Excellent Care for Heart Attack Patients
Kapi'olani Medical Center at Pali Momi (KMCPM)
Heart Attack Quality Measures
(discharges October 2005 - September 2006)
|
|
|
|
KMCPM - 100% HI State Avg - 76% National Avg - 82% |
|
|
|
KMCPM - 100% HI State Avg - 92% National Avg - 94% |
|
|
|
KMCPM - 100% HI State Avg - 90% National Avg - 90% |
|
|
|
KMCPM - 100% HI State Avg - 89% National Avg - 87% |
|
|
|
KMCPM - 100% HI State Avg - 89% National Avg - 90% |
|
|
|
KMCPM - 100% HI State Avg - 79% National Avg - 88% |
|
|
|
KMCPM - 100% HI State Avg - 45% National Avg - 31% |
|
Background:Heart disease is the leading cause of death in the United States. 1.1 million Americans are diagnosed with an Acute Myocardial Infarction (AMI), also known as a heart attack, every year. Approximately 350,000 will die during the acute phase of a heart attack. It has been proven that many of these deaths can be prevented when hospitals provide seven interventions for patients coming into the hospital with a heart attack. Hospitals all over the country struggle to consistently provide these treatments. The challenges have proven to be so great that these treatments are monitored by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and Centers for Medicare and Medicaid Services (CMS) in an effort to raise awareness and improve consistency of care. Hospitals can prevent deaths by doing things like giving patients aspirin and beta-blockers within the first 24 hours of arrival. The seven treatments are known as the "Heart Attack Bundle," and have proven to be effective in reducing heart attack deaths. The bundle is recommended by the Institute for Healthcare Improvement (IHI) www.ihi.org/ihi. If a person having a heart attack receives the Heart Attack Bundle within a certain timeframe, that person has a better chance of survival. This project aims to ensure that every patient receives the bundle within the optimal timeframes.
Objective:To improve care for heart attack patients by making sure they receive all of the seven recommended treatments every time.
Results:
Following implementation of the Heart Attack Bundle, heart attack deaths decreased by 27.3 percent. Pali Momi provided the seven heart attack treatments for 156 out of 158 patients over a two-year period and continues to adhere to these high standards.
In October 2006, Pali Momi physicians and staff were recognized by HMSA’s Hospital Quality and Service Recognition Program. The hospital was awarded first place for its heart attack program. We continue to sustain success by reviewing these data at our monthly board meetings, as well as sharing the information with each department.
How did we do it? Click here for details >
[Last updated 8/1/07]