FREMONT AREA MEDICAL CENTER (FREMONT, NE) Detailed Hospital Profile

Quality Measures

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

This Hospital:	12.9%
State:	14.1%

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

This Hospital:	6.7%
Nebraska:	12.2%

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

Here:	4.8%
State:	4.2%

Percent of long-stay residents who lose too much weight

Here:	9.0%
Nebraska:	6.9%

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

Here:	36.6%
Nebraska:	41.6%

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

Here:	5.8%
Nebraska:	5.5%

Percent of long-stay residents with a urinary tract infection

This Hospital:	5.1%
Nebraska:	7.3%

Percent of long-stay residents who have depressive symptoms

Here:	2.6%
State:	8.0%

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

This Hospital:	3.8%
State:	4.1%

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

This Hospital:	100.0%
Nebraska:	97.0%

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

Here:	97.5%
State:	95.9%

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

Here:	27.8%
Nebraska:	27.0%

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

Here:	2.1%
State:	1.6%

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

This Hospital:	95.8%
State:	88.1%

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

This Hospital:	96.0%
State:	83.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Hospital:	2.3%
State:	2.7%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	17.1%
State:	22.6%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
State:	99.7%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
Nebraska:	99.7%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
Nebraska:	99.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.8%

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

This Hospital:	9
Nebraska:	7

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

This Hospital:	100.0%
Nebraska:	96.9%

Patients Given a Prescription for a Statin at Discharge

Here:	100.0%
State:	98.5%

Heart Failure

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

Here:	100.0%
State:	97.3%

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

Here:	100.0%
Nebraska:	96.8%

Percent of Patients Given Discharge Instructions

This Hospital:	87.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.1%

Pneumonia

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

This Hospital:	98.0%
Nebraska:	97.3%

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

Here:	100.0%
State:	98.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	97.1%

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

Here:	94.0%
State:	94.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	93.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	95.0%
State:	93.9%

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%
Nebraska:	97.0%

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

This Hospital:	89.0%
State:	97.0%

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

Here:	99.0%
Nebraska:	98.6%

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

Here:	99.0%
Nebraska:	97.5%

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

Here:	99.0%
Nebraska:	98.5%

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:	100.0%

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

Here:	95.0%
Nebraska:	91.2%

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

This Hospital:	89.0%
Nebraska:	96.1%

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

Here:	81.0%
State:	95.6%

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

Here:	98.0%
Nebraska:	97.2%

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

This Hospital:	100.0%
Nebraska:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	16.4%
State:	15.2%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.6%
State:	12.4%

30-Day Mortality Rates from Pneumonia

Here:	13.3%
State:	12.3%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.3%
State:	19.6%

30-Day Readmission Rates from Heart Failure

Here:	21.7%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	16.9%
State:	18.4%

Use of Medical Imaging

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

Here:	33.100%
Nebraska:	37.588%

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

Here:	3.000%
Nebraska:	9.790%

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

This Hospital:	0.674%
Nebraska:	0.126%

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

This Hospital:	0.002%
Nebraska:	0.033%

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

Here:	6.100%
State:	5.403%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	1.600%
Nebraska:	2.485%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 38%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
Nebraska:	3%

Usually

This Hospital:	16%
State:	16%

Always

This Hospital:	81%
State:	81%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
State:	2%

Usually

Here:	18%
Nebraska:	14%

Always

Here:	80%
Nebraska:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	9%
Nebraska:	5%

Usually

Here:	26%
State:	23%

Always

Here:	65%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	4%
Nebraska:	4%

Usually

Here:	27%
State:	25%

Always

Here:	69%
State:	71%

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

Sometimes or never

This Hospital:	17%
Nebraska:	15%

Usually

This Hospital:	24%
Nebraska:	21%

Always

Here:	59%
Nebraska:	64%

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

Sometimes or never

This Hospital:	10%
State:	6%

Usually

This Hospital:	21%
State:	16%

Always

This Hospital:	69%
Nebraska:	78%

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

Sometimes or never

Here:	14%
Nebraska:	7%

Usually

Here:	30%
State:	30%

Always

This Hospital:	56%
Nebraska:	63%

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

Yes

This Hospital:	89%
State:	87%

Here:	11%
State:	13%

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

6 or lower

This Hospital:	8%
Nebraska:	5%

7 or 8

Here:	21%
State:	21%

9 or 10

This Hospital:	71%
Nebraska:	74%

Would patients recommend the hospital to friends and family?

