2Q19 Core Measures Reports Appendix Appendix.pdfMedian Time to ECG - Chest Pain Median Time OP...
51
2Q19 Core Measures Reports Appendix February 21, 2020 Joshua Salander, MBA, PMP Consultant
Transcript of 2Q19 Core Measures Reports Appendix Appendix.pdfMedian Time to ECG - Chest Pain Median Time OP...
2Q19 Core Measures Reports Appendix
February 21, 2020
Joshua Salander, MBA, PMP
Consultant
Any information included in this reports appendix is for quality improvement and benchmarking purposes only.
Core Measures – Quarterly Charts
4
50.0%
97.0% 97.3% 96.8%
55.6%
97.0% 97.9% 96.4%
33.3%
97.0% 95.1%
98.3%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Fibrinolytic Therapy ReceivedWithin 30 Minutes
Aspirin at Arrival - Overall Rate Aspirin at Arrival - AMI Aspirin at Arrival - Chest Pain
Rat
e
OP AMI/CP Rate Based Measures - 2Q19
MICAHQN Rate CAH Only Rate Rural Only Rate
5
33
38
36
38
3
3
4
25
146
209
84
7
7
7
29
134
198.5
67.5
6
6
6
0 50 100 150 200 250
Median Time to Fibrinolysis
Median Time to Transfer to Another Facility for Acute CoronaryIntervention - Overall
Median Time to Transfer to Another Facility for Acute CoronaryIntervention - Reporting Measure
Median Time to Transfer to Another Facility for Acute CoronaryIntervention - QI Measure
Median Time to ECG - Overall Rate
Median Time to ECG - AMI
Median Time to ECG - Chest Pain
Median Time
OP AMI/CP Continuous Measures - 2Q19
Rural Only Values CAH Only Values MICAHQN Values
6
137
133
236
270
126
117
168
218
127
119
182.5
220
0 50 100 150 200 250 300
Median Time from ED Arrival to ED Departure for Discharged ED Patients -Overall
Median Time from ED Arrival to ED Departure for Discharged ED Patients -Reporting Measure
Median Time from ED Arrival to ED Departure for Discharged ED Patients -Psychiatric/Mental Health Patients
Median Time from ED Arrival to ED Departure for Discharged ED Patients -Transfer Patients
Median Time
OP Emergency Department Throughput - 2Q19
Rural Only Values CAH Only Values MICAHQN Values
7
234
233
258
64
62
111
243
243
262
63
63
66
242
242
261
63
62
67
0 50 100 150 200 250 300
Median Time from ED Arrival to ED Departure for Admitted ED Patients -Overall Rate
Median Time from ED Arrival to ED Departure for Admitted ED Patients -Reporting Measure
Median Time from ED Arrival to ED Departure for Admitted ED Patients -Psychiatric/Mental Health Patients
Admit Decision Time to ED Departure Time for Admitted Patients - OverallRate
Admit Decision Time to ED Departure Time for Admitted Patients -Reporting Measure
Admit Decision Time to ED Departure Time for Admitted Patients -Psychiatric/Mental Health Patients
Median Time
IP Emergency Department - 2Q19
Rural Only Values CAH Only Values MICAHQN Values
Core Measures – Control Charts
9
0
5
10
15
20
25
30
35
40
45
Me
dia
n T
ime
OP1 - Median Time to Fibrinolysis
MICAHQN Overall UCL LCL
10
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Rat
e
OP2 - Fibrinolytic Therapy Received Within 30 Minutes
MICAHQN Overall UCL LCL
11
0
20
40
60
80
100
120
140
160
Me
dia
n T
ime
OP3a - Median Time to Transfer to Another Facility for Acute Coronary Intervention -
Overall
MICAHQN Overall UCL LCL
12
0
50
100
150
200
250
Me
dia
n T
ime
OP3b - Median Time to Transfer to Another Facility for Acute Coronary Intervention - Reporting
Measure
MICAHQN Overall UCL LCL
13
0
20
40
60
80
100
120
Me
dia
n T
ime
OP3c - Median Time to Transfer to Another Facility for Acute Coronary Intervention - QI Measure
MICAHQN Overall UCL LCL
14
93.0%
94.0%
95.0%
96.0%
97.0%
98.0%
99.0%
100.0%
Rat
e
OP4a - Aspirin at Arrival - Overall Rate
MICAHQN Overall UCL LCL
15
91.0%
92.0%
93.0%
94.0%
95.0%
96.0%
97.0%
98.0%
99.0%
100.0%
Rat
e
OP4b - Aspirin at Arrival - AMI
MICAHQN Overall UCL LCL
16
92.0%
93.0%
94.0%
95.0%
96.0%
97.0%
98.0%
99.0%
100.0%
Rat
e
OP4c - Aspirin at Arrival - Chest Pain
MICAHQN Overall UCL LCL
17
0
1
2
3
4
5
6
7
8
9
Me
dia
n T
ime
