HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL - HARLAN, KY

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Addresss:
81 BALL PARK ROAD
HARLAN, KY, 40831
Phone (make sure to verify first before calling): (606) 573-8100

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Psychiatric Units

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 49.00
Registered Professional Nurses : 113.00
Other Salaried Personnel : 308.27
Certified Registered Nurse Anesthetists (CRNA) : 2.00
Dieticians : 2.00
Occupational Therapists : 2.00
Physical Therapists : 2.00
Registered Pharmacists : 4.92
Respiratory Therapists : 1.00
Speech Pathologists Or Audiologists : 3.00
Physicians : 8.00
Medical Social Workers : 2.00

Number Of Beds
Total: 150
Total Certified: 150
Psychiatric Unit Beds: 20

Provided Services
Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 25%

How often did nurses communicate well with patients?

Sometimes or never
Here:

7%
Kentucky:

4%
Usually
Here:

15%
Kentucky:

16%
Always
This Hospital:

78%
Kentucky:

80%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

7%
Kentucky:

3%
Usually
Here:

13%
State:

13%
Always
This Hospital:

80%
State:

84%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

9%
State:

9%
Usually
Here:

23%
State:

23%
Always
This Hospital:

68%
State:

68%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

11%
State:

7%
Usually
This Hospital:

19%
Kentucky:

21%
Always
Here:

70%
State:

72%

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

Sometimes or never
This Hospital:

22%
Kentucky:

19%
Usually
Here:

16%
State:

17%
Always
Here:

62%
State:

64%

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

Sometimes or never
This Hospital:

11%
Kentucky:

8%
Usually
This Hospital:

18%
Kentucky:

18%
Always
Here:

71%
State:

74%

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

Sometimes or never
Here:

15%
State:

9%
Usually
Here:

23%
Kentucky:

29%
Always
This Hospital:

62%
Kentucky:

62%

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

Yes
This Hospital:

81%
State:

83%
No
This Hospital:

19%
Kentucky:

17%

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

6 or lower
This Hospital:

8%
Kentucky:

8%
7 or 8
This Hospital:

26%
Kentucky:

22%
9 or 10
Here:

66%
State:

70%

Would patients recommend the hospital to friends and family?

No
Here:

8%
State:

5%
Yes, probably
This Hospital:

31%
State:

24%
Yes, definitely
Here:

61%
State:

71%

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

Atherosclerosis without Major Complications
Average Covered Charges
Here:

$7,487
Kentucky:

$11,894
Average Total Payments
Here:

$3,571
Kentucky:

$3,657
Number of discharges: 29
This Hospital:

2.12%
State:

0.71%
Bronchitis and Asthma without Complications
Average Covered Charges
Here:

$9,495
Kentucky:

$10,017
Average Total Payments
This Hospital:

$3,731
State:

$3,841
Number of discharges: 11
Here:

0.81%
Kentucky:

0.24%
Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$12,325
Kentucky:

$15,106
Average Total Payments
This Hospital:

$5,141
Kentucky:

$5,206
Number of discharges: 13
Here:

0.95%
Kentucky:

1.30%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
This Hospital:

$10,207
Kentucky:

$10,390
Average Total Payments
Here:

$3,527
State:

$3,523
Number of discharges: 37
This Hospital:

2.71%
Kentucky:

1.82%
Cellulitis without Major Complications
Average Covered Charges
This Hospital:

$9,867
State:

$13,744
Average Total Payments
This Hospital:

$4,848
State:

$5,175
Number of discharges: 45
This Hospital:

3.29%
Kentucky:

1.73%
Chest Pain
Average Covered Charges
Here:

$8,854
Kentucky:

$12,630
Average Total Payments
This Hospital:

$3,368
State:

$3,521
Number of discharges: 47
Here:

3.44%
State:

2.06%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
This Hospital:

$15,519
State:

$17,372
Average Total Payments
Here:

$5,912
Kentucky:

$5,992
Number of discharges: 85
Here:

6.22%
State:

2.84%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
Here:

$17,896
State:

$20,645
Average Total Payments
Here:

$7,459
State:

