LOCK HAVEN HOSPITAL (LOCK HAVEN, PA) Detailed Hospital Profile

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

This Hospital:	18%
State:	18%

Always

This Hospital:	77%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	3%
State:	5%

Usually

This Hospital:	13%
State:	16%

Always

Here:	84%
Pennsylvania:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	7%
State:	10%

Usually

This Hospital:	26%
Pennsylvania:	26%

Always

This Hospital:	67%
Pennsylvania:	64%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
State:	7%

Usually

Here:	23%
Pennsylvania:	24%

Always

Here:	72%
State:	69%

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

Sometimes or never

This Hospital:	16%
State:	21%

Usually

Here:	20%
State:	19%

Always

Here:	64%
State:	60%

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

Sometimes or never

Here:	17%
State:	9%

Usually

Here:	21%
Pennsylvania:	20%

Always

This Hospital:	62%
State:	71%

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

Sometimes or never

Here:	11%
Pennsylvania:	14%

Usually

This Hospital:	31%
State:	34%

Always

This Hospital:	58%
State:	52%

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

Yes

Here:	88%
State:	83%

Here:	12%
Pennsylvania:	17%

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

6 or lower

This Hospital:	10%
State:	10%

7 or 8

Here:	31%
State:	24%

9 or 10

This Hospital:	59%
State:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
State:	5%

Yes, probably

Here:	36%
Pennsylvania:	28%

Yes, definitely

Here:	56%
State:	67%

Complaint Deficiency

Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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: 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- 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
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- 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
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Exit stairways and towers that are smoke proof
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly constructed linen or trash chutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly constructed piped-in oxygen systems
- 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: Few

Quality Measures

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

This Hospital:	21.6%
Pennsylvania:	15.9%

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

Here:	9.0%
Pennsylvania:	10.2%

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

Here:	4.7%
State:	5.9%

Percent of long-stay residents who lose too much weight

This Hospital:	11.3%
Pennsylvania:	7.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Hospital:	41.9%
Pennsylvania:	56.0%

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

This Hospital:	13.2%
Pennsylvania:	3.9%

Percent of long-stay residents with a urinary tract infection

This Hospital:	11.3%
State:	5.3%

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

This Hospital:	3.2%
State:	3.0%

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

This Hospital:	100.0%
State:	95.1%

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

This Hospital:	100.0%
Pennsylvania:	94.5%

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

Here:	30.4%
Pennsylvania:	21.2%

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

Here:	89.0%
Pennsylvania:	85.6%

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

This Hospital:	87.8%
State:	84.4%

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

Here:	1.8%
Pennsylvania:	2.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	23.7%
Pennsylvania:	22.2%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
State:	99.4%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
Pennsylvania:	99.5%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	99.2%

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

Here:	8
Pennsylvania:	9

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

This Hospital:	94.0%
State:	96.6%

Heart Failure

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

Here:	96.0%
State:	99.3%

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

Here:	95.0%
Pennsylvania:	96.5%

Percent of Patients Given Discharge Instructions

Here:	92.0%
State:	93.4%

Pneumonia

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

This Hospital:	96.0%
State:	96.6%

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

Here:	100.0%
Pennsylvania:	97.4%

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

This Hospital:	94.0%
Pennsylvania:	95.7%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	87.0%
Pennsylvania:	94.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	88.0%
Pennsylvania:	96.6%

Surgery

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

Here:	98.0%
State:	98.6%

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

Here:	100.0%
Pennsylvania:	97.5%

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

This Hospital:	93.0%
State:	98.5%

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

This Hospital:	97.0%
State:	98.0%

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

Here:	97.0%
Pennsylvania:	98.6%

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%
Pennsylvania:	99.9%

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

Here:	100.0%
Pennsylvania:	95.6%

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

This Hospital:	93.0%
State:	96.9%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Hospital:	95.0%
State:	95.6%

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

This Hospital:	86.0%
State:	95.7%

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

This Hospital:	100.0%
State:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.6%
Pennsylvania:	14.8%

30-Day Mortality Rates from Heart Failure

Here:	9.8%
Pennsylvania:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	12.2%
State:	11.8%

30-Day Readmission Rates from Heart Failure

Here:	21.9%
State:	24.8%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.3%
Pennsylvania:	18.6%

Use of Medical Imaging

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

This Hospital:	6.800%
Pennsylvania:	8.255%

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

This Hospital:	0.215%
Pennsylvania:	0.151%

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

This Hospital:	0.038%
State:	0.023%

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

Here:	5.900%
Pennsylvania:	3.106%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	1.604%
State:	0.708%

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

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$38,776
Pennsylvania:	$35,841

Average Total Payments

Here:	$7,224
Pennsylvania:	$7,862

Number of discharges: 14

This Hospital:	6.31%
Pennsylvania:	1.99%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$20,827
Pennsylvania:	$21,975

Average Total Payments

Here:	$4,478
Pennsylvania:	$4,841

Number of discharges: 11

Here:	4.95%
State:	1.72%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$30,506
Pennsylvania:	$29,163

Average Total Payments

This Hospital:	$6,231
State:	$6,918

Number of discharges: 20

This Hospital:	9.01%
State:	3.75%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$33,449
State:	$40,714

Average Total Payments

Here:	$8,539
Pennsylvania:	$9,817

Number of discharges: 23

This Hospital:	10.36%
State:	2.71%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$20,896
State:	$20,243

Average Total Payments

This Hospital:	$4,253
Pennsylvania:	$4,587

Number of discharges: 11

This Hospital:	4.95%
State:	1.61%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$28,341
State:	$33,452

Average Total Payments

Here:	$6,998
Pennsylvania:	$7,881

Number of discharges: 18

Here:	8.11%
Pennsylvania:	1.01%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$20,690
Pennsylvania:	$23,346

Average Total Payments

Here:	$4,761
Pennsylvania:	$5,274

Number of discharges: 22

This Hospital:	9.91%
Pennsylvania:	2.94%

Renal Failure with Complications

Average Covered Charges

Here:	$20,801
Pennsylvania:	$29,333

Average Total Payments

Here:	$5,875
Pennsylvania:	$7,034

Number of discharges: 20

Here:	9.01%
Pennsylvania:	2.33%

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

Average Covered Charges

Here:	$44,178
State:	$50,114

Average Total Payments

Here:	$11,173
State:	$12,705

Number of discharges: 32

Here:	14.41%
Pennsylvania:	3.92%

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

Average Covered Charges

This Hospital:	$29,132
Pennsylvania:	$28,351

Average Total Payments

Here:	$6,670
Pennsylvania:	$7,480

Number of discharges: 16

This Hospital:	7.21%
Pennsylvania:	1.62%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$27,013
State:	$29,567

Average Total Payments

This Hospital:	$5,954
State:	$6,703

Number of discharges: 20

This Hospital:	9.01%
State:	2.73%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$37,786
Pennsylvania:	$41,229

Average Total Payments

Here:	$8,810
Pennsylvania:	$9,510

Number of discharges: 15

Here:	6.76%
State:	1.78%

LOCK HAVEN HOSPITAL - LOCK HAVEN, PA

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Hospital Acquired Conditions

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

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