Cardiovascular disease (CVD) presents a huge burden on the American healthcare system both in terms of costs and lives lost. Finite resources coupled with a large gap in the quality of care delivered in the hospitals created the need for practice change. Public reporting and transparency are at the heart of The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMC) core measures. The present study evaluated the compliance with cardiac core measures, acute myocardial infarction (AMI) and heart failure (HF), in a mid-size community hospital in Los Angeles. For the purpose of anonymity, this hospital shall be named Unknown Medical Center (UMC). Data from 2005 until 2010 were analyzed and three hypotheses were tested using Z scores with a CI of 95%. ASA given in the ED, discharge instructions hard-wired with the discharge package, and preprinted order sets implementation had suboptimal effects on the measures. The review of the literature identified strategies that could improve the core measures compliance at UMC.
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 50/03M, Masters Abstracts International|
|Subjects:||Medicine, Health sciences, Health care management|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be