MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPIT - MIDDLESBORO, KY

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Addresss:
3600 WEST CUMBERLAND AVENUE
MIDDLESBORO, KY, 40965
Phone (make sure to verify first before calling): (606) 242-1101

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Swing Bed Hospitals

Other nearby hospitals and nursing homes

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 33.00
Registered Professional Nurses : 77.00
Other Salaried Personnel : 156.00
Dieticians : 1.00
Occupational Therapists : 1.00
Physical Therapists : 3.00
Registered Pharmacists : 3.00
Respiratory Therapists : 8.00
Physicians : 6.00
Medical Social Workers : 1.00

Number Of Beds
Total: 96
Total Certified: 96

Provided Services
Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
Here:

93.0%
Kentucky:

99.0%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
This Hospital:

7
Kentucky:

7
Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital
This Hospital:

72
State:

66
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

98.0%
State:

96.4%

Heart Failure

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

99.0%
Kentucky:

97.6%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

100.0%
Kentucky:

92.9%
Percent of Patients Given Discharge Instructions
Here:

92.0%
State:

88.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

99.3%

Pneumonia

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

99.0%
Kentucky:

95.8%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

98.0%
State:

96.7%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

98.6%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Hospital:

96.0%
Kentucky:

92.0%
Percent of Patients Assessed and Given Influenza Vaccination
This Hospital:

95.0%
State:

92.9%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

100.0%
State:

95.3%

Surgery

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

100.0%
Kentucky:

98.4%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Here:

100.0%
State:

97.0%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
This Hospital:

100.0%
Kentucky:

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:

98.0%
State:

96.4%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
This Hospital:

98.0%
Kentucky:

97.6%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

100.0%
Kentucky:

99.9%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
This Hospital:

100.0%
State:

93.0%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

100.0%
Kentucky:

96.3%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Hospital:

93.0%
State:

95.1%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
Here:

98.0%
Kentucky:

95.4%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

100.0%
State:

99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Hospital:

15.0%
Kentucky:

15.4%
30-Day Mortality Rates from Heart Failure
Here:

16.0%
State:

11.4%
30-Day Mortality Rates from Pneumonia
Here:

12.2%
State:

12.4%
30-Day Readmission Rates from Heart Failure
Here:

25.8%
Kentucky:

25.2%
30-Day Readmission Rates from Pneumonia
This Hospital:

18.3%
Kentucky:

19.4%

Use of Medical Imaging

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

38.400%
State:

40.592%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
This Hospital:

4.900%
Kentucky:

8.052%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Hospital:

0.318%
State:

0.126%
Outpatient CT scans of the chest that were combination (double) scans.
Here:

0.241%
Kentucky:

0.042%
Outpatients with brain CT scans who got a sinus CT scan at the same time
This Hospital:

4.500%
Kentucky:

3.072%

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

Bronchitis and Asthma with Complications
Average Covered Charges
Here:

$15,233
State:

$15,056
Average Total Payments
This Hospital:

$4,932
Kentucky:

$5,287
Number of discharges: 14
This Hospital:

1.87%
State:

0.33%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$11,102
State:

$10,390
Average Total Payments
Here:

$3,398
Kentucky:

$3,523
Number of discharges: 17
This Hospital:

2.27%
State:

1.82%
Cellulitis without Major Complications
Average Covered Charges
Here:

$12,042
Kentucky:

$13,744
Average Total Payments
This Hospital:

$5,281
State:

$5,175
Number of discharges: 18
Here:

2.41%
Kentucky:

1.73%
Chest Pain
Average Covered Charges
This Hospital:

$10,042
State:

$12,630
Average Total Payments
This Hospital:

$3,217
Kentucky:

$3,521
Number of discharges: 17
This Hospital:

2.27%
State:

2.06%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
This Hospital:

$18,462
Kentucky:

$17,372
Average Total Payments
This Hospital:

$5,566
Kentucky:

$5,992
Number of discharges: 41
This Hospital:

5.48%
State:

2.84%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
This Hospital:

$21,935
Kentucky:

$20,645
Average Total Payments
This Hospital:

$7,005
State:

$7,341
Number of discharges: 29
Here:

3.88%
Kentucky:

2.94%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
Here:

$12,835
State:

$13,107
Average Total Payments
This Hospital:

$4,271
Kentucky:

$4,458
Number of discharges: 56
This Hospital:

7.49%
State:

3.01%
Diabetes with Complications
Average Covered Charges
This Hospital:

$11,477
State:

$14,320
Average Total Payments
Here:

$4,773
Kentucky:

$5,248
Number of discharges: 21
This Hospital:

2.81%
Kentucky:

0.55%
Disorders of Pancreas Except Malignancy with Complications
Average Covered Charges
This Hospital:

$15,794
State:

$19,342
Average Total Payments
Here:

$5,790
State:

$6,554
Number of discharges: 13
This Hospital:

1.74%
State:

0.33%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$11,500
Kentucky:

$13,998
Average Total Payments
This Hospital:

$4,219
State:

$4,507
Number of discharges: 61
Here:

8.16%
State:

3.82%
G.I. Hemorrhage with Complications
Average Covered Charges
This Hospital:

$17,713
State:

$18,407
Average Total Payments
This Hospital:

$6,013
Kentucky:

$6,339
Number of discharges: 17
Here:

2.27%
State:

1.93%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$17,014
Kentucky:

$16,913
Average Total Payments
This Hospital:

$5,764
State:

$6,315
Number of discharges: 66
This Hospital:

8.82%
Kentucky:

