Key:

starThe best possible results

plusBetter than comparison group

checkSimilar to comparison group

minusLags behind comparison group

not applicableNot applicable

Improvement StoryClick on this icon to read an
Improvement Story related to
this measure

Delivering the Right Care

At Massachusetts General Hospital, we fully support the nationwide effort to ensure that patients coming into the hospital with specific conditions receive recommended care. These recommendations are based on years of research on interventions that have been proven to improve outcomes for these conditions. To view the MGH’s performance on the Heart Attack, Heart Failure, Pneumonia, and Surgery measures, in regard to race, please go to - Providing Equitable Care.

Click on any of the measure names below to see a detailed description of the measure, our performance over time and what we are doing to improve. On the chart below, hover your mouse over the data columns or icons to see more information.

MeasureOur Current PerformanceComparison GroupHow We Compare
Stroke
IV tPA - Arrive by 2 Hour, Treat by 3 Hour
100%
CY2013 - percent eligible stroke patients who receive tPA treatment at the MGH within 3 hours of time last known well.
91%
CY2013 - percent eligible stroke patients who receive tPA treatment at the Academic Hospitals within 3 hours of time last known well.
MGH has achieved the best possible performance.
Door to IV tPA: Percent (%) within 60 Minutes
70%
CY2013 - percent eligible stroke patients MGH treated with tPA within 60 minutes of ED arrival.
50%
CY2013 - percent eligible stroke patients the Academic Hospitals treated with tPA within 60 minutes of ED arrival.
MGH performance for the same CY2013 time period reflected is higher than the Academic Hospital Benchmark.
Door to IV tPA: Median Time
43 Minutes
CY2013 - Median time in minutes, from ED arrival to administration of tPA for ischemic stroke patients at the MGH.
61 Minutes
CY2013 - Median time in minutes, from ED arrival to administration of tPA for ischemic stroke patients at the Academic Hospitals.
MGH performance for the same CY2012 time period reflected is better than the Academic Hospital Benchmark.
Door to CT Scan: Percent (%) within 25 Minutes
32%
CY2013 - percentage of patients at MGH who receive brain imaging within 25 minutes of ED arrival.
30%
CY2013 - percentage of patients at Academic Hospitals who receive brain imaging within 25 minutes of ED arrival.
MGH performance for the same CY2013 time period reflected is higher than the Academic Hospital Benchmark.
Door to CT Scan: Median Time
24 Minutes
CY2013 - Median time, in minutes, from ED arrival to brain imaging for MGH patients.
24 Minutes
CY2013 - Median time, in minutes, from ED arrival to brain imaging for Academic Hospitals.
MGH performance for the same CY2012 time period reflected is similar to the Academic Hospital Benchmark.
MeasureOur Current PerformanceComparison GroupHow We Compare
Heart Attack
Aspirin at Arrival
100%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's has achieved the best possible performance.
Aspirin at Discharge
99%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is below the Joint Commission 90th percentile but is in line with (+/- 2.0 pts) the national average of 99%.
ACE-I/ARB at Discharge (AMI)
93%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is below the national average of 99%.
Beta Blocker at Discharge
99%
Jan 13- Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is below the Joint Commission 90th percentile but is in line with (+/- 2.0 pts) the national average of 99%.
Time to Primary PCI of Less Than or Equal to 90 Minutes
98%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH current performance is below the Joint Commission 90th percentile, but in line (+/- 2.0 pts) with the national average of 96%
“Time is Muscle:” Reducing Door to Balloon Time Can Save Lives of Heart Attack Patients
MeasureOur Current PerformanceComparison GroupHow We Compare
Heart Failure
ACE-I/ARB at Discharge (HF)
94%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is less than the national average of 97%.
Discharge Instructions (HF)
93%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is below the Joint Commission 90th percentile but is in line with (+/- 2.0 pts) the national average of 95%.
LVF Assessment
100%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH has achieved the best possible performance.
MeasureOur Current PerformanceComparison GroupHow We Compare
Pneumonia
Selection of Antibiotics (PN)
89%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is below the national average of 97%.
Timing of Blood Cultures
98%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jul 12-Jun 13 data.
MGH current performance is below the Joint Commission 90th percentile but in line with(+/- 2.0 pts) the national average of 98%.
MeasureOur Current PerformanceComparison GroupHow We Compare
Surgery
Antibiotics Received One Hour Prior to Surgery
99%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH's current performance is below the Joint Commission 90th percentile but is in line with (+/- 2.0 pts) the national average of 99%.
Antibiotic Selection for Surgical Cases
100%
Jan13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH has achieved the best possible performance.
Antibiotics Discontinued 24 Hours after Surgery
97%
Jan 13-Dec 13 data.
100%
The 90th percentile of Joint Commission (TJC) accredited hospitals. Benchmark is based on Jan 13-Dec 13 data.
MGH'sless then the Joint Commission 90th percentile, but in line (+/- 2.0 pts) with the national average of 98%.
MeasureOur Current PerformanceComparison GroupHow We Compare
Leapfrog Quality Measures: Maternity Care
Maternity: Rate of Early Elective Deliveries
Fully meets standard
Based on 2014 survey submission.
Fully meets standard
Highest rating given by the Leapfrog group.
MGH has achieved the best possible rating by the Leapfrog Group.
Maternity: Rate of Episiotomy
Fully meets standard
Based on 2014 survey submission.
Fully meets standard
Highest rating given by the Leapfrog group.
MGH has achieved the best possible rating by the Leapfrog Group.
Maternity Care Standard Precautions
Fully meets standard
Based on 2014 survey submission.
Fully meets standard
Highest rating given by the Leapfrog group.
MGH has achieved the best possible rating by the Leapfrog group.

 

« Previous Page