Other Heart Attack Measures



Aspirin at Discharge

What are we measuring and why?

MGH tracks the percentage of eligible adult heart attack patients who receive instructions for aspirin at discharge. While aspirin is not appropriate for all patients or for all types of heart attacks, it is beneficial for most heart attack patients because it reduces the tendency of blood to clot in blood vessels of the heart and improves the chance a patient will survive. Aspirin has also been proven to minimize the extent of damage during an ongoing heart attack and to reduce the risk of subsequent heart attacks.

How are we doing and how do we compare to best practices?

This data is no longer being collected by the Joint Commission (TJC), nor is it publically reported. Over the last four years, virtually all eligible heart attack patients received a prescription for aspirin upon discharge from the hospital. MGH maintains an exemplary performance. Our performance for the last reporting period, January 2014 to December 2014 was 99%.  The national average for all Joint Commission accredited hospitals was 99%.

Click to see MGH’s performance on this measure by patients’ race.

  • Current Scores
  • Scores Over Time
  • Higher values are better
99% 100% 100%

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.

MGH: Jan 14-Dec 14
TJC: Jan 14-Dec 14

99 99 99 100 100 100 100 99 99 99 99 99 99 99 99 99 100 100 100 100 100 100 100 100

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.



What are we doing to improve?

MGH uses order sets that suggest key drugs and tests for many patients in the hospital. Once a patient is on aspirin, the computer asks the physician whether or not he or she wishes to continue that drug on discharge.

What can you do?

If you or a family member come to the hospital with a heart attack, you can help ensure that eligible heart attack patients get quality care by asking the physician if the patient will be receiving a prescription for aspirin upon discharge. If the physician advises that aspirin is not appropriate, ask why aspirin is not recommended.

 

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