FAYETTE MEDICAL CENTER (FAYETTE, AL) Detailed Hospital Profile

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	38.300%
Alabama:	38.649%

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

Here:	22.600%
State:	7.990%

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

This Hospital:	0.009%
State:	0.208%

Quality Measures

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

This Hospital:	18.9%
State:	13.9%

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

This Hospital:	21.7%
State:	9.6%

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

This Hospital:	4.2%
Alabama:	5.9%

Percent of long-stay residents who lose too much weight

Here:	7.8%
Alabama:	8.1%

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

Here:	45.1%
State:	38.9%

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

This Hospital:	2.1%
State:	3.4%

Percent of long-stay residents with a urinary tract infection

This Hospital:	7.8%
State:	5.7%

Percent of long-stay residents who were physically restrained

Here:	1.9%
Alabama:	1.6%

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

Here:	5.7%
State:	3.0%

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

Here:	100.0%
Alabama:	95.1%

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

Here:	100.0%
State:	91.7%

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

Here:	60.9%
State:	19.6%

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

This Hospital:	100.0%
Alabama:	87.4%

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

Here:	100.0%
Alabama:	83.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	28.0%
State:	27.0%

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

Cellulitis without Major Complications

Average Covered Charges

Here:	$13,336
State:	$17,387

Average Total Payments

Here:	$4,861
State:	$4,978

Number of discharges: 14

This Hospital:	3.58%
Alabama:	1.97%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$15,324
Alabama:	$20,856

Average Total Payments

This Hospital:	$5,550
State:	$5,672

Number of discharges: 29

Here:	7.42%
Alabama:	2.64%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$21,383
Alabama:	$25,354

Average Total Payments

This Hospital:	$6,893
State:	$6,832

Number of discharges: 36

This Hospital:	9.21%
State:	2.62%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$12,534
Alabama:	$15,265

Average Total Payments

This Hospital:	$4,267
Alabama:	$4,282

Number of discharges: 32

This Hospital:	8.18%
State:	2.25%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$14,877
State:	$17,880

Average Total Payments

This Hospital:	$4,228
State:	$4,242

Number of discharges: 20

This Hospital:	5.12%
State:	4.04%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$16,446
Alabama:	$21,263

Average Total Payments

This Hospital:	$5,687
Alabama:	$5,914

Number of discharges: 24

Here:	6.14%
Alabama:	3.24%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$31,312
State:	$35,015

Average Total Payments

Here:	$8,809
State:	$8,684

Number of discharges: 16

Here:	4.09%
Alabama:	2.59%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$12,394
State:	$14,522

Average Total Payments

Here:	$3,907
State:	$3,946

Number of discharges: 18

This Hospital:	4.60%
Alabama:	1.40%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$30,235
State:	$45,562

Average Total Payments

Here:	$10,979
State:	$11,295

Number of discharges: 11

This Hospital:	2.81%
Alabama:	0.89%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$14,451
Alabama:	$22,401

Average Total Payments

This Hospital:	$4,715
Alabama:	$4,740

Number of discharges: 11

Here:	2.81%
State:	0.83%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$12,072
State:	$17,029

Average Total Payments

Here:	$4,501
Alabama:	$4,494

Number of discharges: 23

Here:	5.88%
State:	3.20%

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

Average Covered Charges

This Hospital:	$10,341
State:	$14,844

Average Total Payments

Here:	$4,208
Alabama:	$4,068

Number of discharges: 22

Here:	5.63%
State:	2.46%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$10,178
State:	$17,226

Average Total Payments

Here:	$4,691
Alabama:	$4,671

Number of discharges: 11

Here:	2.81%
State:	1.71%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$22,913
Alabama:	$37,145

Average Total Payments

This Hospital:	$8,555
State:	$8,688

Number of discharges: 16

This Hospital:	4.09%
Alabama:	0.69%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$45,600
State:	$51,215

Average Total Payments

Here:	$12,476
State:	$12,069

Number of discharges: 12

This Hospital:	3.07%
State:	0.98%

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

Average Covered Charges

Here:	$38,587
State:	$47,447

Average Total Payments

Here:	$11,890
State:	$11,185

Number of discharges: 21

Here:	5.37%
Alabama:	3.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$19,133
Alabama:	$24,297

Average Total Payments

Here:	$5,990
Alabama:	$5,893

Number of discharges: 44

Here:	11.25%
Alabama:	3.09%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$11,201
Alabama:	$16,519

Average Total Payments

This Hospital:	$4,078
Alabama:	$4,182

Number of discharges: 20

Here:	5.12%
State:	1.41%

Transient Ischemia

Average Covered Charges

Here:	$8,277
Alabama:	$20,203

Average Total Payments

Here:	$4,310
State:	$4,263

Number of discharges: 11

This Hospital:	2.81%
Alabama:	0.98%

Hospital Acquired Conditions

Severe pressure sores (bed sores)

This Hospital:	0.687%
Alabama:	0.439%

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Actual harm
- Scope: Many
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Some
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Process of Care

Heart Attack

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

Here:	4
State:	8

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

This Hospital:	99.0%
Alabama:	97.2%

Heart Failure

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

This Hospital:	97.0%
State:	98.0%

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

This Hospital:	76.0%
State:	97.1%

Percent of Patients Given Discharge Instructions

This Hospital:	78.0%
Alabama:	92.0%

Pneumonia

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

This Hospital:	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:	97.0%
State:	97.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.2%

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

Here:	95.0%
State:	95.0%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
Alabama:	96.5%

Surgery

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

Here:	88.0%
Alabama:	97.0%

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

This Hospital:	100.0%
State:	97.8%

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%
State:	99.9%

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

Here:	100.0%
Alabama:	99.9%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.7%
State:	16.0%

30-Day Mortality Rates from Heart Failure

Here:	11.7%
Alabama:	11.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.9%
Alabama:	12.6%

30-Day Readmission Rates from Heart Failure

Here:	23.1%
Alabama:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	18.5%
State:	18.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 30%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	1%
Alabama:	6%

Usually

Here:	11%
State:	15%

Always

Here:	88%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
Alabama:	3%

Usually

Here:	7%
Alabama:	11%

Always

This Hospital:	92%
Alabama:	86%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	5%
State:	12%

Usually

Here:	17%
State:	22%

Always

This Hospital:	78%
Alabama:	66%

How often was patients' pain well controlled?

Sometimes or never

Here:	2%
Alabama:	9%

Usually

Here:	17%
Alabama:	20%

Always

Here:	81%
Alabama:	71%

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

Sometimes or never

Here:	10%
Alabama:	19%

Usually

Here:	12%
State:	16%

Always

Here:	78%
State:	65%

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

Sometimes or never

Here:	3%
State:	11%

Usually

Here:	15%
State:	19%

Always

This Hospital:	82%
Alabama:	70%

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

Sometimes or never

This Hospital:	4%
Alabama:	6%

Usually

This Hospital:	20%
State:	24%

Always

Here:	76%
State:	70%

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

Yes

Here:	86%
State:	81%

Here:	14%
Alabama:	19%

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

6 or lower

This Hospital:	4%
Alabama:	8%

7 or 8

This Hospital:	17%
State:	22%

9 or 10

Here:	79%
Alabama:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	2%
State:	5%

Yes, probably

This Hospital:	19%
Alabama:	25%

Yes, definitely

This Hospital:	79%
Alabama:	70%

FAYETTE MEDICAL CENTER - FAYETTE, AL

Use of Medical Imaging

Quality Measures

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

Hospital Acquired Conditions

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

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