Hospitals compare research assignment

Assignment 1 Worksheet . area with  zip code 90004

Find 3 hospitals close to the zip code and compare them with at least 6 of the criteria listed in the table below. You may need to look at many more hospitals to find 3 hospitals that have enough data to compare. Make sure the hospital has emergency services.

Hospital Compare (Select up to 3 hospitals to compare then look under the Timely and effective care tab)

Step 1:Research Hospitals in  area 90004. If the hospital has percentages listed within the criteria listed on the left-hand column below, indicate “Okay”. Otherwise indicate “Not Available” if there is not data available.

Criteria	Hospital 1	Hospital 2	Hospital 3	Hospital 4	Hospital 5	Hospital 6
Hospital Name	Keck Hospital of USC	LAC+USC Medical Center	White Memorial Medical Center	Children’s Hospital of Los Angeles	Saint Vincent medical center	Hollywood Presbyterian Medical Center
Timely Heart Attack Care	Not Available	Not Available	okay	Not available	Not available	Not available
Effective Heart Failure Care	okay	okay	okay	Not available	Okay	Okay
Effective Pneumonia Care	Not Available	okay	okay	Not available	Okay	Okay
Timely Surgical Care	okay	okay	okay	Not available	Okay	Okay
Effective Surgical Care	okay	okay	okay	Not available	Okay	Okay
Preventive Care	okay	okay	okay	Not available	Okay	Okay
Timely Stroke Care	Not available	Not available	okay	Not available	Not available	Okay
Effective Stroke Care	okay	okay	okay	Not available	Okay	Okay
Blood Clot Prevention	okay	okay	okay	Not available	Okay	Okay
Blood Clot Treatment	okay	Okay	Okay	Not available	Okay	Okay

Step 2:

Once you have identified 3 hospitals to compare, select specific criteria to compare (See Worksheet Example).Enter the data on the worksheet below:

Criteria	Description	Hospital 1	Hospital 2	Hospital 3	State Average	National Average
Hospital Name		Keck Hospital of USC	LAC+USC Medical Center	White Memorial Medical Center
Criteria 1: effective Heart failure care	Heart failure patients given an evaluation of left ventricular systolic (LVS) function	100%	99%	100%	99%	98%
Criteria 2: effective Pneumonia care	Pneumonia patients given the most appropriate initial antibiotic(s)	Not available	100%	100%	97%	95%
Criteria 3: Blood clot prevention	Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it	0%	13%	4%	3%	1%
Criteria 4:  Effective surgical care	Surgery patients who were given the right kind of antibiotic to help prevent infection	100%	99%	100%	98%	99%
Criteria 5: Preventive care	Patients assessed and given influenza vaccination	90%	98%	70%	94%	94%
Criteria 6: Blood clot treatment	Patients with blood clots who got the recommended treatment, which includes using two different blood thinner medicines at the same time	100%	94%	93%	95%	94%

Step 3:

Select one hospital where one criterion does not meet state and/or national averages:

Hospital Name	Criterion	Description	Rate
LAC+USC Medical Center	Blood clot prevention	Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it	13%

Look for other criteria that may be related to the problem:

Criteria	Description	Rate	State Average	National Average
Blood clot treatment	Patients with blood clots who were treated with an intravenous blood thinner, and then were checked to determine if the blood thinner caused unplanned complications	100%	99%	99%
Timely surgical care	Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)	100%	98%	98%
Blood clot prevention	Patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery	93%	94%	94%

Perform research of journals and publications that address the issue. Use a search engine to find policies and forms used by hospitals to improve outcomes.

Step 4:

Create an action plan that attempts to improve the outcome. List the step-by-step procedure below:

.

Action Plan:

Problem	Current Results	Action Plan	Responsible Parties	Target Results	Target Date (Time Frame)
Patients who developed a blood clot  problem did not receive blood clot prevention treatment	13 out of 15 patients	1.      Provide a screening program to identify all the patients who are at risk of blood clot problem 2.      Provide blood clot therapy problem for patients who are at risk contracting the condition 3.      Able to track patients’ lab results, tests, and referrals on the blood clot problem	Physician Nurse Pharmacists	1.    Safe screening tests 100% efficient 2.    100% effective and efficient therapy tests 3.     0% patients with blood clot problem	Five months

Step 5:

List References Below:

Bates, S. M., & Ginsberg, J. S. (2004). Treatment of deep-vein thrombosis. New England Journal of Medicine, 351(3), 268-277.

Hirsh, J., & Lee, A. Y. (2002). How we diagnose and treat deep vein thrombosis. Blood, 99(9), 3102-3110.

Prandoni, P., Noventa, F., Ghirarduzzi, A., Pengo, V., Bernardi, E., Pesavento, R., ... & Pagnan, A. (2007). The risk of recurrent venous thromboembolism after discontinuing anticoagulation in patients with acute proximal deep vein thrombosis or pulmonary embolism. A prospective cohort study in 1,626 patients. Haematologica, 92(2), 199-205.

Scarvelis, D., & Wells, P. S. (2006). Diagnosis and treatment of deep-vein thrombosis. Canadian Medical Association Journal, 175(9), 1087-1092.

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