St. Joseph Health System
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Pneumonia

Pneumonia is an irritation or infection in the the lungs that causes fluid to build, often making it difficult to breath. Recent studies have proven that patients who receive an antibiotic within four hours of arrival have lower mortality rates and shorter hospital stays. Blood oxygen levels should be tested within 24 hours prior to or after arrival at the hospital. It has been shown that maintaining an appropriate oxygen level in the blood may improve the overall outcome of patients with pneumonia.

Evidence based indicators are aspects of care that have been scientifically proven to improve clinical outcomes.
 
Indicators for pneumonia care include:

  • Pneumococcal Vaccination: Pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated
  • Blood Cultures Performed Within 24 Hours Prior to or 24 Hours After Hospital Arrival for Patients Who Were Transferred or Admitted to the ICU Within 24 Hours of Hospital Arrival: Pneumonia patients transferred or admitted to the ICU within 24 hours of hospital arrival, who had blood cultures performed within 24 hours prior to or the day prior to arrival, the day of arrival, or within 24 hours after arrival to the hospital
  • Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital: Pneumonia patients whose initial emergency room blood culture specimen was collected prior to first hospital dose of antibiotics. This measure focuses on the treatment provided to Emergency Department patients prior to admission orders.
  • Adult Smoking Cessation Advice/Counseling: Pneumonia patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay. For the purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival
  • Antibiotic Timing (Median): Median time from arrival at the hospital to the administration of the first dose of antibiotic at the hospital
  • Initial Antibiotic Received Within 6 Hours of Hospital Arrival: Pneumonia patients who receive their first dose of antibiotics within 6 hours after arrival at the hospital
  • Initial Antibiotic Selection for CAP in Immunocompetent Patient: Immunocompetent patients with Community-Acquired Pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines
  • Initial Antibiotic Selection for CAP in Immunocompetent - ICU Patient: Immunocompetent ICU patients with Community-Acquired Pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines
  • Initial Antibiotic Selection for CAP Immunocompetent - Non ICU Patient: Immunocompetent non-Intensive Care Unit (ICU) patients with Community-Acquired Pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines
  • Influenza Vaccination: Pneumonia patients age 50 years and older, hospitalized during October, November, December, January, February or March who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated
  • Oxygenation assessment: Blood oxygen levels should be tested within 24 hours of prior or after arrival at the hospital. It has been shown that maintaining an appropriate oxygen level in the blood may improve the overall outcome of patients with pneumonia.

All of St. Joseph's appropriate care scores exceed 95% reflecting our Mission of providing excellent care.  

 

 

 

 

 

 

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