Quarterly Hospital Report
- Quarterly reports provide statistics of demographics; raw mortality; measures; and bundles performance as well as the corresponding statewide statistics
- Cases excluded within the treatment window are not included in the calculation of measures and/or bundles
- Measures and bundles in each of the most recent four quarters is presented for the hospital along with statewide performance in tables
- The 3-hour and the composite bundles are the combination of the measures. The 3-hour bundle consists of initial lactate measurement, blood culture collection and antibiotics administration. The composite bundle consists of the 3-hour bundle and compliance with all additional relevant measures based on case eligibility such as repeat lactate measurement, crystalloid fluid administration, vasopressor administration and fluid assessment. Please note that the 3-hour bundle can get a "pass" if and only if all three measures in the 3-hour bundle get a "pass". For the composite bundle: the 3-hour bundle must receive a pass, as well as a pass on any of the required additional relevant measures (e.g., repeat lactate, crystalloid fluids, vasopressors, fluid assessment).
- For facilities that submit more than 10 valid adult cases, your hospital ranking for the 3 hour and composite bundle are presented.
- Transfer cases are included in the data for all measures and for the bundles of care. Depending upon a hospital’s transfer volume, hospitals may be more or less affected by these cases; therefore, the transfer case mix should be considered in report interpretation. Measures/bundles of the most recent quarter and the aggregation of the most recent four quarters are presented in two additional separate tables for transferred cases and non-transferred cases.
For more details regarding the measures/bundles, please refer to the measures specifications.