CHAPMAN MEDICAL CENTER (ORANGE, CA) Detailed Hospital Profile

Hospital Acquired Conditions

Falls and injuries

Here:	1.071%
California:	0.625%

Severe pressure sores (bed sores)

This Hospital:	2.141%
California:	0.321%

Use of Medical Imaging

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

This Hospital:	0.022%
California:	0.170%

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

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

Average Covered Charges

Here:	$66,101
State:	$90,173

Average Total Payments

Here:	$12,085
State:	$16,748

Number of discharges: 21

Here:	41.18%
State:	7.21%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$35,007
California:	$48,755

Average Total Payments

This Hospital:	$7,390
State:	$8,695

Number of discharges: 11

This Hospital:	21.57%
State:	2.75%

Spinal Fusion Except Cervical without Major Complications

Average Covered Charges

Here:	$75,179
California:	$154,326

Average Total Payments

Here:	$25,065
State:	$32,547

Number of discharges: 19

This Hospital:	37.25%
State:	0.83%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	8%
State:	7%

Usually

Here:	22%
California:	21%

Always

This Hospital:	70%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
State:	6%

Usually

This Hospital:	18%
State:	17%

Always

This Hospital:	77%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	12%
State:	13%

Usually

This Hospital:	31%
California:	28%

Always

Here:	57%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
State:	8%

Usually

Here:	25%
State:	25%

Always

Here:	69%
State:	67%

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

Sometimes or never

This Hospital:	24%
State:	23%

Usually

Here:	22%
State:	19%

Always

Here:	54%
State:	58%

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

Sometimes or never

This Hospital:	9%
California:	10%

Usually

Here:	20%
State:	21%

Always

Here:	71%
California:	69%

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

Sometimes or never

This Hospital:	10%
State:	18%

Usually

This Hospital:	28%
California:	33%

Always

Here:	62%
California:	49%

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

Yes

This Hospital:	78%
State:	81%

This Hospital:	22%
California:	19%

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

6 or lower

This Hospital:	12%
State:	10%

7 or 8

This Hospital:	30%
California:	24%

9 or 10

Here:	58%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	11%
State:	7%

Yes, probably

This Hospital:	30%
State:	24%

Yes, definitely

This Hospital:	59%
California:	69%

Complaint Deficiency

Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- 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
Maintain comfortable sound levels
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Many
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Potential for minimal harm
- Scope: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- 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: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have enough backup water supply for essential areas of the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Some
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Potential for minimal harm
- Scope: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Process of Care

Heart Attack

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

This Hospital:	12
State:	9

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

This Hospital:	95.0%
State:	97.2%

Heart Failure

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

This Hospital:	100.0%
California:	98.9%

Percent of Patients Given Discharge Instructions

This Hospital:	88.0%
California:	93.5%

Pneumonia

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

Here:	98.0%
State:	96.1%

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

Here:	98.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
California:	98.1%

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

This Hospital:	92.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	94.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	94.0%
State:	95.8%

Surgery

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

This Hospital:	95.0%
State:	98.1%

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

This Hospital:	90.0%
State:	96.3%

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

Here:	91.0%
California:	98.2%

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

This Hospital:	87.0%
State:	96.0%

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

This Hospital:	89.0%
California:	96.9%

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

Here:	100.0%
California:	99.8%

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

Here:	88.0%
California:	93.9%

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

Here:	100.0%
California:	96.1%

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

Here:	100.0%
California:	95.1%

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

This Hospital:	53.0%
State:	95.5%

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

Here:	93.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.1%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	12.0%
California:	11.7%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.5%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	18.2%
State:	18.3%

CHAPMAN MEDICAL CENTER - ORANGE, CA

Hospital Acquired Conditions

Use of Medical Imaging

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

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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