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Using Recommended Care (Process of Care) Measures

What are the Recommended Care (Process of Care) Measures?

Recommended Care (Process of Care) Measures refer to the actions taken to care for a patient. Using the correct treatment, processes or actions, such as diagnosing, treating, or educating patients, are likely to lead to better outcomes or recoveries. Based on years of experience, the federal government’s Centers for Medicare and Medicaid Services and the Joint Commission have developed these standards to treat certain conditions. These recommended treatments are sometimes referred to as "best practices." This web site includes a set of inpatient and outpatient measures.

DOH has adopted some of these national standards to measure the quality of performance in New Jersey hospitals. An example of inpatient recommended care (process of care) measure is:

  • a heart attack patient received a Percutaneous Coronary Intervention (PCI) within 90 Minutes after arrival at a hospital.

These standards can be found on the links provided below, the NJ 2014 Hospital Performance Report and the 2014 Technical Report on Recommended Care.

The information on this web site is designed to help you choose a hospital and make other decisions about your health care. The data, which is based on 2014, shows how each hospital treats eligible patients 18 years or older with a heart attack, pneumonia, heart failure, and patients having surgery. Higher scores are better.

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What do the hospital scores mean?

The scores show how well hospitals are providing care for eligible heart attack, pneumonia, heart failure patients and preventing infections for surgical patients. By looking at the number of times a hospital has provided the recommended care, you can determine how well a hospital is providing quality of care.

The number is then converted into a percentage by dividing the total number of eligible patients by the total number of patients that received the correct care. For example, an 85% rate means that the hospital provided the recommended care for 85 out of 100 of the eligible patients. The goal for each measure is 100%, meaning all patients receive the best care.

All recommended care tables include the Top 10% and Top 50% performers for each measure. These scores help determine which hospitals are among the top 10% and 50% NJ hospitals in the specific measure. If your hospital has a score that is equal to or greater than the score displayed at the top of the table, it is among the top 10% or 50% performers in NJ on the specific measure.

The data excludes those patients who should not receive the treatments due to their specific conditions (contraindications). Please note that small differences in hospital scores do not indicate real differences in hospital quality.

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Which hospitals are included?

All New Jersey general acute care hospitals are included.

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How is the information collected and verified?

The information is collected by hospitals from patient medical records. The Centers for Medicare and Medicaid Services (CMS) randomly selects a sample of hospitals and reviews a sample of their data for accuracy. All New Jersey hospitals passed this review. To learn more about the data collection methods and the CMS audit process, see the technical report.

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Why focus on Recommended Care for Heart Attack, Pneumonia, Surgical Care Improvement and Heart Failure?
 Conditions National Importance   Treatments Covered in this Report
 Heart Attack or Acute
Myocardial Infarction
 About 715,000 Americans suffer a heart attack annually.Of these, 525,000 are first heart attacks and 190,000 are recurrent. AMIs can lead to heart failure and death.Coronary heart disease, of which AMI is a type, is the most common form of heart disease and kills over 385,000 people annually. 


  • PCI Within 90 Minutes
 Pneumonia  With 1.1 million discharges from hospitals and 50,000 deaths annually, pneumonia is a major cause of death and one of the most common healthcare-associated infection in hospitals
  • Antibiotic Selection
 Surgical Care Improvement 

Surgical Care Infections: account for 17% of all healthcare-associated infections in hospitals and are the second most common type of medical error occurring in hospitalized patients. About 1 to 3 out of 100 surgical patients will get an infection. 



  • Preventive Antibiotic Started
  • Preventive Antibiotic Stopped
  • Appropriate Antibiotic Received
  • Urinary Catheter Removal 


Blood Clots: occur in 25% of all major surgical procedures and result in over 50,000 deaths annually and are the most common preventable cause of hospital deaths.
  • Treatment Preventing Blood Clots (VTE) Received




Cardiac Complications: occur in 2-5% of patients having non-cardiac surgery and 34% of patients having vascular surgery.

  • Beta Blocker Continued Before and After Surgery
  • Controlled Blood Sugar for Heart Surgery Patients
 Heart Failure  With 1 million hospital admissions per year, heart failure is the most common reason for admission for patients 65 and older. About 5.7 million people live with this condition, which is the primary cause of over 55,000 deaths annually and a factor in over 280,000 deaths.   
  • Left Ventricular Systolic (LVS) Assessment
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