BROWNWOOD REGIONAL MEDICAL CENTER (BROWNWOOD, TX) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
State:	5%

Usually

This Hospital:	20%
Texas:	17%

Always

Here:	74%
Texas:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
State:	4%

Usually

This Hospital:	15%
State:	13%

Always

This Hospital:	83%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
Texas:	10%

Usually

This Hospital:	28%
Texas:	23%

Always

Here:	62%
Texas:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
Texas:	7%

Usually

This Hospital:	25%
State:	21%

Always

Here:	69%
State:	72%

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

Sometimes or never

Here:	22%
Texas:	19%

Usually

This Hospital:	20%
State:	17%

Always

This Hospital:	58%
Texas:	64%

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

Sometimes or never

Here:	11%
State:	9%

Usually

This Hospital:	25%
State:	18%

Always

Here:	64%
Texas:	73%

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

Sometimes or never

Here:	10%
State:	8%

Usually

Here:	31%
State:	25%

Always

Here:	59%
Texas:	67%

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

Yes

Here:	81%
Texas:	83%

This Hospital:	19%
Texas:	17%

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

6 or lower

Here:	10%
Texas:	8%

7 or 8

This Hospital:	28%
Texas:	21%

9 or 10

This Hospital:	62%
Texas:	71%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	5%

Yes, probably

This Hospital:	35%
State:	23%

Yes, definitely

This Hospital:	59%
State:	72%

Complaint Deficiency

Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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

Quality Measures

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

Here:	0.8%
State:	1.4%

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

This Hospital:	86.4%
State:	76.2%

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

This Hospital:	93.0%
Texas:	74.3%

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

Here:	4.6%
Texas:	3.6%

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

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$19,205
State:	$21,485

Average Total Payments

Here:	$3,204
Texas:	$3,893

Number of discharges: 25

Here:	1.41%
Texas:	0.32%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$27,781
State:	$25,580

Average Total Payments

Here:	$4,558
Texas:	$5,548

Number of discharges: 30

This Hospital:	1.69%
Texas:	1.35%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$62,609
Texas:	$39,117

Average Total Payments

This Hospital:	$8,065
Texas:	$8,276

Number of discharges: 11

Here:	0.62%
State:	0.84%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$23,091
Texas:	$17,909

Average Total Payments

Here:	$3,180
State:	$3,737

Number of discharges: 36

This Hospital:	2.03%
Texas:	1.48%

Cellulitis without Major Complications

Average Covered Charges

Here:	$27,363
State:	$22,187

Average Total Payments

This Hospital:	$4,553
Texas:	$5,512

Number of discharges: 57

This Hospital:	3.21%
State:	2.13%

Chest Pain

Average Covered Charges

This Hospital:	$17,596
Texas:	$21,153

Average Total Payments

This Hospital:	$3,047
Texas:	$3,684

Number of discharges: 59

This Hospital:	3.32%
Texas:	1.64%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$31,685
State:	$29,940

Average Total Payments

This Hospital:	$5,347
Texas:	$6,395

Number of discharges: 49

This Hospital:	2.76%
Texas:	2.05%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$39,706
State:	$35,718

Average Total Payments

Here:	$6,324
State:	$7,640

Number of discharges: 57

This Hospital:	3.21%
State:	2.27%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$27,900
State:	$22,469

Average Total Payments

This Hospital:	$3,960
State:	$4,747

Number of discharges: 43

Here:	2.42%
State:	1.59%

Degenerative Nervous System Disorders without Major Complications

Average Covered Charges

This Hospital:	$20,395
State:	$29,257

Average Total Payments

This Hospital:	$5,055
State:	$6,351

Number of discharges: 12

This Hospital:	0.68%
Texas:	0.30%

Diabetes with Complications

Average Covered Charges

This Hospital:	$28,389
State:	$25,425

Average Total Payments

This Hospital:	$4,539
Texas:	$5,709

Number of discharges: 12

This Hospital:	0.68%
State:	0.71%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

This Hospital:	$70,353
Texas:	$38,893

Average Total Payments

This Hospital:	$7,919
Texas:	$8,137

Number of discharges: 15

Here:	0.84%
Texas:	0.68%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$28,247
Texas:	$24,361

Average Total Payments

Here:	$3,957
State:	$4,830

Number of discharges: 105

Here:	5.91%
State:	3.07%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$15,437
Texas:	$19,689

Average Total Payments

Here:	$3,869
State:	$4,633

Number of discharges: 18

This Hospital:	1.01%
Texas:	0.27%

Fx, Sprn, Strn and Disl Except Femur, Hip, Pelvis and Thigh without Major Complications

Average Covered Charges

This Hospital:	$18,223
State:	$22,552

Average Total Payments

This Hospital:	$3,843
State:	$4,696

Number of discharges: 15

This Hospital:	0.84%
Texas:	0.19%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$29,519
State:	$30,533

