PENINSULA MEDICAL CENTER (BURLINGAME, CA) Detailed Hospital Profile

Quality Measures

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

Here:	49.5%
California:	21.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Hospital:	0.9%
State:	1.2%

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

Here:	91.8%
California:	81.9%

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

This Hospital:	89.6%
State:	79.7%

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

This Hospital:	0.8%
California:	2.2%

Hospital Acquired Conditions

Falls and injuries

Here:	0.619%
State:	0.625%

Blood infection from a catheter in a large vein

Here:	0.495%
State:	0.530%

Infection from a Urinary Catheter

This Hospital:	1.114%
State:	0.608%

Use of Medical Imaging

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

Here:	33.100%
State:	33.932%

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

This Hospital:	16.400%
California:	8.180%

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

This Hospital:	0.061%
California:	0.170%

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

This Hospital:	0.011%
California:	0.043%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

This Hospital:	4.300%
California:	5.492%

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

Here:	0.600%
California:	1.898%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 39%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
State:	7%

Usually

This Hospital:	17%
California:	21%

Always

Here:	79%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
California:	6%

Usually

This Hospital:	15%
California:	17%

Always

This Hospital:	81%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
State:	13%

Usually

This Hospital:	28%
California:	28%

Always

This Hospital:	61%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	5%
California:	8%

Usually

Here:	23%
State:	25%

Always

This Hospital:	72%
California:	67%

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

Sometimes or never

This Hospital:	20%
California:	23%

Usually

This Hospital:	18%
State:	19%

Always

This Hospital:	62%
State:	58%

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

Sometimes or never

This Hospital:	8%
State:	10%

Usually

Here:	21%
California:	21%

Always

Here:	71%
California:	69%

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

Sometimes or never

Here:	12%
State:	18%

Usually

This Hospital:	30%
State:	33%

Always

Here:	58%
State:	49%

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

Yes

Here:	82%
California:	81%

Here:	18%
State:	19%

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

6 or lower

This Hospital:	6%
California:	10%

7 or 8

Here:	18%
California:	24%

9 or 10

This Hospital:	76%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	3%
California:	7%

Yes, probably

This Hospital:	13%
State:	24%

Yes, definitely

Here:	84%
California:	69%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$41,935
California:	$55,746

Average Total Payments

This Hospital:	$12,972
California:	$9,903

Number of discharges: 18

This Hospital:	0.75%
California:	0.48%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$55,761
State:	$83,364

Average Total Payments

Here:	$13,338
California:	$15,491

Number of discharges: 18

Here:	0.75%
State:	0.94%

Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications

Average Covered Charges

This Hospital:	$26,556
State:	$27,915

Average Total Payments

This Hospital:	$5,384
State:	$5,741

Number of discharges: 99

Here:	4.11%
State:	0.43%

Back and Neck Procedures Except Spinal Fusion without Complications

Average Covered Charges

This Hospital:	$56,840
California:	$57,529

Average Total Payments

Here:	$8,785
State:	$8,621

Number of discharges: 24

This Hospital:	1.00%
California:	0.62%

Bronchitis and Asthma with Complications

Average Covered Charges

Here:	$37,671
State:	$47,272

Average Total Payments

Here:	$6,503
State:	$7,271

Number of discharges: 26

Here:	1.08%
State:	0.41%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$25,775
California:	$39,980

Average Total Payments

This Hospital:	$6,475
California:	$7,146

Number of discharges: 31

Here:	1.29%
State:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$45,239
State:	$59,369

Average Total Payments

This Hospital:	$9,526
California:	$10,810

Number of discharges: 30

Here:	1.24%
California:	0.79%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$22,724
State:	$28,713

Average Total Payments

This Hospital:	$4,407
California:	$4,819

Number of discharges: 11

Here:	0.46%
State:	1.18%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$29,656
California:	$36,707

Average Total Payments

This Hospital:	$6,365
State:	$7,245

Number of discharges: 57

This Hospital:	2.37%
California:	2.08%

Chest Pain

Average Covered Charges

This Hospital:	$27,271
State:	$29,034

Average Total Payments

Here:	$4,575
State:	$4,742

Number of discharges: 13

This Hospital:	0.54%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$51,428
State:	$46,809

Average Total Payments

This Hospital:	$7,776
State:	$8,290

Number of discharges: 44

This Hospital:	1.83%
California:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$57,376
State:	$58,013

Average Total Payments

Here:	$9,846
California:	$10,305

Number of discharges: 26

This Hospital:	1.08%
State:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$38,275
State:	$35,163

Average Total Payments

Here:	$8,987
State:	$6,206

Number of discharges: 12

Here:	0.50%
California:	1.11%

Diabetes with Complications

Average Covered Charges

Here:	$39,257
California:	$38,964

Average Total Payments

This Hospital:	$6,412
California:	$7,470

Number of discharges: 12

Here:	0.50%
California:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

Here:	$47,769
State:	$55,838

Average Total Payments

Here:	$8,916
California:	$10,485

Number of discharges: 12

Here:	0.50%
State:	0.67%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$34,961
State:	$36,899

