Frozen Section Accuracy: National Benchmark = 95% or higher
(% of time the reading of a frozen section matches the final pathology read)
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Frozen Section Accuracy
|
98.7%
|
99.1%
|
98.6%
|
97.9%
|
|
Satisfactory Cytology Correlation: National Benchmark = 90% or higher
(% correlation of cytology smear diagnosis to biopsy diagnosis.)
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Satisfactory Cytology Correlation
|
94.9%
|
93.8%
|
92.2%
|
95.7%
|
|
Platelet Transfusions Within Guidelines: National Benchmark = 90% or higher
(NYS guidelines located at: http://www.wadsworth.org)
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Platelet Transfusions within Guidelines
|
95.6%
|
99.0%
|
99.1%
|
95.0%
|
|
PRBC Transfusions Within Guidelines: National Benchmark = 80% or higher
(NYS guidelines located at: http://www.wadsworth.org)
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
PRBC Transfusions within Guidelines
|
92.3%
|
89.0%
|
81.8%
|
87.0%
|
|
The Leapfrog Group Quality Outcomes
Esophagectomy Procedure: National Benchmark = 13 Procedures or more
Evidence shows that hospitals with high volume surgeons performing high risk procedures have better outcomes. (TheLeapfrogGroup)
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Esophagectomies
|
36
|
34
|
33
|
35
|
|
Pancreatic Resection Procedure: National Benchmark = 11 Procedures or more
Evidence shows that hospitals with high volume surgeons performing high risk procedures have better outcomes. (TheLeapfrogGroup)
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Pancreatectomies
|
45
|
58
|
48
|
25
|
|
Press Ganey Patient Satisfaction Quality Outcomes
Patient Satisfaction: National Benchmark = 90% or Higher
Question: Did Roswell Park Met or Exceeded Your Expectations?
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Roswell Park Met or Exceeded Expectations
|
97.0%
|
98.0%
|
98.0%
|
98.0%
|
|
Patient Satisfaction: National Benchmark = 90% or Higher
Question: Would you return to Roswell Park for Treatment?
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Would Return to Roswell Park for Treatment
|
99.0%
|
99.0%
|
98.0%
|
98.0%
|
|
Patient Satisfaction: National Benchmark = 90% or Higher
Question: Would you be likely to Recommend Roswell Park to Others?
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Likely to Recommend Roswell Park to Others
|
96.0%
|
96.0%
|
97.0%
|
97.0%
|
|
Institute for Healthcare Improvement (IHI) Quality Outcomes
Ventilator Associated Pneumonia Rate-ICU: National Benchmark = 9.30 or less for Surgical ICU
Number of cases in ICU with Ventilator Associated Pneumonia/Number of Ventilator Days x 1000
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Ventilator Associated Pneumonia in ICU
|
2.05
|
1.83
|
1.01
|
2.42
|
|
Central Line Associated Blood Stream Infection Rate-ICU: National Benchmark = 4.60 or less for Surgical ICU
Number of cases in ICU with Central Line Blood Stream Infections/Catheter Line Days x 1000
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Central Line Associated Blood Stream Infections in ICU
|
N/A
|
3.38
|
2.33
|
2.65
|
|
Hand Hygiene - National Benchmark = 90% or Higher
Compliance with Center for Disease Control (CDC) current guidelines
|
|
2005
|
2006
|
2007
|
2008
|
2009
|
|
Hand Hygiene
|
92.4%
|
93.5%
|
97.4%
|
96.8%
|
|