OP5a - Median Time to ECG - Overall Rate
MICAHQN Overall UCL LCL
18
0
1
2
3
4
5
6
7
8
9
Me
dia
n T
ime
OP5b - Median Time to ECG - AMI
MICAHQN Overall UCL LCL
19
0
1
2
3
4
5
6
7
8
9
Me
dia
n T
ime
OP5c - Median Time to ECG - Chest Pain
MICAHQN Overall UCL LCL
20
95
100
105
110
115
120
125
130
135
Me
dia
n T
ime
OP18a - Median Time from ED Arrival to ED Departure for Discharged ED Patients -
Overall
MICAHQN Overall UCL LCL
21
95
100
105
110
115
120
125
Me
dia
n T
ime
OP18b - Median Time from ED Arrival to ED Departure for Discharged ED Patients - Reporting
Measure
MICAHQN Overall UCL LCL
22
0
50
100
150
200
250
Me
dia
n T
ime
OP18c - Median Time from ED Arrival to ED Departure for Discharged ED Patients - Psychiatric/Mental Health Patients
MICAHQN Overall UCL LCL
23
0
50
100
150
200
250
Me
dia
n T
ime
OP18d - Median Time from ED Arrival to ED Departure for Discharged ED Patients - Transfer Patients
MICAHQN Overall UCL LCL
24
205.0
210.0
215.0
220.0
225.0
230.0
235.0
240.0
245.0
250.0
Me
dia
n T
ime
ED-1a - Median Time from ED Arrival to ED Departure for Admitted ED Patients -
Overall Rate
MICAHQN Overall UCL LCL
25
205.0
210.0
215.0
220.0
225.0
230.0
235.0
240.0
245.0
250.0
Me
dia
n T
ime
ED-1b - Median Time from ED Arrival to ED Departure for Admitted ED Patients - Reporting Measure
MICAHQN Overall UCL LCL
26
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
Me
dia
n T
ime
ED-1c - Median Time from ED Arrival to ED Departure for Admitted ED Patients - Psychiatric/Mental Health
Patients
MICAHQN Overall UCL LCL
27
50.0
52.0
54.0
56.0
58.0
60.0
62.0
64.0
66.0
68.0
Me
dia
n T
ime
ED-2a - Admit Decision Time to ED Departure Time for Admitted Patients - Overall Rate
MICAHQN Overall UCL LCL
28
50.0
52.0
54.0
56.0
58.0
60.0
62.0
64.0
66.0
68.0
Me
dia
n T
ime
ED-2b - Admit Decision Time to ED Departure Time for Admitted Patients - Reporting Measure
MICAHQN Overall UCL LCL
29
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
Me
dia
n T
ime
ED-2c - Admit Decision Time to ED Departure Time for Admitted Patients - Psychiatric/Mental Health Patients
MICAHQN Overall UCL LCL
Core Measures – Un-Blinded Charts
31
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
8
18
19
25
33
34
35
44
0
5
10
15
20
25
30
35
40
45
50H
elen
Ne
wb
err
y Jo
y H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Asp
iru
s G
ran
d V
iew
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Mu
nso
n H
ealt
hca
re M
anis
tee
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
McK
enzi
e H
eal
th S
yste
m
Spe
ctru
m U
nit
ed
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Car
son
Cit
y H
osp
ital
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s K
ew
een
aw H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Be
ll H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Spar
row
Clin
ton
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
OP-1: Median Time to Fibrinolysis
Hospital Q2 2019 MICAHQN (29 minutes)
Q2 2017-Q1 2018 CAH National (35 minutes) Q2 2017-Q1 2018 CAH 90th Percentile National (16 minutes)
Q2 2017-Q1 2018 National (30 minutes)
32
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
0.0
%
0.0
%
0.0
%
33
.3%
66
.7%
10
0.0
%
10
0.0
%
10
0.0
%
0.0%5.0%
10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%55.0%60.0%65.0%70.0%75.0%80.0%85.0%90.0%95.0%
100.0%B
arag
a C
ou
nty
Mem
ori
al H
osp
ital
McK
enzi
e H
eal
th S
yste
m
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Mu
nso
n H
ealt
hca
re M
anis
tee
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Car
son
Cit
y H
osp
ital
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s K
ew
een
aw H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Be
ll H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Spar
row
Clin
ton
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
OP-2: Fibrinolytic Therapy Received Within 30 Minutes
Hospital Q2 2019 MICAHQN (50%)
Q2 2017-Q1 2018 CAH National (66.7%) Q1 2017-Q4 2017 CAH 90th Percentile National (100%)
