Quality

Johnston Health is committed to providing the highest quality of care possible to our patients.  Our goal is to provide safe and effective treatment to all of the patients in Johnston County and beyond.  As a community hospital, we treat every patient like our friend and neighbor, and want them to feel that they have received excellent clinical care and customer service.

Johnston Health voluntarily participates in quality and performance metrics to measure our adherence to standards set by The Joint Commission and the Centers for Medicare and Medicaid Services (CMS). The data from these metrics is used to compare our quality of care with other hospitals throughout North Carolina and the nation.

The Core Measures are derived from a set of quality indicators defined by the CMS. These indicators have been shown to reduce the risk of complications and prevent recurrences in the majority of patients who come to a hospital for treatment of a condition or illness. Core Measures help hospitals improve the quality of patient care by focusing on the actual results of care.

Below are the Core Measure results for care and treatment for heart attack, heart failure, pneumonia, surgery, emergency treatment, immunizations, stroke, venous thromboembolism therapy, and perinatal care at Johnston Health for December 2013 – September 2014. View our glossary of terms for a better understanding of specific conditions.

CORE MEASURES DECEMBER 2013 – SEPTEMBER 2014 DISCHARGES
Condition Johnston Health State Performance National Performance
Heart Attack (AMI)
Aspirin prescribed at discharge 96% of 25 patients 100% 99%
Fibrinolytic therapy received within 30 minutes of hospital arrival N/A 57% 60%
Primary PCI received within 90 minutes of hospital arrival N/A 99% 96%
Statin prescribed at discharge 100% of 20 patients 99% 99%
Heart Failure
Discharge instructions 82% of 66 patients 97% 94%
Evalutation of LVS function 100% of 341 patients 100% 99%
ACEI or ARB for LVSD 99% of 76 patients 98% 97%
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient 99% of 171 patients 98% 96%
Surgical Care Improvement Project
Prophylactic antibiotic received within 1 hour prior to surgical incision 99% of 256 patients 99% 99%
Prophylactic antibiotic selection for surgical patients 100% of 256 patients 99% 99%
Prophylactic antibiotics discontinued within 24 hours after surgery end time 98% of 250 patients 99% 98%
Urinary catheter removed on postoperative day 1 or postoperative day 2 99% of 224 patients 99% 98%
Surgery patients with perioperative temperature management 100% of 116 patients 100% 100%
Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period 98% of 135 patients 99% 98%
Surgery patients who received appropriate Venous Thromboembolism Prophylaxis within 24 hours prior to surgery to 24 hours after surgery 100% of 324 patients 100% 99%
Emergency Department
Median time from ED arrival to ED departure for admitted ED patients 272 minutes based on 478 patients 303 minutes 293 minutes
Admit decision time to ED departure time for admitted patients 65 minutes based on 476 patients 114 minutes 111 minutes
Immunization
Influenza immunization 98% of 522 patients 97% 96%
Stroke
Venous Thromboembolism (VTE) Prophylaxis 93% of 58 patients 97% 96%
Discharged on Antithrombotic Therapy 98% of 56 patients 100% 99%
Anticoagulation Therapy for Atrial Fibrillation/Flutter 67% of 6 patients 95% 96%
Thrombolytic Therapy 0% of 1 patient 82% 79%
Antithrombotic Therapy By End of Hospital Day 2 95% of 59 patients 99% 98%
Discharged on Statin Medication 89% of 38 patients 97% 96%
Stroke Education 91% of 33 patients 94% 93%
Assessed for Rehabilitation 96% of 57 patients 99% 98%
Venous Thromboembolism (VTE)
Venous Thromboembolism Prophylaxis 92% of 403 patients 93% 91%
Intensive Care Unit Venous Thromboembolism Prophylaxis 92% of 79 patients 96% 95%
Venous Thromboembolism Patients with Anticoagulation Overlap Therapy 93% of 60 patients 96% 95%
Venous Thromboembolism Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol or Nomogram 96% of 24 patients 99% 99%
Venous Thromboembolism Warfarin Therapy Discharge Instructions 87% of 31 patients 87% 87%
Hospital Acquired Potentially- Preventable Venous Thromboembolism 20% of 15 patients 6% 6%
Perinatal Care (PC)
Elective Delivery 4% of 52 patients 2% 4%

Click here to review our 2013 Community Health Needs Assessment. 

Click here to compare Johnston Health with other area hospitals.