neurosciences outcomes 2013 - university of colorado hospital
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N e u r o s c i e N c e s o u t c o m e s | 2 0 1 3
ta bl e of c oN t e N t s4-7 // Volumes Outcomes
4 // Cerebrovascular / Hemorrhagic
4 // Cerebrovascular / Ischemic
4 // Cerebrovascular / Other
5 // Epilepsy
5 // Movement Disorder
5 // MS
6 // Neuromuscular
6 // Neuro-Oncology
6 // Other Neurology & Neurosurgery
7 // Surgery
7 // Total Inpatient and Outpatient Visits / UCH Neurosciences
8-11 // Stroke Outcomes
8 // Anticoag for AFib/Aflutter
8 // Antithrombotics Discharge
8 // Antithrombotics Early
9 // Dysphagia Screen
9 // DVT/VTE Prophylaxis
10 // LDL 100 or ND – Statin
10 // IV rt-PA / Arrive by 2 Hour, Treat by 3 Hour
11 // Rehabilitation Considered
11 // Smoking Cessation
11 // Stroke Education
12-13 // Survival Outcomes
12 // Brain (GBM Only) / 5 –Year Survival
12 // Brain (Including Benign Brain) / 5 –Year Survival
13 // Brain & CNS (Excluding Benign Brain) / 5 –Year Survival
13 // Pituitary Gland / 5 –Year Survival
14 // Mortality Outcomes
14 // Hemorrhagic
14 // Ischemic
15 // UCH Insider
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 University of Colorado Hospital is consistently named as one
of the top performing academic hospitals 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 one of the highest-performing academic hospitals in the
United States for delivering quality health care by the University HealthSystem Consortium for the past several
years, including consecutive #1 rankings 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.
Certified Comprehensive Stroke Center
4
v ol ume ou t c ome s d ata
153 197 225
997 848
1094
168 283 288
FY2011 FY2012 FY2013
Cerebrovascular/Ischemic Inpatient Admissions Inpatient Days
67 98 75
274
424 347
641
468 418
FY2011 FY2012 FY2013
Cerebrovascular/Other Inpatient Admissions Inpatient Days
370 424 378
2091 2398 2456
6645
7815
9312
FY2011 FY2012 FY2013
Other Neurology & Neurosurgery Volume Inpatient Admissions Inpatient Days
c e r e b r o v a s c u l a r / o t H e r
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
60 75 90 288 329 449
7891 8630
9241
FY2011 FY2012 FY2013
MS Volume Inpatient Admissions Inpatient Days Outpatient Visits
355 329 350
1842 1666 1881
3287 3045 3224
FY2011 FY2012 FY2013
Neuro-Oncology Inpatient Admissions Inpatient Days Outpatient Visits
118 127 141
1519
2005 2184
91 96 109
FY2011 FY2012 FY2013
Cerebrovascular/Hemorrhagic Inpatient Admissions Inpatient Days c e r e b r o v a s c u l a r / H e m o r r H a g i c
153 197 225
997 848
1094
168 283 288
FY2011 FY2012 FY2013
Cerebrovascular/Ischemic Inpatient Admissions Inpatient Days
67 98 75
274
424 347
641
468 418
FY2011 FY2012 FY2013
Cerebrovascular/Other Inpatient Admissions Inpatient Days
370 424 378
2091 2398 2456
6645
7815
9312
FY2011 FY2012 FY2013
Other Neurology & Neurosurgery Volume Inpatient Admissions Inpatient Days
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
c e r e b r o v a s c u l a r / i s c H e m i c
Based on the July 1 - June 30 fiscal year
5
60 75 90 288 329 449
7891 8630
9241
FY2011 FY2012 FY2013
MS Volume Inpatient Admissions Inpatient Days Outpatient Visits
355 329 350
1842 1666 1881
3287 3045 3224
FY2011 FY2012 FY2013
Neuro-Oncology Inpatient Admissions Inpatient Days Outpatient Visits
118 127 141
1519
2005 2184
91 96 109
FY2011 FY2012 FY2013
