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Performance Results

Quality Measures & Initiatives:

 What does Appropriate Care Performance Measure?

It is an overall measurement of how well the hospital is doing the best practices to improve patient responses to treatment. This means that Frisbie is meeting National Goals for treatment of Heart Attacks, Heart Failure, Pneumonia and Prevention Infections related to Surgery.



Heart Attack Care (also known as Acute Myocardial Infarction)

A heart attack is when blood vessels that supply blood to the heart are blocked, preventing enough oxygen from getting to the heart. The heart muscle dies or becomes permanently damaged. Your doctor calls this a myocardial infarction.

Frisbie recommends prevention to patients to follow these heart health tips:

  • Get regular checkups with your Provider.
  • Ask your Provider to check your blood pressure and cholesterol levels. These are 2 primary risk factors for having a heart attack. Cholesterol blocks blood flow and high blood pressure adds pressure to your blood vessels which stresses the heart.
  • Take the prescribed medications to lower blood pressure and cholesterol as indicated by your provider.
  • Lower your weight if indicated by your provider. This will put less stress on your heart.
  • Exercise will strengthen your heart. If you are new to exercise consult your provider.
  • Stop smoking. Nicotine makes blood vessels smaller and harder to pump blood and oxygen to where it is most needed like the heart, lungs and brain.

Heart Failure (Damaged Heart Muscle)

Heart failure, also called congestive heart failure, is a condition in which the heart can no longer pump enough blood to the rest of the body. Heart muscle is damaged from heart attack, poor blood perfusion to heart muscle (coronary artery disease) or a congenital condition that limits blood flow to heart muscle. Higher numbers are better.

Heart Failure is a chronic condition and can be managed but not cured. Following your provider's instructions can help you self manage your heart failure and improve the quality of your life. We recommend the following self management tips:

  • Seeing your provider regularly
  • Taking the medications they prescribe that can help you reduce blood pressure and maintain kidney function.
  • Stop smoking. Nicotine makes blood vessels smaller and harder to pump blood and oxygen to where it is most needed like the heart, lungs and brain.
  • Ask your provider about weight monitoring to detect early increase in excess fluid that can affect your breathing.

Community Acquired Pneumonia

Pneumonia is a respiratory condition in which there is infection of the lung. Community-acquired pneumonia refers to pneumonia in people who have not recently been in the hospital or another health care facility (nursing home, rehabilitation facility). Higher numbers are better.

Prevention of community acquired pneumonia is possible.

  • Wash hands frequently to reduce exchange of germs with others.
  • Sneeze into your sleeve not in your hands. Germs will get caught in fabric and die off. Your sleeve will not as easily transmit germs to other like your hands.
  • Ask your provider about the pneumonia vaccination to reduce risk or minimize the impact of the disease should you contract pneumonia.
  • Stop smoking. Nicotine makes blood vessels smaller and harder to pump blood and oxygen to where it is most needed like the heart, lungs and brain. Blood contains cells that fight off infection. Smoking makes it harder for your cells to do their job.
  • Every fall make sure to get your Flu shot. This immunization is also another way to protect your body from getting pneumonia related to influenza. There are several community clinics each fall offering vaccination.

Surgical Care (Prevention of Complications)

The goal of the Surgical Care Improvement Project (also called SCIP) is to prevent complications related to surgery such as infection, blood clots, and heart complications. Higher numbers are better.

When preparing for surgery here are some questions to ask your Surgeon:

  • How do you prevent post operative infections?
  • Does smoking increase my chance of infection post operatively?
  • Can I take my blood pressure medication the day of surgery?
  • Should I continue to take my aspirin on the day of surgery?
  • How do you prevent blood clots from forming post-operatively?
  • After I go home from surgery how to I prevent blood clots at home?
  • How do you make sure you are operating on the correct side?
  • How will my pain be managed?
  • How long before I can return to normal activity?

Immunization Prevention to Inpatients

Your health is important to us. Prevention of illness is the best way to keep you well and reduce healthcare cost. Both Pneumonia and Influenza (Flu) spread easily and fast throughout the community. People with pre-existing conditions are most prone to the complications associated with these respiratory illnesses up to, and including, death. Frisbie Memorial Hospital offers patients two vaccinations during their inpatient stay: Pneumonia and Flu.

