VOLUME We track the number of knee replacements we do. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)	DHMC 2007	Top 10%	Average
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Number of primary single knee replacements: The number of primary single knee replacements done at DHMC in 2007.	261	-	-
Number of primary bilateral knee replacements: The number of knee replacements performed at DHMC in 2007 as part of bilateral knee replacements.	322	-	-
Number of patients having primary knee replacements: The number of patients having primary knee replacement at DHMC in 2007.	422	-	-
Number of patients having knee revision surgery: The number of patients having knee revision surgery at DHMC in 2007.	115	-	-

SAFE AND EFFECTIVE CARE Monitoring our care helps us evaluate and improve the way we deliver care. We emphasize areas where experts agree on the best treatment for a certain condition. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)	DHMC 2007	Top 10%	Average
PREVENTING SURGICAL INFECTIONS		Back to Top
Use of appropriate preventive antibiotics: Percent of knee replacement patients getting the recommended preventive antibiotics before surgery.	100%	100%	98%
Timing of preventive antibiotics before surgery: Percent of knee replacement patients getting preventive antibiotics within one hour of the start of surgery.	95%	100%	92%
Stopping preventive antibiotics after surgery: Percent of knee replacement patients whose preventive antibiotics are stopped within 24 hours after surgery is completed.	92%	100%	85%
COMPLICATIONS IN THE HOSPITAL		Back to Top
Blood clots after single knee replacement: Percent of patients who got a blood clot after having single knee replacement.	2.3%	-	1.6%
Blood clots after bilateral knee replacement: Percent of patients who got a blood clot after having bilateral knee replacement.	0.6%	-	2.2%
MORTALITY		Back to Top
In-hospital mortality: Percent of patients who died in the hospital after primary knee replacement surgery.	0.5%	-	0.2%
COMPLICATIONS AFTER DISCHARGE		Back to Top
Readmission to the hospital: Percent of patients who have had a knee replacement and are readmitted to the hospital within 90 days.	1.4%	-	-
Infection within 90 days after surgery: Percent of patients who develop a surgical site infection within 90 days after their knee replacement.	0.2%	0%	2.3%

AFTER SURGERY The care of our patients doesn't end after surgery. We work with patients and their families to make sure their needs are met when they leave the hospital. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)	DHMC 2007	Top 10%	Average
SINGLE KNEE REPLACEMENT		Back to Top
Average length of hospital stay after single knee replacement: The average number of days patients stay in the hospital after single knee replacement.	3.6 Days	-	3.6 Days
Discharged to home or home with home health care after single knee replacement: Percent of single knee replacement patients who go home or home with assistance from home health care when they leave the hospital.	74%	-	-
Discharged to rehabilitation or extended care facility after single knee replacement: Percent of single knee replacement patients who go to a rehabilitation or extended care facility when they leave the hospital.	26%	-	-
BILATERAL (DOUBLE) KNEE REPLACEMENT		Back to Top
Average length of hospital stay after bilateral knee replacement: The average number of days patients stay in the hospital after bilateral knee replacement.	4.1 Days	-	4 Days
Discharged to home or home with home health care after bilateral knee replacement: Percent of bilateral knee replacement patients who go home or home with assistance from home health care when they leave the hospital.	36%	-	-
Discharged to rehabilitation or extended care facility after bilateral knee replacement: Percent of bilateral knee replacement patients who go to a rehabilitation or extended care facility when they leave the hospital.	63%	-	-

