neurology outcomes 2012
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n e u r o l o g y o u t c o m e s2 0 1 2
ta bl e of c on t e n t s
4 // Total Inpatient and Outpatient Visits, UCH Neurosciences
4 // Spinal Surgery Volumes
4 // Neurosurgery Volumes*
5-10 // Stroke Outcomes
5 // IV rt-PA Arrive by 2 Hour, Treat
by 3 Hour
5 // Early Antithrombotics
6 // VTE Prophylaxis
6 // Antithrombotics
7 // Anticoag for AFib/Aflutter
7 // LDL 100 or ND – Statin
8 // Stroke Education
8 // Rehabilitation Considered
9 // Cerebrovascular/Ischemic
Stroke – Mortality Index
9 // Cerebrovascular/Intracerebral
Hemorrhage – Mortality Index
10 // Cerebrovascular/Other
Volume
10 // Other Neurology &
Neurosurgery Volume
11 // Brain & CNS (Excluding
Benign Brain) 5 –Year Survival
11 // Brain (Including Benign Brain)
5 –Year Survival
12 // Brain (GBM Only) 5 –Year
Survival
12 // Epilepsy Volume
13 // Movement Disorder Volume
13 // Neuromuscular Volume
14 // MS Volume
14 // Neuro-Oncology Volume
15 // UCH Insider Article
3
The University of Colorado Hospital Difference…
The University of Colorado Hospital Department of Neurosciences is one of the nation’s leading neurosciences
programs and is comprised of some of the country’s top neurologists, neurosurgeons, neurointerventional
radiologists, neurocritical care specialists, neurohospitalists, NPs, PAs, researchers, social workers, counselors,
dieticians and other caregivers. With a multidisciplinary team that subspecializes in and treats a broad spectrum
of neurological conditions, the neurosciences division is a contributing reason why the University of Colorado
Hospital was recently named the top performing academic hospital in the nation by the University HealthSystem
Consortium, again. For more information, please visit us at uch.edu.
university of colorado Hospital is tHe leading academic medical center in tHe nation.
University of Colorado Hospital (UCH) is recognized as the highest-performing academic hospital in the United
States for delivering quality health care by the University HealthSystem Consortium for two years in a row, and is
ranked as the best hospital in the Denver metro area and one of the best in the country by U.S. News & World Report.
UCH is best known as an innovator in patient care and often is one of the first hospitals to bring new medicine to the
patient’s bedside. The hospital’s physicians are affiliated with the University of Colorado School of Medicine, part of
the University of Colorado system. Based at the expansive Anschutz Medical Campus in Aurora, Colo., UCH is where
patient care, research and education converge to establish the future of health care delivery.
4
OU T C OME S d aTa
UCH Confidential 1/2/13 Page 6 of 10
1325 1522 1664 1725 1857
7641 8629 9465 9717 10473
19806 22303
25681
29317 31217
2008 2009 2010 2011 2012
Neurosciences Service Line FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
256 270 294 350 359
1306 1500
1293 1422 1360
2922 3063 3344
3709
4218
2008 2009 2010 2011 2012
Epilepsy FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days Inpatient Admissions Inpatient Days Outpatient Visits
t o t a l i n p a t i e n t a n d o u t p a t i e n t v i s i t s , u c H n e u r o s c i e n c e s
s p i n a l s u r g e r y v o l u m e s n e u r o s u r g e r y v o l u m e s **excludes spinal surgeries.
spinal surgery 2008 2009 2010 2011 2012Volumes 469 563 537 613 883
neurosurgery volumes2008 2009 2010 2011 2012190 474 951 1010 1002
469
563 537
613
883
2008 2009 2010 2011 2012
Title Series1
190
474
951 1010 1002
2008 2009 2010 2011 2012
Title Series1
Based on the July 1 - June 30 fiscal year
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
5
69.2
% 85
.7%
92.9
%
91.3
%
100.
0%
100.
0%
66.2
%
71.4
%
79.4
%
82.2
%
84.3
%
82.7
%
62.8
% 75
.9%
79.7
%
83.6
%
83.4
%
81.1%
60.8
0%
64.3
%
74.2
0%
77.0
0%
79.0
0%
79.10
%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
IV rt-PA Arrive by 2 Hour, Treat by 3 Hour UCH Academic Hospitals Colorado National
93.3
%
100.