Cerebrovascular/Hemorrhagic Inpatient Admissions Inpatient Days
m s
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
1584 1732 1770
8681 9336 10402
28657 30387 33806
FY2011 FY2012 FY2013
Total Inpatient and Outpatient Visits Inpatient Admissions Inpatient Days Outpatient Visits
613 883 897 1010 1002
1159
1623 1885
2056
FY2011 FY2012 FY2013
Surgery Volumes Spine Surgery Neurosurg (excl Spine) Total Surgeries
350 359 368
1419 1360 1605
3708 4217 4480
FY2011 FY2012 FY2013
Epilepsy Volume Inpatient Admissions
e p i l e p s y
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
74 76 92 118 147 244
2784 2820 3073
FY2011 FY2012 FY2013
Movement Disorder Volume Inpatient Admissions Inpatient Days Outpatient Visits
37 47 51 133 159 142
3442
3013
3661
FY2011 FY2012 FY2013
Neuromuscular Inpatient Admissions Inpatient Days Outpatient Visits
m o v e m e N t d i s o r d e r
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Based on the July 1 - June 30 fiscal year
6
v ol ume ou t c ome s d ata
153 197 225
997 848
1094
168 283 288
FY2011 FY2012 FY2013
Cerebrovascular/Ischemic Inpatient Admissions Inpatient Days
67 98 75
274
424 347
641
468 418
FY2011 FY2012 FY2013
Cerebrovascular/Other Inpatient Admissions Inpatient Days
370 424 378
2091 2398 2456
6645
7815
9312
FY2011 FY2012 FY2013
Other Neurology & Neurosurgery Volume Inpatient Admissions Inpatient Days
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
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
74 76 92 118 147 244
2784 2820 3073
FY2011 FY2012 FY2013
Movement Disorder Volume Inpatient Admissions Inpatient Days Outpatient Visits
37 47 51 133 159 142
3442
3013
3661
FY2011 FY2012 FY2013
Neuromuscular Inpatient Admissions Inpatient Days Outpatient Visits N e u r o m u s c u l a r
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
60 75 90 288 329 449
7891 8630
9241
FY2011 FY2012 FY2013
MS Volume Inpatient Admissions Inpatient Days Outpatient Visits
355 329 350
1842 1666 1881
3287 3045 3224
FY2011 FY2012 FY2013
Neuro-Oncology Inpatient Admissions Inpatient Days Outpatient Visits
118 127 141
1519
2005 2184
91 96 109
FY2011 FY2012 FY2013
Cerebrovascular/Hemorrhagic Inpatient Admissions Inpatient Days
N e u r o - o N c o l o g y
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
Based on the July 1 - June 30 fiscal year
7
1584 1732 1770
8681 9336 10402
28657 30387 33806
FY2011 FY2012 FY2013
Total Inpatient and Outpatient Visits Inpatient Admissions Inpatient Days Outpatient Visits
613 883 897 1010 1002
1159
1623 1885
2056
FY2011 FY2012 FY2013
Surgery Volumes Spine Surgery Neurosurg (excl Spine) Total Surgeries
350 359 368
1419 1360 1605
3708 4217 4480
FY2011 FY2012 FY2013
Epilepsy Volume Inpatient Admissions
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
Inpatient Admissions Inpatient Days Outpatient VisitsK e y
1584 1732 1770
8681 9336 10402
28657 30387 33806
FY2011 FY2012 FY2013
Total Inpatient and Outpatient Visits Inpatient Admissions Inpatient Days Outpatient Visits
613 883 897 1010 1002
1159
1623 1885
2056
FY2011 FY2012 FY2013
Surgery Volumes Spine Surgery Neurosurg (excl Spine) Total Surgeries
350 359 368
1419 1360 1605
3708 4217 4480
FY2011 FY2012 FY2013
Epilepsy Volume Inpatient Admissions
s u r g e r y
Spine Neurosurgery (excluding spine) Total SurgeriesK e y
Based on the July 1 - June 30 fiscal year
8
s t roK e ou t c ome s d ata
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
92.3
%
90.9
%
90.9
%
100.
