HIGHLANDS REGIONAL MEDICAL CENTER - PRESTONSBURG, KY

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Addresss:
5000 KENTUCKY RTE 321
PRESTONSBURG, KY, 41653
Phone (make sure to verify first before calling): (606) 886-8511

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 : 17.75
Registered Professional Nurses : 69.00
Other Salaried Personnel : 179.50
Physical Therapists : 1.00
Registered Pharmacists : 3.50
Physicians : 6.75
Medical Social Workers : 2.00
Residents (Physicians) : 9.00

Number Of Beds
Total: 97
Total Certified: 97

Provided Services
Nuclear Medicine Services
Acute Renal Dialysis Services
Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

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

Acute Myocardial Infarction, Discharged Alive with Complications
Average Covered Charges
Here:

$15,459
State:

$23,224
Average Total Payments
Here:

$6,642
State:

$7,434
Number of discharges: 11
Here:

0.70%
State:

0.58%
Acute Myocardial Infarction, Discharged Alive with Major Complications
Average Covered Charges
This Hospital:

$16,530
State:

$32,520
Average Total Payments
This Hospital:

$10,352
Kentucky:

$11,283
Number of discharges: 18
Here:

1.15%
Kentucky:

0.97%
Acute Myocardial Infarction, Discharged Alive without Complications
Average Covered Charges
Here:

$9,961
Kentucky:

$17,672
Average Total Payments
This Hospital:

$4,616
State:

$5,204
Number of discharges: 11
This Hospital:

0.70%
Kentucky:

0.28%
Atherosclerosis without Major Complications
Average Covered Charges
Here:

$7,695
Kentucky:

$11,894
Average Total Payments
This Hospital:

$3,593
State:

$3,657
Number of discharges: 13
Here:

0.83%
State:

0.71%
Bronchitis and Asthma with Complications
Average Covered Charges
Here:

$10,581
Kentucky:

$15,056
Average Total Payments
Here:

$5,180
Kentucky:

$5,287
Number of discharges: 24
This Hospital:

1.53%
Kentucky:

0.33%
Bronchitis and Asthma without Complications
Average Covered Charges
Here:

$7,608
State:

$10,017
Average Total Payments
Here:

$3,749
Kentucky:

$3,841
Number of discharges: 13
Here:

0.83%
State:

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

$10,723
State:

$15,106
Average Total Payments
This Hospital:

$5,161
Kentucky:

$5,206
Number of discharges: 18
This Hospital:

1.15%
Kentucky:

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

$6,809
Kentucky:

$10,390
Average Total Payments
Here:

$3,494
State:

$3,523
Number of discharges: 25
This Hospital:

1.60%
State:

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

$9,199
State:

$13,744
Average Total Payments
Here:

$5,087
Kentucky:

$5,175
Number of discharges: 48
Here:

3.07%
Kentucky:

1.73%
Chest Pain
Average Covered Charges
Here:

$8,087
State:

$12,630
Average Total Payments
Here:

$3,400
State:

$3,521
Number of discharges: 20
This Hospital:

1.28%
State:

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

$12,262
Kentucky:

$17,372
Average Total Payments
Here:

$6,293
State:

$5,992
Number of discharges: 104
Here:

6.64%
Kentucky:

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

$16,071
Kentucky:

$20,645
Average Total Payments
This Hospital:

$7,347
State:

$7,341
Number of discharges: 74
Here:

4.73%
Kentucky:

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

$8,653
State:

$13,107
Average Total Payments
Here:

$4,542
State:

$4,458
Number of discharges: 105
This Hospital:

6.70%
State:

3.01%
Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications
Average Covered Charges
Here:

$18,345
State:

$24,391
Average Total Payments
This Hospital:

$6,704
State:

$6,897
Number of discharges: 13
This Hospital:

0.83%
Kentucky:

2.21%
Disorders of Pancreas Except Malignancy with Complications
Average Covered Charges
This Hospital:

