GIBSON GENERAL HOSPITAL (PRINCETON, IN) Detailed Hospital Profile

Quality Measures

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

This Hospital:	48.6%
Indiana:	22.0%

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

This Hospital:	4.8%
State:	2.0%

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

This Hospital:	97.8%
State:	84.1%

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

Here:	97.9%
State:	82.2%

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

Here:	2.9%
Indiana:	2.9%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	1%
Indiana:	4%

Usually

This Hospital:	16%
State:	17%

Always

Here:	83%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
Indiana:	4%

Usually

Here:	13%
State:	14%

Always

This Hospital:	86%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	1%
Indiana:	7%

Usually

This Hospital:	19%
Indiana:	25%

Always

This Hospital:	80%
Indiana:	68%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	4%
State:	5%

Usually

Here:	24%
Indiana:	23%

Always

This Hospital:	72%
State:	72%

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

Sometimes or never

This Hospital:	12%
State:	19%

Usually

Here:	19%
State:	19%

Always

This Hospital:	69%
State:	62%

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

Sometimes or never

Here:	7%
State:	7%

Usually

This Hospital:	18%
Indiana:	18%

Always

Here:	75%
Indiana:	75%

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

Sometimes or never

This Hospital:	4%
State:	9%

Usually

Here:	29%
Indiana:	32%

Always

This Hospital:	67%
Indiana:	59%

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

Yes

This Hospital:	87%
State:	84%

Here:	13%
State:	16%

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

6 or lower

This Hospital:	7%
State:	7%

7 or 8

Here:	21%
State:	20%

9 or 10

This Hospital:	72%
Indiana:	73%

Would patients recommend the hospital to friends and family?

This Hospital:	2%
Indiana:	4%

Yes, probably

Here:	29%
Indiana:	23%

Yes, definitely

This Hospital:	69%
Indiana:	73%

Complaint Deficiency

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
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- 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
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
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide adequate and comfortable lighting levels in all areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- 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: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Emergency lighting that can last at least 1 1/2 hours
- Harm: Potential for minimal harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Potential for minimal harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual 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%
Indiana:	98.6%

Pneumonia

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

Here:	92.0%
State:	96.7%

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

This Hospital:	93.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.0%

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

This Hospital:	88.0%
State:	93.3%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	85.0%
State:	94.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	96.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	12.5%
Indiana:	11.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	13.7%
Indiana:	12.0%

30-Day Readmission Rates from Heart Failure

This Hospital:	23.2%
State:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	16.9%
Indiana:	18.1%

Use of Medical Imaging

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

This Hospital:	51.400%
Indiana:	37.523%

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

This Hospital:	12.200%
Indiana:	8.100%

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

This Hospital:	0.293%
Indiana:	0.160%

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

This Hospital:	0.182%
State:	0.103%

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

This Hospital:	3.600%
State:	5.661%

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

Here:	5.600%
State:	2.690%

GIBSON GENERAL HOSPITAL - PRINCETON, IN

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Use of Medical Imaging

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