0%
100.
0%
75.8
%
80.5
%
83.2
%
84.9
%
87.1
%
79.7
%
80.6
%
80.5
%
84.8
%
91.0
%
64.5
%
73.9
%
76.6
%
78.9
%
82.5
%
91.8
%
91.8
%
91.6
%
91.6
%
92.4
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
IV rt-PA Arrive by 2 hour, treat by 3 hour UCH Academic Hospitals Colorado National
100.
0%
100.
0%
98.3
%
100.
0%
99.0
%
96.8
%
96.9
%
97.2
%
97.4
%
97.5
%
95.6
%
97.6
%
95.5
%
97.0
%
97.3
%
96.5
%
96.4
%
96.6
%
97.0
%
97.4
%
97.8
%
97.6
%
97.5
%
97.8
%
97.6
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Early Antithrombotics UCH Academic Hospitals Colorado National
100.
0%
100.
0%
97.7
%
97.8
%
98.3
%
94.9
%
94.0
%
94.9
%
95.0
%
94.9
%
96.9
%
94.4
%
91.7
%
94.5
%
94.3
%
92.8
%
92.6
%
91.7
%
93.2
%
93.8
%
96.8
%
96.2
%
97.1
%
97.1
%
96.7
%
FY2009 FY2010 FY2011 FY2012 FY2013*
Perc
ent o
f Pat
ient
s
DVT/VTE Prophylaxis UCH Academic Hospitals Colorado National
a N t i t H r o m b o t i c s e a r l y
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
98.3
%
98.6
%
98.8
%
98.8
%
98.9
%
97.4
%
98.0
%
98.0
%
98.7
%
99.1
%
97.2
%
97.6
%
97.4
%
97.8
%
98.2
%
98.9
%
99.2
%
99.3
%
99.2
%
98.9
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Antithrombotics at Discharge UCH Academic Hospitals Colorado National
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
95.3
%
95.7
%
95.4
%
95.5
%
96.1
%
94.0
%
94.7
%
90.9
%
92.5
%
94.7
%
93.5
%
93.4
%
93.3
%
93.2
%
93.9
%
97.8
%
98.4
%
98.8
%
97.7
%
98.2
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Anticoag for Afib/Aflutter UCH Academic Hospitals Colorado National
87.5
%
100.
0%
96.2
%
100.
0%
100.
0%
83.5
%
92.6
%
92.8
%
94.1
%
95.3
%
71.4
%
88.3
%
86.5
%
89.7
%
93.3
%
75.5
%
87.6
%
88.5
%
89.6
%
91.9
%
88.0
%
95.8
%
94.8
%
95.0
%
96.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
LDL 100 or ND-Statin UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
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 National Comprehensive Stroke CentersK e y
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
98.3
%
98.6
%
98.8
%
98.8
%
98.9
%
97.4
%
98.0
%
98.0
%
98.7
%
99.1
%
97.2
%
97.6
%
97.4
%
97.8
%
98.2
%
98.9
%
99.2
%
99.3
%
99.2
%
98.9
%
FY2009 FY2010 FY2011 FY2012 FY2013 Pe
rcen
t of P
atie
nts
Antithrombotics at Discharge UCH Academic Hospitals Colorado National
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
95.3
%
95.7
%
95.4
%
95.5
%
96.1
%
94.0
%
94.7
%
90.9
%
92.5
%
94.7
%
93.5
%
93.4
%
93.3
%
93.2
%
93.9
%
97.8
%
98.4
%
98.8
%
97.7
%
98.2
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Anticoag for Afib/Aflutter UCH Academic Hospitals Colorado National
87.5
%
100.
0%
96.2
%
100.
0%
100.