$14,236
State:

$19,342
Average Total Payments
This Hospital:

$6,228
Kentucky:

$6,554
Number of discharges: 15
This Hospital:

0.96%
State:

0.33%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications
Average Covered Charges
Here:

$18,429
Kentucky:

$25,398
Average Total Payments
Here:

$6,896
Kentucky:

$7,578
Number of discharges: 15
Here:

0.96%
Kentucky:

0.56%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$11,385
Kentucky:

$13,998
Average Total Payments
Here:

$4,481
State:

$4,507
Number of discharges: 94
This Hospital:

6.00%
Kentucky:

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

$17,243
Kentucky:

$18,407
Average Total Payments
This Hospital:

$6,281
Kentucky:

$6,339
Number of discharges: 27
Here:

1.72%
Kentucky:

1.93%
G.I. Hemorrhage with Major Complications
Average Covered Charges
Here:

$26,320
Kentucky:

$33,270
Average Total Payments
Here:

$10,163
Kentucky:

$11,336
Number of discharges: 16
Here:

1.02%
State:

0.62%
G.I. Obstruction with Complications
Average Covered Charges
Here:

$9,453
State:

$16,781
Average Total Payments
This Hospital:

$5,501
State:

$5,762
Number of discharges: 15
This Hospital:

0.96%
Kentucky:

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

$13,019
State:

$16,913
Average Total Payments
Here:

$6,335
Kentucky:

$6,315
Number of discharges: 66
This Hospital:

4.21%
State:

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

$13,823
Kentucky:

$26,625
Average Total Payments
Here:

$9,009
State:

$9,229
Number of discharges: 32
Here:

2.04%
Kentucky:

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

$9,355
State:

$11,669
Average Total Payments
This Hospital:

$4,206
State:

$4,186
Number of discharges: 42
Here:

2.68%
State:

1.54%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
This Hospital:

$13,274
State:

$25,337
Average Total Payments
This Hospital:

$7,207
State:

$7,502
Number of discharges: 11
Here:

0.70%
Kentucky:

1.27%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
This Hospital:

$14,545
Kentucky:

$19,880
Average Total Payments
Here:

$7,172
State:

$7,246
Number of discharges: 25
Here:

1.60%
Kentucky:

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

$9,358
State:

$13,466
Average Total Payments
This Hospital:

$4,820
Kentucky:

$4,783
Number of discharges: 76
Here:

4.85%
State:

2.86%
Laparoscopic Cholecystectomy without C.D.E. without Complications
Average Covered Charges
This Hospital:

$28,729
Kentucky:

$23,252
Average Total Payments
This Hospital:

$7,226
Kentucky:

$7,166
Number of discharges: 14
This Hospital:

0.89%
Kentucky:

0.26%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
This Hospital:

$38,144
Kentucky:

$42,051
Average Total Payments
This Hospital:

$14,486
State:

$13,336
Number of discharges: 17
Here:

1.09%
Kentucky:

4.90%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
This Hospital:

$8,620
State:

$12,072
Average Total Payments
This Hospital:

$4,238
State:

$4,289
Number of discharges: 55
Here:

3.51%
Kentucky:

2.14%
Other Digestive System Diagnoses with Complications
Average Covered Charges
This Hospital:

$12,273
Kentucky:

$18,547
Average Total Payments
Here:

$6,125
Kentucky:

$6,404
Number of discharges: 13
Here:

0.83%
Kentucky:

0.42%
Peripheral Vascular Disorders with Complications
Average Covered Charges
Here:

$17,506
Kentucky:

$16,046
Average Total Payments
Here:

$6,066
State:

$5,910
Number of discharges: 11
Here:

0.70%
Kentucky:

0.47%
Peripheral Vascular Disorders without Complications
Average Covered Charges
Here:

$7,003
State:

$10,580
Average Total Payments
Here:

$4,093
Kentucky:

