Table 2.
Hospital Raw Performance in 2004 and 2008, Stratified by Joint Commission Accreditation Status
| 2004 | 2008 | |||||
|---|---|---|---|---|---|---|
| Non-Accredited | Accredited | Non-Accredited | Accredited | |||
| Quality Measure, Mean (SD)* | (n = 786) | (n = 3105) | P Value† | (n = 950) | (n = 2,941) | P Value† |
| AMI | ||||||
| Aspirin at admission | 87.1 (20.0) | 92.6 (9.4) | <0.001 | 88.6 (22.1) | 96.0 (8.6) | <0.001 |
| Aspirin at discharge | 81.2 (26.1) | 88.5 (14.9) | <0.001 | 87.8 (22.7) | 94.8 (10.1) | <0.001 |
| ACE inhibitor for LV dysfunction | 72.1 (33.4) | 76.7 (22.9) | 0.010 | 83.2 (30.5) | 92.1 (14.8) | <0.001 |
| Beta blocker at discharge | 78.2 (27.9) | 87.0 (16.2) | <0.001 | 87.4 (23.4) | 95.5 (9.9) | <0.001 |
| Smoking cessation advice | 59.6 (40.8) | 74.5 (29.9) | <0.001 | 87.2 (29.5) | 97.2 (11.3) | <0.001 |
| PCI received within 90 min | 60.3 (26.2) | 60.6 (23.8) | 0.946 | 70.1 (24.8) | 77.7 (19.2) | 0.006 |
| Thrombolytic agent within 30 min | 27.9 (35.5) | 32.1 (32.8) | 0.152 | 31.4 (40.7) | 43.7 (40.2) | 0.008 |
| Composite AMI score | 80.6 (20.3) | 87.7 (10.4) | <0.001 | 85.8 (20.0) | 94.6 (8.1) | <0.001 |
| Heart failure | ||||||
| Discharge instructions | 36.8 (32.3) | 49.7 (28.2) | <0.001 | 67.4 (29.6) | 82.3 (16.4) | <0.001 |
| Assessment of LV function | 63.3 (27.6) | 83.6 (14.9) | <0.001 | 79.6 (24.4) | 95.6 (8.1) | <0.001 |
| ACE inhibitor for LV dysfunction | 70.8 (27.6) | 75.7 (16.3) | <0.001 | 82.5 (22.7) | 91.5 (9.7) | <0.001 |
| Smoking cessation advice | 57.1 (36.4) | 68.6 (26.2) | <0.001 | 81.5 (29.9) | 96.1 (10.7) | <0.001 |
| Composite heart failure score | 56.3 (24.1) | 71.2 (15.6) | <0.001 | 75.4 (22.3) | 90.4 (9.4) | <0.001 |
| Pneumonia | ||||||
| Oxygenation assessment | 97.4 (7.3) | 98.4 (4.0) | <0.001 | 99.0 (3.2) | 99.7 (1.2) | <0.001 |
| Pneumococcal vaccination | 45.5 (29.0) | 48.7 (26.2) | 0.007 | 79.9 (21.3) | 87.9 (12.9) | <0.001 |
| Timing of initial antibiotic therapy | 80.6 (13.1) | 70.9 (14.0) | <0.001 | 93.4 (9.2) | 93.6 (6.1) | 0.525 |
| Smoking cessation advice | 56.6 (33.1) | 65.7 (24.8) | <0.001 | 81.6 (25.1) | 94.4 (11.4) | <0.001 |
| Initial antibiotic selection | 73.6 (19.6) | 74.1 (13.4) | 0.508 | 86.1 (13.8) | 88.6 (8.7) | <0.001 |
| Composite pneumonia score | 77.2 (10.2) | 76.6 (8.2) | 0.119 | 90.0 (9.6) | 93.6 (4.9) | <0.001 |
| Overall composite | 73.7 (10.6) | 78.0 (8.7) | <0.001 | 86.8 (11.1) | 93.3 (5.0) | <0.001 |
Abbreviations: ACE, angiotensin-converting enzyme; AMI, acute myocardial infarction; LV, left ventricular; PCI, percutaneous coronary intervention.
*
Calculated as the proportion of all eligible patients who received the indicated care.
†
P values based on t tests.