CLAY COUNTY HOSPITAL (ASHLAND, AL) Detailed Hospital Profile

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

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$9,933
State:	$20,856

Average Total Payments

Here:	$5,390
State:	$5,672

Number of discharges: 24

Here:	8.45%
Alabama:	2.64%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$11,548
State:	$25,354

Average Total Payments

This Hospital:	$6,342
Alabama:	$6,832

Number of discharges: 23

This Hospital:	8.10%
Alabama:	2.62%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$6,908
State:	$15,265

Average Total Payments

This Hospital:	$3,956
State:	$4,282

Number of discharges: 38

This Hospital:	13.38%
State:	2.25%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$8,203
Alabama:	$17,880

Average Total Payments

Here:	$4,019
State:	$4,242

Number of discharges: 48

Here:	16.90%
Alabama:	4.04%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$12,218
State:	$23,715

Average Total Payments

This Hospital:	$5,122
Alabama:	$5,864

Number of discharges: 15

Here:	5.28%
Alabama:	2.02%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$9,807
State:	$21,263

Average Total Payments

This Hospital:	$5,377
State:	$5,914

Number of discharges: 12

This Hospital:	4.23%
State:	3.24%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$5,594
State:	$14,522

Average Total Payments

Here:	$3,651
State:	$3,946

Number of discharges: 13

Here:	4.58%
Alabama:	1.40%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$12,253
State:	$27,350

Average Total Payments

Here:	$6,338
Alabama:	$6,691

Number of discharges: 13

Here:	4.58%
Alabama:	1.69%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$9,805
State:	$17,029

Average Total Payments

This Hospital:	$4,383
Alabama:	$4,494

Number of discharges: 16

Here:	5.63%
State:	3.20%

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

Average Covered Charges

This Hospital:	$8,233
Alabama:	$14,844

Average Total Payments

Here:	$3,699
State:	$4,068

Number of discharges: 15

This Hospital:	5.28%
State:	2.46%

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

Average Covered Charges

Here:	$11,067
Alabama:	$47,447

Average Total Payments

This Hospital:	$10,013
Alabama:	$11,185

Number of discharges: 12

This Hospital:	4.23%
Alabama:	3.35%

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

Average Covered Charges

Here:	$10,674
Alabama:	$26,316

Average Total Payments

Here:	$6,110
State:	$6,718

Number of discharges: 15

This Hospital:	5.28%
State:	1.29%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$12,622
Alabama:	$24,297

Average Total Payments

Here:	$5,560
Alabama:	$5,893

Number of discharges: 28

This Hospital:	9.86%
State:	3.09%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$14,259
State:	$37,673

Average Total Payments

This Hospital:	$7,486
Alabama:	$8,521

Number of discharges: 12

This Hospital:	4.23%
State:	1.96%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- 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
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- 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: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Potential for minimal harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- 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: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 38%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	6%

Usually

This Hospital:	15%
Alabama:	15%

Always

This Hospital:	81%
State:	79%

How often did doctors communicate well with patients?

Usually

Here:	5%
State:	11%

Always

This Hospital:	95%
Alabama:	86%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	5%
State:	12%

Usually

Here:	18%
Alabama:	22%

Always

This Hospital:	77%
Alabama:	66%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
State:	9%

Usually

Here:	19%
State:	20%

Always

Here:	74%
Alabama:	71%

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

Sometimes or never

Here:	18%
Alabama:	19%

Usually

Here:	16%
State:	16%

Always

Here:	66%
Alabama:	65%

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

Sometimes or never

This Hospital:	12%
Alabama:	11%

Usually

This Hospital:	16%
State:	19%

Always

This Hospital:	72%
Alabama:	70%

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

Sometimes or never

Here:	4%
Alabama:	6%

Usually

This Hospital:	20%
Alabama:	24%

Always

Here:	76%
Alabama:	70%

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

Yes

This Hospital:	83%
State:	81%

Here:	17%
Alabama:	19%

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

6 or lower

Here:	5%
Alabama:	8%

7 or 8

Here:	22%
Alabama:	22%

9 or 10

This Hospital:	73%
Alabama:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
State:	5%

Yes, probably

This Hospital:	28%
Alabama:	25%

Yes, definitely

Here:	69%
Alabama:	70%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Hospital:	25.4%
State:	13.9%

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

This Hospital:	4.8%
State:	9.6%

Percent of long-stay high-risk residents with pressure ulcers

This Hospital:	5.6%
Alabama:	5.9%

Percent of long-stay residents who lose too much weight

Here:	12.7%
State:	8.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	5.3%
State:	3.4%

Percent of long-stay residents with a urinary tract infection

This Hospital:	21.1%
State:	5.7%

Percent of long-stay residents who have depressive symptoms

Here:	10.3%
State:	2.9%

Percent of long-stay residents experiencing one or more falls with major injury

This Hospital:	2.8%
State:	3.0%

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

Here:	100.0%
State:	95.1%

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

Here:	100.0%
Alabama:	91.7%

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

This Hospital:	75.0%
State:	83.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	21.9%
State:	27.0%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	60.0%
State:	99.2%

Percent of Patients Given Aspirin at Discharge

This Hospital:	50.0%
State:	99.3%

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

This Hospital:	100.0%
State:	98.2%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	99.3%

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

This Hospital:	6
State:	8

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

Here:	91.0%
Alabama:	97.2%

Patients Given a Prescription for a Statin at Discharge

Here:	100.0%
State:	97.3%

Heart Failure

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

This Hospital:	96.0%
Alabama:	98.0%

Percent of Patients Given Discharge Instructions

Here:	53.0%
State:	92.0%

Pneumonia

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

Here:	95.0%
Alabama:	97.1%

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

This Hospital:	82.0%
Alabama:	97.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Alabama:	99.2%

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

Here:	76.0%
Alabama:	95.0%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	96.0%
State:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	91.0%
Alabama:	96.5%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.7%
Alabama:	16.0%

30-Day Mortality Rates from Heart Failure

Here:	12.6%
State:	11.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.8%
Alabama:	12.6%

30-Day Readmission Rates from Heart Failure

Here:	25.8%
State:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	17.9%
State:	18.6%

Use of Medical Imaging

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

This Hospital:	6.600%
Alabama:	7.990%

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

Here:	0.032%
State:	0.208%

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

Here:	0.039%
State:	0.046%

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

Here:	9.700%
Alabama:	6.875%

CLAY COUNTY HOSPITAL - ASHLAND, AL

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

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Outcome of Care

Use of Medical Imaging

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