$4,022
Number of discharges: 12
This Hospital:

0.77%
Kentucky:

0.24%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$19,878
Kentucky:

$20,882
Average Total Payments
Here:

$8,539
Kentucky:

$8,036
Number of discharges: 24
This Hospital:

1.53%
State:

2.17%
Red Blood Cell Disorders with Major Complications
Average Covered Charges
This Hospital:

$16,453
Kentucky:

$22,876
Average Total Payments
Here:

$7,588
Kentucky:

$7,975
Number of discharges: 11
Here:

0.70%
State:

0.26%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
Here:

$10,643
Kentucky:

$14,170
Average Total Payments
This Hospital:

$4,911
Kentucky:

$4,959
Number of discharges: 26
This Hospital:

1.66%
Kentucky:

1.23%
Renal Failure with Complications
Average Covered Charges
Here:

$11,443
Kentucky:

$16,969
Average Total Payments
This Hospital:

$5,901
Kentucky:

$6,346
Number of discharges: 30
Here:

1.92%
State:

2.10%
Renal Failure with Major Complications
Average Covered Charges
Here:

$19,666
Kentucky:

$28,420
Average Total Payments
Here:

$10,076
Kentucky:

$10,235
Number of discharges: 20
Here:

1.28%
Kentucky:

1.38%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
Here:

$21,293
Kentucky:

$25,625
Average Total Payments
This Hospital:

$9,852
Kentucky:

$9,061
Number of discharges: 17
This Hospital:

1.09%
Kentucky:

0.86%
Respiratory Infections and Inflammations with Major Complications
Average Covered Charges
Here:

$30,411
State:

$35,535
Average Total Payments
This Hospital:

$13,054
State:

$12,449
Number of discharges: 11
Here:

0.70%
State:

1.04%
Respiratory System Diagnosis with Ventilator Support 96+ Hours
Average Covered Charges
Here:

$62,992
State:

$96,467
Average Total Payments
This Hospital:

$32,158
State:

$33,223
Number of discharges: 19
Here:

1.21%
Kentucky:

0.39%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
Here:

$28,627
State:

$43,386
Average Total Payments
Here:

$14,890
State:

$14,679
Number of discharges: 21
Here:

1.34%
State:

1.27%
Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours
Average Covered Charges
Here:

$69,379
Kentucky:

$122,770
Average Total Payments
This Hospital:

$37,192
Kentucky:

$41,141
Number of discharges: 12
This Hospital:

0.77%
Kentucky:

0.16%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$24,833
State:

$34,004
Average Total Payments
Here:

$11,699
Kentucky:

$11,802
Number of discharges: 50
Here:

3.19%
State:

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

$21,997
Kentucky:

$19,108
Average Total Payments
Here:

$7,165
Kentucky:

$7,022
Number of discharges: 17
Here:

1.09%
Kentucky:

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

$9,121
State:

$13,892
Average Total Payments
This Hospital:

$4,306
State:

$4,372
Number of discharges: 31
This Hospital:

1.98%
State:

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

$13,695
Kentucky:

$17,934
Average Total Payments
Here:

$6,321
Kentucky:

$6,263
Number of discharges: 112
This Hospital:

7.15%
State:

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

$22,060
State:

$25,985
Average Total Payments
This Hospital:

$10,533
Kentucky:

$9,009
Number of discharges: 29
Here:

1.85%
State:

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

$9,314
State:

$13,217
Average Total Payments
This Hospital:

$4,325
Kentucky:

$4,395
Number of discharges: 28
This Hospital:

1.79%
Kentucky:

1.49%
Syncope and Collapse
Average Covered Charges
Here:

$12,100
State:

$14,708
Average Total Payments
This Hospital:

$4,735
Kentucky:

$4,466
Number of discharges: 38
This Hospital:

2.43%
Kentucky:

2.00%
Transient Ischemia
Average Covered Charges
This Hospital:

$10,526
Kentucky:

