LEA REGIONAL MEDICAL CENTER (HOBBS, NM) Detailed Hospital Profile

Use of Medical Imaging

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

Here:	7.000%
State:	8.249%

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

Here:	0.109%
New Mexico:	0.125%

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

This Hospital:	0.113%
New Mexico:	0.051%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	4.700%
New Mexico:	2.840%

Complaint Deficiency

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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Immediate jeopardy to resident health or safety
- 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
Rooms that can be unlocked from inside without a key
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- 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

Process of Care

Heart Attack

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

Here:	4
State:	9

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

Here:	96.0%
New Mexico:	96.8%

Heart Failure

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

Here:	100.0%
New Mexico:	94.5%

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

This Hospital:	100.0%
New Mexico:	95.1%

Percent of Patients Given Discharge Instructions

Here:	86.0%
New Mexico:	82.0%

Pneumonia

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

Here:	100.0%
State:	96.0%

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

This Hospital:	94.0%
New Mexico:	95.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	92.0%

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

Here:	96.0%
New Mexico:	92.6%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	83.0%
State:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	87.0%
New Mexico:	92.4%

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%
State:	97.8%

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

Here:	100.0%
New Mexico:	97.1%

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

Here:	100.0%
New Mexico:	97.7%

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%
State:	95.1%

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

This Hospital:	98.0%
State:	96.6%

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%
New Mexico:	99.8%

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

Here:	86.0%
State:	94.8%

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

Here:	85.0%
State:	94.0%

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

This Hospital:	100.0%
New Mexico:	99.5%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.6%
New Mexico:	16.2%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.2%
New Mexico:	12.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.4%
State:	12.4%

30-Day Readmission Rates from Heart Failure

Here:	26.6%
State:	23.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.3%
New Mexico:	17.2%

Hospital Acquired Conditions

Falls and injuries

Here:	0.483%
New Mexico:	1.211%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 24%

How often did nurses communicate well with patients?

Sometimes or never

Here:	10%
State:	6%

Usually

Here:	19%
State:	18%

Always

Here:	71%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	7%
State:	6%

Usually

This Hospital:	15%
State:	15%

Always

This Hospital:	78%
State:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
New Mexico:	12%

Usually

This Hospital:	25%
New Mexico:	22%

Always

This Hospital:	62%
State:	66%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	9%
New Mexico:	8%

Usually

This Hospital:	24%
New Mexico:	22%

Always

This Hospital:	67%
State:	70%

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

Sometimes or never

Here:	23%
New Mexico:	19%

Usually

Here:	19%
State:	17%

Always

This Hospital:	58%
State:	64%

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

Sometimes or never

Here:	21%
State:	10%

Usually

This Hospital:	21%
New Mexico:	20%

Always

This Hospital:	58%
State:	70%

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

Sometimes or never

This Hospital:	9%
State:	12%

Usually

Here:	30%
New Mexico:	29%

Always

Here:	61%
New Mexico:	59%

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

Yes

Here:	78%
State:	81%

This Hospital:	22%
New Mexico:	19%

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

6 or lower

This Hospital:	16%
New Mexico:	11%

7 or 8

Here:	30%
State:	26%

9 or 10

Here:	54%
New Mexico:	63%

Would patients recommend the hospital to friends and family?

This Hospital:	11%
New Mexico:	7%

Yes, probably

This Hospital:	39%
State:	31%

Yes, definitely

Here:	50%
State:	62%

Quality Measures

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

This Hospital:	55.0%
New Mexico:	27.1%

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

Here:	82.6%
New Mexico:	70.6%

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

This Hospital:	66.7%
New Mexico:	67.2%

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$27,976
State:	$19,869

Average Total Payments

This Hospital:	$5,859
State:	$5,909

Number of discharges: 15

Here:	2.81%
State:	1.10%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$19,447
State:	$13,507

Average Total Payments

Here:	$4,116
New Mexico:	$3,929

Number of discharges: 20

Here:	3.75%
State:	1.52%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$23,552
New Mexico:	$17,374

Average Total Payments

This Hospital:	$9,580
State:	$6,234

Number of discharges: 13

Here:	2.43%
State:	2.61%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$41,089
New Mexico:	$24,329

