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Quality: Care of Patients with Common Severe Illness

Last Updated 3/21/2013 1:58:24 PM

Hospitals today treat sicker patients than in decades before. Despite that, their survival has improved due to quality programs such as ours.

Pneumonia Core Measures

Pneumonia is an infection in one or both of the lungs. Many small germs, such as bacteria, viruses, and fungi, can cause pneumonia.
The infection causes your lung's air sacs, called alveoli, to become inflamed. The air sacs may fill up with fluid or pus, causing symptoms such as a cough (with phlegm), fever, chills, and trouble breathing.

People who have more severe symptoms or underlying health problems may need treatment in a hospital. Approximately one million patients are hospitalized in the United States for treatment of community-acquired pneumonia (CAP) each year.

The Joint Commission has collaborated with the following organizations with respect to the performance measures for patients with pneumonia:

  • Centers for Medicare and Medicaid Services (CMS)
  • Infectious Disease Society of American (IDSA)
  • American Thoracic Society (ATS)
  • American Society of Emergency Room Physicians (ASEP)
  • Centers for Disease Control and Prevention (CDC)


Pneumonia Core Measures

El Camino Hospital

Oct-Dec 2012

Average for
all reporting hospitals in the U.S.

Blood culture performed 24 hours pre-to-post admission



Blood culture in ED before first antibiotic



Initial antibiotic recommended



Stroke "Get with the Guidelines" (GWTG) Measures

Each year more than 700,000 Americans suffer from a stroke; about 25 percent of them die at the time of the event, or soon after, and 15 to 30 percent become permanently disabled. More than one million Americans and their families live with the disabling effects of stroke. The direct and indirect costs of stroke care exceeded $51 billion in 2007.

GWTG Stroke is a comprehensive program sponsored by the American Heart Association that provides an online interactive assessment and report tool, resources, quarterly workshops, training and feedback to staff at participating hospitals.

The goal is to improve implementation of evidence-based interventions that are proven to reduce complications after stroke and the chances of a subsequent stroke or heart attack. It focuses on care team protocols to ensure that patients are treated and discharged appropriately.

Hospitals participating in a voluntary quality improvement program for stroke treatment increased adherence to national recommendations, researchers reported in Circulation: Journal of the American Heart Association in December 2008.

Another study showed that patients suffering from a stroke are more likely to have improved outcomes and fewer complications when hospitals use standardized guidelines for stroke care during a patient's admission and discharge from the hospital.

See how we measure up in stroke care.

Click here to learn more about our accredited Stroke Center.