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South Carolina

Acute Care Quality Measures and Metrics Compared to All States

State Performance Ratings

Rating Number of Measures for State in Summary Measure Number of Measures for All States in Summary Measure
Better than Average = The State rate on an NHQR measure is better than the all-State/regional average and is statistically different from the all-State/regional average. 16 332
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 3 247
Worse than Average = The State rate on an NHQR measure is worse than the all-State/regional average and is statistically different from the all-State/regional average. 1 406
N/A = An estimate or standard error was not available for a State measure or the relative standard error is greater than or equal to 30 percent. 0 35
Total number of measures for the State (excluding measures that are N/A) 20 985

Measures for which South Carolina's rate is Better than the all-State Average

Quality Dimension Short Measure Name State Performance1 Most Recent Data Year State Rate All-State Average2 Regional Average Baseline Year Average Annual Change3 Direction of Change Data Source4 Full NHQR Measure Title NHQR Table Number5
Heart Disease Heart attack - ACEI or ARB at discharge Better than Average 2008 95.8 94.1 94.2 2005 3.5% Improved QIO Percentage of hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge 4_2_1.2
Heart Disease Heart failure - recommended hospital care received Better than Average 2008 96.8 95.3 95.8 2005 2.7% Improved QIO Percentage of hospital patients with heart failure who received recommended hospital care 4_3_1.2
Heart Disease Heart failure - evaluation of ejection fraction test in hospital Better than Average 2008 97.7 96.5 96.8 2005 2.5% Improved QIO Percentage of hospital patients with heart failure who received an evaluation of left ventricular ejection fraction 4_3_2.2
Heart Disease Heart failure - ACEI/ARB at discharge Better than Average 2008 94.4 92.4 92.8 2005 3.3% Improved QIO Percentage of hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge 4_3_3.2
Patient Centeredness Adult patients - poor communication with doctors Better than Average 2009 4.7 5.0 5.6 No Data No Data No Data HCAHPS Percentage of adult hospital patients who sometimes or never had good communication with doctors in the hospital 14_2_1.3
Patient Safety Inpatient surgery - appropriate antibiotic timing Better than Average 2008 93.4 91.9 92.3 2005 4.4% Improved QIO Percentage of adult surgery patients who received appropriate timing of antibiotics 12_1_2.2
Patient Safety Inpatient surgery - antibiotics within 1 hour Better than Average 2008 94.9 93.6 94.3 2005 2.7% Improved QIO Percentage of adult surgery patients who received prophylactic antibiotics within 1 hour prior to surgical incision 12_1_3.2
Patient Safety Inpatient surgery - antibiotics stopped within 24 hours Better than Average 2008 91.8 90.2 90.3 2005 6.4% Improved QIO Percentage of adult surgery patients who had prophylactic antibiotics discontinued within 24 hours after surgery end time 12_1_4.2
Respiratory Diseases Pneumonia - recommended hospital care received Better than Average 2008 92.4 90.4 90.9 2007 3.1% Improved QIO Percentage of hospital patients with pneumonia who received recommended hospital care 8_2_1.2
Respiratory Diseases Pneumonia - blood cultures before antibiotics in hospital Better than Average 2008 94.8 93.3 93.7 2005 3.9% Improved QIO Percentage of hospital patients with pneumonia who had blood cultures collected before antibiotics were administered 8_2_2.2
Respiratory Diseases Pneumonia - antibiotics within 6 hours in hospital Better than Average 2008 94.4 93.9 93.4 2007 0.2% Unchanged QIO Percentage of hospital patients with pneumonia who received the initial antibiotic dose within 6 hours of hospital arrival 8_2_3.2
Respiratory Diseases Pneumonia - flu vaccination screening in hospital Better than Average 2008 90.1 85.5 87.1 2005 14.1% Improved QIO Percentage of hospital patients age 50 and over with pneumonia discharged during October-February who received influenza screening or vaccination 8_2_5.2
Respiratory Diseases Pneumonia - pneumococcal vaccination screening in hospital Better than Average 2008 92.1 88.5 89.7 2005 10.4% Improved QIO Percentage of hospital patients age 65 and over with pneumonia who received pneumococcal screening or vaccination 8_2_6.2
Supportive and Palliative Care Nursing home short-stay residents - with moderate to severe pain Better than Average 2008 17.5 20.3 19.4 No Data No Data No Data MDS Percentage of short-stay nursing home residents who had moderate to severe pain 11_1_15.3
Supportive and Palliative Care Nursing home short-stay residents - with delirium Better than Average 2008 2 2.7 2.3 No Data No Data No Data MDS Percentage of short-stay nursing home residents with delirium 11_1_21.3
Timeliness Heart attack - PCI in 90 minutes Better than Average 2008 90.3 82.4 84.6 2005 27.9% Improved QIO Percentage of hospital patients with heart attack who received percutaneous coronary intervention (PCI) within 90 minutes of arrival 13_2_3.2


1 State Performance is for the most recent data year compared to All States

2 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

3 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

4 Additional information about data sources/acronyms.

5 Select for other States' rates.

Measures for which South Carolina's rate is similar to the all-State Average

Quality Dimension Short Measure Name State Performance6 Most Recent Data Year State Rate All-State Average7 Regional Average Baseline Year Average Annual Change8 Direction of Change Data Source9 Full NHQR Measure Title NHQR Table Number10
Patient Centeredness Adult patients - poor communication with nurses Average 2009 5.4 5.4 6.7 No Data No Data No Data HCAHPS Percentage of adult hospital patients who sometimes or never had good communication with nurses in the hospital 14_2_2.3
Respiratory Diseases Pneumonia - recommended initial antibiotics in hospital Average 2008 89.3 89.5 89.6 2005 3.8% Improved QIO Percentage of hospital patients with pneumonia who received the initial antibiotic consistent with current recommendations 8_2_4.2
Timeliness Heart attack - fibrinolytic medication within 30 minutes Average 2008 57.4 51.1 53.9 2005 23.7% Improved QIO Percentage of hospital patients with heart attack who received fibrinolytic medication within 30 minutes of arrival 13_2_4.2


6 State Performance is for the most recent data year compared to All States

7 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

8 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

9 Additional information about data sources/acronyms.

10 Select for other States' rates.

Measures for which South Carolina's rate is Worse than the all-State Average

Quality Dimension Short Measure Name State Performance11 Most Recent Data Year State Rate All-State Average12 Regional Average Baseline Year Average Annual Change13 Direction of Change Data Source14 Full NHQR Measure Title NHQR Table Number15
Supportive and Palliative Care Nursing home short-stay residents - with pressure sores Worse than Average 2008 20.9 18.1 21.0 No Data No Data No Data MDS Percentage of short-stay nursing home residents with pressure sores 11_1_20.3


11 State Performance is for the most recent data year compared to All States

12 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

13 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

14 Additional information about data sources/acronyms.

15 Select for other States' rates.