Average Total Payments

Here:	$7,289
State:	$6,837

Number of discharges: 20

This Hospital:	3.75%
State:	1.64%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$44,944
State:	$27,808

Average Total Payments

Here:	$8,454
State:	$8,744

Number of discharges: 25

This Hospital:	4.68%
State:	2.08%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$27,807
State:	$16,644

Average Total Payments

This Hospital:	$5,321
New Mexico:	$5,297

Number of discharges: 20

This Hospital:	3.75%
State:	2.06%

Diabetes with Complications

Average Covered Charges

This Hospital:	$27,651
New Mexico:	$18,426

Average Total Payments

Here:	$6,038
New Mexico:	$6,079

Number of discharges: 16

This Hospital:	3.00%
New Mexico:	0.75%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$21,976
New Mexico:	$17,803

Average Total Payments

Here:	$5,179
New Mexico:	$5,275

Number of discharges: 34

Here:	6.37%
State:	3.84%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$35,845
New Mexico:	$22,253

Average Total Payments

Here:	$7,517
New Mexico:	$7,098

Number of discharges: 14

Here:	2.62%
New Mexico:	2.56%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$77,284
New Mexico:	$44,226

Average Total Payments

Here:	$13,897
State:	$13,352

Number of discharges: 17

Here:	3.18%
New Mexico:	1.59%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$36,882
New Mexico:	$27,688

Average Total Payments

Here:	$8,264
New Mexico:	$8,166

Number of discharges: 20

This Hospital:	3.75%
New Mexico:	1.50%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$31,391
State:	$16,098

Average Total Payments

This Hospital:	$5,709
New Mexico:	$5,731

Number of discharges: 27

Here:	5.06%
State:	3.57%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$82,110
New Mexico:	$50,767

Average Total Payments

This Hospital:	$15,490
State:	$14,985

Number of discharges: 35

This Hospital:	6.55%
State:	7.85%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$19,432
State:	$15,601

Average Total Payments

This Hospital:	$5,045
New Mexico:	$4,952

Number of discharges: 41

This Hospital:	7.68%
New Mexico:	3.13%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$14,627
State:	$15,630

Average Total Payments

Here:	$4,569
New Mexico:	$4,910

Number of discharges: 11

Here:	2.06%
New Mexico:	0.73%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$59,723
New Mexico:	$35,405

Average Total Payments

Here:	$9,813
State:	$9,428

Number of discharges: 41

Here:	7.68%
State:	0.89%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$15,393
New Mexico:	$17,564

Average Total Payments

Here:	$5,740
State:	$6,028

Number of discharges: 12

This Hospital:	2.25%
State:	0.60%

Renal Failure with Complications

Average Covered Charges

Here:	$29,572
New Mexico:	$22,553

Average Total Payments

Here:	$7,060
New Mexico:	$7,207

Number of discharges: 25

Here:	4.68%
New Mexico:	2.03%

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

Average Covered Charges

This Hospital:	$49,462
New Mexico:	$40,444

Average Total Payments

Here:	$13,316
New Mexico:	$14,331

Number of discharges: 46

Here:	8.61%
New Mexico:	5.00%

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

Average Covered Charges

Here:	$24,970
New Mexico:	$24,193

Average Total Payments

Here:	$8,316
New Mexico:	$8,339

Number of discharges: 23

This Hospital:	4.31%
New Mexico:	2.27%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$31,037
New Mexico:	$20,805

Average Total Payments

Here:	$7,272
New Mexico:	$7,451

Number of discharges: 14

This Hospital:	2.62%
State:	4.13%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$71,066
State:	$31,826

Average Total Payments

This Hospital:	$11,527
New Mexico:	$10,412

Number of discharges: 16

This Hospital:	3.00%
State:	2.43%

Syncope and Collapse

Average Covered Charges

This Hospital:	$25,943
New Mexico:	$18,060

Average Total Payments

This Hospital:	$5,261
New Mexico:	$5,061

Number of discharges: 13

This Hospital:	2.43%
New Mexico:	1.13%

Transient Ischemia

Average Covered Charges

Here:	$23,042
State:	$18,906

Average Total Payments

Here:	$5,435
State:	$5,100

Number of discharges: 16

Here:	3.00%
New Mexico:	0.85%

LEA REGIONAL MEDICAL CENTER - HOBBS, NM

Use of Medical Imaging

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

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

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