Q1 2017-Q4 2017 National (57%)
33
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
28
.0
28
.0
29
.0
32
.0
34
.0
39
.0
39
.0
39
.5
42
.0
49
.0
50
.5
53
.0
55
.0
68
.5
69
.0
71
.0
75
.0 14
2.0
17
7.0
27
6.0
30
1.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0Sp
ect
rum
Un
ite
d
Car
son
Cit
y H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Be
ll H
osp
ital
Spar
row
Ion
ia H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
McK
enzi
e H
eal
th S
yste
m
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Alle
gan
Ge
ner
al H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Sch
eu
rer
Ho
spit
al
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Eato
n R
apid
s M
edic
al C
ente
r
Spar
row
Clin
ton
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Asp
iru
s G
ran
d V
iew
Pro
Me
dic
a H
erri
ck H
osp
ital
OP-3a: Median Time to Transfer to Another Facility for Acute Coronary Intervention - Overall
Hospital Q2 2019 MICAHQN (134 minutes)
34
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
28
.0
32
.0
34
.0
37
.0
39
.0
40
.0
44
.0
49
.0
50
.0
50
.5
68
.0
68
.5
75
.0
27
6.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0C
arso
n C
ity
Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spar
row
Ion
ia H
osp
ital
Be
ll H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
McK
enzi
e H
eal
th S
yste
m
Asp
iru
s O
nto
nag
on
Ho
spit
al
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Spe
ctru
m U
nit
ed
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Asp
iru
s K
ew
een
aw H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Eato
n R
apid
s M
edic
al C
ente
r
Spar
row
Clin
ton
Ho
spit
al
Alle
gan
Ge
ner
al H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Asp
iru
s G
ran
d V
iew
Pro
Me
dic
a H
erri
ck H
osp
ital
OP-3b: Median Time to Transfer to Another Facility for Acute Coronary Intervention - Reporting Measure
Hospital Q2 2019 MICAHQN (198.5 minutes)
Q2 2017-Q1 2018 CAH National (70 minutes) Q2 2017-Q1 2018 CAH 90th Percentile National (32 minutes)
Q2 2017-Q1 2018 National (62 minutes)
35
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
24
.0
28
.0
29
.0
38
.0
42
.0
53
.0
66
.0
69
.0 1
36
.0
14
2.0
17
7.0
30
1.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0B
ell
Ho
spit
al
Spe
ctru
m U
nit
ed
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Sch
eu
rer
Ho
spit
al
Car
son
Cit
y H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
McK
enzi
e H
eal
th S
yste
m
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Eato
n R
apid
s M
edic
al C
ente
r
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Spar
row
Clin
ton
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Asp
iru
s G
ran
d V
iew
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
OP-3c: Median Time to Transfer to Another Facility for Acute Coronary Intervention - QI Measure
Hospital Q2 2019 MICAHQN (67.5 minutes)
36
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
80
.0%
90
.9%
92
.3%
92
.6%
93
.3%
93
.3%
94
.1%
94
.1%
94
.4%
94
.4%
95
.0%
95
.0%
97
.0%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Asp
iru
s K
ew
een
aw H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Sch
eu
rer
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Asp
iru
s G
ran
d V
iew
Mu
nso
n H
ealt
hca
re M
anis
tee
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
Alle
gan
Ge
ner
al H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Spe
ctru
m U
nit
ed
Car
son
Cit
y H
osp
ital
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Asp
iru
s O
nto
nag
on
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
McK
enzi
e H
eal
th S
yste
m
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-4a: Aspirin at Arrival - Overall Rate
Hospital Q2 2019 MICAHQN (97.0%)
Q2 2017-Q1 2018 CAH National (95%) Q2 2017-Q1 2018 CAH 90th Percentile National (100%)
Q2 2017-Q1 2018 National (95%)
37