SHARED DECISION MAKING We want all of our patients to feel good about the healthcare choices that they make. We invite our patients to visit the Center for Shared Decision Making. It is a free service for our patients who need help making a healthcare decision. The center offers one-on-one counseling, as well as take-home decision aids in the form of videos, audiotapes, booklets, CD-ROMs, and websites. If you are facing a healthcare decision, we encourage you to visit the Center for Shared Decision Making at DHMC. Call (603) 650-5578 for more information. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)	DHMC 2006-2007	Top 10%	Average
DECISION AID VIDEO		Back to Top
Patients who found the video clear: Percent of patients who reported that the information on the video was clear.	99%	-	-
Patients who said the information was unbiased: Percent of patients who said the information about treatment options was balanced.	97%	-	-
Patients who would recommend the video: Percent of patients who reported that they would recommend the video to others in the same situation.	99%	-	-
MAKING A DECISION ABOUT KNEE REPLACEMENT SURGERY		Back to Top
Patients who know the available choices: Percent of patients who watched the decision aid video and reported that they know what choices are available to them.	98%	-	-
Patients who know the risks of each choice: Percent of patients who watched the decision aid video and reported that they know the risks of each choice.	97%	-	-
Patients who know the benefits of each choice: Percent of patients who watched the decision aid video and reported that they know the benefits of each choice.	97%	-	-
Patients who change their treatment choice: Percent of patients who change their treatment choice after watching the video (this includes those who were unsure about their treatment choice before the video).	16%	-	-
Patients who know which risks and benefits matter most to them: Percent of patients who watched the decision aid video and reported that they know which risks and benefits mattered most to them.	95%	-	-

WHAT OUR PATIENTS SAY ABOUT US We ask our patients to rate our care as one way to evaluate and improve our services. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)	DHMC 2007	Top 10%	Average
APPOINTMENT WITH DOCTOR		Back to Top
Overall satisfaction: Knee replacement patients rated their overall satisfaction with a visit to their doctor or associate provider using a scale of Excellent (100) to Poor (0).	88	-	-
Providers' clinical skills: Knee replacement patients rated the clinical skills of their doctor or associate provider using a scale of Excellent (100) to Poor (0).	91	-	-
Providers' thoroughness: Knee replacement patients rated the thoroughness of their doctor or associate provider using a scale of Excellent (100) to Poor (0).	91	-	-
Involved in decisions: Knee replacement patients rated how well they were involved in their medical decisions using a scale of Excellent (100) to Poor (0).	92	-	-
Staff sensitivity: Knee replacement patients rated the sensitivity of all staff to their personal needs during a visit to their doctor or associate provider using a scale of Excellent (100) to Poor (0).	92	-	-
HOSPITAL STAY		Back to Top
Overall satisfaction: Knee replacement patients rated all aspects of their hospital stay using a scale of Very Good (100) to Very Poor (0).	86	-	-
Doctor care: Knee replacement patients rated the doctors who cared for them during their hospital stay using a scale of Very Good (100) to Very Poor (0).	89	-	-
Emotional support: Knee replacement patients rated how well their emotional and spiritual needs were met during their hospital stay using a scale of Very Good (100) to Very Poor (0).	85	-	-
Involved in decisions: Knee replacement patients rated the effort of staff to involve them in decisions about their treatment using a scale of Very Good (100) to Very Poor (0).	85	-	-
Nursing care: Knee replacement patients rated the nurses who cared for them during their hospital stay using a scale of Very Good (100) to Very Poor (0).	88	-	-
Pain management: Knee replacement patients rated how well their pain was controlled during their hospital stay using a scale of Very Good (100) to Very Poor (0).	85	-	-

ABOUT OUR PATIENTS

We would like to tell you a little about our patients. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)

DHMC 2007

Top 10%

Average

Average patient age: The average age of our knee replacement patients.

Patient gender: Percent of knee replacement patients who are female.

57%

GETTING AN APPOINTMENT Our goal is to help you get an appointment as quickly as possible. (For more detail, click on each underlined measure below. A dash " - " means that there is no available comparison.)	DHMC 2007	Top 10%	Average
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Ease of making an appointment: Patients rated the ease of making an appointment with their doctor or associate provider using a scale of Excellent (100) to Poor (0).	90	-	-
Wait time for a new patient appointment: Average number of weekdays to wait for new patient appointment.	8.2 Days	-	-
Lead time for operation date: Average number of weeks from the time surgery is scheduled to the operation date.	4.7 Weeks	-	-

Where to go for more information

We are interested in your feedback and questions. Please send email to: QualityReports@hitchcock.org to let us know if this is helpful, or if you need something you can't find here.