Reporting Period: January 2009 - December 2009

	Compared to other Joint Commission Accredited Organizations
	Nationwide			Statewide
Measure	Hospital Results	Top 10% Scored at Least:	Average Rate:	Top 10% Scored at Least:	Average Rate:
Adult smoking cessation advice/counseling* Read More Close Adult smoking cessation advice/counseling* Heart failure patients who are given advice about stopping smoking while they are in the hospital. This measure reports what percent of adult heart failure patients are provided advice and/or counseling to quit smoking. Smoking harms the heart, lungs and blood vessels and makes existing heart disease worse. Limitations of measure use - see Accreditation Quality Report User Guide.		100%	99%	100%	99%
	100% of 60 eligible Patients
Quarterly Measure Results   Jan - Mar 2009 Apr - Jun 2009 Jul - Sep 2009 Oct - Dec 2009 Number of Eligible Patients Rate Nationwide Average 9 100% 98% 18 100% 98% 13 100% 99% 20 100% 99%
The Joint Commission only reports measures endorsed by the National Quality Forum.   * This information is part of the Hospital Quality Alliance. This information can also be viewed at www.hospitalcompare.hhs.gov. *** The measure was not in effect for this quarter. ---- Null value or data not displayed.   1 – The measure or measure set was not reported. 3 – The number of patients is not enough for comparison purposes. 4 – The measure meets the Privacy Disclosure Threshold rule. 7 – The measure results are based on a sample of patients. 8 – The number of months with measure data is below the reporting requirement. 9 – The measure results are temporarily suppressed pending resubmission of updated data.