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Hospital

 

2
State Average

Patient Experience?

Current Current

Summary Star Rating

Below Average
NA
3%

Patient Experience

Would Recommend Hospital

66%
NA
70%

Received Information and Education

83%
NA
85%

Nurses Communicated Well

69%
NA
76%

Doctors Communicated Well

74%
NA
77%

Help Received When Wanted

52%
NA
63%

Staff Explained Medicine

54%
NA
62%

Patient Understood Care

47%
NA
44%

Patient Room and Bathroom Was Clean

58%
NA
72%

Quiet at Night

46%
NA
51%

Re-Hospitalizations?

Current Current

Hospitalwide Readmission Rate

Above Average
13.8%
(lower is better)
NA
(lower is better)
15%
(lower is better)

Patient Experience?

Current Current

Summary Star Rating

Below Average
NA
3%

Patient Experience

Would Recommend Hospital

66%
NA
70%

Received Information and Education

83%
NA
85%

Nurses Communicated Well

69%
NA
76%

Doctors Communicated Well

74%
NA
77%

Help Received When Wanted

52%
NA
63%

Staff Explained Medicine

54%
NA
62%

Patient Room and Bathroom Was Clean

58%
NA
72%

Quiet at Night

46%
NA
51%

Patients who reported they understood their care when they left the hospital

47%
NA
44%

Mother and Baby?

Current Current

C-Section Rate (NTSV)

Average
22.8%
(lower is better)
NA
(lower is better)
24.5%
(lower is better)

Breastfeeding Rate

Above Average
85.2%
NA
68.5%

Episiotomy Rate

Average
2.6%
(lower is better)
NA
(lower is better)
7.5%
(lower is better)

VBAC Routinely Available

Yes
NA
NA

VBAC Rate

Above Average
33.1%
NA
13.1%

Hip & Knee?

Current Current

Hip Fracture Death Rate

Average
2.2%
(lower is better)
NA
(lower is better)
2.75%
(lower is better)

Hip or Knee Surgery Readmission Rate

Average
3.7%
(lower is better)
NA
(lower is better)
4.3%
(lower is better)

Hip or Knee Surgery Complication Rate

Average
2%
(lower is better)
NA
(lower is better)
2.7%
(lower is better)

Hip & Knee Surgery Volume?

Low volume is associated with poor patient outcomes.
Current Current

Number of Primary and Revision Hip Surgeries

176
NA
0 - 1174

Number of Primary and Revision Knee Surgeries

181
NA
0 - 1608

Patient Safety?

Current Current

Complication Prevention

Unplanned Surgical Wound Reopening

Average
0.07%
(lower is better)
NA
(lower is better)
0.23%
(lower is better)

Death after Serious Treatable Complication

Average
15.65%
(lower is better)
NA
(lower is better)
13.86%
(lower is better)

Accidental Lung Puncture

Average
0.03%
(lower is better)
NA
(lower is better)
0.04%
(lower is better)

Healthcare Workers Given Influenza Vaccination

Average
84%
NA
83.6%

Gastrointestinal Hemorrhage Death Rate

Average
1.2%
(lower is better)
NA
(lower is better)
1.84%
(lower is better)

Sepsis Management

Average
55%
NA
57.29%

Antibiotic-Resistant Infections?

Current Current

MRSA Bloodstream Infections

Above Average
0
NA
1

VRE Bloodstream Infections

Average
1.47
(lower is better)
NA
(lower is better)
1
(lower is better)

C.diff Lab Identified Events (intestinal infections)

Average
0.94
NA
1

Infections Related to Catheters and Tubes?

Current Current

Central Line-Associated Bloodstream Infections in ICUs and Select Wards

Below Average
1.96
NA
1

Catheter-Associated Urinary Tract Infections in ICUs and Select Wards

Average
0.87
NA
1

Surgical Site Infections - Cardiovascular & Thoracic?

Current Current

Abdominal Aortic Aneurysm Repair

No rating
(lower is better)
NA
(lower is better)
NA
(lower is better)

Cardiac

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

CABG with Chest and Donor Site Incision

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

CABG with Chest Incision Only

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

Thoracic

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

C.diff lab identified events (intestinal infections)

Average
0.94
NA
1

Surgical Site Infections - Gastrointestinal?

Current Current

Abdominal

Average
0
(lower is better)
NA
(lower is better)
1
(lower is better)

Appendix

Average
1.72
(lower is better)
NA
(lower is better)
1
(lower is better)

Colon

Average
2.04
NA
1

Gastric

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

Rectal

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

Small Bowel

Average
0
(lower is better)
NA
(lower is better)
1
(lower is better)

Surgical Site Infections - Orthopedic?

Current Current

Hip Prosthesis

Average
0
(lower is better)
NA
(lower is better)
1
(lower is better)

Knee Prosthesis

Average
3.85
(lower is better)
NA
(lower is better)
1
(lower is better)

Laminectomy

Average
1.22
(lower is better)
NA
(lower is better)
1
(lower is better)

Open Reduction of Fracture

Average
0
(lower is better)
NA
(lower is better)
1
(lower is better)

Spinal Fusion

Average
0.43
(lower is better)
NA
(lower is better)
1
(lower is better)

Spinal Refusion

No rating
(lower is better)
NA
(lower is better)
NA
(lower is better)

Surgical Site Infections - OB/GYN?

