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CHRISTUS St. Patrick Quality Report

Performance Results—Pneumonia

Pneumonia is a serious infection of the lungs. These measures apply to what is called "community acquired pneumonia," which occurs prior to hospital admission in patients 18 years old or older. These measures provide a guideline for the care of patients who have community acquired pneumonia as well as the protocols to prevent future lung problems.

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Better than U.S. average

Near U.S. average

Below U.S. average

# - Too few eligible cases to calculate a reliable statistic blank - does not apply italic number - no comparative data

Pneumonia Care Measures *	Desired Indicator Score	CHRISTUS St. Patrick	U.S. average
Percent of Patients Assessed and Given Pneumococcal Vaccination	100	94	83%
Percent of Patients Given Initial Antibiotic(s) within 4 Hours After Arrival	100	91	82%
Percent of Patients Given Oxygenation Assessment	100	100	100%
Percent of Patients Given Smoking Cessation Advice/Counseling	100	100	93%
Percent of Patients Having a Blood Culture Performed Prior to First Antibiotic Received in Hospital	100	95	92%
Percent of ICU patients given the recommended antibiotic	100	33**	62%
Percent of non-ICU patients given the recommended antibiotic	100	95	90%
Percent of both ICU and non-ICU patients given the recommended antibiotic	100	91	85%

The data used to compute the indicator percentage for the system overall and each individual facility was collected in the fouth quarter of the calendar year, from October 2007 to December 2007.

The data for this measure was provided by the TJC (The Joint Commission) from its September 2007 data.

*The indicator percentage includes only patients whose history and condition indicate the treatment is appropriate. Talk to your doctor if you have questions about your treatment.

** Indicates less than 20 cases in the reporting period

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