Average Total Payments

Here:	$5,537
California:	$6,233

Number of discharges: 51

Here:	2.12%
California:	3.09%

Extracranial Procedures without Complications

Average Covered Charges

Here:	$51,951
California:	$54,275

Average Total Payments

This Hospital:	$7,863
State:	$8,252

Number of discharges: 16

This Hospital:	0.66%
State:	0.36%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$37,285
California:	$33,350

Average Total Payments

This Hospital:	$5,431
State:	$5,631

Number of discharges: 26

Here:	1.08%
California:	0.31%

Fx, Sprn, Strn and Disl Except Femur, Hip, Pelvis and Thigh without Major Complications

Average Covered Charges

This Hospital:	$43,680
State:	$37,991

Average Total Payments

This Hospital:	$5,522
California:	$6,089

Number of discharges: 11

This Hospital:	0.46%
State:	0.25%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$38,444
State:	$46,039

Average Total Payments

Here:	$8,212
California:	$8,685

Number of discharges: 67

Here:	2.78%
California:	1.95%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$70,348
State:	$80,936

Average Total Payments

Here:	$18,452
State:	$15,696

Number of discharges: 28

This Hospital:	1.16%
California:	0.79%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$30,832
California:	$44,086

Average Total Payments

Here:	$7,018
California:	$8,042

Number of discharges: 18

This Hospital:	0.75%
State:	0.72%

G.I. Obstruction without Complications

Average Covered Charges

Here:	$25,500
California:	$30,586

Average Total Payments

Here:	$5,840
State:	$5,436

Number of discharges: 17

This Hospital:	0.71%
California:	0.47%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$36,665
State:	$47,292

Average Total Payments

This Hospital:	$7,905
California:	$8,831

Number of discharges: 88

This Hospital:	3.65%
California:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$53,751
State:	$70,963

Average Total Payments

This Hospital:	$11,091
State:	$13,159

Number of discharges: 81

Here:	3.36%
State:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$30,020
State:	$32,995

Average Total Payments

Here:	$6,296
State:	$5,851

Number of discharges: 19

This Hospital:	0.79%
California:	1.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$79,705
California:	$88,197

Average Total Payments

Here:	$13,942
California:	$15,201

Number of discharges: 69

This Hospital:	2.86%
California:	1.05%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

This Hospital:	$146,674
State:	$139,101

Average Total Payments

Here:	$25,147
State:	$25,918

Number of discharges: 16

This Hospital:	0.66%
California:	0.25%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

This Hospital:	$156,394
California:	$260,329

Average Total Payments

Here:	$39,799
California:	$51,393

Number of discharges: 24

Here:	1.00%
State:	0.87%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$43,637
State:	$55,669

Average Total Payments

This Hospital:	$8,613
State:	$9,837

Number of discharges: 40

Here:	1.66%
California:	1.65%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

Here:	$60,080
California:	$95,326

Average Total Payments

Here:	$13,904
California:	$17,327

Number of discharges: 37

This Hospital:	1.54%
California:	1.11%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$36,242
California:	$42,438

Average Total Payments

This Hospital:	$6,110
California:	$6,978

Number of discharges: 15

This Hospital:	0.62%
California:	0.78%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$42,876
State:	$52,262

Average Total Payments

This Hospital:	$8,896
State:	$10,172

Number of discharges: 24

Here:	1.00%
California:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$31,732
State:	$36,114

Average Total Payments

This Hospital:	$6,551
State:	$6,728

Number of discharges: 56

Here:	2.32%
California:	2.98%

Laparoscopic Cholecystectomy without C.D.E. with Complications

Average Covered Charges

This Hospital:	$67,862
California:	$83,366

Average Total Payments

Here:	$13,983
California:	$14,137

Number of discharges: 23

Here:	0.95%
State:	0.25%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$54,768
State:	$59,926

Average Total Payments

This Hospital:	$9,965
California:	$10,745

Number of discharges: 18

This Hospital:	0.75%
California:	0.36%

Major Joint Replacement or Reattachment of Lower Extremity with Major Complications

Average Covered Charges

This Hospital:	$99,108
State:	$155,449

Average Total Payments

This Hospital:	$23,406
California:	$27,698

Number of discharges: 14

This Hospital:	0.58%
California:	0.22%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$89,325
California:	$88,239

Average Total Payments

Here:	$17,129
California:	$17,187

Number of discharges: 146

This Hospital:	6.06%
State:	6.26%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

Here:	$121,763
State:	$124,615

Average Total Payments

This Hospital:	$19,524
State:	$22,968

Number of discharges: 19

Here:	0.79%
State:	0.69%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$41,858
State:	$42,156

Average Total Payments

Here:	$6,198
State:	$6,908

Number of discharges: 27

Here:	1.12%
California:	0.92%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

This Hospital:	$49,640
California:	$49,218

Average Total Payments

Here:	$8,475
California:	$10,092

Number of discharges: 21

This Hospital:	0.87%
State:	0.94%

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

Average Covered Charges

Here:	$38,151
California:	$32,446

Average Total Payments

This Hospital:	$5,387
California:	$5,975

Number of discharges: 30

This Hospital:	1.24%
State:	2.21%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

