Other Heart Attack Measures



Beta Blocker at Discharge

What are we measuring and why?

MGH evaluates the percentage of eligible adult heart attack patients who are discharged from the hospital on a particular class of drug, called “beta blockers”. Beta blockers provide protection by slowing the heart and helping it use less energy to pump blood, thus reducing further damage to the heart. The continual use of this medicine has been proven to significantly improve outcomes for heart attack patients. The American Heart Association and the American College of Cardiology strongly recommend beta-blocker treatment following a heart attack to reduce the risk of death during the acute phase of the heart attack.

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

This data is no longer being collected by the Joint Commission (TJC), nor it is publically reported. Eligible heart attack patients at MGH almost always receive beta blockers at discharge. Since 2008, 99% to 100% of eligible heart attack patients at MGH received beta blockers at discharge. .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% 99%

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 99 99 99 100 100 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?

At MGH, there are specialized computerized order entry templates for patients who are being discharged from the hospital after a heart attack. Beta blockers are listed on these templates as a suggested medication at discharge, which helps remind the discharging physician to place the order for appropriate patients. In addition, we are enhancing our computerized decision support, so that before a heart attack patient is discharged, the physician must either prescribe a beta blocker, or indicate that it is not appropriate.

What can you do to ensure you receive these important drugs if appropriate?

If you or a family member are being discharged from the hospital after a heart attack, you can help ensure that eligible heart attack patients continue to receive quality care once they leave the hospital by asking the physician if the patient should be receiving a prescription for beta blockers. If the physician suggests that such drugs are not appropriate, ask why they are not recommended.

 

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