0%
83.5
%
92.6
%
92.8
%
94.1
%
95.3
%
71.4
%
88.3
%
86.5
%
89.7
%
93.3
%
75.5
%
87.6
%
88.5
%
89.6
%
91.9
%
88.0
%
95.8
%
94.8
%
95.0
%
96.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
LDL 100 or ND-Statin 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
Based on the July 1 - June 30 fiscal year
9
60.3
%
68.1
%
84.8
%
97.4
%
94.0
%
74.5
%
82.2
%
87.2
%
90.0
%
91.6
%
55.7
%
70.3
%
70.9
%
86.6
%
92.1
%
67.9
%
75.0
%
80.6
%
85.3
%
89.0
%
83.2
%
87.9
%
90.8
%
92.9
%
93.7
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Stroke Education UCH Academic Hospitals Colorado National
95.6
%
98.8
%
100.
0%
99.3
%
100.
0%
96.3
%
97.3
%
97.7
%
97.8
%
97.8
%
92.9
%
95.8
%
95.9
%
96.3
%
96.3
%
94.8
%
96.4
%
96.6
%
96.8
%
97.3
%
97.5
%
98.4
%
98.7
%
98.7
%
98.5
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Rehabilitation Considered UCH Academic Hospitals Colorado National
57.0
%
84.5
%
90.9
%
95.4
%
87.6
%
75.1
%
79.9
%
82.1
%
84.1
%
84.4
%
65.7
%
71.7
%
72.0
%
73.4
%
77.9
%
71.0
%
75.9
%
78.0
%
80.0
%
82.1
%
84.2
%
88.1
%
87.8
%
88.5
%
88.3
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Dysphagia Screen UCH Academic Hospitals Colorado National
96.8
%
100.
0%
100.
0%
96.3
%
94.4
%
96.0
%
97.1
%
97.5
%
97.6
%
97.7
%
92.9
%
92.7
%
97.1
%
96.2
%
96.7
%
95.0
%
96.2
%
96.6
%
97.0
%
97.0
%
97.2
%
97.9
%
98.0
%
97.4
%
98.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Smoking Cessation UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
d y s p H a g i a s c r e e N
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
92.3
%
90.9
%
90.9
%
100.
0%
100.
0%
75.8
%
80.5
%
83.2
%
84.9
%
87.1
%
79.7
%
80.6
%
80.5
%
84.8
%
91.0
%
64.5
%
73.9
%
76.6
%
78.9
%
82.5
%
91.8
%
91.8
%
91.6
%
91.6
%
92.4
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
IV rt-PA Arrive by 2 hour, treat by 3 hour UCH Academic Hospitals Colorado National
100.
0%
100.
0%
98.3
%
100.
0%
99.0
%
96.8
%
96.9
%
97.2
%
97.4
%
97.5
%
95.6
%
97.6
%
95.5
%
97.0
%
97.3
%
96.5
%
96.4
%
96.6
%
97.0
%
97.4
%
97.8
%
97.6
%
97.5
%
97.8
%
97.6
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Early Antithrombotics UCH Academic Hospitals Colorado National
100.
0%
100.
0%
97.7
%
97.8
%
98.3
%
94.9
%
94.0
%
94.9
%
95.0
%
94.9
%
96.9
%
94.4
%
91.7
%
94.5
%
94.3
%
92.8
%
92.6
%
91.7
%
93.2
%
93.8
%
96.8
%
96.2
%
97.1
%
97.1
%
96.7
%
FY2009 FY2010 FY2011 FY2012 FY2013*
Perc
ent o
f Pat
ient
s
DVT/VTE Prophylaxis UCH Academic Hospitals Colorado National
d v t / v t e p r o p H y l a x i s
Based on the July 1 - June 30 fiscal year
10
s t roK e ou t c ome s d ata92
.3%
90.9
%
90.9
%
100.
0%
100.
