GOODALL WITCHER HOSPITAL (CLIFTON, TX) Detailed Hospital Profile

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

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$9,572
Texas:	$22,187

Average Total Payments

Here:	$5,225
State:	$5,512

Number of discharges: 16

Here:	8.04%
Texas:	2.13%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$14,395
State:	$29,940

Average Total Payments

This Hospital:	$5,916
State:	$6,395

Number of discharges: 16

This Hospital:	8.04%
Texas:	2.05%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$12,713
State:	$35,718

Average Total Payments

This Hospital:	$7,181
Texas:	$7,640

Number of discharges: 25

This Hospital:	12.56%
State:	2.27%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$8,737
State:	$22,469

Average Total Payments

This Hospital:	$4,336
Texas:	$4,747

Number of discharges: 11

This Hospital:	5.53%
State:	1.59%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$11,976
State:	$24,361

Average Total Payments

This Hospital:	$4,359
State:	$4,830

Number of discharges: 12

Here:	6.03%
State:	3.07%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$16,171
State:	$29,852

Average Total Payments

This Hospital:	$6,322
Texas:	$6,718

Number of discharges: 15

This Hospital:	7.54%
Texas:	3.09%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,520
Texas:	$22,532

Average Total Payments

This Hospital:	$4,888
Texas:	$5,086

Number of discharges: 31

Here:	15.58%
Texas:	3.62%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$20,512
Texas:	$42,475

Average Total Payments

Here:	$9,035
State:	$9,270

Number of discharges: 13

This Hospital:	6.53%
State:	0.80%

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

Average Covered Charges

Here:	$22,356
State:	$55,259

Average Total Payments

Here:	$11,729
Texas:	$12,623

Number of discharges: 14

This Hospital:	7.04%
State:	4.83%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$15,071
Texas:	$30,598

Average Total Payments

Here:	$6,271
Texas:	$6,580

Number of discharges: 34

Here:	17.09%
Texas:	2.99%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$12,063
State:	$21,702

Average Total Payments

Here:	$4,436
Texas:	$4,627

Number of discharges: 12

Here:	6.03%
State:	1.33%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
Texas:	5%

Usually

Here:	18%
Texas:	17%

Always

This Hospital:	76%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	3%
Texas:	4%

Usually

This Hospital:	15%
State:	13%

Always

Here:	82%
Texas:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	7%
Texas:	10%

Usually

Here:	24%
State:	23%

Always

This Hospital:	69%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
State:	7%

Usually

This Hospital:	22%
Texas:	21%

Always

This Hospital:	73%
State:	72%

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

Sometimes or never

This Hospital:	27%
Texas:	19%

Usually

This Hospital:	29%
State:	17%

Always

Here:	44%
State:	64%

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

Sometimes or never

This Hospital:	10%
State:	9%

Usually

Here:	25%
State:	18%

Always

This Hospital:	65%
Texas:	73%

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

Sometimes or never

Here:	4%
Texas:	8%

Usually

This Hospital:	31%
Texas:	25%

Always

Here:	65%
State:	67%

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

Yes

This Hospital:	86%
State:	83%

Here:	14%
Texas:	17%

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

6 or lower

Here:	9%
Texas:	8%

7 or 8

Here:	21%
State:	21%

9 or 10

Here:	70%
Texas:	71%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
State:	5%

Yes, probably

Here:	30%
State:	23%

Yes, definitely

Here:	66%
State:	72%

Use of Medical Imaging

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

This Hospital:	9.800%
State:	8.275%

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

Here:	0.435%
Texas:	0.250%

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

This Hospital:	0.014%
State:	0.110%

Quality Measures

Percent of long-stay residents who lose too much weight

This Hospital:	9.4%
Texas:	6.7%

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

Here:	11.2%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	9.4%
State:	8.3%

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

This Hospital:	6.3%
State:	3.5%

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

Here:	100.0%
Texas:	91.6%

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

Here:	96.9%
State:	91.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	28.1%
State:	28.5%

Complaint Deficiency

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: 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: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Employ qualified full-time, part-time or consultant professionals that must be licensed, certified, or registered staff to give needed services
- 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: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Potential for minimal 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: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Potential for minimal harm
- Scope: Many
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
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: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
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: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Process of Care

Heart Attack

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

This Hospital:	2
Texas:	8

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	126
State:	111

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

Here:	97.0%
State:	95.6%

Heart Failure

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

This Hospital:	95.0%
State:	98.7%

Percent of Patients Given Discharge Instructions

Here:	91.0%
State:	93.1%

Pneumonia

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

This Hospital:	92.0%
State:	96.4%

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

Here:	90.0%
State:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.9%

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

This Hospital:	79.0%
State:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	86.0%
State:	94.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	72.0%
State:	96.2%

Surgery

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

Here:	57.0%
Texas:	98.4%

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

Here:	71.0%
State:	97.0%

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

Here:	86.0%
State:	98.4%

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

Here:	44.0%
State:	96.7%

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

This Hospital:	44.0%
Texas:	97.6%

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%

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

This Hospital:	86.0%
State:	95.1%

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

This Hospital:	100.0%
Texas:	96.7%

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

This Hospital:	12.4%
Texas:	11.2%

30-Day Mortality Rates from Pneumonia

Here:	10.6%
State:	11.8%

30-Day Readmission Rates from Heart Failure

Here:	25.9%
Texas:	24.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.0%
Texas:	18.0%

GOODALL WITCHER HOSPITAL - CLIFTON, TX

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

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

Quality Measures

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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