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:
Initial antibiotic received within 6 hours of hospital arrival* Read More Close Initial antibiotic received within 6 hours of hospital arrival* Pneumonia patients who are given an antibiotic within 6 hours of arriving at the hospital. This measure reports the percent of adult pneumonia patients who are given an antibiotic within 6 hours of arriving at the hospital. Limitations of measure use - see Accreditation Quality Report User Guide.		99%	95%	99%	95%
	100% of 228 eligible Patients
Quarterly Measure Results   Jan - Mar 2009 Apr - Jun 2009 Jul - Sep 2009 Oct - Dec 2009 Number of Eligible Patients Rate Nationwide Average 57 100% 94% 60 100% 95% 44 100% 94% 67 100% 95%
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.