GIBSON COMMUNITY HOSPITAL (GIBSON CITY, IL) Detailed Hospital Profile

Quality Measures

Percent of long-stay residents who lose too much weight

This Hospital:	3.1%
Illinois:	8.1%

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

Here:	9.3%
State:	4.5%

Percent of long-stay residents with a urinary tract infection

This Hospital:	6.3%
State:	6.8%

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

Here:	9.4%
Illinois:	3.4%

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

Here:	100.0%
Illinois:	93.9%

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

This Hospital:	100.0%
State:	92.9%

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

Here:	6.8%
Illinois:	1.9%

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

Here:	100.0%
State:	80.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	9.4%
Illinois:	24.2%

Complaint Deficiency

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
Send and promptly deliver unopened mail to residents
- Harm: Potential for minimal harm
- Scope: Many
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Check and assess each resident's assessment at least every 3 months
- 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 care by qualified persons according to each resident's written plan of care
- 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: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Potential for minimal harm
- Scope: Many
Make sure that doctors visit residents regularly, as required
- 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: Many
A two-hour-resistant firewall in common walls
- 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Restrictions on the use of highly flammable materials
- 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
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Potential for minimal harm
- Scope: Many

Process of Care

Heart Failure

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

This Hospital:	100.0%
State:	99.0%

Pneumonia

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

Here:	93.0%
Illinois:	96.2%

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

Here:	97.0%
State:	97.5%

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

Here:	89.0%
Illinois:	93.1%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	85.0%
Illinois:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	95.0%
Illinois:	95.5%

Surgery

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

This Hospital:	95.0%
Illinois:	98.2%

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

This Hospital:	95.0%
State:	97.1%

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

Here:	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:	96.0%
Illinois:	96.7%

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

This Hospital:	97.0%
Illinois:	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:	100.0%
Illinois:	99.9%

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

Here:	96.0%
Illinois:	94.3%

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

This Hospital:	97.0%
State:	96.8%

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

Here:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.0%
Illinois:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.5%
Illinois:	11.7%

30-Day Readmission Rates from Heart Failure

Here:	23.9%
Illinois:	25.6%

30-Day Readmission Rates from Pneumonia

Here:	17.4%
State:	19.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	1%
State:	5%

Usually

Here:	16%
Illinois:	18%

Always

Here:	83%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
State:	4%

Usually

Here:	12%
State:	16%

Always

Here:	87%
Illinois:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	2%
State:	11%

Usually

Here:	24%
Illinois:	25%

Always

Here:	74%
Illinois:	64%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	2%
State:	7%

Usually

Here:	22%
Illinois:	24%

Always

Here:	76%
Illinois:	69%

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

Sometimes or never

This Hospital:	13%
State:	21%

Usually

Here:	21%
State:	19%

Always

This Hospital:	66%
Illinois:	60%

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

Sometimes or never

Here:	4%
State:	9%

Usually

This Hospital:	21%
Illinois:	19%

Always

Here:	75%
Illinois:	72%

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

Sometimes or never

This Hospital:	4%
Illinois:	12%

Usually

This Hospital:	29%
Illinois:	31%

Always

This Hospital:	67%
State:	57%

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

Yes

This Hospital:	93%
Illinois:	83%

Here:	7%
Illinois:	17%

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

6 or lower

This Hospital:	2%
State:	9%

7 or 8

Here:	12%
Illinois:	24%

9 or 10

Here:	86%
Illinois:	67%

Would patients recommend the hospital to friends and family?

Here:	2%
State:	5%

Yes, probably

This Hospital:	16%
Illinois:	27%

Yes, definitely

Here:	82%
Illinois:	68%

Use of Medical Imaging

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

This Hospital:	38.500%
State:	37.406%

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

This Hospital:	4.900%
State:	8.337%

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

Here:	0.727%
State:	0.171%

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

Here:	0.535%
Illinois:	0.056%

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

This Hospital:	3.900%
Illinois:	5.573%

GIBSON COMMUNITY HOSPITAL - GIBSON CITY, IL

Quality Measures

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

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