Quality Measures Pneumonia

Pneumonia Care at CMMC
Pneumonia is an infection of the lungs. These indicators apply to pneumonia that started prior to hospital admission. Although children also can develop pneumonia, current nationally endorsed indicators apply only to persons age 18 or older. These indicators examine the initial care of pneumonia patients, and the extent to which the hospital staff help the patient prevent future lung problems.



Having enough oxygen in your blood is very important to your health. Pneumonia can decrease levels in some patients so checking the level can be important.
The vaccine can help prevent patients from getting pneumonia again. Making sure a patient has either had the vaccine already or giving them the vaccine while in the hospital is important in this prevention.
A blood culture is a lab test that can tell what kind of antibiotic medicine will help treat the pneumonia. It may not always be necessary, but if it is then it needs to be done before tretament with antibiotics is started.
Smoking is linked to respiratory and heart conditions. Smoking may make pneumonia worse. Quitting smoking is important to your treatment.
Timely use of antibiotics can improve the tretament of pneumonia caused by bacteria. Getting the first dose within 6 hours of arrival may improve recovery.
Initial use of the type of antibiotic (medicine) recommended in national guidelines for treating patients with pneumonia.
Annual influenza (Flu) shot can help in preventing flu related pneumonia and hospitalization.Making sure a patient has either had the vaccine already or giving them the vaccine while in the hospital is important in this prevention.
Oxygen level assessment High 100% 100% 100% 100%
Pneumococcal vaccine High 87% 89% 96% 85%
Blood culture done before first dose of antibiotic High 92% 96% 100% 90%
Stop smoking education High 100% 100% 100% 89%
First antibiotic given quickly after arrival High 89% 89% 100% 97%
Antibiotic selection for patients High 94% 94% 96% 93%
Influenza vaccine High NA% 94% 98% 88%
6 month= April-Sept 2007, 12 month= July 2006-June 2007
Vision for Quality
Quality Measures Pneumonia Heart Failure Heart Attack Surgical Site
Patient Satisfaction
Clinical Research
Accreditation and Certification
External Quality Links