COVINGTON COUNTY HOSPITAL CAH (COLLINS, MS) Detailed Hospital Profile

Complaint Deficiency

Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Potential for minimal harm
- Scope: Many
Corridors or aisles that are unobstructed and are at least 8 feet in width
- 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: Many
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Many
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
Make sure services provided by the nursing facility meet professional standards of quality
- 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: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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:	21
Mississippi:	12

Heart Failure

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

Here:	72.0%
State:	97.3%

Pneumonia

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

This Hospital:	82.0%
State:	97.9%

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

Here:	82.0%
Mississippi:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	62.0%
Mississippi:	93.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	13.4%
Mississippi:	12.2%

30-Day Mortality Rates from Pneumonia

This Hospital:	15.3%
State:	13.2%

30-Day Readmission Rates from Heart Failure

Here:	26.3%
State:	26.1%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.9%
State:	19.6%

Quality Measures

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

This Hospital:	8.8%
Mississippi:	18.2%

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

This Hospital:	28.5%
State:	13.9%

Percent of long-stay residents who lose too much weight

This Hospital:	4.9%
Mississippi:	7.8%

Percent of long-stay residents with a urinary tract infection

This Hospital:	14.6%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

This Hospital:	2.7%
Mississippi:	2.8%

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

This Hospital:	100.0%
Mississippi:	94.9%

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

This Hospital:	100.0%
Mississippi:	96.7%

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

This Hospital:	66.7%
Mississippi:	84.8%

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

Here:	72.7%
Mississippi:	85.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	32.4%
Mississippi:	26.8%

Use of Medical Imaging

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

Here:	0.021%
State:	0.163%

COVINGTON COUNTY HOSPITAL CAH - COLLINS, MS