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
66
.7%
87
.5%
87
.5%
90
.9%
96
.3%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Asp
iru
s K
ew
een
aw H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Car
son
Cit
y H
osp
ital
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Asp
iru
s O
nto
nag
on
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
McK
enzi
e H
eal
th S
yste
m
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Spar
row
Clin
ton
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Spe
ctru
m U
nit
ed
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Spar
row
Ion
ia H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-4b: Aspirin at Arrival - AMI
Hospital Q2 2019 MICAHQN (97.3%)
38
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
87
.5%
88
.9%
90
.9%
90
.9%
90
.9%
92
.3%
92
.9%
93
.3%
97
.4%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
10
0.0
%
80.0%
82.0%
84.0%
86.0%
88.0%
90.0%
92.0%
94.0%
96.0%
98.0%
100.0%
Asp
iru
s G
ran
d V
iew
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spar
row
Clin
ton
Ho
spit
al
Sch
eu
rer
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Spe
ctru
m U
nit
ed
Car
son
Cit
y H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Asp
iru
s O
nto
nag
on
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
McK
enzi
e H
eal
th S
yste
m
Asp
iru
s K
ew
een
aw H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
She
rid
an C
om
mu
nit
y H
osp
ital
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
OP-4c: Aspirin at Arrival - Chest Pain
Hospital Q2 2019 MICAHQN (96.8)
39
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
2.0
3.0
4.0
4.0
4.0
4.0
4.0
5.0
5.0
5.0
6.0
6.0
6.0
6.0
6.0
7.0
7.0
7.0
7.0
8.0
8.0
8.0
9.0
9.0
9.5
9.5
10
.0
10
.0
10
.5
12
.0
12
.0
13
.5
16
.0
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0M
id M
ich
igan
Med
ical
Ce
nte
r -
Cla
re
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Pau
l Oliv
er M
em
ori
al H
osp
ital
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Sch
eu
rer
Ho
spit
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Car
son
Cit
y H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Mu
nso
n H
ealt
hca
re M
anis
tee
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Car
o C
om
mu
nit
y H
osp
ital
She
rid
an C
om
mu
nit
y H
osp
ital
McK
enzi
e H
eal
th S
yste
m
Spar
row
Clin
ton
Ho
spit
al
Spar
row
Ion
ia H
osp
ital
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Asp
iru
s O
nto
nag
on
Ho
spit
al
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-5a: Median Time to ECG - Overall Rate
Hospital Q2 2019 MICAHQN (6 minutes)
Q2 2017-Q1 2018 CAH National (8 minutes) Q2 2017-Q1 2018 CAH 90th Percentile National (4 minutes)
Q2 2017-Q1 2018 National (8 minutes)
40
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
0.0
1.0
2.0
2.0
3.0
4.0
4.0
4.0
5.0
6.0
6.0
6.0
6.5
6.5
6.5
7.0
7.0
7.5
8.0
8.0
9.5
10
.0
10
.0
10
.5
11
.0
11
.0
11
.5
12
.0
40
.0 4
9.5
0.0
10.0
20.0
30.0
40.0
50.0
60.0C
arso
n C
ity
Ho
spit
al
Mar
lett
e R
egi
on
al H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Pau
l Oliv
er M
em
ori
al H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Spar
row
Ion
ia H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Spar
row
Clin
ton
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
She
rid
an C
om
mu
nit
y H
osp
ital
McK
enzi
e H
eal
th S
yste
m
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Asp
iru
s G
ran
d V
iew
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Asp
iru
s K
ew
een
aw H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m U
nit
ed
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-5b: Median Time to ECG - AMI
Hospital Q2 2019 MICAHQN (6 minutes)
41
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
2.0
3.0
3.5
4.0
4.5
4.5
4.5
4.5
5.0
6.0
6.0
6.0
6.0
6.0
6.5
7.0
8.0
8.0
8.0
8.0
8.0
9.0
10
.0
10
.5
12
.0
13
.5
13
.5
15
.0 2
0.0
0.0
5.0
10.0
15.0
20.0
25.0M
id M