0%
98.7
% 10
0.0%
98.6
% 10
0.0%
96.6
%
96.5
%
96.9
%
97.2
%
97.4
%
97.2
%
95.1%
96.1%
96.7
%
96.1%
97.4
%
97.2
%
96.10
%
96.2
%
96.4
0%
96.6
0%
97.10
%
97.2
0%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
Early Antithrombotics UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado NationalK e y
UCH Academic Hospitals Colorado NationalK e y
i v r t - p a a r r i v e b y 2 H o u r , t r e a t b y 3 H o u r
e a r l y a n t i t H r o m b o t i c s
Based on the calendar year
6
OU T C OME S d aTa96
.9%
99.2
%
100.
0%
100.
0%
100.
0%
100.
0%
95.4
%
97.3
%
97.8
%
98.1%
98.3
%
97.8
%
94.3
%
96.9
%
97.4
%
97.8
%
98.2
%
98.9
%
94.8
0%
96.9
%
97.6
0%
97.4
0%
97.9
0%
97.8
0%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
Antithrombotics UCH Academic Hospitals Colorado National
97.1%
100.
0%
100.
0%
99.2
%
98.6
%
99.4
%
90.9
% 94
.0%
94.6
%
94.3
%
95.4
%
94.9
%
91.4
%
95.6
%
95.7
%
92.7
%
94.1%
87.9
%
88.2
0% 92
.0%
92.6
0%
91.8
0%
93.2
0%
93.9
0%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
DV/VTE Prophylaxis UCH Academic Hospitals Colorado National
d v t / v t e p r o p H y l a x i s
a n t i t H r o m b o t i c s a t d i s c H a r g e
UCH Academic Hospitals Colorado NationalK e y
UCH Academic Hospitals Colorado NationalK e y
Based on the calendar year
7
69.7
% 82
.8%
100.
0%
95.7
%
97.4
%
100.
0%
70.6
%
76.3
% 89
.3%
91.2
%
91.9
%
93.2
%
60.7
%
64.0
%
86.9
%
86.4
%
86.8
%
89.8
%
67.3
0%
73.4
% 87
.70%
88.6
0%
89.70
%
91.6
0%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
LDL 100 or ND Statin UCH Academic Hospitals Colorado National
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
90.9
%
95.1%
95.4
%
95.7
%
95.5
%
95.0
%
94.8
%
94.7
%
94.2
%
92.9
%
90.4
%
96.0
%
89.3
0% 93
.0%
93.4
0%
93.4
0%
93.3
0%
93.3
0%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
Anticoag for Afib/Aflutter UCH Academic Hospitals Colorado National
a n t i c o a g f o r a f i b / a f l u t t e r
l d l 1 0 0 o r n d – s t a t i n
UCH Academic Hospitals Colorado NationalK e y
UCH Academic Hospitals Colorado NationalK e y
Based on the calendar year
8
OU T C OME S d aTa0.
0%
67.8
%
68.2
%
69.2
%
99.2
%
93.5
%
8.4%
66.3
% 76
.5%
83.4
%
87.4
%
89.2
%
14.9
%
43.0
%
64.1%
70.7
%
76.5
% 87
.5%
8.30
%
64.4
% 75
.20%
80.70
%
85.4
0%
88.8
0%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
Stroke Education UCH Academic Hospitals Colorado National
91.1%
89.3
%
98.7
%
99.4
%
99.3
%
100.