Current Current

Cesarean Section

Average
0.41
(lower is better)
NA
(lower is better)
1
(lower is better)

Abdominal Hysterectomy

No rating
NA
1

Surgical Site Infections - Gallbladder/Liver Related?

Current Current

Bile Duct/Liver/Pancreatic

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

Gallbladder

Average
0
(lower is better)
NA
(lower is better)
1
(lower is better)

Surgical Site Infections - Organ Transplant?

Current Current

Kidney Transplant

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

Liver Transplant

No rating
(lower is better)
NA
(lower is better)
1
(lower is better)

Cancer Surgery - Number of Cases?

A low number may indicate greater risk of patient complications or death.
Number of Surgeries (2014) Number of Surgeries (2014)

Bladder Cancer

NA
NA
1 - 162

Brain Cancer

7
NA
1 - 354

Breast Cancer

75
NA
1 - 755

Colon Cancer

9
NA
1 - 129

Esophageal Cancer

NA
NA
1 - 48

Liver Cancer

2
NA
1 - 152

Lung Cancer

NA
NA
1 - 131

Pancreatic Cancer

2
NA
1 - 73

Prostate Cancer

3
NA
1 - 341

Rectal Cancer

1
NA
1 - 103

Stomach Cancer

3
NA
1 - 45

Emergency Department (ED) Care?

Current Current

Time in ED before being admitted

309 minutes
(lower is better)
NA
(lower is better)
363 minutes
(lower is better)

Time in ED before being sent home

188 minutes
(lower is better)
NA
(lower is better)
170 minutes
(lower is better)

Time in ED before being seen

28 minutes
(lower is better)
NA
(lower is better)
26 minutes
(lower is better)

Left the ED before being seen

Average
1%
(lower is better)
NA
(lower is better)
2.1%
(lower is better)

Time before receiving pain medication (patients with broken bones)

64 minutes
(lower is better)
NA
(lower is better)
59 minutes
(lower is better)

Brain scan results w/in 30 minutes (patients with stroke symptoms)

No rating
NA
74.6%

Time before ECG conducted (patients with possible heart attack)

12 minutes
(lower is better)
NA
(lower is better)
11 minutes
(lower is better)

Heart Attack?

Current Current

Death Rate

Average
12%
(lower is better)
NA
(lower is better)
13.3%
(lower is better)

Readmission Rate

Average
16%
(lower is better)
NA
(lower is better)
16.3%
(lower is better)

Angioplasty?

Current Current

Angioplasty (PTCA) - Number of Cases

No rating
NA
NA

Angioplasty (PTCA) - Death Rate

No rating
(lower is better)
NA
(lower is better)
3.78%
(lower is better)

Heart Bypass Surgery?

Current Current

CABG Death Rate - No Valve

No rating
(lower is better)
NA
(lower is better)
2.54%
(lower is better)

CABG Death Rate - With Valve

No rating
NA
8.32%

Postoperative Stroke

No rating
(lower is better)
NA
(lower is better)
1.36%
(lower is better)

Heart Failure?

Current Current

Death Rate

Average
13.6%
(lower is better)
NA
(lower is better)
11.4%
(lower is better)

Readmission Rate

Average
21.3%
(lower is better)
NA
(lower is better)
21.7%
(lower is better)

Pneumonia?

Current Current

Death Rate

Average
14.5%
(lower is better)
NA
(lower is better)
15.6%
(lower is better)

Readmission Rate

Average
15.9%
(lower is better)
NA
(lower is better)
17.1%
(lower is better)

Chronic Obstructive Pulmonary Disease (COPD)?

Current Current

Death Rate

Average
7.5%
(lower is better)
NA
(lower is better)
8.1%
(lower is better)

Readmission Rate

Average
18.6%
(lower is better)
NA
(lower is better)
19.8%
(lower is better)

Stroke?

Current Current

Death Rate

Average
11.9%
(lower is better)
NA
(lower is better)
14.2%
(lower is better)

Stroke Potentially Preventable Readmission Rate

Average
10.5%
(lower is better)
NA
(lower is better)
12.3%
(lower is better)

Surgeries / Other Conditions?

Current Current

Abdominal Aortic Aneurysm Repair - Number of Cases

No rating
NA
NA

Abdominal Aortic Aneurysm Repair - Death Rate

No rating
(lower is better)
NA
(lower is better)
3.63%
(lower is better)

Esophageal Resection - Death Rate

No rating
(lower is better)
NA
(lower is better)
11.73%
(lower is better)

Esophageal Resection - Number of Cases

No rating
NA
NA

Pancreatic Resection - Death Rate

No rating
(lower is better)
NA
(lower is better)
5.42%
(lower is better)

Pancreatic Resection - Number of Cases

No rating
NA
NA

Craniotomy Death Rate

Average
6.8%
(lower is better)
NA
(lower is better)
8.38%
(lower is better)

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