DELANO REGIONAL MEDICAL CENTER (DELANO, CA) Detailed Hospital Profile

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

Cellulitis without Major Complications

Average Covered Charges

Here:	$19,234
California:	$36,707

Average Total Payments

Here:	$8,222
State:	$7,245

Number of discharges: 19

Here:	5.00%
California:	2.08%

Chest Pain

Average Covered Charges

This Hospital:	$19,919
State:	$29,034

Average Total Payments

Here:	$5,397
California:	$4,742

Number of discharges: 14

Here:	3.68%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$29,946
State:	$58,013

Average Total Payments

This Hospital:	$12,088
State:	$10,305

Number of discharges: 17

This Hospital:	4.47%
State:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$21,288
California:	$35,163

Average Total Payments

This Hospital:	$7,094
State:	$6,206

Number of discharges: 12

Here:	3.16%
California:	1.11%

Diabetes with Complications

Average Covered Charges

Here:	$27,609
California:	$38,964

Average Total Payments

This Hospital:	$8,063
California:	$7,470

Number of discharges: 16

Here:	4.21%
State:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$16,322
State:	$36,899

Average Total Payments

Here:	$7,044
California:	$6,233

Number of discharges: 20

This Hospital:	5.26%
State:	3.09%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$26,296
State:	$47,292

Average Total Payments

This Hospital:	$10,031
California:	$8,831

Number of discharges: 27

Here:	7.11%
State:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$51,699
State:	$70,963

Average Total Payments

Here:	$15,011
State:	$13,159

Number of discharges: 26

This Hospital:	6.84%
California:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$17,193
California:	$32,995

Average Total Payments

Here:	$6,733
State:	$5,851

Number of discharges: 11

Here:	2.89%
State:	1.02%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$43,118
State:	$55,669

Average Total Payments

This Hospital:	$11,215
State:	$9,837

Number of discharges: 11

Here:	2.89%
California:	1.65%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$43,669
State:	$52,262

Average Total Payments

Here:	$12,313
State:	$10,172

Number of discharges: 22

This Hospital:	5.79%
California:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$24,941
California:	$36,114

Average Total Payments

Here:	$7,722
State:	$6,728

Number of discharges: 45

This Hospital:	11.84%
State:	2.98%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$50,966
State:	$88,239

Average Total Payments

This Hospital:	$20,771
State:	$17,187

Number of discharges: 25

This Hospital:	6.58%
State:	6.26%

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

Average Covered Charges

This Hospital:	$34,183
California:	$49,218

Average Total Payments

Here:	$11,031
State:	$10,092

Number of discharges: 11

Here:	2.89%
State:	0.94%

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

Average Covered Charges

This Hospital:	$17,088
State:	$32,446

Average Total Payments

Here:	$6,790
California:	$5,975

Number of discharges: 34

Here:	8.95%
California:	2.21%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$22,996
California:	$35,878

Average Total Payments

This Hospital:	$7,825
California:	$7,039

Number of discharges: 18

Here:	4.74%
California:	1.21%

Renal Failure with Complications

Average Covered Charges

Here:	$32,548
California:	$48,439

Average Total Payments

Here:	$10,054
State:	$8,967

Number of discharges: 11

This Hospital:	2.89%
California:	1.90%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$34,211
California:	$72,128

Average Total Payments

This Hospital:	$17,123
California:	$14,548

Number of discharges: 13

Here:	3.42%
California:	1.48%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

Here:	$110,120
California:	$262,024

Average Total Payments

This Hospital:	$46,181
State:	$48,700

Number of discharges: 14

This Hospital:	3.68%
California:	0.44%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$52,101
California:	$120,888

Average Total Payments

Here:	$22,267
State:	$21,006

Number of discharges: 14

Here:	3.68%
California:	0.92%

Quality Measures

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

Here:	11.4%
California:	7.5%

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

Here:	16.3%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

This Hospital:	13.3%
California:	6.7%

Percent of long-stay residents who were physically restrained

This Hospital:	6.7%
California:	3.6%

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

This Hospital:	2.2%
State:	1.6%

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

This Hospital:	97.8%
California:	94.0%

Complaint Deficiency

An approved automatic sprinkler system connected to the fire alarm system
- Harm: Potential for minimal harm
- Scope: Some
Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Some
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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: Some
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Properly maintained smoke detectors
- 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
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Tell the resident completely about his or her health status, care and treatments
- 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
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 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
Store, cook, and serve food in a safe and clean way
- 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that residents are safe from serious medication errors
- 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: Some
Approved construction type or materials
- 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: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly constructed piped-in oxygen 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: Few

Use of Medical Imaging

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

Here:	5.000%
California:	8.180%

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

Here:	0.421%
California:	0.170%

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

Here:	0.236%
California:	0.043%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.525%
State:	0.625%

Signs of Uncontrolled Blood Sugar

Here:	0.525%
California:	0.246%

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

Here:	8%
State:	7%

Usually

This Hospital:	22%
State:	21%

Always

Here:	70%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	6%
State:	6%

Usually

Here:	18%
State:	17%

Always

Here:	76%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
State:	13%

Usually

Here:	30%
State:	28%

Always

Here:	57%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	9%
California:	8%

Usually

Here:	27%
California:	25%

Always

This Hospital:	64%
California:	67%

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

Sometimes or never

This Hospital:	21%
California:	23%

Usually

This Hospital:	19%
California:	19%

Always

This Hospital:	60%
California:	58%

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

Sometimes or never

This Hospital:	10%
State:	10%

Usually

Here:	18%
California:	21%

Always

Here:	72%
California:	69%

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

Sometimes or never

This Hospital:	20%
State:	18%

Usually

This Hospital:	37%
California:	33%

Always

Here:	43%
California:	49%

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

Yes

This Hospital:	79%
State:	81%

This Hospital:	21%
State:	19%

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

6 or lower

Here:	10%
California:	10%

7 or 8

Here:	25%
California:	24%

9 or 10

Here:	65%
State:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	9%
California:	7%

Yes, probably

Here:	34%
California:	24%

Yes, definitely

Here:	57%
State:	69%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.3%

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

Here:	14
California:	9

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

Here:	95.0%
State:	97.2%

Heart Failure

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

This Hospital:	93.0%
California:	98.9%

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

Here:	86.0%
California:	96.2%

Percent of Patients Given Discharge Instructions

Here:	46.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	86.0%
California:	99.4%

Pneumonia

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

Here:	79.0%
State:	96.1%

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

This Hospital:	76.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	93.0%
State:	98.1%

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

This Hospital:	86.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	52.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	49.0%
California:	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:	86.0%
State:	98.1%

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

This Hospital:	96.0%
California:	96.3%

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

This Hospital:	81.0%
State:	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:	78.0%
State:	96.0%

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

This Hospital:	84.0%
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:	79.0%
State:	99.8%

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

Here:	82.0%
State:	93.9%

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

This Hospital:	58.0%
State:	96.1%

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

Here:	38.0%
California:	95.1%

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

Here:	100.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	10.8%
State:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	19.0%
State:	11.7%

30-Day Readmission Rates from Heart Failure

This Hospital:	22.9%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	18.3%
California:	18.3%

DELANO REGIONAL MEDICAL CENTER - DELANO, CA

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

Quality Measures

Complaint Deficiency

Use of Medical Imaging

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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