$16,834
Average Total Payments
Here:

$4,504
Kentucky:

$4,577
Number of discharges: 17
This Hospital:

1.09%
Kentucky:

1.25%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
This Hospital:

100.0%
Kentucky:

99.0%
Percent of Patients Given Aspirin at Discharge
Here:

100.0%
Kentucky:

99.1%
Percent of Patients Given Beta Blocker at Discharge
Here:

100.0%
Kentucky:

98.6%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
This Hospital:

8
Kentucky:

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

97.0%
Kentucky:

96.4%
Patients Given a Prescription for a Statin at Discharge
This Hospital:

85.0%
State:

97.7%

Heart Failure

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

99.0%
State:

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

86.0%
State:

92.9%
Percent of Patients Given Discharge Instructions
Here:

98.0%
Kentucky:

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:

97.0%
Kentucky:

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

95.0%
State:

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

100.0%
State:

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

96.0%
State:

92.0%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

88.0%
State:

92.9%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

94.0%
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:

99.0%
Kentucky:

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

99.0%
Kentucky:

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

95.0%
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
This Hospital:

98.0%
State:

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

98.0%
Kentucky:

97.6%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

100.0%
State:

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

90.0%
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%
Kentucky:

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

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%
State:

99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack
Here:

14.5%
Kentucky:

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

10.6%
Kentucky:

11.4%
30-Day Mortality Rates from Pneumonia
Here:

12.4%
Kentucky:

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

20.7%
Kentucky:

20.5%
30-Day Readmission Rates from Heart Failure
This Hospital:

29.0%
Kentucky:

25.2%
30-Day Readmission Rates from Pneumonia
This Hospital:

20.5%
Kentucky:

19.4%

Hospital Acquired Conditions

Falls and injuries
Here:

0.613%
Kentucky:

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

0.409%
State:

0.318%
Infection from a Urinary Catheter
Here:

0.204%
Kentucky:

0.510%

Use of Medical Imaging

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

45.800%
Kentucky:

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

1.500%
State:

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

0.332%
State:

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

0.004%
State:

0.042%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
This Hospital:

6.400%
State:

5.467%
Outpatients with brain CT scans who got a sinus CT scan at the same time
Here:

5.300%
Kentucky:

3.072%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 17%

How often did nurses communicate well with patients?

Sometimes or never
Here:

5%
State:

4%
Usually
This Hospital:

17%
Kentucky:

16%
Always
Here:

78%
Kentucky:

80%

How often did doctors communicate well with patients?

Sometimes or never
Here:

3%
State:

3%
Usually
Here:

11%
State:

13%
Always
Here:

86%
State:

84%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

11%
Kentucky:

9%
Usually
This Hospital:

24%
Kentucky:

23%
Always
This Hospital:

65%
Kentucky:

68%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

9%
Kentucky:

7%
Usually
Here:

20%
Kentucky:

21%
Always
Here:

71%
Kentucky:

72%

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

Sometimes or never
Here:

24%
State:

19%
Usually
This Hospital:

16%
Kentucky:

17%
Always
Here:

60%
Kentucky:

64%

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

Sometimes or never
This Hospital:

11%
State:

8%
Usually
Here:

20%
Kentucky:

18%
Always
Here:

69%
State:

74%

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

Sometimes or never
This Hospital:

14%
State:

9%
Usually
Here:

30%
Kentucky:

29%
Always
This Hospital:

56%
State:

62%

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

Yes
This Hospital:

72%
State:

83%
No
Here:

28%
State:

17%

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

6 or lower
Here:

13%
State:

8%
7 or 8
This Hospital:

23%
Kentucky:

22%
9 or 10
This Hospital:

64%
Kentucky:

70%

Would patients recommend the hospital to friends and family?

No
This Hospital:

7%
Kentucky:

5%
Yes, probably
This Hospital:

30%
State:

24%
Yes, definitely
Here:

63%
State:

71%

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