3.15%
Heart Failure and Shock with Major Complications
Average Covered Charges
Here:

$25,907
Kentucky:

$26,625
Average Total Payments
Here:

$8,427
State:

$9,229
Number of discharges: 25
Here:

3.34%
Kentucky:

2.66%
Heart Failure and Shock without Complications
Average Covered Charges
This Hospital:

$11,480
Kentucky:

$11,669
Average Total Payments
This Hospital:

$3,979
State:

$4,186
Number of discharges: 36
This Hospital:

4.81%
State:

1.54%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
Here:

$17,004
Kentucky:

$25,337
Average Total Payments
This Hospital:

$6,517
Kentucky:

$7,502
Number of discharges: 11
Here:

1.47%
Kentucky:

1.27%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
Here:

$12,055
State:

$13,466
Average Total Payments
This Hospital:

$4,551
State:

$4,783
Number of discharges: 50
Here:

6.68%
State:

2.86%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications
Average Covered Charges
This Hospital:

$11,014
State:

$20,360
Average Total Payments
Here:

$6,424
State:

$7,407
Number of discharges: 11
Here:

1.47%
State:

0.60%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
This Hospital:

$12,456
Kentucky:

$12,072
Average Total Payments
This Hospital:

$4,177
Kentucky:

$4,289
Number of discharges: 22
Here:

2.94%
State:

2.14%
Poisoning and Toxic Effects of Drugs without Major Complications
Average Covered Charges
Here:

$8,834
Kentucky:

$12,630
Average Total Payments
Here:

$3,666
Kentucky:

$4,099
Number of discharges: 11
This Hospital:

1.47%
Kentucky:

0.40%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$21,381
Kentucky:

$20,882
Average Total Payments
Here:

$7,394
State:

$8,036
Number of discharges: 11
Here:

1.47%
Kentucky:

2.17%
Red Blood Cell Disorders with Major Complications
Average Covered Charges
Here:

$15,286
Kentucky:

$22,876
Average Total Payments
Here:

$7,336
State:

$7,975
Number of discharges: 14
This Hospital:

1.87%
Kentucky:

0.26%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
This Hospital:

$11,724
Kentucky:

$14,170
Average Total Payments
This Hospital:

$4,656
Kentucky:

$4,959
Number of discharges: 28
This Hospital:

3.74%
Kentucky:

1.23%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
This Hospital:

$29,352
Kentucky:

$25,625
Average Total Payments
This Hospital:

$8,600
Kentucky:

$9,061
Number of discharges: 12
This Hospital:

1.60%
State:

0.86%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
This Hospital:

$30,506
State:

$43,386
Average Total Payments
This Hospital:

$11,554
State:

$14,679
Number of discharges: 13
Here:

1.74%
Kentucky:

1.27%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
This Hospital:

$14,256
State:

$19,108
Average Total Payments
Here:

$6,142
Kentucky:

$7,022
Number of discharges: 11
Here:

1.47%
State:

1.29%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
This Hospital:

$19,883
State:

$17,934
Average Total Payments
Here:

$5,939
Kentucky:

$6,263
Number of discharges: 54
This Hospital:

7.22%
State:

3.27%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
Here:

$21,556
Kentucky:

$25,985
Average Total Payments
Here:

$8,086
State:

$9,009
Number of discharges: 12
Here:

1.60%
Kentucky:

2.34%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
Here:

$13,026
Kentucky:

$13,217
Average Total Payments
Here:

$4,172
Kentucky:

$4,395
Number of discharges: 23
Here:

3.07%
State:

1.49%
Syncope and Collapse
Average Covered Charges
Here:

$15,477
State:

$14,708
Average Total Payments
Here:

$4,197
State:

$4,466
Number of discharges: 17
This Hospital:

2.27%
State:

2.00%
Transient Ischemia
Average Covered Charges
Here:

$12,786
Kentucky:

$16,834
Average Total Payments
This Hospital:

$4,280
State:

$4,577
Number of discharges: 17
Here:

2.27%
State:

1.25%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never
Here:

6%
State:

4%
Usually
This Hospital:

16%
State:

16%
Always
Here:

78%
State:

80%

How often did doctors communicate well with patients?

Sometimes or never
Here:

2%
Kentucky:

3%
Usually
This Hospital:

10%
State:

13%
Always
Here:

88%
State:

84%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

11%
Kentucky:

9%
Usually
Here:

22%
Kentucky:

23%
Always
Here:

67%
State:

68%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

11%
Kentucky:

7%
Usually
This Hospital:

21%
State:

21%
Always
This Hospital:

68%
State:

72%

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

Sometimes or never
Here:

17%
Kentucky:

19%
Usually
Here:

14%
Kentucky:

17%
Always
This Hospital:

69%
Kentucky:

64%

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

Sometimes or never
Here:

9%
State:

8%
Usually
This Hospital:

19%
State:

18%
Always
This Hospital:

72%
State:

74%

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

Sometimes or never
Here:

7%
State:

9%
Usually
Here:

25%
State:

29%
Always
This Hospital:

68%
Kentucky:

62%

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

Yes
This Hospital:

84%
Kentucky:

83%
No
Here:

16%
State:

17%

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

6 or lower
This Hospital:

8%
Kentucky:

8%
7 or 8
Here:

24%
Kentucky:

22%
9 or 10
Here:

68%
Kentucky:

70%

Would patients recommend the hospital to friends and family?

No
This Hospital:

4%
State:

5%
Yes, probably
Here:

31%
State:

24%
Yes, definitely
This Hospital:

65%
Kentucky:

71%

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