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South Carolina

Hospital 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. 17 362
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 11 505
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. 4 482
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. 0 283
Total number of measures for the State (excluding measures that are N/A) 32 1349

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
Maternal and Child Health Birth trauma injury to neonate per 1,000 live births Better than Average 2007 1 1.8 2.0 2004 -3.1% Improved HCUP Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births) 6_2_1.3
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
Patient Safety Postoperative sepsis per 1,000 elective-surgery discharges Better than Average 2007 12.1 15.4 17.0 2000 5.9% Worsened HCUP Postoperative sepsis per 1,000 adult elective-surgery discharges with an operating room procedure (excluding patients admitted for infection; patients with cancer or immunocompromised states; obstetric conditions; stays under 4 days; and admissions specifically for sepsis) 12_1_5.3
Patient Safety Iatrogenic pneumothorax per 1,000 discharges Better than Average 2007 0.53 0.6 0.6 2000 -3.1% Improved HCUP Iatrogenic pneumothorax per 1,000 adult discharges (excluding obstetrical admissions and patients with chest trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery) 12_3_5.4
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
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
Heart Disease Heart attack deaths in hospital Average 2007 71.8 67.5 63.3 2000 -6.6% Improved HCUP Deaths per 1,000 adult admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital) 4_2_2.3
Heart Disease Abdominal aortic aneurysm repair deaths in hospital Average 2007 56.6 59.3 57.8 2000 -6.6% Improved HCUP Deaths per 1,000 adult admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric admissions and transfers to another hospital) 4_4_1.3
Heart Disease Coronary artery bypass graft deaths in hospital Average 2007 20.5 23.1 22.8 2000 -11.3% Improved HCUP Deaths per 1,000 adult admissions ages 40 and over with coronary artery bypass graft (excluding obstetric admissions and transfers to another hospital) 4_4_2.3
Heart Disease Angioplasty deaths in hospital Average 2007 12.6 11.3 11.0 2000 -2.4% Improved HCUP Deaths per 1,000 adult admissions ages 40 and over with percutaneous transluminal coronary angioplasties (excluding obstetric admissions and transfers to another hospital) 4_4_3.3
Maternal and Child Health Obstetric trauma per 1,000 instrument-assisted deliveries Average 2007 156 148.8 143.1 2000 -3.0% Improved HCUP Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries 6_2_3.3
Maternal and Child Health Obstetric trauma per 1,000 cesarean deliveries Average 2007 3.7 3.4 3.4 2000 -3.9% Improved HCUP Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries 6_2_4.3
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
Patient Safety Selected infections due to medical care per 1,000 discharges Average 2007 1.8 1.9 1.8 2000 0.0% Unchanged HCUP Selected infections due to medical care per 1,000 adult medical and surgical discharges or obstetric admissions (excluding immunocompromised and cancer patients, stays under 2 days, and admissions specifically for such infections), 12_1_6.4
Patient Safety Deaths per 1,000 admissions in low-mortality DRGs Average 2007 0.47 0.4 0.4 2000 -6.5% Improved HCUP Deaths per 1,000 adult or obstetric admissions in low-mortality Diagnosis Related Groups (DRGs) 12_3_9.3
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
Heart Disease Congestive heart failure deaths in hospital Worse than Average 2007 38 29.0 26.8 2000 -7.2% Improved HCUP Deaths per 1,000 adult hospital admissions with congestive heart failure as principal diagnosis (excluding obstetric admissions and transfers to another hospital) 4_3_5.3
Maternal and Child Health Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Worse than Average 2007 38.4 33.2 33.1 2000 -5.5% Improved HCUP Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance 6_2_2.3
Patient Safety Reclosure of postoperative abdominal wound dehiscence per 1,000 discharges Worse than Average 2007 3 2.4 2.2 2000 1.5% Worsened HCUP Reclosure of postoperative abdominal wound dehiscence per 1,000 adult abdominopelvic-surgery discharges (excluding immunocompromised patients, stays under 2 days, and obstetric conditions) 12_2_9.4
Respiratory Diseases Pneumonia deaths in hospital Worse than Average 2007 48.6 41.3 39.9 2000 -8.0% Improved HCUP Deaths per 1,000 adult admissions with pneumonia as principal diagnosis (excluding obstetric admissions and transfers to another hospital) 8_2_7.3


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.