ich
igan
Med
ical
Ce
nte
r -
Cla
re
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Sch
eu
rer
Ho
spit
al
Pau
l Oliv
er M
em
ori
al H
osp
ital
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Alle
gan
Ge
ner
al H
osp
ital
Car
son
Cit
y H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
McK
enzi
e H
eal
th S
yste
m
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Car
o C
om
mu
nit
y H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Asp
iru
s K
ew
een
aw H
osp
ital
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Mar
lett
e R
egi
on
al H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Asp
iru
s O
nto
nag
on
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
She
rid
an C
om
mu
nit
y H
osp
ital
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
OP-5c: Median Time to ECG - Chest Pain
Hospital Q2 2019 MICAHQN (6 minutes)
42
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
83
.5
84
.0
92
.0
10
0.0
10
1.0
10
4.0
10
5.0
10
7.0
10
8.0
10
8.0
10
8.5
11
2.0
11
3.0
11
8.0
11
8.5
11
9.0
12
2.0
12
5.0
12
8.0
12
9.0
13
0.0
13
2.0
13
5.0
13
5.5
13
6.0
13
6.0
14
1.5
14
2.0
14
6.0
14
7.5
14
8.0
15
1.0
15
2.0
15
7.0
16
4.0
16
8.5
17
0.0
17
2.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0P
aul O
liver
Me
mo
rial
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Pro
Me
dic
a H
erri
ck H
osp
ital
Car
son
Cit
y H
osp
ital
Sch
eu
rer
Ho
spit
al
Bro
nso
n L
ake
Vie
w H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Asp
iru
s G
ran
d V
iew
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
McK
enzi
e H
eal
th S
yste
m
Be
ll H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Mu
nso
n H
ealt
hca
re M
anis
tee
Spe
ctru
m U
nit
ed
Asp
iru
s K
ew
een
aw H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Alle
gan
Ge
ner
al H
osp
ital
She
rid
an C
om
mu
nit
y H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Spar
row
Clin
ton
Ho
spit
al
Asp
iru
s O
nto
nag
on
Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Mu
nis
ing
Mem
ori
al H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-18a: Median Time from ED Arrival to ED Departure for Discharged ED Patients - Overall
Hospital Q2 2019 MICAHQN (127 minutes)
43
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
76
.5
82
.0
88
.0
94
.5
95
.0
96
.0
99
.0
10
0.0
10
4.0
10
4.5
10
5.0
10
7.5
11
0.0
11
0.0
11
0.0
11
0.0
11
1.0
11
8.0
11
9.0
11
9.0
12
2.0
12
2.0
12
4.0
12
6.0
12
6.5
12
7.0
13
1.0
13
5.0
13
7.0
13
8.0
14
0.5
14
1.5
14
4.0
14
4.0
15
0.5
15
3.5
15
3.5
15
9.5
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0C
aro
Co
mm
un
ity
Ho
spit
al
Pau
l Oliv
er M
em
ori
al H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Asp
iru
s G
ran
d V
iew
Car
son
Cit
y H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Eato
n R
apid
s M
edic
al C
ente
r
Sch
eu
rer
Ho
spit
al
Bro
nso
n L
ake
Vie
w H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
McK
enzi
e H
eal
th S
yste
m
Mu
nso
n H
ealt
hca
re M
anis
tee
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Be
ll H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Spe
ctru
m U
nit
ed
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Alle
gan
Ge
ner
al H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Mu
nis
ing
Mem
ori
al H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al…
OP-18b: Median Time from ED Arrival to ED Departure for Discharged ED Patients - Reporting Measure
Hospital Q2 2019 MICAHQN (119 minutes)
Q2 2017-Q1 2018 CAH National (108 minutes) Q2 2017-Q1 2018 CAH 90th Percentile National (79 minutes)
Q2 2017-Q1 2018 National (140 minutes)
44
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
65
.0
72
.0
74
.0
89
.5
91
.5
97
.0
10
4.0
10
6.0
11
3.5
11
6.0
11
9.5
13
1.0
15
2.0
15
6.5
15
9.0
16
1.5
17
0.5
17
8.0
18
8.0
19
3.0
20
2.0
21
2.0
23
4.5
23
6.0
24
1.5
24
1.5
25
3.0
26
4.0
28
7.0
34
8.0
41
0.0
46
4.0
12
10
.0
0.0
200.0
400.0
600.0
800.0
1000.0
1200.0
1400.0Sp
arro
w C
linto
