GREENVILLE REGIONAL HOSPITAL (GREENVILLE, IL) Detailed Hospital Profile

Quality Measures

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

This Hospital:	11.1%
Illinois:	14.9%

Percent of long-stay residents who lose too much weight

This Hospital:	5.1%
State:	8.1%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	31.3%
State:	32.8%

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

This Hospital:	9.1%
Illinois:	4.5%

Percent of long-stay residents with a urinary tract infection

Here:	16.9%
Illinois:	6.8%

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

Here:	11.9%
Illinois:	3.4%

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

This Hospital:	82.8%
State:	93.9%

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

Here:	83.1%
State:	92.9%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Hospital:	3.9%
Illinois:	1.9%

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

This Hospital:	95.7%
Illinois:	80.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	20.8%
Illinois:	24.2%

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

Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications

Average Covered Charges

Here:	$6,188
State:	$9,740

Average Total Payments

Here:	$4,528
Illinois:	$5,240

Number of discharges: 11

This Hospital:	5.64%
Illinois:	0.93%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$12,264
State:	$24,404

Average Total Payments

This Hospital:	$6,459
State:	$6,718

Number of discharges: 15

This Hospital:	7.69%
Illinois:	2.13%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$11,690
Illinois:	$30,400

Average Total Payments

This Hospital:	$7,983
State:	$8,130

Number of discharges: 15

Here:	7.69%
State:	2.07%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$10,331
Illinois:	$19,895

Average Total Payments

Here:	$5,695
Illinois:	$5,151

Number of discharges: 13

This Hospital:	6.67%
State:	3.69%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$10,083
State:	$24,443

Average Total Payments

Here:	$6,459
Illinois:	$7,163

Number of discharges: 18

This Hospital:	9.23%
State:	3.19%

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

Average Covered Charges

This Hospital:	$12,446
State:	$48,201

Average Total Payments

Here:	$12,121
Illinois:	$13,223

Number of discharges: 70

This Hospital:	35.90%
Illinois:	4.32%

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

Average Covered Charges

Here:	$10,649
Illinois:	$28,109

Average Total Payments

This Hospital:	$7,589
State:	$7,726

Number of discharges: 24

Here:	12.31%
State:	1.38%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$9,044
State:	$25,731

Average Total Payments

This Hospital:	$6,799
State:	$6,879

Number of discharges: 29

Here:	14.87%
State:	2.78%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
Illinois:	5%

Usually

This Hospital:	22%
Illinois:	18%

Always

This Hospital:	73%
Illinois:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	4%

Usually

Here:	18%
Illinois:	16%

Always

Here:	80%
Illinois:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	14%
Illinois:	11%

Usually

This Hospital:	22%
State:	25%

Always

This Hospital:	64%
State:	64%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	9%
Illinois:	7%

Usually

This Hospital:	26%
Illinois:	24%

Always

This Hospital:	65%
State:	69%

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

Sometimes or never

Here:	24%
State:	21%

Usually

Here:	20%
State:	19%

Always

Here:	56%
Illinois:	60%

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

Sometimes or never

Here:	9%
Illinois:	9%

Usually

Here:	21%
Illinois:	19%

Always

Here:	70%
State:	72%

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

Sometimes or never

Here:	6%
Illinois:	12%

Usually

This Hospital:	37%
State:	31%

Always

This Hospital:	57%
Illinois:	57%

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

Yes

Here:	86%
Illinois:	83%

Here:	14%
State:	17%

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

6 or lower

This Hospital:	8%
State:	9%

7 or 8

Here:	27%
State:	24%

9 or 10

This Hospital:	65%
State:	67%

Would patients recommend the hospital to friends and family?

Here:	7%
Illinois:	5%

Yes, probably

This Hospital:	28%
Illinois:	27%

Yes, definitely

This Hospital:	65%
Illinois:	68%

Use of Medical Imaging

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

This Hospital:	10.700%
State:	8.337%

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

This Hospital:	0.679%
State:	0.171%

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

This Hospital:	0.225%
Illinois:	0.056%

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

This Hospital:	3.300%
Illinois:	5.573%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- 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
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide a safe, clean, comfortable and homelike environment
- Harm: Potential for minimal harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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 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: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Potential for minimal 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
A two-hour-resistant firewall in common walls
- 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: Some
An automatic smoke detection system in all hallways
- 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: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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
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: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- 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: Some
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
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: 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
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: Many
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Many
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the 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: Some
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: Some
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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
Illinois:	99.4%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
State:	99.3%

Percent of Patients Given Beta Blocker at Discharge

Here:	60.0%
Illinois:	99.3%

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

This Hospital:	7
State:	8

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

Here:	92.0%
State:	96.6%

Heart Failure

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

Here:	34.0%
State:	99.0%

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

This Hospital:	43.0%
Illinois:	96.7%

Percent of Patients Given Discharge Instructions

Here:	60.0%
Illinois:	94.0%

Pneumonia

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

This Hospital:	50.0%
Illinois:	96.2%

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

This Hospital:	99.0%
Illinois:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	80.0%
State:	98.5%

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

Here:	70.0%
State:	93.1%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	50.0%
Illinois:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	93.0%
State:	95.5%

Surgery

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

Here:	100.0%
Illinois:	98.2%

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

Here:	75.0%
Illinois:	97.1%

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

This Hospital:	100.0%
Illinois:	98.4%

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

This Hospital:	86.0%
Illinois:	96.7%

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

Here:	86.0%
State:	97.4%

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

This Hospital:	71.0%
State:	99.9%

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

This Hospital:	75.0%
State:	94.3%

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

This Hospital:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.6%
State:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	9.9%
Illinois:	11.7%

30-Day Readmission Rates from Heart Failure

Here:	24.5%
State:	25.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.4%
State:	19.4%

Hospital Acquired Conditions

Blood infection from a catheter in a large vein

Here:	1.266%
Illinois:	0.445%

GREENVILLE REGIONAL HOSPITAL - GREENVILLE, IL

Quality Measures

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

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

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