0%
75.8
%
80.5
%
83.2
%
84.9
%
87.1
%
79.7
%
80.6
%
80.5
%
84.8
%
91.0
%
64.5
%
73.9
%
76.6
%
78.9
%
82.5
%
91.8
%
91.8
%
91.6
%
91.6
%
92.4
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
IV rt-PA Arrive by 2 hour, treat by 3 hour UCH Academic Hospitals Colorado National
100.
0%
100.
0%
98.3
%
100.
0%
99.0
%
96.8
%
96.9
%
97.2
%
97.4
%
97.5
%
95.6
%
97.6
%
95.5
%
97.0
%
97.3
%
96.5
%
96.4
%
96.6
%
97.0
%
97.4
%
97.8
%
97.6
%
97.5
%
97.8
%
97.6
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Early Antithrombotics UCH Academic Hospitals Colorado National
100.
0%
100.
0%
97.7
%
97.8
%
98.3
%
94.9
%
94.0
%
94.9
%
95.0
%
94.9
%
96.9
%
94.4
%
91.7
%
94.5
%
94.3
%
92.8
%
92.6
%
91.7
%
93.2
%
93.8
%
96.8
%
96.2
%
97.1
%
97.1
%
96.7
%
FY2009 FY2010 FY2011 FY2012 FY2013*
Perc
ent o
f Pat
ient
s
DVT/VTE Prophylaxis UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK 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
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
98.3
%
98.6
%
98.8
%
98.8
%
98.9
%
97.4
%
98.0
%
98.0
%
98.7
%
99.1
%
97.2
%
97.6
%
97.4
%
97.8
%
98.2
%
98.9
%
99.2
%
99.3
%
99.2
%
98.9
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Antithrombotics at Discharge UCH Academic Hospitals Colorado National
100.
0%
100.
0%
100.
0%
100.
0%
100.
0%
95.3
%
95.7
%
95.4
%
95.5
%
96.1
%
94.0
%
94.7
%
90.9
%
92.5
%
94.7
%
93.5
%
93.4
%
93.3
%
93.2
%
93.9
%
97.8
%
98.4
%
98.8
%
97.7
%
98.2
%
FY2009 FY2010 FY2011 FY2012 FY2013 Pe
rcen
t of P
atie
nts
Anticoag for Afib/Aflutter UCH Academic Hospitals Colorado National
87.5
%
100.
0%
96.2
%
100.
0%
100.
0%
83.5
%
92.6
%
92.8
%
94.1
%
95.3
%
71.4
%
88.3
%
86.5
%
89.7
%
93.3
%
75.5
%
87.6
%
88.5
%
89.6
%
91.9
%
88.0
%
95.8
%
94.8
%
95.0
%
96.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
LDL 100 or ND-Statin UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
l d l 1 0 0 o r N d – s t a t i N
Based on the July 1 - June 30 fiscal year
11
60.3
%
68.1
%
84.8
%
97.4
%
94.0
%
74.5
%
82.2
%
87.2
%
90.0
%
91.6
%
55.7
%
70.3
%
70.9
%
86.6
%
92.1
%
67.9
%
75.0
%
80.6
%
85.3
%
89.0
%
83.2
%
87.9
%
90.8
%
92.9
%
93.7
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Stroke Education UCH Academic Hospitals Colorado National
95.6
%
98.8
%
100.
0%
99.3
%
100.
0%
96.3
%
97.3
%
97.7
%
97.8
%
97.8
%
92.9
%
95.8
%
95.9
%
96.3
%
96.3
%
94.8
%
96.4
%
96.6
%
96.8
%
97.3
%
97.5
%
98.4
%
98.7
%
98.7
%
98.5
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Rehabilitation Considered UCH Academic Hospitals Colorado National
57.0
%
84.5
%
90.9
%
95.4
%
87.6
%
75.1
%
79.9
%
82.1
%
84.1
%
84.4
%
65.7
%
71.7
%
72.0
%
73.4
%
77.9
%
71.0
%
75.9
%
78.0
%
80.0
%
82.1
%
84.2
%
88.1
%
87.8
%
88.5
%
88.3
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Dysphagia Screen UCH Academic Hospitals Colorado National
96.8
%
100.
