HOLY ROSARY HEALTHCARE (MILES CITY, MT) Detailed Hospital Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	6.1%
Montana:	13.7%

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

This Hospital:	10.7%
Montana:	15.0%

Percent of long-stay high-risk residents with pressure ulcers

This Hospital:	10.0%
Montana:	4.3%

Percent of long-stay residents who lose too much weight

Here:	10.0%
Montana:	8.9%

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

This Hospital:	6.5%
State:	5.2%

Percent of long-stay residents with a urinary tract infection

This Hospital:	14.0%
Montana:	6.5%

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

This Hospital:	3.8%
State:	4.6%

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

This Hospital:	100.0%
Montana:	95.9%

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

Here:	92.3%
Montana:	91.2%

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

Here:	37.0%
Montana:	30.5%

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

Here:	3.1%
State:	1.5%

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

Here:	96.0%
Montana:	88.3%

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

This Hospital:	90.3%
Montana:	81.3%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	7.8%
Montana:	19.6%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,107

Acute myocardial infarction, discharged alive w MCC: $9,182

Heart failure and shock w/o CC/MCC: $4,613

Heart failure and shock w MCC: $9,328

Heart failure and shock w CC: $6,433

Chronic obstructive pulmonary disease w/o CC/MCC: $3,885

Chronic obstructive pulmonary disease w MCC: $8,325

Chronic obstructive pulmonary disease w CC: $6,234

Simple pneumonia and pleurisy w MCC: $9,153

Diabetes w MCC: $8,686

Chest Pain: $3,395

Extracranial procedures w/o CC/MCC: $6,392

Permanent cardiac pacemaker implant w/o CC/MCC: $10,743

Permanent cardiac pacemaker implant w CC: $13,864

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $7,196

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $15,822

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,546

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,118

Major small and large bowel procedures w/o CC/MCC: $8,689

Major small and large bowel procedures w CC: $14,218

Major small and large bowel procedures w MCC: $33,009

Major shoulder or elbow joint procedures w CC/MCC: $10,967

Major joint replacement or reattachment of lower extremity w/o MCC: $12,827

Revision of hip or knee replacement w/o CC/MCC: $18,781

Female reproductive system reconstructive procedures: $4,793

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,954

Process of Care

Heart Failure

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

This Hospital:	96.0%
State:	96.4%

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

Here:	100.0%
Montana:	96.3%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
State:	90.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	100.0%

Pneumonia

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

Here:	96.0%
Montana:	98.0%

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

Here:	89.0%
Montana:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Montana:	98.5%

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

Here:	88.0%
Montana:	92.5%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	100.0%
State:	96.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	98.0%
Montana:	95.7%

Surgery

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

This Hospital:	94.0%
State:	98.1%

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

This Hospital:	95.0%
Montana:	97.8%

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

This Hospital:	92.0%
Montana:	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:	100.0%
State:	96.5%

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

Here:	100.0%
Montana:	97.8%

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

Here:	100.0%
Montana:	99.6%

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

Here:	100.0%
Montana:	95.5%

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

Here:	100.0%
State:	96.0%

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

Here:	100.0%
State:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.9%
State:	12.4%

30-Day Mortality Rates from Pneumonia

Here:	12.4%
State:	12.1%

30-Day Readmission Rates from Heart Failure

Here:	22.9%
Montana:	22.5%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.2%
Montana:	17.4%

Complaint Deficiency

Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of flammable curtains
- 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
Put firmly secured handrails on each side of hallways
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- 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

Use of Medical Imaging

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

This Hospital:	44.200%
State:	43.092%

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

This Hospital:	9.900%
State:	7.989%

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

Here:	0.042%
State:	0.125%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
Montana:	5%

Usually

This Hospital:	23%
State:	20%

Always

Here:	73%
Montana:	75%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
Montana:	5%

Usually

Here:	22%
Montana:	15%

Always

This Hospital:	74%
State:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
State:	7%

Usually

This Hospital:	33%
Montana:	24%

Always

Here:	62%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
State:	8%

Usually

Here:	27%
State:	24%

Always

This Hospital:	65%
Montana:	68%

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

Sometimes or never

This Hospital:	20%
State:	20%

Usually

Here:	21%
State:	18%

Always

This Hospital:	59%
Montana:	62%

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

Sometimes or never

This Hospital:	8%
State:	8%

Usually

Here:	28%
State:	20%

Always

This Hospital:	64%
Montana:	72%

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

Sometimes or never

Here:	8%
Montana:	11%

Usually

Here:	35%
Montana:	31%

Always

This Hospital:	57%
State:	58%

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

Yes

Here:	82%
State:	82%

This Hospital:	18%
State:	18%

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

6 or lower

This Hospital:	12%
Montana:	11%

7 or 8

This Hospital:	31%
Montana:	23%

9 or 10

This Hospital:	57%
Montana:	66%

Would patients recommend the hospital to friends and family?

Here:	5%
State:	5%

Yes, probably

Here:	34%
State:	28%

Yes, definitely

This Hospital:	61%
Montana:	67%

HOLY ROSARY HEALTHCARE - MILES CITY, MT

Quality Measures

Average Medicare Payment

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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