UPMC Presbyterian Cardiac Outcomes

For mortality and readmission rates, numbers at or below the national rate are better. For Heart Attack Care and Heart Failure Care measures, numbers at or above the national rate are better. The Society of Thoracic Surgeons (STS) awarded UPMC Presbyterian with the highest national ranging of three stars for combined aortic valve replacement and coronary artery bypass graft surgery in the most recent reporting period (ending December 2014). For more Heart Surgery information, please visit the STS reporting database.

Outcome Measure	National Rates	UPMC Presbyterian
Heart Attack Mortality (lower numbers are better) This number shows the percentage of heart attack patients who died within 30 days of receiving treatment at the hospital.	14.9%	13.6%
Heart Attack Readmission (lower numbers are better) This number shows you the percentage of hospitalized heart attack patients who are hospitalized again within 30 days of discharge.	17.8%	17.1%
Heart Attack Care (higher numbers are better) There are proven standards of care that improve a person’s chance of surviving a heart attack and having a good quality of life afterward.
Aspirin at Arrival This score shows the percentage of heart attack patients who received an aspirin on arrival. Aspirin can help break up blood clots, prevent new ones from forming, and possibly reduce the severity of a heart attack.	99%	100%
Aspirin Prescribed at Discharge This score shows the percentage of heart attack patients who received an aspirin prescription at discharge. Taking aspirin may help prevent future heart attacks.
ACEI or ARB for LVSD This score shows the percentage of heart attack patients who received an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blockers (ARBs) for left ventricular systolic dysfunction (LVSD). These medicines block a hormone in the body that causes blood vessels to narrow, helping to lower blood pressure and reduce the heart’s workload.	98%	100%
Beta-Blocker Prescribed at Discharge This score shows the percentage of heart attack patients who were prescribed a beta blocker at discharge. This type of medicine is used to lower blood pressure, treat chest pain (angina) and heart failure, and help prevent a heart attack.	99%	100%
Primary PCI Received Within 90 Minutes This score shows the percentage of heart attack patients who received a percutaneous coronary intervention (PCI) within 90 minutes of arriving at the hospital. A PCI, or angioplasty, is the most effective method for opening blocked vessels that cause heart attacks. Patients who need a "primary" PCI must have balloon angioplasty within 90 minutes of arrival — a timeframe known as "door-to-balloon time."	96%	100%
Statin Prescribed at Discharge This score shows the percentage of heart attack patients who were prescribed a statin at discharge. Statins are drugs used to lower cholesterol. For patients who have had a heart attack and have high cholesterol, taking statins can lower the chance of another heart attack.	98%	100%
Overall Appropriateness of Care The appropriate care measure (ACM) is a patient-centered composite score that looks at whether patients received all the appropriate care for their specific condition.	97%	100%
Heart Failure Mortality (lower numbers are better) This number shows you the percentage of heart failure patients who died within 30 days of receiving treatment at the hospital.	11.9%	9.4%
Heart Failure Readmission (lower numbers are better) This number shows you the percentage of hospitalized heart failure patients who are hospitalized again within 30 days of discharge.	22.7%	22.7%
Heart Failure Care (higher numbers are better) There are proven standards of care that improve a person’s chance of surviving heart failure and having a good quality of life afterward.
Discharge Instructions This score shows the percentage of patients with heart failure who were given information about their condition and care when they left the hospital. Discharge instructions give patients specific information about how to manage their condition to reduce the risk of having to return to the hospital.	94%	100%
Evaluation of LVS Function This score shows the percentage of heart failure patients who had the left side of their heart assessed during their hospital stay. The left side of the heart is where the main pumping chamber is located; by assessing it, doctors can tell how well it is pumping and what type of treatment is needed.	99%	100%
ACEI or ARB for LVSD	97%	100%
Overall Appropriateness of Care The appropriate care measure (ACM) is a patient-centered composite score that looks at whether patients received all the appropriate care for their specific condition.	94%	100%

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