0%
100.
0%
96.3
%
94.4
%
96.0
%
97.1
%
97.5
%
97.6
%
97.7
%
92.9
%
92.7
%
97.1
%
96.2
%
96.7
%
95.0
%
96.2
%
96.6
%
97.0
%
97.0
%
97.2
%
97.9
%
98.0
%
97.4
%
98.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Smoking Cessation UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
s t r o K e e d u c a t i o N
60.3
%
68.1
%
84.8
%
97.4
%
94.0
%
74.5
%
82.2
%
87.2
%
90.0
%
91.6
%
55.7
%
70.3
%
70.9
%
86.6
%
92.1
%
67.9
%
75.0
%
80.6
%
85.3
%
89.0
%
83.2
%
87.9
%
90.8
%
92.9
%
93.7
%
FY2009 FY2010 FY2011 FY2012 FY2013 Pe
rcen
t of P
atie
nts
Stroke Education UCH Academic Hospitals Colorado National
95.6
%
98.8
%
100.
0%
99.3
%
100.
0%
96.3
%
97.3
%
97.7
%
97.8
%
97.8
%
92.9
%
95.8
%
95.9
%
96.3
%
96.3
%
94.8
%
96.4
%
96.6
%
96.8
%
97.3
%
97.5
%
98.4
%
98.7
%
98.7
%
98.5
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Rehabilitation Considered UCH Academic Hospitals Colorado National
57.0
%
84.5
%
90.9
%
95.4
%
87.6
%
75.1
%
79.9
%
82.1
%
84.1
%
84.4
%
65.7
%
71.7
%
72.0
%
73.4
%
77.9
%
71.0
%
75.9
%
78.0
%
80.0
%
82.1
%
84.2
%
88.1
%
87.8
%
88.5
%
88.3
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Dysphagia Screen UCH Academic Hospitals Colorado National
96.8
%
100.
0%
100.
0%
96.3
%
94.4
%
96.0
%
97.1
%
97.5
%
97.6
%
97.7
%
92.9
%
92.7
%
97.1
%
96.2
%
96.7
%
95.0
%
96.2
%
96.6
%
97.0
%
97.0
%
97.2
%
97.9
%
98.0
%
97.4
%
98.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Smoking Cessation UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
r e H a b i l i t a t i o N c o N s i d e r e d
Based on the July 1 - June 30 fiscal year
60.3
%
68.1
%
84.8
%
97.4
%
94.0
%
74.5
%
82.2
%
87.2
%
90.0
%
91.6
%
55.7
%
70.3
%
70.9
%
86.6
%
92.1
%
67.9
%
75.0
%
80.6
%
85.3
%
89.0
%
83.2
%
87.9
%
90.8
%
92.9
%
93.7
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Stroke Education UCH Academic Hospitals Colorado National
95.6
%
98.8
%
100.
0%
99.3
%
100.
0%
96.3
%
97.3
%
97.7
%
97.8
%
97.8
%
92.9
%
95.8
%
95.9
%
96.3
%
96.3
%
94.8
%
96.4
%
96.6
%
96.8
%
97.3
%
97.5
%
98.4
%
98.7
%
98.7
%
98.5
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Rehabilitation Considered UCH Academic Hospitals Colorado National
57.0
%
84.5
%
90.9
%
95.4
%
87.6
%
75.1
%
79.9
%
82.1
%
84.1
%
84.4
%
65.7
%
71.7
%
72.0
%
73.4
%
77.9
%
71.0
%
75.9
%
78.0
%
80.0
%
82.1
%
84.2
%
88.1
%
87.8
%
88.5
%
88.3
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Dysphagia Screen UCH Academic Hospitals Colorado National
96.8
%
100.
0%
100.
