If you ever had to wait to several weeks or even months to see a doctor or specialist, you would know how anxious the wait can make you feel. You can easily become simply frustrated or even concerned about a possible negative impact on your health. If you are a New York City HMO patient, long waits to be seen or for an appointment has been a problem in the United States Healthcare System. With such long waits, would it affect the type of care a person would receive or would it be too late to provide that care?
This timely and effective care is an important factor for the public reporting of quality improvement data. The two reports that are being comparing are Jamaica Hospital and Queens Hospital Center in which they both use the same data source from Centers for Medicare & Medicaid Services (CMS) Hospital Quality Initiative. Title Timely and effective care also called Process of Care is a tool that measures a percentage of patients who received treatments and received the best results for serious and surgical procedures.
This tool also measures how fast a patient is seen once they reach the hospital for a medical emergency. The data being collected are Heart Attack Care, Heart Failure Care, Pneumonia Care, Surgical Care, and Children Asthma Care, This data is collected for patients who attend a hospital that participates in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) Programs. This program applies to Medicare and non Medicare patients only for treatments that are suitable for the program.
A heart attack known as an acute myocardial infarction (AMI) occurs when the arteries in a patient’s heart becomes blocked and causes the blood flow to the muscle of the heart to either slow down or stop. If the patient’s heart is not receiving the nutrients and oxygen needed, the affected tissue in the heart dies. According to the data presented that were based on sample cases shows that between 100% of patients seen at Jamaica Hospital and between 97%-100 percent of patients seen at Queens Hospital Center for a possible heart attack were either given an aspirin upon arrival or within 24 hours upon arrival.
The time a person is seen on average at Queens Hospital Center is 116 minutes after complaining about chest pain or a heart attack before being transferred to another hospital which is high. There were too little cases to measure how much time has passed for a patient complaining about chest pain or a heart attack at Jamaica Hospital. The data for patients receiving an ECG after complaining about chest pain or heart attack were 18 minutes for Queens Hospital to Jamaica Hospitals 14 minutes.
This data is showing that the lower number of minutes before a patient is seen, the better. Heart failure is a serious medical condition where the heart pumping power is weak. This means that your heart cannot deliver enough oxygenated blood or nourishment to your body and its organs. Upon discharging a patient with heart failure disease, 100% of Jamaica Hospital patient compare to 97% of Queens Hospital patients were given instructions. Jamaica Hospital had a little higher percentage of outcomes for treating heart failure patients than Queens Hospital Center.
For a heart patient seen at Jamaica Hospital who received smoking cessation and counseling was 100% to 98% of patients seen at Queens Hospitals. The percentage of heart failure patient who were given an ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) was much lower at Queens Hospital than Jamaica Hospital. Basically this data shows that the amount of patient receiving effective care is a little higher at Jamaica Hospital. Pneumonia is a common infection of the lungs which can be caused by many different organisms.
It ranges in severity from mild to severe and it may be fatal. The severity depends on the causative issue and also the age of the patient. Infants and the elderly are more commonly admitted in hospitals for treatment because they tend to get the more severe pneumonia disease. One hundred percent of patients seen at Jamaica Hospital were given antibiotics within 6 hours after arrival compare to 90% of patients seen at Queens Hospital Center for the same disease. There was not that much difference with the amount of care given to patients who were seen.
Queens Hospital data shows a 90% and better for patients who receive treatment such as blood cultures, first hospital antibiotic dose, appropriate initial antibiotics, smoking cessation advice/counseling, those given pneumococcal vaccination, and influenza vaccination. Jamaica hospital performed better with effective care at a 100% care for the same treatments except for those given pneumococcal vaccination at 99%. Still in all, both hospitals perform excellent when giving effective health care to patients being seen with pneumonia. When complications occur the patients and hospitals pay the price.
A hospitals main goal today is to focus on improving the quality of surgical care. They reduce the risk of infections after a patient had surgery by providing the most effective care that is known to get the best resulting care for most patients such as giving antibiotics just before surgery, stopping antibiotics at a certain time after surgery, maintaining patients glucose and temperature level at a normal range, and whatever else is necessary to prevent infection. The time a patient received surgical care at Queens Hospital and Jamaica Hospital was within the same percentile ranging from 84% to 98%.
There were also not that much difference from both hospitals regarding the effective care a patient received except for the huge gap of patients who were taking heart drugs called Beta Blockers before coming to the hospital, who were kept on the Beta Blockers during the period just before and after their surgery with Queens Hospital at 64% and Jamaica Hospital at 87%. Queens Hospital did do better than Jamaica Hospital with providing effective surgical care for outpatients having surgery who got the right kind of antibiotics.
When hearing the word asthma we think of a person who is having trouble breathing and may be wheezing a well. The sad part of it is that very few people think of asthma as a killer disease. This is a long term disease that occurs in the lungs that affects a person’s ability to breathe. Unfortunately, there were no data available that would record the timely and effective care a child received at Queens Hospital and Jamaica Hospital. In conclusion, all patients should be entitled to receive timely access for treatments and diagnosis once entering a health facility.
This study was done by using only a sample of cases that measured the wait times a patient was seen and effectiveness of care they received. Most testing was based on patients being seen in the Emergency Department, monitored those who had surgery, as well as patients being admitted and discharged.
This comparison data between Jamaica Hospital and Queens Hospital also provided information based on the sample cases from patients who were seen for heart attacks, heart failure, pneumonia, and in need of surgical care. This information helps patients to compare hospitals performance in order to find a hospital that is best for their needs.
Overall, based on the comparison between both hospitals, Jamaica Hospital performed the best timely and effective health care for their patients. References Bodenheimer. T. S. & Grumbach, K. (2012) Understanding Health Policy, McGraw Hill, 6th ed. Hosptials Compare. (n. d. ) U. S Department of Health and Human Services. Website: http://www. hospitalcompare. hhs. gov/hospital-compare. Reviewed (11/25/2012) R. M. Andersen, T. H. Rice, et al; (2007) Changing the U. S. Health Care System: Key Issues in Health Services Policy and Management. Jossey-Bass. 3rd ed.