0%
74.6
%
94.9
%
97.0
%
97.5
%
97.6
%
97.5
%
73.7
% 88
.9%
95.3
%
95.8
%
95.8
%
96.7
%
73.6
0%
94.2
%
96.4
0%
96.6
0%
96.8
0%
97.10
%
2007 2008 2009 2010 2011 2012
Perc
ent o
f Pat
ient
s
Rehabilitation Considered UCH Academic Hospitals Colorado National
s t r o K e e d u c a t i o n
r e H a b i l i t a t i o n c o n s i d e r e d
UCH Academic Hospitals Colorado NationalK e y
UCH Academic Hospitals Colorado NationalK e y
Based on the calendar year
9
0.77
0.85
Mortality Index 2012
Title UCH
0.8
0.93
Mortality Index 2012
Title UCH
0.77
0.85
Mortality Index 2012
Title UCH
0.8
0.93
Mortality Index 2012
Title UCH
i s c H e m i c s t r o K e – m o r t a l i t y i n d e xLower is better (compared to national averages from UHC Reporting Hospitals)
H e m o r r H a g i c s t r o K e – m o r t a l i t y i n d e xLower is better (compared to national averages from UHC Reporting Hospitals)
UCH
UHC Reporting HospitalsK e y
UCH
UHC Reporting HospitalsK e y
.08 loWer tHan uHc reporting Hospital s
.13 loWer tHan uHc reporting Hospital s
Based on the July 1 - June 30 fiscal year
10
OU T C OME S d aTa
UCH Confidential 1/2/13 Page 10 of 10
65 75 79 87 109
357 309
352 387
471
560
740 777
702
532
2008 2009 2010 2011 2012
Cerebrovascular / Other FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
365 404 453 476 512
1686 2215 2432 2594 2746
5764 6016 6436
7137
8512
2008 2009 2010 2011 2012
Neurology & Neurosurgery / Other FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
UCH Confidential 1/2/13 Page 10 of 10
65 75 79 87 109
357 309
352 387
471
560
740 777
702
532
2008 2009 2010 2011 2012
Cerebrovascular / Other FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
365 404 453 476 512
1686 2215 2432 2594 2746
5764 6016 6436
7137
8512
2008 2009 2010 2011 2012
Neurology & Neurosurgery / Other FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
c e r e b r o v a s c u l a r / o t H e r v o l u m e
o t H e r n e u r o l o g y & n e u r o s u r g e r y v o l u m e
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Based on the July 1 - June 30 fiscal year
11
72%
60% 51% 48% 47%
58%
44% 38% 36% 35%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain & CNS (excluding Benign Brain) 5 Year Survival
UCH State
72%
59% 52% 49% 47%
60%
48% 42% 40% 39%
50%
33% 27% 24% 22%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (including Benign Brain) 5 Year Survival
UCH State National
72%
60% 51% 48% 47%
58%
44% 38% 36% 35%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain & CNS (excluding Benign Brain) 5 Year Survival
UCH State
72%
59% 52% 49% 47%
60%
48% 42% 40% 39%
50%
33% 27% 24% 22%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (including Benign Brain) 5 Year Survival
UCH State National
UCH ColoradoK e y
UCH ColoradoK e y
Observed survival data based on patients diagnosed between 2003 – 2005.
Observed survival data based on patients diagnosed between 2003 – 2005.
b r a i n & c n s ( e x c l u d i n g b e n i g n b r a i n ) 5 – y e a r s u r v i v a l
b r a i n ( i n c l u d i n g b e n i g n b r a i n ) 5 –y e a r s u r v i v a l
Based on the calendar year
12
OU T C OME S d aTa
UCH Confidential 1/2/13 Page 6 of 10
1325 1522 1664 1725 1857
7641 8629 9465 9717 10473
19806 22303
25681
29317 31217
2008 2009 2010 2011 2012
Neurosciences Service Line FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
256 270 294 350 359
1306 1500
1293 1422 1360
2922 3063 3344
3709
4218
2008 2009 2010 2011 2012
Epilepsy FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days Inpatient Admissions Inpatient Days Outpatient Visits
49%
26%
12% 11% 11%
36%
14% 7% 5% 4%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain - GBM Only 5 Year Survival
UCH State
b r a i n ( g b m o n l y ) 5 – y e a r s u r v i v a l
e p i l e p s y v o l u m e
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
UCH ColoradoK e y
Based on the calendar year
Observed survival data based on patients diagnosed between 2003 – 2005.