Average Total Payments

This Hospital:	$5,444
Texas:	$6,742

Number of discharges: 24

Here:	1.35%
State:	1.83%

G.I. Hemorrhage without Complications

Average Covered Charges

Here:	$23,250
Texas:	$21,763

Average Total Payments

Here:	$3,925
Texas:	$4,668

Number of discharges: 11

This Hospital:	0.62%
State:	0.43%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$34,026
State:	$29,852

Average Total Payments

This Hospital:	$5,525
State:	$6,718

Number of discharges: 42

This Hospital:	2.36%
Texas:	3.09%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$52,651
Texas:	$46,288

Average Total Payments

This Hospital:	$8,475
State:	$9,846

Number of discharges: 24

Here:	1.35%
Texas:	2.71%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$22,070
State:	$20,982

Average Total Payments

This Hospital:	$3,728
State:	$4,507

Number of discharges: 26

Here:	1.46%
State:	1.18%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$49,329
Texas:	$55,186

Average Total Payments

This Hospital:	$10,362
State:	$11,865

Number of discharges: 36

This Hospital:	2.03%
State:	1.25%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

This Hospital:	$37,145
State:	$44,529

Average Total Payments

This Hospital:	$8,441
State:	$9,899

Number of discharges: 40

Here:	2.25%
Texas:	0.35%

Hypertension without Major Complications

Average Covered Charges

Here:	$17,543
Texas:	$21,529

Average Total Payments

Here:	$3,358
State:	$4,067

Number of discharges: 24

This Hospital:	1.35%
Texas:	0.48%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$27,729
State:	$36,171

Average Total Payments

Here:	$5,679
State:	$7,674

Number of discharges: 17

Here:	0.96%
State:	1.60%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$19,705
Texas:	$28,468

Average Total Payments

Here:	$4,459
Texas:	$5,476

Number of discharges: 26

Here:	1.46%
Texas:	0.81%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$22,015
State:	$22,532

Average Total Payments

Here:	$4,289
State:	$5,086

Number of discharges: 70

This Hospital:	3.94%
Texas:	3.62%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$55,861
Texas:	$60,653

Average Total Payments

This Hospital:	$11,761
Texas:	$13,908

Number of discharges: 89

Here:	5.01%
State:	6.27%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

Here:	$113,495
Texas:	$150,283

Average Total Payments

Here:	$26,557
State:	$36,010

Number of discharges: 11

This Hospital:	0.62%
Texas:	0.55%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$19,863
Texas:	$27,706

Average Total Payments

Here:	$4,352
State:	$5,557

Number of discharges: 31

Here:	1.74%
Texas:	0.64%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

Here:	$27,660
State:	$32,026

Average Total Payments

This Hospital:	$6,039
Texas:	$7,792

Number of discharges: 17

Here:	0.96%
Texas:	1.15%

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

Average Covered Charges

Here:	$19,973
Texas:	$20,255

Average Total Payments

This Hospital:	$3,762
State:	$4,589

Number of discharges: 170

This Hospital:	9.57%
State:	2.39%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$18,367
State:	$26,933

Average Total Payments

Here:	$5,275
State:	$6,471

Number of discharges: 13

This Hospital:	0.73%
Texas:	0.55%

Peripheral Vascular Disorders without Complications

Average Covered Charges

This Hospital:	$18,542
Texas:	$18,853

Average Total Payments

This Hospital:	$3,633
Texas:	$4,333

Number of discharges: 11

This Hospital:	0.62%
State:	0.28%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

Here:	$74,330
Texas:	$76,114

Average Total Payments

This Hospital:	$14,352
State:	$17,081

Number of discharges: 16

Here:	0.90%
State:	0.42%

Permanent Cardiac Pacemaker Implant without Complications

Average Covered Charges

Here:	$67,722
Texas:	$60,525

Average Total Payments

This Hospital:	$11,120
Texas:	$13,164

Number of discharges: 23

Here:	1.29%
Texas:	0.36%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

This Hospital:	$15,441
Texas:	$20,590

Average Total Payments

Here:	$3,505
State:	$4,281

Number of discharges: 24

Here:	1.35%
Texas:	0.31%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$33,803
State:	$41,085

Average Total Payments

This Hospital:	$7,035
Texas:	$8,523

Number of discharges: 18

Here:	1.01%
State:	1.20%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$26,948
State:	$32,292

Average Total Payments

Here:	$5,906
Texas:	$6,990

Number of discharges: 16

This Hospital:	0.90%
State:	0.36%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$15,850
State:	$22,785

Average Total Payments

Here:	$4,338
State:	$5,348

Number of discharges: 39

This Hospital:	2.19%
State:	1.52%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$20,183
Texas:	$29,456