n H
osp
ital
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Car
son
Cit
y H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Pau
l Oliv
er M
em
ori
al H
osp
ital
Spe
ctru
m U
nit
ed
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Bro
nso
n L
ake
Vie
w H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Be
ll H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Asp
iru
s G
ran
d V
iew
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Pro
Me
dic
a H
erri
ck H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Mu
nso
n H
ealt
hca
re M
anis
tee
Asp
iru
s K
ew
een
aw H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
She
rid
an C
om
mu
nit
y H
osp
ital
Spar
row
Ion
ia H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
McK
enzi
e H
eal
th S
yste
m
Asp
iru
s O
nto
nag
on
Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Sch
eu
rer
Ho
spit
al
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-18c: Median Time from ED Arrival to ED Departure for Discharged ED Patients - Psychiatric/Mental Health Patients
Hospital Q2 2019 MICAHQN (227 minutes)82.5
45
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
11
4.0
12
2.0
12
4.5
13
4.0
16
7.0
16
9.0
17
3.5
17
6.5
18
9.0
19
0.5
19
6.0
20
4.0
20
9.5
21
6.0
21
6.5
22
0.0
22
0.5
22
2.0
22
5.0
22
6.0
22
6.0
23
3.0
23
5.0
23
9.0
24
3.0
25
0.0
25
7.5
26
2.0
27
8.0
28
5.0
29
2.0
30
6.0
30
7.5
31
3.5
32
0.5
35
2.0
36
3.0
38
0.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
400.0B
arag
a C
ou
nty
Mem
ori
al H
osp
ital
Pau
l Oliv
er M
em
ori
al H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Car
son
Cit
y H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Hill
s &
Dal
es G
en
era
l Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
McK
enzi
e H
eal
th S
yste
m
She
rid
an C
om
mu
nit
y H
osp
ital
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Alle
gan
Ge
ner
al H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Eato
n R
apid
s M
edic
al C
ente
r
Mu
nso
n H
ealt
hca
re M
anis
tee
Spar
row
Clin
ton
Ho
spit
al
Sch
eu
rer
Ho
spit
al
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Be
ll H
osp
ital
Spe
ctru
m U
nit
ed
Asp
iru
s G
ran
d V
iew
Spar
row
Ion
ia H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Mu
nis
ing
Mem
ori
al H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
OP-18d: Median Time from ED Arrival to ED Departure for Discharged ED Patients - Transfer Patients
Hospital Q2 2019 MICAHQN (220 minutes)
46
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
16
5.0
18
4.0
18
8.0
20
4.0
20
5.0
20
7.5
21
3.0
21
7.5
22
1.0
22
2.0
22
5.0
22
9.0
23
3.0
23
5.5
23
7.0
23
7.0
23
8.0
24
9.5
25
2.0
25
2.0
25
6.0
25
8.0
25
9.0
26
3.0
26
6.0
27
8.0
29
1.0
30
7.0
32
2.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0H
arb
or
Bea
ch C
om
mu
nit
y H
osp
ital
, In
c.
McK
enzi
e H
eal
th S
yste
m
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Eato
n R
apid
s M
edic
al C
ente
r
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Car
son
Cit
y H
osp
ital
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Mar
lett
e R
egi
on
al H
osp
ital
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Alle
gan
Ge
ner
al H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Asp
iru
s K
ew
een
aw H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Be
ll H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spar
row
Ion
ia H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
ED-1a: Median Time from ED Arrival to ED Departure for Admitted ED Patients - Overall Rate
Hospital Q2 2019 MICAHQN (242 minutes)
47
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
16
5.0
18
4.0
18
4.0
20
1.0
20
2.0
20
7.5
21
3.0
21
7.5
22
1.0
22
2.0
22
2.0
22
9.0
23
3.0
23
5.0
23
5.0
23
5.5
24
2.0
24
9.5
25
2.0
25
3.0
25
6.0
25
8.0
25
9.0
26
3.0
26
5.5
27
8.0
28
8.0
30
6.5
32
2.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0H
arb
or
Bea
ch C
om
mu
nit
y H
osp
ital
, In
c.