$7,341
Number of discharges: 43
Here:

3.15%
Kentucky:

2.94%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
Here:

$10,635
Kentucky:

$13,107
Average Total Payments
This Hospital:

$4,631
Kentucky:

$4,458
Number of discharges: 171
This Hospital:

12.52%
Kentucky:

3.01%
Diabetes with Complications
Average Covered Charges
This Hospital:

$9,618
State:

$14,320
Average Total Payments
Here:

$4,952
State:

$5,248
Number of discharges: 19
This Hospital:

1.39%
Kentucky:

0.55%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$11,019
Kentucky:

$13,998
Average Total Payments
Here:

$4,428
Kentucky:

$4,507
Number of discharges: 39
This Hospital:

2.86%
Kentucky:

3.82%
G.I. Hemorrhage with Complications
Average Covered Charges
Here:

$13,423
Kentucky:

$18,407
Average Total Payments
This Hospital:

$5,822
Kentucky:

$6,339
Number of discharges: 21
This Hospital:

1.54%
State:

1.93%
G.I. Hemorrhage without Complications
Average Covered Charges
Here:

$11,233
State:

$13,654
Average Total Payments
Here:

$4,293
Kentucky:

$4,398
Number of discharges: 23
This Hospital:

1.68%
Kentucky:

0.45%
G.I. Obstruction with Complications
Average Covered Charges
This Hospital:

$15,062
State:

$16,781
Average Total Payments
This Hospital:

$5,618
State:

$5,762
Number of discharges: 12
Here:

0.88%
Kentucky:

0.52%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$12,623
Kentucky:

$16,913
Average Total Payments
Here:

$6,067
Kentucky:

$6,315
Number of discharges: 64
This Hospital:

4.69%
Kentucky:

3.15%
Heart Failure and Shock with Major Complications
Average Covered Charges
This Hospital:

$19,653
State:

$26,625
Average Total Payments
Here:

$8,225
Kentucky:

$9,229
Number of discharges: 37
This Hospital:

2.71%
State:

2.66%
Heart Failure and Shock without Complications
Average Covered Charges
Here:

$9,380
Kentucky:

$11,669
Average Total Payments
Here:

$4,133
State:

$4,186
Number of discharges: 52
This Hospital:

3.81%
State:

1.54%
Hypertension without Major Complications
Average Covered Charges
Here:

$7,345
State:

$12,624
Average Total Payments
Here:

$3,755
Kentucky:

$3,863
Number of discharges: 15
This Hospital:

1.10%
State:

0.47%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
Here:

$17,748
State:

$19,880
Average Total Payments
This Hospital:

$6,720
Kentucky:

$7,246
Number of discharges: 13
Here:

0.95%
Kentucky:

0.98%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
Here:

$11,111
Kentucky:

$13,466
Average Total Payments
This Hospital:

$4,637
State:

$4,783
Number of discharges: 72
This Hospital:

5.27%
Kentucky:

2.86%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$9,198
State:

$12,072
Average Total Payments
This Hospital:

$4,083
Kentucky:

$4,289
Number of discharges: 50
This Hospital:

3.66%
Kentucky:

2.14%
Poisoning and Toxic Effects of Drugs without Major Complications
Average Covered Charges
This Hospital:

$9,110
State:

$12,630
Average Total Payments
Here:

$3,944
State:

$4,099
Number of discharges: 12
Here:

0.88%
Kentucky:

0.40%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$16,211
State:

$20,882
Average Total Payments
This Hospital:

$8,006
State:

$8,036
Number of discharges: 20
This Hospital:

1.46%
State:

2.17%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
This Hospital:

$11,068
State:

$14,170
Average Total Payments
This Hospital:

$4,845
Kentucky:

$4,959
Number of discharges: 44
This Hospital:

3.22%
State:

1.23%
Renal Failure with Complications
Average Covered Charges
Here:

$14,404
Kentucky:

$16,969
Average Total Payments
This Hospital:

$5,815
Kentucky:

$6,346
Number of discharges: 27
This Hospital:

1.98%
Kentucky:

2.10%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
Here:

$29,714
State:

