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Pneumonia

Proven Treatment Standards

Studies have proven which treatments are most effective for patients with pneumonia. Experts agree that these treatments offer the best medical outcomes. Despite strong evidence to support these guidelines, many hospitals fail to offer the treatments.

At Deaconess, the guidelines are top priority. To ensure optimal care for you and your family members, we monitor our compliance with the following standards in pneumonia care. View the tables below to see how we're performing in each area.

National Guidelines

See How We're Performing

 

Blood Culture Before Antibiotic

Recommendation - Evaluate blood culture before giving the first dose of antibiotic.
Rationale - A blood culture can identify the organism causing the pneumonia, allowing physicians to prescribe the appropriate medication to treat it.
How We Compare - The following table shows how Deaconess and other hospitals complied with this recommendation during the period of 10/2008 to 9/2009. Higher percentages are better.

     
 
Performance Measure
U.S.
Average
Indiana
Average
Deaconess
Hospital
 
Percentage of eligible patients who received a blood culture prior to their first dose of antibiotics.
92%
92%
96%
 
     

Initial Antibiotic Timing

Recommendation - Administer first dose of antibiotics to pneumonia patients within 4 hours of hospital arrival.
Rationale - Patients who receive antibiotics within 4 hours of hospital arrival are less likely to experience complications.
How We Compare - The following table shows how Deaconess and other hospitals complied with this recommendation during the period of 10/2008 to 9/2009. Higher percentages are better.

     
 
Performance Measure
U.S.
Average
Indiana
Average
Deaconess
Hospital
 
Percentage of pneumonia patients who had an initial antibiotic regimen consistent with current guidelines within 4 hours of hospitalization.
94%
95%
97%
 
     

Pneumococcal Vaccination

Recommendation - Screen pneumonia patients over age 65 to determine if they've had a pneumococcal vaccination. Vaccinate patients prior to hospital discharge, as indicated.
Rationale - The pneumococcal vaccination may help prevent, or lower the risk of complications from, future infections with pneumonia. It is up to 75% effective in preventing pneumococcal bacteremia and meningitis. The vaccination is especially important as pneumonia strains are becoming more resistant to antibiotic therapy.
How We Compare - The following table shows how Deaconess and other hospitals complied with this recommendation during the period of 10/2008 to 9/2009. Higher percentages are better.

     
 
Performance Measure
U.S.
Average
Indiana
Average
Deaconess
Hospital
 
Percentage of pneumonia patients who were screened for or given a pneumococcal vaccination.
87%
90%
94%
 
     

Smoking Cessation Counseling

Recommendation - Offer smoking cessation counseling to pneumonia patients with a current or recent history of cigarette smoking.
Rationale - Smoking cessation reduces morbidity and mortality in all populations - those with pneumonia as well as other health conditions. Patients who receive even brief smoking cessation advice from their physician are more likely to quit.
How We Compare - The following table shows how Deaconess and other hospitals complied with this recommendation during the period of 10/2008 to 9/2009. Higher percentages are better.

     
 
Performance Measure
U.S.
Average
Indiana
Average
Deaconess
Hospital
 
Percentage of pneumonia patients with a current or recent history of smoking cigarettes who are given smoking cessation counseling during their hospital stay.
91%
95%
99%
 
     

Most Appropriate Initial Antibiotic(s)

Recommendation - Pneumonia may be caused by a variety of different bacteria. The different bacteria are treated with different antibiotics.
Rationale - Choosing the most appropriate antibiotic will provide the best treatment for the pneumonia patient.
How We Compare - The following table shows how Deaconess and other hospitals complied with this recommendation during the period of 10/2008 to 9/2009. Higher percentages are better.

     
 
Performance Measure
U.S.
Average
Indiana
Average
Deaconess
Hospital
 
Percentage of pneumonia patients given the most appropriate initial antibiotic.
89%
87%
95%
 
     

Influenza Vaccination

Recommendation - Screen pneumonia patients, particularly patients age 50 and older, during flu season (October to February) to determine if they have had an influenza vaccination. Vaccinate patients prior to hospital discharge, as indicated.
Rationale - The influenza vaccination may help prevent, or lower the risk of complications from, future infections. Influenza is a serious, and sometimes deadly, lung infection that can spread quickly in a community.
How We Compare - The following table shows how Deaconess and other hospitals complied with this recommendation during the period of 10/2008 to 9/2009. Higher percentages are better.

     
 
Performance Measure
U.S.
Average
Indiana
Average
Deaconess
Hospital
 
Percentage of pneumonia patients screened for or given an influenza vaccine.
85%
88%
93%