Reporting Period: July 2008 - June 2009

	Compared to other Joint Commission Accredited Organizations
Measure Area	Nationwide	Statewide
Heart Failure Care Read More Close Heart Failure Care This category of evidence based measures assesses the overall quality of care provided to Heart Failure (HF) 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 failure 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 failure 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%	94%	100%	94%
	95% of 130 eligible Patients7
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. (See Quarterly Results)		100%	98%	100%	99%
	100% of 73 eligible Patients7
Discharge instructions* Read More Close Discharge instructions* Heart failure patients who receive specific discharge instructions about their condition. This measure reports what percent of patients with heart failure are given information about their condition and care when they leave the hospital. Patient education about medicines, diet, activities, and signs to watch for is important in order to prevent further hospitalization. (See Quarterly Results)		99%	86%	100%	90%
	68% of 246 eligible Patients7
LVF assessment* Read More Close LVF assessment* Heart failure patients who have had the function of the main pumping chamber of the heart (i.e., left ventricle) checked during their hospitalization. This measure reports what percent of patients with heart failure receive an in-depth evaluation of heart muscle function in order to get the right treatment for their heart failure. (See Quarterly Results)		100%	98%	100%	99%
	99% of 271 eligible Patients7
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 Failure = 11%   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 Failure     (See Rate Details) Out of 4773 hospitals in U.S. 213 hospitals in the U.S. Better than U.S. National Rate 3812 hospitals in the U.S. No different than U.S. National Rate 163 hospitals in the U.S. Worse than U.S. National Rate 585 hospitals in the United States did not have enough cases to reliably tell how well they are performing Out of 116 hospitals in Iowa 1 hospitals in Iowa Better than U.S. National Rate 98 hospitals in Iowa No different than U.S. National Rate 3 hospitals in Iowa Worse than U.S. National Rate 14 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.