Kosciusko Community Hospital 2101 East Dubois Drive Warsaw, Indiana 46580	Overall Quality:    5 Stars
hospital type - Voluntary Nonprofit Other

Condition: Heart Attack Patients

	Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 72.2% 100% 3 patients 1 National Average 82% Top 10% > or = 100%

	Given Aspirin at Arrival
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 44.8% 97% 38 patients n/a National Average 92% Top 10% > or = 100%

	Given Aspirin at Discharge
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 70.8% 100% 21 patients 1 National Average 90% Top 10% > or = 100%

	Given Beta Blocker at Arrival
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 80.7% 100% 24 patients 1 National Average 87% Top 10% > or = 100%

	Given Beta Blocker at Discharge
Percentile    Percentages    Number of Patients    Footnote(s)    Kosciusko Community Hospital 70.9% 100% 17 patients 1 National Average 90% Top 10% > or = 100%

	Given Fibrinolytic Medication Within 30 Minutes Of Arrival
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital n/a n/a n/a n/a National Average 31% Top 10% > or = 100%

	Given PCI Within 90 Minutes Of Arrival
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital n/a n/a n/a n/a National Average 54% Top 10% > or = 95%

	Given Smoking Cessation Advice/Counseling
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 53.4% 100% 2 patients 1 National Average 88% Top 10% > or = 100%

Heart Failure Patients:

	Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 77% 94% 32 patients n/a National Average 82% Top 10% > or = 100%

	Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 86.7% 99% 99 patients n/a National Average 83% Top 10% > or = 99%

	Patients Given Discharge Instructions
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 86.7% 90% 68 patients n/a National Average 61% Top 10% > or = 93%

	Patients Given Smoking Cessation Advice/Counseling
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 70.5% 100% 7 patients 1 National Average 82% Top 10% > or = 100%

Pneumonia Patients:

	Assessed and Given Influenza Vaccination
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 76.7% 90% 31 patients n/a National Average 70% Top 10% > or = 100%

	Assessed and Given Pneumococcal Vaccination
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 93.3% 96% 108 patients n/a National Average 69% Top 10% > or = 94%

	Given Initial Antibiotic(s) within 4 Hours After Arrival
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 89% 93% 141 patients n/a National Average 80% Top 10% > or = 93%

	Given Oxygenation Assessment
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 23.3% 100% 177 patients n/a National Average 99% Top 10% > or = 100%

	Given Smoking Cessation Advice/Counseling
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 80.2% 100% 50 patients n/a National Average 80% Top 10% > or = 100%

	Given the Most Appropriate Initial Antibiotic(s)
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 80% 92% 121 patients n/a National Average 83% Top 10% > or = 94%

	Whose Initial Emergency Room Blood Culture Was Performed Prior To The AdministPercentagen Of The First Hospital Dose Of Antibiotics
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 59.8% 94% 121 patients n/a National Average 90% Top 10% > or = 100%

Surgical Infection Prevention, Surgery Patients:

	Who Received Preventative Antibiotic(s) One Hour Before Incision
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 77% 92% 239 patients n/a National Average 77% Top 10% > or = 95%

	Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 47.3% 94% 70 patients n/a National Average 90% Top 10% > or = 100%

	Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery
Percentile    Percentage    Number of Patients    Footnote(s)    Kosciusko Community Hospital 46.1% 74% 238 patients n/a National Average 72% Top 10% > or = 95%

*Hospital quality measurements are based on information from Hospital Compare through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA). The HQA is a public-private collaboration established to promote reporting on hospital quality of care. Data above was downloaded .

Footnotes:

1. The number of cases is too small (n<25) for purposes of reliably predicting hospital performance.
   For each measure, the rate is displayed as a percent of the number of patients for whom the measured treatment is appropriate. For hospitals with small numbers of patients for whom the measured treatment is appropriate during the reporting period (fewer than 25 patients), the calculated rate may not be predictive of the hospital's future performance. As the quality data base is expanded to a full rolling four quarters of data for each measure, the number of cases used to determine hospitals' rates will likely increase, thereby increasing the reliability and stability of the rates. Note: This footnote does not necessarily reflect hospital size or overall patient volume.

2. Measure reflects the hospital's indication that its submission was based upon a sample of its relevant discharges.
   Rates are based on the cases reported by hospitals. A rate may be based upon the total number of cases treated by a hospital, or for a facility with a large caseload, a rate may be based on a random sample of the cases the hospital treated. This footnote indicates that a hospital chose to submit data for a sample of its total cases (following specific rules for how to the select the cases).

3. Rate reflects fewer than the maximum possible quarters of data for the measure.
   Each rate reflects the care provided over a specific time period, up to a maximum of four quarters. For the ten measures in the "Starter Set", the maximum number of quarters for which the hospital could have provided data was four quarters. For the seven additional measures that were first reported in April 2005, the maximum number of quarters for which a hospital could have provided data was three quarters (April - December 2004). For the three additional measures reported in September 2005, the maximum number of quarters a hospital could have provided data was two quarters (July - December 2004). This footnote indicates that the rate was calculated based on fewer than the maximum possible number of quarters for the measure.

4. Inaccurate information submitted and suppressed for one or more quarters.
   Hospitals are required to submit accurate, reportable data to the Centers for Medicare and Medicaid Services (CMS). The rates for these measures were calculated by excluding data that had been suppressed for one or more quarters because they were identified as inaccurate.

5. No data is available from the hospital for this measure.
   Hospitals volunteer to provide data for reporting on Hospital Compare. This footnote is applied when the hospital did not submit any cases for a measure.