13
UCH Confidential 1/2/13 Page 7 of 10
41 77 70 75 76 90 107 92 173 147
2095
2543 2353
2785 2824
2008 2009 2010 2011 2012
Movement Disorders FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
52 69 58 46 50 202 295 175 181 167
3382 3072 3206
3524
3054
2008 2009 2010 2011 2012
Neuromuscular FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
UCH Confidential 1/2/13 Page 7 of 10
41 77 70 75 76 90 107 92 173 147
2095
2543 2353
2785 2824
2008 2009 2010 2011 2012
Movement Disorders FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
52 69 58 46 50 202 295 175 181 167
3382 3072 3206
3524
3054
2008 2009 2010 2011 2012
Neuromuscular FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
m o v e m e n t d i s o r d e r v o l u m e
n e u r o m u s c u l a r v o l u m e
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Based on the July 1 - June 30 fiscal year
14
OU T C OME S d aTa
UCH Confidential 1/2/13 Page 8 of 10
28 48 52 30 52 183 279 293 128 274
2548
3846
6318
7847 8575
2008 2009 2010 2011 2012
MS/Neuroimmunology FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
259 337 374 368 344
1275 1491
1749 1928
1782
2310
2704 2928
3325 3086
2008 2009 2010 2011 2012
Neuro-Oncology FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
UCH Confidential 1/2/13 Page 8 of 10
28 48 52 30 52 183 279 293 128 274
2548
3846
6318
7847 8575
2008 2009 2010 2011 2012
MS/Neuroimmunology FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
259 337 374 368 344
1275 1491
1749 1928
1782
2310
2704 2928
3325 3086
2008 2009 2010 2011 2012
Neuro-Oncology FY 2008 - FY 2012 Trend Over Time
Outpatient Visits, Inpt Admissions & Days
Inpatient Admissions Inpatient Days Outpatient Visits
n e u r o - o n c o l o g y v o l u m e
m s v o l u m e
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Based on the July 1 - June 30 fiscal year
15
u c H i n s i d e r a r t i c l e
Volume 6 | Issue 2 | Through July 31, 2012
Subscribe: The Insider is delivered free via email every other Wednesday. To subscribe: uch-publications@uch.eduComment: We want your input, feedback, notices of stories we’ve missed. To comment: uch-insiderfeedback@uch.edu
Continued
Record-setting treatment
Stroke Victim Returns to Neuro ICU to Thank UCH Providers
Among those on hand to speak to Hamilton was interventional radiologist David Kumpe, MD, who threaded a catheter through Hamilton’s femoral artery to the clot in the right middle cerebral artery that caused the stroke. Kumpe delivered a second dose of
To say Rick Hamilton’s visit last week to the Neuro Intensive Care Unit at University of Colorado Hospital was different than the one he made last fall would be quite an understatement.
The last time the Illinois man had seen the unit and many of the providers who gathered there to greet him July 12, he was only hours removed from a brush with serious disability – if not death – caused by a stroke he suffered while on a Halloween Day flight from St. Louis to Salt Lake City.
After an emergency landing at Denver International Airport, paramedics rushed Hamilton to UCH, where a team of providers admitted him to the Emergency Department, assessed him, obtained and interpreted a CT image and administered clot-busting medication in a record 18 minutes.
After some additional tense moments and a four-day Neuro ICU stay, Hamilton walked out of the hospital with no residual effects from the stroke (Insider, Nov. 30, 2011).
“It’s rewarding to walk back through this journey and see the people who played this role,” Hamilton told the small crowd in the Neuro ICU.
Rick Hamilton (center, left), who suffered a stroke aboard an airplane last Halloween, applauds UCH providers during a visit to the Neuro ICU last week.
Hamilton speaks with neurohospitalist Matt West, MD, center, who was a member of the team that treated him. Hospitalist Ethan Cumbler, MD, stands far right.
Hamilton and West with ( from left) interventional radiologist David Kumpe and Neuro ICU Medical Director Robert Neumann, MD.
Volume 6 | Issue 2 | Through July 31, 2012 | Page 2
tissue plasminogen activator (tPA), this one directly to the clot, which dissolved.
Kumpe spoke of the good that came out of Hamilton’s ordeal. Referring to the hospital’s record-setting response to the case, Kumpe said, “Little has been said about the effect that you had on us. You set a benchmark for us.”
An avid golfer, Hamilton said he’s not quite back to playing 18 holes, but only because of a sore shoulder.
