BAPTIST HOSPITAL NORTHEAST (LA GRANGE, KY) Detailed Hospital Profile

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	3.100%
State:	8.052%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.033%
State:	0.126%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	6.100%
State:	5.467%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.0%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	5
State:	7

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Hospital:	100.0%
State:	96.4%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
State:	97.6%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	100.0%
Kentucky:	92.9%

Percent of Patients Given Discharge Instructions

Here:	95.0%
State:	88.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.3%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	100.0%
Kentucky:	95.8%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	99.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	98.0%
Kentucky:	98.6%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	97.0%
State:	92.0%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Kentucky:	92.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
State:	95.3%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	100.0%
State:	98.4%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:	99.0%
State:	97.0%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	99.0%
State:	98.6%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	98.0%
Kentucky:	96.4%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Hospital:	99.0%
Kentucky:	97.6%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	100.0%
State:	99.9%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	100.0%
State:	93.0%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	100.0%
State:	96.3%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	99.0%
Kentucky:	95.1%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	100.0%
State:	95.4%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

Here:	100.0%
Kentucky:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	16.4%
Kentucky:	15.4%

30-Day Mortality Rates from Heart Failure

This Hospital:	9.9%
State:	11.4%

30-Day Mortality Rates from Pneumonia

Here:	10.6%
State:	12.4%

30-Day Readmission Rates from Heart Attack

This Hospital:	18.0%
Kentucky:	20.5%

30-Day Readmission Rates from Heart Failure

Here:	23.5%
Kentucky:	25.2%

30-Day Readmission Rates from Pneumonia

Here:	16.6%
State:	19.4%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.856%
State:	0.802%

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain

Here:	58.9%
Kentucky:	25.0%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Hospital:	1.0%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Hospital:	100.0%
Kentucky:	88.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	87.8%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	1.3%
State:	3.4%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$5,549
Kentucky:	$11,894

Average Total Payments

Here:	$3,243
Kentucky:	$3,657

Number of discharges: 13

This Hospital:	1.76%
Kentucky:	0.71%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$12,885
Kentucky:	$15,106

Average Total Payments

This Hospital:	$4,678
State:	$5,206

Number of discharges: 20

This Hospital:	2.70%
Kentucky:	1.30%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$8,840
State:	$10,390

Average Total Payments

Here:	$3,159
Kentucky:	$3,523

Number of discharges: 20

This Hospital:	2.70%
Kentucky:	1.82%

Cellulitis without Major Complications

Average Covered Charges

Here:	$9,223
State:	$13,744

Average Total Payments

This Hospital:	$4,586
State:	$5,175

Number of discharges: 32

This Hospital:	4.32%
State:	1.73%

Chest Pain

Average Covered Charges

Here:	$8,639
State:	$12,630

Average Total Payments

Here:	$3,061
Kentucky:	$3,521

Number of discharges: 44

This Hospital:	5.95%
Kentucky:	2.06%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$10,080
Kentucky:	$17,372

Average Total Payments

Here:	$5,360
State:	$5,992

Number of discharges: 24

Here:	3.24%
State:	2.84%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$15,443
Kentucky:	$20,645

Average Total Payments

Here:	$6,641
State:	$7,341

Number of discharges: 27

Here:	3.65%
State:	2.94%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$10,868
Kentucky:	$13,107

Average Total Payments

Here:	$4,092
State:	$4,458

Number of discharges: 14

This Hospital:	1.89%
State:	3.01%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$9,754
State:	$13,998

Average Total Payments

Here:	$4,000
Kentucky:	$4,507

Number of discharges: 50

This Hospital:	6.76%
State:	3.82%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$16,179
Kentucky:	$18,407

Average Total Payments

This Hospital:	$5,709
Kentucky:	$6,339

Number of discharges: 31

This Hospital:	4.19%
State:	1.93%

G.I. Hemorrhage without Complications

Average Covered Charges

Here:	$10,083
State:	$13,654

Average Total Payments

This Hospital:	$3,979
Kentucky:	$4,398

Number of discharges: 14

Here:	1.89%
Kentucky:	0.45%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$11,874
State:	$16,781

Average Total Payments

Here:	$5,192
Kentucky:	$5,762

Number of discharges: 11

This Hospital:	1.49%
Kentucky:	0.52%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$12,951
Kentucky:	$16,913

Average Total Payments

This Hospital:	$5,718
Kentucky:	$6,315

Number of discharges: 36

Here:	4.86%
Kentucky:	3.15%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$27,435
Kentucky:	$26,625

Average Total Payments

Here:	$9,363
State:	$9,229

Number of discharges: 17

This Hospital:	2.30%
Kentucky:	2.66%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$9,170
Kentucky:	$11,669

Average Total Payments

Here:	$3,769
State:	$4,186

Number of discharges: 23

Here:	3.11%
Kentucky:	1.54%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$28,011
Kentucky:	$36,810