Here:	3%
Nebraska:	2%

Yes, probably

Here:	31%
Nebraska:	23%

Yes, definitely

Here:	66%
State:	75%

Complaint Deficiency

Fire-resistant interior walls
- 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
Corridor and hallway doors that block smoke
- 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
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Hire sufficient dietary support personnel
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- 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
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
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: Few
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
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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
Try to resolve each resident's complaints quickly
- 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
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
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: Few

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$15,793
State:	$17,632

Average Total Payments

This Hospital:	$5,536
State:	$5,536

Number of discharges: 34

Here:	2.94%
State:	1.62%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$12,840
State:	$12,629

Average Total Payments

This Hospital:	$3,621
Nebraska:	$3,825

Number of discharges: 28

Here:	2.42%
State:	1.90%

Cellulitis without Major Complications

Average Covered Charges

Here:	$18,405
Nebraska:	$15,796

Average Total Payments

This Hospital:	$5,153
Nebraska:	$5,579

Number of discharges: 33

Here:	2.85%
Nebraska:	1.81%

Chest Pain

Average Covered Charges

Here:	$14,545
State:	$14,499

Average Total Payments

Here:	$7,701
State:	$4,124

Number of discharges: 33

This Hospital:	2.85%
Nebraska:	1.53%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$19,794
Nebraska:	$22,825

Average Total Payments

This Hospital:	$6,704
Nebraska:	$6,118

Number of discharges: 35

Here:	3.02%
Nebraska:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$24,953
State:	$29,531

Average Total Payments

Here:	$7,366
State:	$7,751

Number of discharges: 39

Here:	3.37%
Nebraska:	2.10%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$18,891
State:	$18,363

Average Total Payments

This Hospital:	$4,463
State:	$4,796

Number of discharges: 29

This Hospital:	2.50%
Nebraska:	1.39%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

This Hospital:	$26,588
Nebraska:	$29,201

Average Total Payments

This Hospital:	$7,417
Nebraska:	$7,150

Number of discharges: 29

Here:	2.50%
State:	1.68%

Disorders of Pancreas Except Malignancy with Complications

Average Covered Charges

This Hospital:	$21,735
State:	$20,382

Average Total Payments

This Hospital:	$11,278
Nebraska:	$8,796

Number of discharges: 12

This Hospital:	1.04%
State:	0.11%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$19,890
State:	$17,373

Average Total Payments

This Hospital:	$5,197
State:	$4,872

Number of discharges: 50

This Hospital:	4.32%
Nebraska:	3.45%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$17,108
Nebraska:	$20,594

Average Total Payments

This Hospital:	$6,284
State:	$6,675

Number of discharges: 46

This Hospital:	3.97%
State:	2.03%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$21,679
State:	$17,962

Average Total Payments

Here:	$5,708
Nebraska:	$6,191

Number of discharges: 16

Here:	1.38%
Nebraska:	0.93%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$15,385
Nebraska:	$13,222

Average Total Payments

This Hospital:	$3,789
Nebraska:	$4,342

Number of discharges: 13

This Hospital:	1.12%
Nebraska:	0.61%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$22,220
State:	$21,193

Average Total Payments

Here:	$6,513
State:	$6,633

Number of discharges: 42

Here:	3.63%
State:	2.95%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$36,178
Nebraska:	$32,565

Average Total Payments

Here:	$9,151
State:	$9,703

Number of discharges: 13

Here:	1.12%
Nebraska:	1.90%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$46,624
Nebraska:	$38,153

Average Total Payments

Here:	$11,701
Nebraska:	$12,156

Number of discharges: 29

This Hospital:	2.50%
State:	1.77%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$19,112
State:	$25,437

Average Total Payments

This Hospital:	$6,689
State:	$7,381

Number of discharges: 21

Here:	1.81%
State:	1.55%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$15,270
State:	$16,292

Average Total Payments

Here:	$5,489
Nebraska:	$5,051

Number of discharges: 32

Here:	2.76%
Nebraska:	2.40%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$45,799
Nebraska:	$41,415

Average Total Payments

Here:	$13,849
Nebraska:	$13,621

Number of discharges: 178

Here:	15.37%
Nebraska:	10.93%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