Hel
en N
ew
be
rry
Joy
Ho
spit
al
McK
enzi
e H
eal
th S
yste
m
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Eato
n R
apid
s M
edic
al C
ente
r
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Car
son
Cit
y H
osp
ital
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Mar
lett
e R
egi
on
al H
osp
ital
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Alle
gan
Ge
ner
al H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Be
ll H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spar
row
Ion
ia H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
Car
o C
om
mu
nit
y H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
ED-1b: Median Time from ED Arrival to ED Departure for Admitted ED Patients - Reporting Measure
Hospital Q2 2019 MICAHQN (242 minutes)
Q2 2017-Q1 2018 CAH National (196 minutes) Q2 2017-Q1 2018 CAH 90th Percentile National (110 minutes)
Q2 2017-Q1 2018 National (270 minutes)
48
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
19
2.5
22
3.5
23
5.0
24
4.0
24
8.0
26
2.0
27
2.5
30
9.0
31
0.0
34
1.0
34
1.0
35
4.5
39
8.0
40
1.0
42
9.0
52
3.5
61
7.5
0.0
100.0
200.0
300.0
400.0
500.0
600.0
700.0A
llega
n G
en
eral
Ho
spit
al
Car
son
Cit
y H
osp
ital
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Asp
iru
s K
ew
een
aw H
osp
ital
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Spar
row
Ion
ia H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Spar
row
Clin
ton
Ho
spit
al
Be
ll H
osp
ital
Spe
ctru
m U
nit
ed
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Asp
iru
s G
ran
d V
iew
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
McK
enzi
e H
eal
th S
yste
m
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
ED-1c: Median Time from ED Arrival to ED Departure for Admitted ED Patients - Psychiatric/Mental Health Patients
Hospital Q2 2019 MICAHQN (261 minutes)
49
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
15
.0
19
.0
23
.0
34
.0
34
.5
35
.0
40
.0
40
.5
41
.0
47
.5
52
.0
52
.0
53
.0
55
.0
56
.5
59
.0
59
.0
60
.0
65
.0
67
.0
69
.5
71
.0
71
.0
72
.0
75
.0
76
.0
82
.0
82
.5
86
.0
87
.0
88
.0
95
.0
96
.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0H
arb
or
Bea
ch C
om
mu
nit
y H
osp
ital
, In
c.
De
cker
ville
Co
mm
un
ity
Ho
spit
al
McK
enzi
e H
eal
th S
yste
m
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Mar
lett
e R
egi
on
al H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Pro
Me
dic
a H
erri
ck H
osp
ital
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Be
ll H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Sch
eu
rer
Ho
spit
al
Eato
n R
apid
s M
edic
al C
ente
r
Car
son
Cit
y H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
She
rid
an C
om
mu
nit
y H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Alle
gan
Ge
ner
al H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Spar
row
Ion
ia H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
ED-2a: Admit Decision Time to ED Departure Time for Admitted Patients - Overall Rate
Hospital Q2 2019 MICAHQN (63 minutes)
50
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
15
.0
19
.0
23
.0
34
.0
34
.0
35
.0
39
.5
40
.5
42
.0
47
.5
51
.5
52
.0
53
.0
55
.0
56
.5
59
.0
59
.0
60
.0
65
.0
67
.0
69
.0
70
.5
71
.0
72
.0
74
.0
76
.0
82
.0
82
.5
86
.0
87
.0
88
.0
91
.5
96
.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0H
arb
or
Bea
ch C
om
mu
nit
y H
osp
ital
, In
c.