Getting vaccinated can also help stop the spread of disease. Vaccines work with the body's natural defenses to safely develop immunity to disease and minimize the suffering from their complications. The Flu vaccine reduces your risk of influenza-related heart attacks or other flu-related complications from existing health conditions, like diabetes and chronic lung disease. Every year, between October and April, all eligible adults and children should get vaccinated to reduce your chances of illness in you and your loved ones. Download the Adult Vaccination Record to help you keep track of vaccinations. Download addition information on Pneumonia and Influenza.

Quality Initiatives

Prevention of Unplanned Readmissions to the Hospital

Hospitalizations are costly and sometimes dangerous. Readmissions are re-hospitalizations within 30 days of a previous hospitalization. Your Provider is working with you to prevent hospitalization and when you are hospitalized the staff is working with you to effectively recover so you will not have to be re-hospitalized. Frisbie is exploring how to prevent unplanned readmissions.

Poor management of chronic diseases or conditions is a primary factor in readmissions to the hospital. Chronic diseases or conditions can be managed but not cured. If you have a chronic disease or condition such as:

  • Heart Failure
  • COPD (chronic obstructive pulmonary disease)
  • CAD (Coronary Artery Disease)
  • (PAD) Peripheral Artery Disease
  • Diabetes
  • Liver Disease (Cirrhosis)

Please follow up with your provider regularly. Take all prescriptions as indicated by your provider. Stop smoking. Follow your provider's instructions on alcohol consumption. Have your blood tested routinely for changes in your chronic condition. Follow this link to learn how to better care for yourself at home.

Participation and Leadership of the NH QA Commission

The charge of the Commission is to review and analyze quality of care and patient safety issues in hospitals and freestanding ambulatory surgery centers. The membership includes a representative from each organization. Beginning August 2011, Jean Corvinus of Frisbie Memorial Hospital chairs the Commission and the appointed Associate Executive Director with the Foundation for Healthy Communities, acts as administrator.

The members of the New Hampshire Health Care Quality Assurance Commission adopted the following principles in 2009 to promote high quality and safe care to all patients seeking services in our organizations:


  • Promote High Reliability Organizations
  • Adopt Evidence-Based Best Practices to Improve Outcomes
  • Establish Just Cultures within our Organizations

These principles are acted upon in a variety of ways including the statewide adoption of consensus-based patient safety initiatives, the commitment to accountability through data collection and reporting, the sharing of evidence-based best practices and the candid conversations related to adverse events and near misses.

For more information please visit: http://www.healthynh.com/fhc/quality/nhhcqac.php

Prevention of blood clot complications

Patients with impaired mobility (ability to walk around) and certain medical conditions face a threat to their health in the formation of blood clots in their legs that can travel to the head, heart and lungs causing:

  • Strokes (Brain attacks)
  • Heart Attacks
  • Pulmonary Embolism (blood clot in lungs)

Hospitalized patients are at risk for development of blood clots due to bed rest and surgery. As a part of its commitment to eliminate preventable patient harm, Frisbie Memorial Hospital is joining with all NH Hospitals to implement screening and best practices to reduce risk of lower leg blood clot formation. For more information please read "Your Guide to preventing and treating blood clots." by the Agency for Healthcare Research and Quality (2009) in this PDF document.

To learn more about how to prevent and treat blood clots, download the guide.

Hand Hygiene Campaign

Frisbie is an active participant in the "High Five for a Healthy NH" campaign designed to improve awareness and hand washing by staff, Providers as well as patients and their visitors. Hand washing is the most effective means of stopping the transmission of infection or germs to others. For more information on this project please visit: http://www.healthynh.com/fhc/initiatives/high5/index.php

Hand washing works best when hands are wet, soap is used and rubbing friction is applied for over a minute (ideally 1 minute). It's the soap and rubbing that get rid of the germs.

To learn more about how hand washing, read How to Handwash?

Patient Safety Checklist

In collaboration with the New Hampshire Quality Assurance Commission (NHQA), Frisbie Memorial Hospital is committed to the elimination of preventable surgical error by utilization of a pre-op timeout and checklist.

This checklist helps verify:

  • The RIGHT patient
  • Gets the RIGHT Surgery
  • On the RIGHT (Correct) Side
  • All the RIGHT people are in the OR
  • With all the RIGHT equipment and
  • The RIGHT Medications


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