D., J.D.|
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At a press conference at
New Jersey 2005 Hospital Performance Report examines how frequently 82 hospitals used widely recognized best practices in treating more than 61,000 patients with heart attack or pneumonia in 2004. These tests and treatments – such as quickly giving aspirin to heart attack patients – are considered the nationally recognized standard of care.
“The report shows that hospital care statewide is clearly getting better, and quite rapidly in some cases,” Commissioner Jacobs said. “However, hospitals are still missing too many opportunities to give the kind of care that can improve health and save lives.
“Making sure every patient receives high quality care is one of my highest priorities,” Dr. Jacobs added. “This year, I have visited many hospitals to talk about quality and review data on each facility’s performance. I will continue to personally bring this message to hospitals around the state.”
According to the performance report released today,
Heart attack scores were based on the percentage of eligible patients given aspirin on arrival and on discharge, beta blocker on arrival and on discharge, and an angiotensin-converting enzyme (ACE) inhibitor at discharge. Pneumonia scores were based on the percentage of eligible patients whose oxygen levels were checked within 24 hours of arrival, who received antibiotics within four hours of arrival, and who were screened for pneumococcal vaccination and were immunized, if appropriate.
Overall, hospitals continued to score higher in caring for heart attack patients than in pneumonia care, although the gap in scores narrowed in 2004.
The top 10 percent of hospitals scored at least 98 percent for administering the correct heart attack treatments, compared with 97 percent in 2003. The top 10 percent of hospitals scored at least 92 percent, compared with 84 percent the previous year, for administering the correct pneumonia treatments.
Most hospitals either improved their performance from 2003 to 2004, or maintained it. Hospitals ranking in the bottom quarter in 2003 showed the greatest gains last year, on average raising the heart attack score nine percentage points and the pneumonia score 13 points.
In all heart attack treatment measures,
The most dramatic difference was in a pneumonia measure -- screening patients for pneumococcal vaccination.
QIAC, which advises the department on quality issues, is a 25-member panel that includes hospital, physician, nurse, pharmacist, university, payer and consumer representatives.
Later this fall,
The performance measures used in the
An online version of the
To obtain a copy of the report, contact the department’s Office of Health Care Quality Assessment, Division of Health Care Quality and Oversight, New Jersey Department of Health and Senior Services by mail at P.O. Box 360, Trenton, NJ 08625-0360, by phone at (800) 418-1397, or by fax at (609) 530-7478.
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Department of Health
P. O. Box 360, Trenton, NJ 08625-0360