COASTAL COMMUNITIES HOSPITAL (SANTA ANA, CA) Detailed Hospital Profile

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$29,680
State:	$39,980

Average Total Payments

This Hospital:	$8,708
State:	$7,146

Number of discharges: 11

This Hospital:	8.09%
California:	1.30%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$29,936
State:	$36,707

Average Total Payments

This Hospital:	$8,697
California:	$7,245

Number of discharges: 16

Here:	11.76%
State:	2.08%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$32,650
California:	$46,039

Average Total Payments

Here:	$10,464
State:	$8,685

Number of discharges: 15

Here:	11.03%
California:	1.95%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$74,300
California:	$70,963

Average Total Payments

This Hospital:	$15,990
State:	$13,159

Number of discharges: 16

Here:	11.76%
State:	3.03%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$50,495
State:	$52,262

Average Total Payments

This Hospital:	$12,059
State:	$10,172

Number of discharges: 13

Here:	9.56%
State:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$29,530
California:	$36,114

Average Total Payments

Here:	$7,973
California:	$6,728

Number of discharges: 15

Here:	11.03%
State:	2.98%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$88,984
California:	$101,885

Average Total Payments

Here:	$19,621
California:	$17,925

Number of discharges: 11

Here:	8.09%
California:	1.30%

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

Average Covered Charges

Here:	$88,983
State:	$90,173

Average Total Payments

Here:	$19,612
California:	$16,748

Number of discharges: 23

Here:	16.91%
California:	7.21%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$51,226
California:	$48,755

Average Total Payments

Here:	$10,477
California:	$8,695

Number of discharges: 16

This Hospital:	11.76%
State:	2.75%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
California:	99.0%

Heart Failure

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

This Hospital:	92.0%
State:	98.9%

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

Here:	87.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

Here:	78.0%
California:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.4%

Pneumonia

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

Here:	99.0%
State:	96.1%

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

Here:	98.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.1%

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

Here:	98.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	97.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
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:	97.0%
State:	98.1%

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

Here:	92.0%
State:	96.3%

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

Here:	96.0%
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

Here:	85.0%
State:	96.0%

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

This Hospital:	86.0%
State:	96.9%

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%
California:	99.8%

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

This Hospital:	67.0%
State:	93.9%

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

Here:	82.0%
State:	96.1%

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

This Hospital:	77.0%
State:	95.1%

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

This Hospital:	87.0%
California:	95.5%

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

Here:	95.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	11.3%
California:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.2%
California:	11.7%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.2%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.7%
State:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.816%
State:	0.625%

Blood infection from a catheter in a large vein

This Hospital:	0.816%
State:	0.530%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 46%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	11%
California:	7%

Usually

Here:	21%
State:	21%

Always

Here:	68%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
State:	6%

Usually

This Hospital:	19%
State:	17%

Always

This Hospital:	75%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
California:	13%

Usually

This Hospital:	26%
California:	28%

Always

Here:	61%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	8%

Usually

This Hospital:	23%
California:	25%

Always

This Hospital:	71%
California:	67%

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

Sometimes or never

This Hospital:	29%
California:	23%

Usually

This Hospital:	21%
State:	19%

Always

Here:	50%
State:	58%

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

Sometimes or never

Here:	10%
California:	10%

Usually

This Hospital:	19%
State:	21%

Always

This Hospital:	71%
California:	69%

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

Sometimes or never

Here:	22%
California:	18%

Usually

This Hospital:	39%
State:	33%

Always

This Hospital:	39%
State:	49%

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

Yes

This Hospital:	75%
State:	81%

This Hospital:	25%
California:	19%

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

6 or lower

Here:	8%
State:	10%

7 or 8

This Hospital:	23%
California:	24%

9 or 10

This Hospital:	69%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	6%
California:	7%

Yes, probably

This Hospital:	32%
State:	24%

Yes, definitely

Here:	62%
State:	69%

Complaint Deficiency

Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- 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
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- 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: 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal 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: Few
Have a program that investigates, controls and keeps infection from spreading
- 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
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: Many
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Potential for minimal harm
- Scope: Many
Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States
- Harm: Potential for minimal harm
- Scope: Some
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Potential for minimal harm
- Scope: Many
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Potential for minimal harm
- Scope: Many
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that private space is available in the nursing home for resident groups or residents' families to meet
- Harm: Potential for minimal harm
- Scope: Many
Listen to the resident or family groups or act on their complaints or suggestions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- 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
Make sure each resident receives an accurate assessment by a qualified health professional
- 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: Few
Provide care by qualified persons according to each resident's written plan of care
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- 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
Make sure that residents receive proper treatment and assistive devices to maintain their vision and hearing
- 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
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Immediate jeopardy to resident health or safety
- 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
Hire a qualified dietician
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: 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: Minimal harm or potential for actual harm
- Scope: Many
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Actual harm
- Scope: Many
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain comfortable sound levels
- 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
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Some

Quality Measures

Percent of long-stay residents who lose too much weight

Here:	2.9%
State:	6.3%

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

Here:	2.8%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

This Hospital:	31.4%
California:	6.7%

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

This Hospital:	100.0%
California:	93.0%

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

Here:	100.0%
California:	94.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	8.6%
State:	19.0%

Use of Medical Imaging

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

Here:	5.400%
State:	8.180%

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

This Hospital:	0.419%
State:	0.170%

COASTAL COMMUNITIES HOSPITAL - SANTA ANA, CA

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

Use of Medical Imaging

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