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National Quality Measures
The first Performance Report for the public, issued by Middlesex Hospital in 2004, outlined how the hospital "measured up" to several national standards of patient care established by the Centers for Medicare and Medicaid Services (CMS). As part of this program, which was voluntary at the time, participating hospitals, including Middlesex, were evaluated on a series of treatment steps for certain medical conditions that had been established as "standards" for effective medical care. Since then, this program has become a permanent and continuous requirement for all hospitals nationally. In that first report, the hospital promised to continue reporting on its performance. The following information and charts provide updated information on how successful Middlesex has been in providing these "standard" treatments from January to March 2007.

Treating Congestive Heart Failure (CHF)
Congestive Heart Failure (CHF) is a chronic disease that occurs when the heart muscle has been damaged and can no longer effectively pump blood to the rest of the body. Research has identified the following indicators as key components of quality in treating patients who suffer from CHF.

Treating Heart Attacks — Acute Myocardial Infarction (AMI)
When blood flow in the artieries to the heart muscle is completely blocked, part of the heart muscle dies, causing an acute myocardial infarction (commonly referred to as a heart attack). The following treatments have proven to be effective in heart attack victims.

Treating Pneumonia
There are several kinds of pneumonia, including viral pneumonia and bacterial pneumonial. Bacterial pneumonia is usually the most serious and is a common cause of hospitalization and death among old people. Research has identified the following indicators to be key components of quality care in treating patients with pneumonia.

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