Average Total Payments

Here:	$5,172
State:	$6,717

Number of discharges: 18

Here:	1.01%
State:	2.33%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$45,561
Texas:	$42,475

Average Total Payments

Here:	$8,071
State:	$9,270

Number of discharges: 30

This Hospital:	1.69%
Texas:	0.80%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$45,558
State:	$61,030

Average Total Payments

Here:	$10,590
Texas:	$13,022

Number of discharges: 16

Here:	0.90%
State:	0.87%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$68,522
Texas:	$70,898

Average Total Payments

Here:	$12,066
State:	$15,222

Number of discharges: 17

This Hospital:	0.96%
State:	1.10%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$15,941
Texas:	$25,913

Average Total Payments

This Hospital:	$4,185
State:	$5,335

Number of discharges: 17

Here:	0.96%
State:	0.63%

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

Average Covered Charges

Here:	$59,665
State:	$55,259

Average Total Payments

Here:	$11,069
Texas:	$12,623

Number of discharges: 47

Here:	2.64%
State:	4.83%

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

Average Covered Charges

Here:	$32,899
Texas:	$31,223

Average Total Payments

This Hospital:	$6,282
State:	$7,429

Number of discharges: 35

Here:	1.97%
State:	1.68%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$15,677
State:	$21,891

Average Total Payments

This Hospital:	$3,650
State:	$4,614

Number of discharges: 16

Here:	0.90%
Texas:	0.61%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$41,059
Texas:	$30,598

Average Total Payments

This Hospital:	$5,709
Texas:	$6,580

Number of discharges: 93

Here:	5.23%
State:	2.99%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$44,571
Texas:	$46,624

Average Total Payments

This Hospital:	$7,942
Texas:	$9,603

Number of discharges: 27

Here:	1.52%
State:	1.99%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$29,338
Texas:	$21,702

Average Total Payments

This Hospital:	$3,939
State:	$4,627

Number of discharges: 53

Here:	2.98%
State:	1.33%

Syncope and Collapse

Average Covered Charges

Here:	$23,483
State:	$26,197

Average Total Payments

Here:	$3,939
State:	$4,788

Number of discharges: 29

Here:	1.63%
State:	1.55%

Transient Ischemia

Average Covered Charges

This Hospital:	$19,281
State:	$26,817

Average Total Payments

This Hospital:	$4,015
Texas:	$4,792

Number of discharges: 17

This Hospital:	0.96%
Texas:	1.11%

Hospital Acquired Conditions

Falls and injuries

Here:	0.875%
State:	0.881%

Infection from a Urinary Catheter

This Hospital:	0.175%
Texas:	0.531%

Signs of Uncontrolled Blood Sugar

This Hospital:	0.175%
State:	0.218%

Process of Care

Heart Attack

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

This Hospital:	7
State:	8

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

This Hospital:	97.0%
State:	95.6%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

This Hospital:	81
State:	54

Median Time to Fibrinolysis

This Hospital:	27
Texas:	32

Heart Failure

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

Here:	100.0%
State:	98.7%

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

Here:	95.0%
Texas:	96.8%

Percent of Patients Given Discharge Instructions

Here:	85.0%
State:	93.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.5%

Pneumonia

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

This Hospital:	99.0%
State:	96.4%

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

This Hospital:	97.0%
Texas:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.9%

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

Here:	98.0%
Texas:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	98.0%
Texas:	94.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
State:	96.2%

Surgery

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

This Hospital:	97.0%
State:	98.4%

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

Here:	94.0%
State:	97.0%

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

This Hospital:	99.0%
Texas:	98.4%

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

This Hospital:	100.0%
State:	96.7%

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

Here:	100.0%
Texas:	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%
Texas:	99.9%

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

Here:	90.0%
Texas:	95.1%

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

This Hospital:	100.0%
Texas:	96.7%

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

Here:	97.0%
Texas:	97.2%

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

This Hospital:	97.0%
State:	96.5%

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

This Hospital:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.7%
Texas:	15.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.0%
State:	11.2%

30-Day Mortality Rates from Pneumonia

This Hospital:	13.2%
State:	11.8%

30-Day Readmission Rates from Heart Failure

This Hospital:	23.9%
State:	24.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.0%
Texas:	18.0%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	45.700%
Texas:	37.857%

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

Here:	11.800%
State:	8.275%

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

This Hospital:	0.557%
State:	0.250%

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

This Hospital:	0.335%
Texas:	0.110%

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

Here:	7.400%
State:	5.401%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Hospital:	1.400%
Texas:	2.420%

BROWNWOOD REGIONAL MEDICAL CENTER - BROWNWOOD, TX

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

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

Hospital Acquired Conditions

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

User Contributions:

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