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Quality Measures


Pneumonia Care 
Pneumonia is caused by a viral or bacterial infection that fills the lungs with mucus. This lowers the oxygen level in the blood. Symptoms of pneumonia can include difficulty breathing, “Wet” cough, green or bloody mucus, chest pain, fever and chills or fatigue.

Pneumonia vaccination. This measure reports how many patients 65 years and older were screened and vaccinated to prevent pneumonia. Blood cultures for pneumonia patients admitted through the Emergency Department. Pneumonia patients who were admitted through the Emergency Department who had a blood test in the Emergency Department for the presence of bacteria in their blood. Before antibiotics are given, blood samples are taken to test for the type of infection. This measure reports the percent of pneumonia patients admitted through the Emergency Department who received this test before antibiotics were given. Adult smoking cessation advice/counseling.  Pneumonia patients who are given advice about stopping smoking while they are in the hospital. This measure reports what percent of adult pneumonia patients are provided advice and/or counseling to quit smoking. Smoking harms the heart, lungs and blood vessels and makes existing disease worse. Initial antibiotic selection for CAP in immunocompetent – non ICU patient. Patients not in intensive care units who have community-acquired pneumonia who received the appropriate medicine (antibiotic) that has been shown to be effective for community-acquired pneumonia. This measure reports how often patients with community-acquired pneumonia not cared for in intensive care units, were given the correct antibiotic within 24 hours of hospital arrival, based on recommendations from written guidelines, for the treatment of pneumonia. Influenza vaccination.  Pneumonia patients in the hospital during flu season (October through February) who were given the influenza vaccination prior to leaving the hospital. This measure reports how often pneumonia patients in the hospital during the flu season were given flu vaccine if needed, prior to leaving the hospital. Patients requiring admission to the critical care unit benefit from a blood culture in an attempt to determine the source of their infection.  If a source is found it can guide antibiotic treatment. Using evidence based care guidelines, certain antibiotics are preferred agents to treat community acquired pneumonia.  The goal is for each patient that is admitted to the hospital to receive these antibiotics or have a documented explanation of why an alternative agent was chosen to treat the underlying infection.