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	Symbol Key
	This organization achieved the best possible results
	This organization’s performance is above the target range/value.
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	This organization’s performance is below the target range/value.
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Quality Report
Hospital

The University of Michigan Hospitals and Health Centers
Org ID: 7457

National Quality Improvement Goals: Surgical Care Improvement Project (SCIP)

Reporting Period: October 2011 - September 2012

Measure Area

SCIP – Venous Thromboembolism (VTE)
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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:

Patients having surgery who had treatment prescribed for the prevention of blood clots. Note: Treatment may be medication, stockings, or mechanical devices for exercising the legs.
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Patients having surgery who had treatment prescribed for the prevention of blood clots. Note: Treatment may be medication, stockings, or mechanical devices for exercising the legs.

This measure reports how often patients having surgery had treatment prescribed for the prevention of blood clots. The incidence of blood clots is lowest when patients are treated to prevent them. Note: Not every surgery requires treatment and this measure reports on those selected surgeries where evidence/experts have identified that treatment to prevent blood clots would be helpful.

(See Quarterly Results)

100% 98% 100% 99%

99% of
1175 eligible Patients⁷

Patients having surgery who received the appropriate treatment to prevent blood clots which is shown to be effective for the type of surgery performed. Note: Treatment may be medication, stockings, or mechanical devices for exercising the legs.
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Patients having surgery who received the appropriate treatment to prevent blood clots which is shown to be effective for the type of surgery performed. Note: Treatment may be medication, stockings, or mechanical devices for exercising the legs.

This measure reports how often patients who had surgery were given the appropriate treatment that prevents blood clots which is known to be effective for the type of surgery, based upon the recommendations of experts around the country. Note: Not every surgery requires treatment and this measure reports on those selected surgeries where evidence/experts have identified that treatment to prevent blood clots would be helpful.

(See Quarterly Results)

100% 98% 100% 98%

99% of
1175 eligible Patients⁷

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.

---- Null value or data not displayed.

1 - The measure or measure set was not reported.

2 - The measure set does not have an overall result.

3 - The number is not enough for comparison purposes.

4 - The measure meets the Privacy Disclosure Threshold rule.

5 - The organization scored above 90% but was below most other organizations.

6 - The measure results are not statistically valid.

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.

10 - Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.

11 - There were no eligible patients that met the denominator criteria.

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