Other Pneumonia Measures



Selection of Antibiotics (PN)

What are we measuring and why?

MGH monitors the percentage of community-acquired pneumonia (CAP) patients (outside of an ICU) who receive an antibiotic according to consensus guidelines (i.e., an antibiotic that has been shown to be effective in treating patients with CAP). Different antibiotics vary in their effectiveness for treating specific types of infections. Hospitals need to choose the antibiotic that is best for treating the specific type of infection that is present in the patient.

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 is it publically reported.  For the final reporting period, January 2014 to December 2014, ninety-four percent (94%) of routine CAP patients, outside of an ICU, receive the antibiotic indicated by guidelines.  The national average for all Joint Commission accredited hospitals was 97%.  We review these cases carefully with our clinical experts, and believe, in some cases our patients with more complicated cases require antibiotics that are tailored to their clinical needs. Occasionally, we determine the need to override the national guidelines to meet our patients’ clinical needs. The guidelines are developed for all hospitals and national guidelines are constantly being reviewed and revised. Our experts participate in those discussions.

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

  • Current Scores
  • Scores Over Time
  • Higher values are better
97% 100% 94%

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

93 89 92 89 95 94 94 95 97 97 96 97 97 97 97 97 100 100 100 100 100 100 100 100

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 makes sure that protocols and guidelines have been implemented in the Emergency Department (ED) and elsewhere throughout the hospital that specify appropriate antibiotic choices for patients with CAP. Feedback on antibiotic selection is provided to ordering physicians in the ED. As mentioned, in some cases physicians make selections that don't fall exactly within the guidelines, and yet they have sound clinical justification for their choice. Our infection control experts monitor these selections and give feedback both to our providers who are ordering the medication and to the organizations that design the guidelines.

What can you do?

If you or a family member arrive at the hospital and are diagnosed with pneumonia, you can help ensure the quality of care given to pneumonia patients by asking the physician whether the antibiotic you are being given is among those recommended by the national experts as being effective for the kind of infection you have.

 

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