De
cker
ville
Co
mm
un
ity
Ho
spit
al
McK
enzi
e H
eal
th S
yste
m
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Mar
lett
e R
egi
on
al H
osp
ital
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Hel
en N
ew
be
rry
Joy
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Pro
Me
dic
a H
erri
ck H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Be
ll H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Sch
eu
rer
Ho
spit
al
Eato
n R
apid
s M
edic
al C
ente
r
Car
son
Cit
y H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
She
rid
an C
om
mu
nit
y H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Spar
row
Ion
ia H
osp
ital
Spar
row
Clin
ton
Ho
spit
al
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Asp
iru
s K
ew
een
aw H
osp
ital
Asp
iru
s G
ran
d V
iew
Spe
ctru
m U
nit
ed
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
ED-2b: Admit Decision Time to ED Departure Time for Admitted Patients - Reporting Measure
Hospital Q2 2019 MICAHQN (62 minutes)
Q2 2018-Q1 2018 CAH National (46 minutes) Q2 2018-Q1 2018 CAH 90th Percentile National (8 minutes)
Q2 2018-Q1 2018 National (94 minutes)
51
Source for National CAH, National CAH 90th Percentile, and National performances: Telligen Reports
31
.0
35
.0
41
.5
43
.0
46
.0
48
.0
50
.5
57
.5
69
.0
69
.5
71
.5
85
.0
87
.0
11
0.5
11
8.0
11
9.0
12
2.0
12
4.0
18
4.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0Sp
arro
w C
linto
n H
osp
ital
Hel
en N
ew
be
rry
Joy
Ho
spit
al
OSF
St.
Fra
nci
s H
osp
ital
& M
edic
al G
rou
p
Mid
Mic
hig
an M
edic
al C
en
ter
- C
lare
Asp
iru
s G
ran
d V
iew
St. M
ary'
s o
f M
ich
igan
Sta
nd
ish
Ho
spit
al
Asp
iru
s K
ew
een
aw H
osp
ital
Alle
gan
Ge
ner
al H
osp
ital
Spar
row
Ion
ia H
osp
ital
Be
ll H
osp
ital
Eato
n R
apid
s M
edic
al C
ente
r
Hill
s &
Dal
es G
en
era
l Ho
spit
al
Me
rcy
He
alth
Lak
esh
ore
Cam
pu
s
Asp
iru
s Ir
on
Riv
er H
osp
ital
an
d C
linic
s
Car
son
Cit
y H
osp
ital
Spe
ctru
m H
ealt
h G
erb
er M
em
ori
al
Spe
ctru
m U
nit
ed
Asc
en
sio
n B
org
ess
- L
ee H
osp
ital
Bro
nso
n L
ake
Vie
w H
osp
ital
Mu
nso
n H
ealt
hca
re M
anis
tee
Pau
l Oliv
er M
em
ori
al H
osp
ital
Kal
kask
a M
emo
rial
Hea
lth
Cen
ter
Sch
oo
lcra
ft M
emo
rial
Ho
spit
al
Mac
kin
ac S
trai
ts H
ealt
h S
yste
m, I
nc.
Bar
aga
Co
un
ty M
emo
rial
Ho
spit
al
Mu
nis
ing
Mem
ori
al H
osp
ital
Asp
iru
s O
nto
nag
on
Ho
spit
al
Sch
eu
rer
Ho
spit
al
De
cker
ville
Co
mm
un
ity
Ho
spit
al
She
rid
an C
om
mu
nit
y H
osp
ital
Har
bo
r B
each
Co
mm
un
ity
Ho
spit
al, I
nc.
McK
enzi
e H
eal
th S
yste
m
Spe
ctru
m H
ealt
h K
els
ey
Ho
spit
al
Mu
nso
n H
ealt
hca
re C
har
levo
ix H
osp
ital
Spe
ctru
m H
ealt
h R
eed
Cit
y H
osp
ital
Mid
Mic
hig
an M
edic
al C
ente
r -
Gla
dw
in
Hay
es G
reen
Bea
ch M
em
ori
al H
osp
ital
Car
o C
om
mu
nit
y H
osp
ital
Mar
lett
e R
egi
on
al H
osp
ital
Pro
Me
dic
a H
erri
ck H
osp
ital
ED-2c: Admit Decision Time to ED Departure Time for Admitted Patients - Psychiatric/Mental Health Patients
Hospital Q2 2019 MICAHQN (67 minutes)
