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Tuesday, May 13, 2008
HOME  / Quality / Erlanger Quality Indicators - Procedures

Erlanger Hospital Quality Indicators

Procedures

Evidence-based hospital referral (EBHR) means making sure that patients with high-risk conditions are treated at hospitals with characteristics shown to be associated with better outcomes. EBHR could be very effective at preventing unnecessary deaths.

Quality Measure

Erlanger Volume

Recommended Procedures/Year

Percutaneous coronary intervention (PCI) volume:

Number of percutaneous coronary interventions done at Erlanger.
750
400

More information about PCI: [+/-]

PCI (formerly called Angioplasty, Percutaneous Transluminal Coronary [PTCA], or Balloon Angioplasty) encompasses a variety of non-surgical procedures used to treat patients with diseased arteries of the heart.

Coronary artery bypass graft (CABG) volume:

Number of coronary bypass graft surgeries done at Erlanger.
450

* More information about CABG: [+/-]

Coronary artery bypass surgery uses a piece of a vein from the leg or artery from the chest or wrist. The surgeon attaches this to the coronary artery above and below the narrowed area or blockage. This allows blood to bypass the blockage. Some people need more than one bypass.
Source: National Heart, Lung, and Blood Institute

* As the region’s only academic medical teaching hospital, the Baroness Campus at Erlanger strives to offer the latest technology and procedures—like balloon angioplasty, percutaneous transluminal coronary angioplasty (PTCA), and angioplasty—to our patients. Although many variables determine the best treatment option(s) for coronary artery disease, the recent improvements in percutaneous coronary intervention (PCI) technologies, have allowed more patients to become candidates for these less invasive procedures. In fact, of the total number of patients who present with coronary artery disease nationwide, only around ten percent (10%) require the more extensive coronary artery bypass graft (CABG).

Abdominal aortic aneurysm (AAA) repair volume:

Number of abdominal aortic aneurysm repair surgeries done at Erlanger.
59
50

More about AAA repair: [+/-]

Abdominal aortic aneurysm involves a widening, stretching, or ballooning of the aorta. There are several causes of abdominal aortic aneurysm, but the most common results from atherosclerotic disease. As the aorta gets progressively larger over time there is increased chance of rupture.
Source: Medlineplus.gov

Pancreatic resection volume:

Number of pancreatic resection surgeries done at Erlanger.
12
11

More about Pancreatic resection: [+/-]

Pancreatic resection is a relatively rare procedure that is performed to remove a cancerous pancreas (an organ that lies deep in the abdomen and produces important hormones like insulin). If cancer develops in the pancreas, removing the organ by surgery may be life saving.

Aortic valve repair volume:

Number of aortic valve repair surgeries done at Erlanger.
120

More about aortic valve repair: [+/-]

Heart valve surgery to replace a diseased aortic heart valve. Replacement of heart valves are either natural (biologic) or artificial (mechanical).
Source: www.leapfroggroup.org

* There is only one group of cardio-thoracic surgeons that practice and cover all three hospitals in the region who perform cardiac services and surgery. The volumes for each surgeon individually are well above the recommended volumes for procedures per year, of which Erlanger’s volumes are included.

Average daily intensive care nursery (ICN) census:

Average number of babies in the intensive care nursery at Erlanger.
43
15

More about ICN census: [+/-]

Following births in which infants were predicted to weigh less than 1500 grams at birth, are born before 32 weeks of pregnancy, or have correctable major birth defects, infants are typically cared for in a Neonatal Intensive Care Unit (NICU). These infants usually have better outcomes if they are treated in a hospital with a NICU where an average of at least 15 infants are cared for per day ("average daily census of neonatal ICU").
Source: www.leapfroggroup.org

 

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