Average Total Payments

This Hospital:	$10,521
State:	$11,509

Number of discharges: 12

Here:	1.62%
State:	0.94%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$11,191
Kentucky:	$19,880

Average Total Payments

Here:	$6,508
Kentucky:	$7,246

Number of discharges: 13

This Hospital:	1.76%
Kentucky:	0.98%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$7,664
State:	$13,466

Average Total Payments

This Hospital:	$4,375
State:	$4,783

Number of discharges: 23

This Hospital:	3.11%
State:	2.86%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$32,424
State:	$42,051

Average Total Payments

This Hospital:	$11,774
State:	$13,336

Number of discharges: 37

This Hospital:	5.00%
State:	4.90%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$8,147
State:	$12,072

Average Total Payments

This Hospital:	$3,763
State:	$4,289

Number of discharges: 26

Here:	3.51%
Kentucky:	2.14%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$8,348
State:	$14,170

Average Total Payments

Here:	$4,417
State:	$4,959

Number of discharges: 11

Here:	1.49%
State:	1.23%

Renal Failure with Complications

Average Covered Charges

Here:	$9,765
State:	$16,969

Average Total Payments

Here:	$5,367
Kentucky:	$6,346

Number of discharges: 21

Here:	2.84%
Kentucky:	2.10%

Renal Failure with Major Complications

Average Covered Charges

Here:	$13,117
State:	$28,420

Average Total Payments

This Hospital:	$9,089
Kentucky:	$10,235

Number of discharges: 11

This Hospital:	1.49%
State:	1.38%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$15,528
State:	$25,625

Average Total Payments

Here:	$7,821
State:	$9,061

Number of discharges: 15

This Hospital:	2.03%
Kentucky:	0.86%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$23,814
State:	$35,535

Average Total Payments

Here:	$11,055
State:	$12,449

Number of discharges: 15

Here:	2.03%
State:	1.04%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$24,703
State:	$43,386

Average Total Payments

Here:	$12,660
Kentucky:	$14,679

Number of discharges: 18

This Hospital:	2.43%
Kentucky:	1.27%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

Here:	$21,557
Kentucky:	$34,004

Average Total Payments

Here:	$10,058
Kentucky:	$11,802

Number of discharges: 24

This Hospital:	3.24%
State:	3.65%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$14,402
State:	$17,934

Average Total Payments

Here:	$5,644
Kentucky:	$6,263

Number of discharges: 46

Here:	6.22%
State:	3.27%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$19,974
State:	$25,985

Average Total Payments

This Hospital:	$8,080
State:	$9,009

Number of discharges: 22

This Hospital:	2.97%
State:	2.34%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$9,430
State:	$13,217

Average Total Payments

This Hospital:	$3,933
Kentucky:	$4,395

Number of discharges: 18

This Hospital:	2.43%
Kentucky:	1.49%

Syncope and Collapse

Average Covered Charges

Here:	$9,765
Kentucky:	$14,708

Average Total Payments

This Hospital:	$4,028
State:	$4,466

Number of discharges: 35

Here:	4.73%
State:	2.00%

Transient Ischemia

Average Covered Charges

This Hospital:	$11,047
Kentucky:	$16,834

Average Total Payments

Here:	$4,063
Kentucky:	$4,577

Number of discharges: 17

Here:	2.30%
State:	1.25%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	4%

Usually

Here:	16%
Kentucky:	16%

Always

Here:	80%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
Kentucky:	3%

Usually

Here:	17%
Kentucky:	13%

Always

This Hospital:	79%
Kentucky:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
Kentucky:	9%

Usually

Here:	24%
State:	23%

Always

This Hospital:	66%
State:	68%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
Kentucky:	7%

Usually

Here:	21%
State:	21%

Always

This Hospital:	72%
Kentucky:	72%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	18%
Kentucky:	19%

Usually

Here:	19%
Kentucky:	17%

Always

This Hospital:	63%
State:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Hospital:	10%
State:	8%

Usually

This Hospital:	22%
State:	18%

Always

This Hospital:	68%
Kentucky:	74%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:	10%
Kentucky:	9%

Usually

This Hospital:	36%
State:	29%

Always

This Hospital:	54%
Kentucky:	62%

Were patients given information about what to do during their recovery at home?

Yes

This Hospital:	86%
State:	83%

Here:	14%
State:	17%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	7%
State:	8%

7 or 8

Here:	23%
State:	22%

9 or 10

Here:	70%
Kentucky:	70%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	5%

Yes, probably

This Hospital:	23%
State:	24%

Yes, definitely

Here:	73%
State:	71%

Complaint Deficiency

Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Some

BAPTIST HOSPITAL NORTHEAST - LA GRANGE, KY

Use of Medical Imaging

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Quality Measures

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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