$25,625
Average Total Payments
Here:

$8,734
Kentucky:

$9,061
Number of discharges: 17
Here:

1.24%
State:

0.86%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
This Hospital:

$38,146
Kentucky:

$43,386
Average Total Payments
This Hospital:

$13,478
State:

$14,679
Number of discharges: 40
Here:

2.93%
Kentucky:

1.27%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
This Hospital:

$24,083
State:

$34,004
Average Total Payments
Here:

$11,126
State:

$11,802
Number of discharges: 29
Here:

2.12%
State:

3.65%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
Here:

$16,294
State:

$19,108
Average Total Payments
This Hospital:

$6,781
Kentucky:

$7,022
Number of discharges: 24
This Hospital:

1.76%
Kentucky:

1.29%
Signs and Symptoms without Major Complications
Average Covered Charges
This Hospital:

$14,131
State:

$13,892
Average Total Payments
This Hospital:

$4,216
Kentucky:

$4,372
Number of discharges: 14
Here:

1.02%
Kentucky:

0.69%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
Here:

$18,779
State:

$17,934
Average Total Payments
Here:

$6,159
State:

$6,263
Number of discharges: 94
This Hospital:

6.88%
Kentucky:

3.27%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
Here:

$19,783
State:

$25,985
Average Total Payments
Here:

$8,095
State:

$9,009
Number of discharges: 15
Here:

1.10%
State:

2.34%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
Here:

$11,974
State:

$13,217
Average Total Payments
Here:

$4,333
Kentucky:

$4,395
Number of discharges: 88
This Hospital:

6.44%
Kentucky:

1.49%
Syncope and Collapse
Average Covered Charges
Here:

$9,835
Kentucky:

$14,708
Average Total Payments
This Hospital:

$4,307
State:

$4,466
Number of discharges: 26
Here:

1.90%
State:

2.00%
Transient Ischemia
Average Covered Charges
Here:

$11,798
Kentucky:

$16,834
Average Total Payments
Here:

$4,483
Kentucky:

$4,577
Number of discharges: 18
Here:

1.32%
State:

1.25%

Process of Care

Heart Attack

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

6
State:

7
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

100.0%
State:

96.4%

Heart Failure

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

99.0%
Kentucky:

97.6%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

100.0%
State:

92.9%
Percent of Patients Given Discharge Instructions
Here:

99.0%
State:

88.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

99.3%

Pneumonia

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

99.0%
State:

95.8%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

99.0%
Kentucky:

96.7%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

98.6%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

100.0%
Kentucky:

92.0%
Percent of Patients Assessed and Given Influenza Vaccination
This Hospital:

100.0%
State:

92.9%
Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

100.0%
Kentucky:

95.3%

Surgery

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

100.0%
Kentucky:

98.4%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

100.0%
Kentucky:

97.0%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

100.0%
Kentucky:

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:

100.0%
Kentucky:

96.4%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

100.0%
Kentucky:

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%
Kentucky:

99.9%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
This Hospital:

100.0%
Kentucky:

93.0%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

100.0%
State:

96.3%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
Here:

100.0%
State:

95.1%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Hospital:

100.0%
State:

95.4%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

100.0%
Kentucky:

99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Hospital:

17.2%
Kentucky:

15.4%
30-Day Mortality Rates from Heart Failure
Here:

11.2%
Kentucky:

11.4%
30-Day Mortality Rates from Pneumonia
This Hospital:

12.0%
State:

12.4%
30-Day Readmission Rates from Heart Failure
Here:

31.4%
Kentucky:

25.2%
30-Day Readmission Rates from Pneumonia
Here:

23.9%
Kentucky:

19.4%

Hospital Acquired Conditions

Falls and injuries
Here:

0.498%
State:

0.802%
Blood infection from a catheter in a large vein
Here:

0.249%
State:

0.318%

Use of Medical Imaging

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

48.300%
Kentucky:

40.592%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

10.100%
State:

8.052%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.405%
State:

0.126%
Outpatient CT scans of the chest that were combination (double) scans.
This Hospital:

0.208%
State:

0.042%

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