Reporting Period: July 2008 - June 2009

	Compared to other Joint Commission Accredited Organizations
Measure Area	Nationwide	Statewide
Heart Attack Care Read More Close Heart Attack Care This category of evidence based measures assesses the overall quality of care provided to Heart Attack (AMI) patients.

	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:
ACE inhibitor or ARB for LVSD* Read More Close ACE inhibitor or ARB for LVSD* Heart attack patients who receive either a prescription for a medicine called an “ACE inhibitor” or a medicine called an angiotensin receptor blocker (ARB) when they are discharged from the hospital. This measure reports what percent of heart attack patients who have problems with the heart pumping enough blood to the body were prescribed medicines to improve the heart’s ability to pump blood. (See Quarterly Results)		100%	95%	100%	96%
	98% of 52 eligible Patients
Adult smoking cessation advice/counseling* Read More Close Adult smoking cessation advice/counseling* Heart attack patients who are given advice about stopping smoking while they are in the hospital. This measure reports what percent of adult heart attack patients are provided advice and/or counseling to quit smoking. Smoking harms the heart, lungs and blood vessels and makes existing heart disease worse. (See Quarterly Results)		100%	99%	100%	99%
	98% of 84 eligible Patients
Aspirin at arrival* Read More Close Aspirin at arrival* Heart attack patients receiving aspirin when arriving at the hospital. This measure reports what percent of heart attack patients receive aspirin within 24 hours before or after they arrive at the hospital. Aspirin is beneficial because it reduces the tendency of blood to clot in blood vessels of the heart and improves survival rates. (See Quarterly Results)		100%	98%	100%	99%
	100% of 61 eligible Patients
Aspirin prescribed at discharge* Read More Close Aspirin prescribed at discharge* Heart attack patients who receive a prescription for aspirin when being discharged from the hospital. This measure reports how often aspirin was prescribed to heart attack patients when they are leaving a hospital. Aspirin is beneficial because it reduces the tendency of blood to clot in blood vessels of the heart and improves survival rates. (See Quarterly Results)		100%	98%	100%	99%
	99% of 204 eligible Patients
Beta blocker prescribed at discharge* Read More Close Beta blocker prescribed at discharge* Heart attack patients who have a medicine called a "beta blocker" prescribed when they are discharged from the hospital. This measure reports what percent of heart attack patients were prescribed a special type of medicine when leaving the hospital, that has been shown to reduce further heart damage. (See Quarterly Results)		100%	98%	100%	99%
	100% of 218 eligible Patients
Fibrinolytic therapy received within 30 minutes of hospital arrival* Read More Close Fibrinolytic therapy received within 30 minutes of hospital arrival* Heart attack patients who receive a medicine that breaks up blood clots (fibrinolytic therapy) within 30 minutes of hospital arrival. This measure reports how quickly heart attack patients were given a medication that breaks up blood clots (fibrinolytic therapy). Breaking up blood clots increases blood flow to the heart. If blood flow is returned to the heart muscle quickly during a heart attack, the risk of death is decreased. The medicine that breaks up clots in the arteries and allows the return of normal blood flow is called fibrinolytic therapy and is used in certain types of heart attacks. It is important that this medicine be given quickly after a heart attack is diagnosed. (No Quarterly Results are available)	3	100%	55%	----3	----3
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Primary PCI received within 90 minutes of hospital arrival* Read More Close Primary PCI received within 90 minutes of hospital arrival* Heart attack patient with a clogged artery in the heart that is opened with a balloon therapy called PCI within 90 minutes of hospital arrival. This measure reports how quickly heart attack patients had a clogged artery in the heart opened with a balloon therapy called PCI to increase blood flow to the heart and reduce heart damage. Lack of blood supply to heart muscle can cause lasting heart damage. In certain types of heart attacks, a small balloon is threaded into a blood vessel in the heart to open up a clogged artery that keeps the blood from flowing to the heart muscle. It is important that this therapy be given quickly after a heart attack is diagnosed. (See Quarterly Results)	3	99%	85%	100%	92%
	87% of 15 eligible Patients3
Center for Medicare and Medicaid (CMS) Hospital 30-Day Risk Adjusted Death (Mortality) compared to U.S. National Rate The rates displayed in this table are from data reported for discharges July 2005 through June 2008 Last Updated: August 25, 2009 The U.S. National 30-day Death Rate from Heart Attack = 17%   Better Than U.S. National Rate (Adjusted mortality is lower than U.S. rate) No Different Than U.S. National Rate (Adjusted mortality is about the same as U.S. rate or difference is uncertain) Worse Than U.S. National Rate (Adjusted mortality is higher than U.S. Rate) 30-Day Death (Mortality) Rates from Heart Attack   (See Rate Details)   Out of 4609 hospitals in U.S. 131 hospitals in the U.S. Better than U.S. National Rate 2814 hospitals in the U.S. No different than U.S. National Rate 54 hospitals in the U.S. Worse than U.S. National Rate 1610 hospitals in the United States did not have enough cases to reliably tell how well they are performing Out of 112 hospitals in Iowa 3 hospitals in Iowa Better than U.S. National Rate 45 hospitals in Iowa No different than U.S. National Rate 0 hospitals in Iowa Worse than U.S. National Rate 64 hospitals in the United States did not have enough cases to reliably tell how well they are performing For technical information on 30 Day Risk Adjusted Mortality measures read more.
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 of patients 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 pending resubmission of updated data.