KONA COMMUNITY HOSPITAL (KEALAKEKUA, HI) Detailed Hospital Profile

Complaint Deficiency

Hire a qualified dietician
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have an adequate water supply for the sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly constructed piped-in oxygen systems
- 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: Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public
- Harm: Minimal harm or potential for actual 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
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Use of Medical Imaging

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

Here:	0.530%
Hawaii:	0.102%

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

This Hospital:	0.054%
Hawaii:	0.011%

Quality Measures

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

This Hospital:	39.1%
State:	14.0%

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

This Hospital:	93.2%
Hawaii:	89.3%

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

This Hospital:	96.2%
Hawaii:	85.9%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	1.9%
State:	1.8%

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

Cellulitis without Major Complications

Average Covered Charges

Here:	$15,987
Hawaii:	$20,944

Average Total Payments

This Hospital:	$11,523
Hawaii:	$7,887

Number of discharges: 17

Here:	15.45%
State:	2.50%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$26,308
Hawaii:	$21,559

Average Total Payments

Here:	$14,595
Hawaii:	$9,270

Number of discharges: 12

Here:	10.91%
Hawaii:	3.44%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$23,147
State:	$23,701

Average Total Payments

Here:	$13,810
Hawaii:	$9,405

Number of discharges: 21

This Hospital:	19.09%
State:	3.60%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$47,762
Hawaii:	$39,027

Average Total Payments

Here:	$24,527
State:	$16,434

Number of discharges: 12

This Hospital:	10.91%
State:	1.37%

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

Average Covered Charges

This Hospital:	$39,092
Hawaii:	$43,436

Average Total Payments

Here:	$25,860
State:	$17,002

Number of discharges: 11

Here:	10.00%
Hawaii:	8.21%

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

Average Covered Charges

This Hospital:	$21,671
State:	$23,687

Average Total Payments

This Hospital:	$15,604
State:	$10,356

Number of discharges: 17

This Hospital:	15.45%
Hawaii:	3.12%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$28,516
Hawaii:	$23,436

Average Total Payments

This Hospital:	$14,227
Hawaii:	$9,352

Number of discharges: 20

Here:	18.18%
Hawaii:	3.53%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
Hawaii:	99.0%

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

This Hospital:	2
State:	9

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

This Hospital:	98.0%
State:	97.9%

Heart Failure

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

Here:	100.0%
State:	98.9%

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

This Hospital:	94.0%
Hawaii:	94.7%

Percent of Patients Given Discharge Instructions

Here:	88.0%
State:	93.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Hawaii:	99.3%

Pneumonia

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

Here:	99.0%
State:	96.7%

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

Here:	96.0%
Hawaii:	95.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.0%

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

Here:	94.0%
State:	94.6%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	91.0%
State:	90.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	96.0%
State:	91.1%

Surgery

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

Here:	98.0%
Hawaii:	98.8%

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

This Hospital:	100.0%
State:	96.3%

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

This Hospital:	100.0%
State:	98.8%

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

Here:	81.0%
State:	94.2%

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

This Hospital:	86.0%
State:	95.4%

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%
Hawaii:	99.7%

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

Here:	90.0%
State:	93.7%

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:	14.9%
State:	11.7%

30-Day Mortality Rates from Pneumonia

This Hospital:	14.5%
State:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	25.0%
Hawaii:	22.9%

30-Day Readmission Rates from Pneumonia

Here:	17.3%
Hawaii:	17.7%

Hospital Acquired Conditions

Falls and injuries

Here:	3.135%
Hawaii:	0.769%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
State:	5%

Usually

Here:	21%
State:	19%

Always

This Hospital:	74%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
Hawaii:	5%

Usually

This Hospital:	17%
Hawaii:	15%

Always

This Hospital:	77%
Hawaii:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	12%
State:	11%

Usually

Here:	30%
State:	27%

Always

This Hospital:	58%
State:	62%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
State:	7%

Usually

This Hospital:	23%
State:	24%

Always

This Hospital:	68%
Hawaii:	69%

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

Sometimes or never

This Hospital:	22%
State:	19%

Usually

Here:	19%
State:	19%

Always

This Hospital:	59%
Hawaii:	62%

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

Sometimes or never

Here:	8%
State:	7%

Usually

Here:	22%
Hawaii:	20%

Always

Here:	70%
Hawaii:	73%

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

Sometimes or never

This Hospital:	17%
Hawaii:	14%

Usually

Here:	34%
Hawaii:	33%

Always

This Hospital:	49%
State:	53%

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

Yes

Here:	76%
State:	81%

This Hospital:	24%
Hawaii:	19%

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

6 or lower

Here:	15%
State:	10%

7 or 8

This Hospital:	33%
State:	23%

9 or 10

Here:	52%
Hawaii:	67%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
State:	5%

Yes, probably

This Hospital:	39%
Hawaii:	26%

Yes, definitely

This Hospital:	53%
Hawaii:	69%

KONA COMMUNITY HOSPITAL - KEALAKEKUA, HI

Complaint Deficiency

Use of Medical Imaging

Quality Measures

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

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