KAISER FOUNDATION HOSPITAL MANTECA (MANTECA, CA) Detailed Hospital Profile

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
California:	99.0%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
California:	98.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
California:	99.6%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	100.0%
California:	97.5%

Heart Failure

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

This Hospital:	100.0%
State:	98.9%

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

This Hospital:	100.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.4%

Pneumonia

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

This Hospital:	98.0%
State:	96.1%

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

Here:	99.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.1%

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

This Hospital:	100.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	98.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
California:	95.8%

Surgery

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

Here:	98.0%
California:	98.1%

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

Here:	99.0%
California:	96.3%

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

Here:	100.0%
California:	98.2%

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

Here:	99.0%
California:	96.0%

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

Here:	99.0%
State:	96.9%

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%
California:	99.8%

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

This Hospital:	100.0%
State:	93.9%

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

Here:	99.0%
State:	96.1%

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

Here:	100.0%
State:	99.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
State:	7%

Usually

This Hospital:	20%
State:	21%

Always

Here:	75%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
California:	6%

Usually

Here:	16%
State:	17%

Always

This Hospital:	79%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
State:	13%

Usually

Here:	24%
State:	28%

Always

Here:	66%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
State:	8%

Usually

Here:	22%
State:	25%

Always

Here:	72%
California:	67%

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

Sometimes or never

This Hospital:	21%
State:	23%

Usually

Here:	19%
State:	19%

Always

This Hospital:	60%
California:	58%

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

Sometimes or never

Here:	8%
State:	10%

Usually

This Hospital:	17%
California:	21%

Always

Here:	75%
State:	69%

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

Sometimes or never

This Hospital:	13%
State:	18%

Usually

This Hospital:	31%
California:	33%

Always

This Hospital:	56%
State:	49%

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

Yes

This Hospital:	85%
State:	81%

Here:	15%
California:	19%

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

6 or lower

This Hospital:	7%
California:	10%

7 or 8

This Hospital:	18%
California:	24%

9 or 10

This Hospital:	75%
California:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
State:	7%

Yes, probably

Here:	20%
California:	24%

Yes, definitely

This Hospital:	76%
California:	69%

Complaint Deficiency

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
Maintain 15 months of resident assessments in the resident's active clinical record
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Potential for minimal harm
- Scope: Many
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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Quality Measures

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

This Hospital:	95.7%
California:	81.9%

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

Here:	96.0%
State:	79.7%

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

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$39,362
State:	$47,292

Average Total Payments

Here:	$6,299
California:	$8,831

Number of discharges: 11

This Hospital:	45.83%
California:	2.91%

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

Average Covered Charges

Here:	$44,299
State:	$90,173

Average Total Payments

Here:	$11,035
State:	$16,748

Number of discharges: 13

Here:	54.17%
California:	7.21%

KAISER FOUNDATION HOSPITAL MANTECA - MANTECA, CA

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

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

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