Examples of ACE @ 25 parameters
Indicator
Bench Mark
CABG mortality rate
Cleveland Clinic
Complication rate post coronary intervention
AJ of Therapeutics US
Average Length of Stay (ALOS post) angioplasty
ALOS post THR
Hillcrest Hospital Cleveland Clinic
Agency For Healthcare Research & Quality (AHRQ), US
ALOS post TKR
AHRQ, US
Complication rate TKR
American Academy of Orthopaedic Surgeons
ALOS post renal transplant
NY State Dep’t of Health
Patient satisfaction with pain management
Internal Apollo
Door to thrombolysis time in ischemic stroke in Emergency
Massachusetts General Hospital Emergency US
Room(ER)
Catheter Related Blood Stream Infections (CR BSI)
National Healthcare Safety Network
One year survival rate for liver transplants
Mayo Clinic Proceedings
Indicator
CABG mortality rate
Complication rate post
coronary intervention
ALOS post angioplasty
ALOS post THR
Numerator
Number of in-hospital deaths after CABG
Number of patients developing predischarge
complications after coronary intervention
Total number of inpatient days post angioplasty
Total number of inpatient days post THR
Denominator
Total number of CABG conducted
Total number of coronary interventions conducted
Total number of angioplasties performed
Total number of THR performed
ALOS post TKR
Total number of inpatient days post TKR
Total number of TKR performed
Complication rate TKR
Number of patients developing predischarge
Total TKR performed
complications post TKR
Patient satisfaction with
pain management
Patient satisfaction score for satisfaction with pain
Number of discharged patients who gave their response
management
in the customer feed back form (VOC form). Maximum
score 5
Door to thrombolysis time
Average lag time between arrival of the patient, to
in ischemic stroke in ER
start of the thrombolysis in patients with ischemic
Total number of ischemic stroke patients in ER
stroke in ER
Catheter Related Blood
Total number of CR-BSI cases
Total number of catheter (central line ) days
One year survival rate for
Number of living patients one year post liver
Number of liver transplants conducted during a defined
liver transplants
transplant
period
Stream Infections (BSI)
Example of Scoring
Indicator
Benchmark
Range
Score
CABG mortality rate
0.60%
≤0.80
4
Cleveland Clinic
0.81-1.20
3
1.21-1.60
2
1.61-2.00
1
>2.00
0
ACE @ 25 online dashboard
90
80
70
60
50
40
30
20
10
0
January 10
February 10
March 10
April 10
May 10
June 10
July 10
August 10
September 10
October 10
November 10
December 10
January 11
February 11
March 11
April 11
May 11
June 11
July 11
August 11
September 11
October 11
November 11
December 11
Jan-12
Feb-12
Mar-12
Apr-12
May-12
Jun-12
Jul-12
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Jul-13
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
May-14
Jun-14
ACE @ 25 improvements - examples
Group Average ACE @ 25 scores
Figure 1: ACE @ 25 group average scores
Apollo H Medication errors
Apollo B Complication rate post coronary intervention
4
4
3
3
Oct-13
Jul-13
Sep-13
Jun-13
Aug-13
Apr-13
May-13
Jan-13
Feb-13
Mar-13
Oct-12
Dec-12
Nov-12
Jul-12
Sep-12
Jun-12
Aug-12
Apr-12
May-12
Jan-12
Feb-12
Mar-12
Oct-11
Dec-11
Nov-11
Jul-11
Sep-11
Jun-11
Aug-11
Apr-11
May-11
Jan-11
Feb-11
Mar-11
Oct-10
Dec-10
Nov-10
Jul-10
Sep-10
Jun-10
Aug-10
Apr-10
May-10
Jan-10
Feb-10
Mar-10
Oct-09
Dec-09
Nov-09
Jul-09
0
Sep-09
0
Jun-09
1
Aug-09
1
Apr-09
2
May-09
2
Figure 2: Apollo H Medication errors. The scores were
fluctuating initially, now they have a constant maximum
score of 4
Figure 3: Apollo B Complication rate post coronary
intervention. The initially widely fluctuating scores are now in
the green zone with scores of 3 or 4
Apollo D Patient satisfaction with pain management
Apollo P Catheter related UTI (CR-UTI)
4
3
3
2
2
1
1
0
Oct-13
Jul-13
Jun-13
Sep-13
Aug-13
Apr-13
Mar-13
May-13
Jan-13
Feb-13
Dec-12
Nov-12
Oct-12
Sep-12
Jul-12
Jun-12
Aug-12
Apr-12
Mar-12
Figure 4: Apollo D Patient satisfaction with pain
management. The scores have improved from 3 to the
maximum score of 4
May-12
Jan-12
Feb-12
Dec-11
Nov-11
Oct-11
Sep-11
Aug-11
Jul-11
Jun-11
May-11
Apr-11
Feb-11
Mar-11
Jan-11
Dec-10
Nov-10
Oct-10
Sep-10
Aug-10
Jul-10
Jun-10
May-10
Jan-10
Apr-10
Feb-10
Mar-10
Oct-09
Dec-09
Nov-09
Sep-09
Jul-09
Aug-09
Jun-09
Apr-09
May-09
0
Figure 5: Apollo P Catheter related urinary tract
infections (UTI). The initially variable scores have
stabilized to the maximum score of 3
Apr-09
Figure 8: Apollo B Average Length of Stay post TURP.
The fluctuating scores initially have stabilized to the
maximum score of 4.
Oct-13
Sep-13
Aug-13
Jul-13
Jun-13
May-13
Apr-13
Mar-13
Feb-13
Jan-13
Dec-12
Nov-12
Oct-12
Sep-12
Aug-12
Jul-12
Jun-12
May-12
Apr-12
Mar-12
Feb-12
Jan-12
Dec-11
Nov-11
Oct-11
Sep-11
Aug-11
Jul-11
Jun-11
May-11
Apr-11
Mar-11
Feb-11
Jan-11
Dec-10
Nov-10
Oct-10
Sep-10
Aug-10
Jul-10
Jun-10
May-10
Apr-10
Mar-10
Feb-10
Jan-10
Dec-09
Nov-09
Oct-09
Sep-09
Aug-09
Jul-09
Jun-09
May-09
Apr-09
Figure 6: Apollo K Average Length of Stay in hospital.
The scores have gradually risen from 2 to 3 and are now
going up to the maximum of 4
2
Jul-09
Feb-11
3
4
3
1
2
0
1
0
Figure 9: Apollo H Average Length of Stay post renal
transplant. The scores have now begun to touch the
maximum score
Figure 7: Apollo A Average Length of Stay post TKR. The
fluctuating scores initially have stabilized to the
maximum score of 4
4
Apollo B ALOS post TURP
Apollo H ALOS post renal transplant
Oct-13
Sep-13
Aug-13
Jul-13
Jun-13
May-13
Apr-13
Mar-13
Feb-13
Jan-13
Dec-12
Nov-12
Oct-12
Sep-12
Aug-12
Jul-12
Jun-12
May-12
Apr-12
Mar-12
Feb-12
Jan-12
Dec-11
Nov-11
Oct-11
Sep-11
Aug-11
Jul-11
Jun-11
May-11
Apr-11
Mar-11
Apollo K Average Length of Stay (ALOS) in hospital
Jan-11
Dec-10
Nov-10
Oct-10
Sep-10
Aug-10
Jul-10
Jun-10
May-10
Apr-10
Mar-10
Feb-10
Jan-10
Dec-09
Nov-09
Oct-09
Sep-09
1
Jun-09
2
Aug-09
3
May-09
4
4
Apollo A ALOS post TKR
3
2
1
0
0