0%
96.3
%
94.4
%
96.0
%
97.1
%
97.5
%
97.6
%
97.7
%
92.9
%
92.7
%
97.1
%
96.2
%
96.7
%
95.0
%
96.2
%
96.6
%
97.0
%
97.0
%
97.2
%
97.9
%
98.0
%
97.4
%
98.1
%
FY2009 FY2010 FY2011 FY2012 FY2013
Perc
ent o
f Pat
ient
s
Smoking Cessation UCH Academic Hospitals Colorado National
UCH Academic Hospitals Colorado National Comprehensive Stroke CentersK e y
s m o K i N g c e s s a t i o N
12
s ur v i va l ou t c ome s d ata
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
UCH ColoradoK e y
73%
61% 54%
49% 47% 58%
45% 38% 36% 34%
52%
36% 30%
37%
25%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain & CNS (Malignant Only
UCH State National
74% 62%
55% 51% 49% 61%
48% 42% 40% 38%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (Including Benign) UCH State
50%
25%
14% 10% 10%
37%
15% 8% 5% 4%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (GBM Only) UCH State
99% 98% 98% 97%
94% 96%
94% 93%
91%
88%
Year 1 Year 2 Year 3 Year 4 Year 5
Pituitary Gland
Observed survival data based on patients diagnosed between 2003 – 2005.
Observed survival data based on patients diagnosed between 2003 – 2006.
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
74%
62% 55% 51% 49%
61%
48% 42% 40% 38%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (Including Benign) UCH State
UCH Colorado K e y
Based on the July 1 - June 30 fiscal year
13
73%
61% 54%
49% 47% 58%
45% 38% 36% 34%
52%
36% 30%
37%
25%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain & CNS (Malignant Only
UCH State National
74% 62%
55% 51% 49% 61%
48% 42% 40% 38%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (Including Benign) UCH State
50%
25%
14% 10% 10%
37%
15% 8% 5% 4%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (GBM Only) UCH State
99% 98% 98% 97%
94% 96%
94% 93%
91%
88%
Year 1 Year 2 Year 3 Year 4 Year 5
Pituitary Gland p i t u i t a r y g l a N d / 5 – y e a r s u r v i v a l
UCH ColoradoK e yObserved survival data based on patients diagnosed between 2003 – 2005.
Observed survival data based on patients diagnosed between 2003 – 2006.
73%
61% 54%
49% 47% 58%
45% 38% 36% 34%
52%
36% 30%
37%
25%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain & CNS (Malignant Only
UCH State National
74% 62%
55% 51% 49% 61%
48% 42% 40% 38%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (Including Benign) UCH State
50%
25%
14% 10% 10%
37%
15% 8% 5% 4%
Year 1 Year 2 Year 3 Year 4 Year 5
Brain (GBM Only) UCH State
99% 98% 98% 97%
94% 96%
94% 93%
91%
88%
Year 1 Year 2 Year 3 Year 4 Year 5
Pituitary Gland
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
UCH Colorado NationalK e y
Based on the July 1 - June 30 fiscal year
14
mortalit y outcomes data
H e m o r r H a g i cLower is better (compared to national averages from UHC Reporting Hospitals)
UCH
UHC Reporting HospitalsK e y. 29 loWer tHaN uHc reportiNg Hospital s
0.77 0.87
0.6
1.07 0.96
0.89
FY2011 FY2012 FY2013
Hemorrhagic UCH All UHC
Based on the July 1 - June 30 fiscal year
i s c H e m i cLower is better (compared to national averages from UHC Reporting Hospitals)
UCH
UHC Reporting HospitalsK e y .08 loWer tHaN uHc reportiNg Hospital s
0.72 0.8
0.71
1.1
0.9 0.79
FY2011 FY2012 FY2013
Ischemic
UCH All UHC
0.77 0.87
0.6
1.07 0.96
0.89
FY2011 FY2012 FY2013
Hemorrhagic
UCH All UHC
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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