He was happy to come back under his own power to say thanks to those he met under far different circumstances.
“Thank you to the people who allowed me to do this,” Hamilton said.
For more on Hamilton’s visit to UCH, watch the story aired on 9News.
Volume 6 | Issue 2 | Through July 31, 2012
Subscribe: The Insider is delivered free via email every other Wednesday. To subscribe: uch-publications@uch.eduComment: We want your input, feedback, notices of stories we’ve missed. To comment: uch-insiderfeedback@uch.edu
Continued
Record-setting treatment
Stroke Victim Returns to Neuro ICU to Thank UCH Providers
Among those on hand to speak to Hamilton was interventional radiologist David Kumpe, MD, who threaded a catheter through Hamilton’s femoral artery to the clot in the right middle cerebral artery that caused the stroke. Kumpe delivered a second dose of
To say Rick Hamilton’s visit last week to the Neuro Intensive Care Unit at University of Colorado Hospital was different than the one he made last fall would be quite an understatement.
The last time the Illinois man had seen the unit and many of the providers who gathered there to greet him July 12, he was only hours removed from a brush with serious disability – if not death – caused by a stroke he suffered while on a Halloween Day flight from St. Louis to Salt Lake City.
After an emergency landing at Denver International Airport, paramedics rushed Hamilton to UCH, where a team of providers admitted him to the Emergency Department, assessed him, obtained and interpreted a CT image and administered clot-busting medication in a record 18 minutes.
After some additional tense moments and a four-day Neuro ICU stay, Hamilton walked out of the hospital with no residual effects from the stroke (Insider, Nov. 30, 2011).
“It’s rewarding to walk back through this journey and see the people who played this role,” Hamilton told the small crowd in the Neuro ICU.
Rick Hamilton (center, left), who suffered a stroke aboard an airplane last Halloween, applauds UCH providers during a visit to the Neuro ICU last week.
Hamilton speaks with neurohospitalist Matt West, MD, center, who was a member of the team that treated him. Hospitalist Ethan Cumbler, MD, stands far right.
Hamilton and West with ( from left) interventional radiologist David Kumpe and Neuro ICU Medical Director Robert Neumann, MD.
Volume 6 | Issue 2 | Through July 31, 2012
Subscribe: The Insider is delivered free via email every other Wednesday. To subscribe: uch-publications@uch.eduComment: We want your input, feedback, notices of stories we’ve missed. To comment: uch-insiderfeedback@uch.edu
Continued
Record-setting treatment
Stroke Victim Returns to Neuro ICU to Thank UCH Providers
Among those on hand to speak to Hamilton was interventional radiologist David Kumpe, MD, who threaded a catheter through Hamilton’s femoral artery to the clot in the right middle cerebral artery that caused the stroke. Kumpe delivered a second dose of
To say Rick Hamilton’s visit last week to the Neuro Intensive Care Unit at University of Colorado Hospital was different than the one he made last fall would be quite an understatement.
The last time the Illinois man had seen the unit and many of the providers who gathered there to greet him July 12, he was only hours removed from a brush with serious disability – if not death – caused by a stroke he suffered while on a Halloween Day flight from St. Louis to Salt Lake City.
After an emergency landing at Denver International Airport, paramedics rushed Hamilton to UCH, where a team of providers admitted him to the Emergency Department, assessed him, obtained and interpreted a CT image and administered clot-busting medication in a record 18 minutes.
After some additional tense moments and a four-day Neuro ICU stay, Hamilton walked out of the hospital with no residual effects from the stroke (Insider, Nov. 30, 2011).
“It’s rewarding to walk back through this journey and see the people who played this role,” Hamilton told the small crowd in the Neuro ICU.
Rick Hamilton (center, left), who suffered a stroke aboard an airplane last Halloween, applauds UCH providers during a visit to the Neuro ICU last week.
Hamilton speaks with neurohospitalist Matt West, MD, center, who was a member of the team that treated him. Hospitalist Ethan Cumbler, MD, stands far right.
Hamilton and West with ( from left) interventional radiologist David Kumpe and Neuro ICU Medical Director Robert Neumann, MD.
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