This Hospital:	$57,864
State:	$58,606

Average Total Payments

This Hospital:	$19,534
Nebraska:	$17,045

Number of discharges: 12

This Hospital:	1.04%
Nebraska:	1.11%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$14,192
Nebraska:	$18,170

Average Total Payments

This Hospital:	$5,073
Nebraska:	$5,416

Number of discharges: 11

Here:	0.95%
Nebraska:	1.07%

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

Average Covered Charges

Here:	$30,670
Nebraska:	$26,683

Average Total Payments

Here:	$8,238
State:	$8,266

Number of discharges: 11

This Hospital:	0.95%
Nebraska:	0.53%

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

Average Covered Charges

This Hospital:	$13,752
Nebraska:	$14,536

Average Total Payments

Here:	$4,278
State:	$4,721

Number of discharges: 37

This Hospital:	3.20%
Nebraska:	2.14%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

Here:	$63,203
State:	$57,833

Average Total Payments

Here:	$16,925
Nebraska:	$13,581

Number of discharges: 19

Here:	1.64%
State:	1.99%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$14,468
Nebraska:	$17,324

Average Total Payments

Here:	$5,832
State:	$6,076

Number of discharges: 12

This Hospital:	1.04%
Nebraska:	0.49%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$31,304
State:	$33,261

Average Total Payments

Here:	$8,713
Nebraska:	$8,399

Number of discharges: 32

Here:	2.76%
State:	1.05%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$22,902
Nebraska:	$23,094

Average Total Payments

Here:	$7,526
Nebraska:	$6,933

Number of discharges: 16

Here:	1.38%
State:	0.67%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$22,825
State:	$18,005

Average Total Payments

This Hospital:	$5,233
Nebraska:	$5,448

Number of discharges: 14

Here:	1.21%
State:	0.98%

Renal Failure with Complications

Average Covered Charges

Here:	$18,294
State:	$21,735

Average Total Payments

This Hospital:	$6,197
Nebraska:	$6,612

Number of discharges: 20

Here:	1.73%
Nebraska:	1.85%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$29,803
State:	$32,629

Average Total Payments

Here:	$9,448
State:	$9,162

Number of discharges: 20

This Hospital:	1.73%
Nebraska:	0.78%

Seizures without Major Complications

Average Covered Charges

Here:	$15,821
Nebraska:	$17,727

Average Total Payments

This Hospital:	$5,231
State:	$5,261

Number of discharges: 15

This Hospital:	1.30%
Nebraska:	0.61%

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

Average Covered Charges

Here:	$40,109
State:	$44,748

Average Total Payments

This Hospital:	$11,862
Nebraska:	$12,923

Number of discharges: 25

Here:	2.16%
Nebraska:	2.83%

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

Average Covered Charges

This Hospital:	$26,602
State:	$24,009

Average Total Payments

This Hospital:	$8,132
State:	$7,353

Number of discharges: 34

This Hospital:	2.94%
State:	1.21%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$13,348
Nebraska:	$14,968

Average Total Payments

Here:	$4,208
Nebraska:	$4,420

Number of discharges: 25

Here:	2.16%
Nebraska:	0.98%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$25,660
Nebraska:	$23,784

Average Total Payments

This Hospital:	$6,329
Nebraska:	$6,549

Number of discharges: 64

This Hospital:	5.53%
State:	3.84%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$32,942
State:	$35,930

Average Total Payments

This Hospital:	$9,030
Nebraska:	$9,661

Number of discharges: 18

Here:	1.55%
State:	1.96%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$20,592
State:	$16,735

Average Total Payments

This Hospital:	$4,833
State:	$4,700

Number of discharges: 32

This Hospital:	2.76%
Nebraska:	1.48%

Syncope and Collapse

Average Covered Charges

Here:	$15,424
State:	$16,920

Average Total Payments

This Hospital:	$5,443
Nebraska:	$4,930

Number of discharges: 17

This Hospital:	1.47%
State:	1.37%

Transient Ischemia

Average Covered Charges

Here:	$19,057
Nebraska:	$17,521

Average Total Payments

Here:	$4,881
Nebraska:	$4,792

Number of discharges: 12

Here:	1.04%
State:	0.88%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	1.463%
State:	1.214%

Blood infection from a catheter in a large vein

This Hospital:	0.244%
State:	0.387%

FREMONT AREA MEDICAL CENTER - FREMONT, NE

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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

Hospital Acquired Conditions

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