This Hospital:	$65,987
California:	$89,034

Average Total Payments

Here:	$13,031
State:	$17,349

Number of discharges: 25

This Hospital:	1.04%
State:	0.83%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$40,860
California:	$49,604

Average Total Payments

This Hospital:	$7,673
State:	$8,812

Number of discharges: 22

Here:	0.91%
State:	0.66%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

This Hospital:	$43,888
State:	$76,730

Average Total Payments

Here:	$10,972
California:	$15,378

Number of discharges: 22

Here:	0.91%
California:	0.34%

Other Vascular Procedures with Complications

Average Covered Charges

This Hospital:	$111,906
California:	$124,507

Average Total Payments

Here:	$18,635
California:	$21,685

Number of discharges: 30

Here:	1.24%
California:	0.44%

Other Vascular Procedures with Major Complications

Average Covered Charges

This Hospital:	$149,075
California:	$141,530

Average Total Payments

This Hospital:	$26,538
California:	$28,554

Number of discharges: 30

This Hospital:	1.24%
California:	0.56%

Other Vascular Procedures without Complications

Average Covered Charges

Here:	$110,225
State:	$82,284

Average Total Payments

Here:	$13,419
California:	$13,731

Number of discharges: 15

Here:	0.62%
State:	0.30%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$120,330
State:	$102,086

Average Total Payments

This Hospital:	$34,976
California:	$16,769

Number of discharges: 12

This Hospital:	0.50%
California:	1.40%

Percutaneous Cardiovascular Procedures with Non-Drug-Eluting Stent without Major Complications

Average Covered Charges

Here:	$100,833
California:	$97,514

Average Total Payments

This Hospital:	$13,689
State:	$14,973

Number of discharges: 13

Here:	0.54%
State:	0.30%

Peripheral Vascular Disorders with Complications

Average Covered Charges

Here:	$38,831
State:	$46,464

Average Total Payments

This Hospital:	$7,186
State:	$8,334

Number of discharges: 15

Here:	0.62%
California:	0.45%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

Here:	$88,719
California:	$107,281

Average Total Payments

Here:	$21,413
State:	$22,071

Number of discharges: 18

This Hospital:	0.75%
California:	0.47%

Poisoning and Toxic Effects of Drugs with Major Complications

Average Covered Charges

This Hospital:	$34,759
State:	$68,498

Average Total Payments

This Hospital:	$9,423
California:	$12,969

Number of discharges: 16

Here:	0.66%
California:	0.29%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$75,958
State:	$64,758

Average Total Payments

This Hospital:	$10,136
California:	$11,179

Number of discharges: 41

This Hospital:	1.70%
California:	1.15%

Pulmonary Embolism without Major Complications

Average Covered Charges

This Hospital:	$48,813
State:	$51,386

Average Total Payments

Here:	$7,913
California:	$8,854

Number of discharges: 19

Here:	0.79%
State:	0.29%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

Here:	$42,406
State:	$54,654

Average Total Payments

Here:	$9,684
California:	$11,520

Number of discharges: 20

Here:	0.83%
State:	0.36%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$34,218
California:	$35,878

Average Total Payments

This Hospital:	$6,143
State:	$7,039

Number of discharges: 17

This Hospital:	0.71%
State:	1.21%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$44,505
California:	$48,439

Average Total Payments

Here:	$7,763
State:	$8,967

Number of discharges: 55

Here:	2.28%
State:	1.90%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$51,187
California:	$72,128

Average Total Payments

Here:	$12,258
California:	$14,548

Number of discharges: 31

This Hospital:	1.29%
California:	1.48%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$66,353
State:	$70,949

Average Total Payments

Here:	$10,961
State:	$12,543

Number of discharges: 26

Here:	1.08%
California:	1.04%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$80,942
State:	$101,885

Average Total Payments

This Hospital:	$20,614
State:	$17,925

Number of discharges: 34

This Hospital:	1.41%
State:	1.30%

Seizures without Major Complications

Average Covered Charges

Here:	$36,569
State:	$38,752

Average Total Payments

Here:	$5,742
California:	$6,932

Number of discharges: 12

This Hospital:	0.50%
California:	0.59%

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

Average Covered Charges

Here:	$70,624
California:	$90,173

Average Total Payments

This Hospital:	$14,589
California:	$16,748

Number of discharges: 266

This Hospital:	11.04%
California:	7.21%

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

Average Covered Charges

This Hospital:	$42,814
California:	$50,385

Average Total Payments

Here:	$8,861
California:	$9,612

Number of discharges: 94

Here:	3.90%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$45,039
State:	$48,755

Average Total Payments

This Hospital:	$8,730
State:	$8,695

Number of discharges: 72

Here:	2.99%
California:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$53,589
State:	$70,362

Average Total Payments

This Hospital:	$10,915
State:	$12,496

Number of discharges: 34

Here:	1.41%
California:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$30,070
California:	$34,477

Average Total Payments

This Hospital:	$5,478
State:	$5,838

Number of discharges: 11

This Hospital:	0.46%
State:	0.97%

Syncope and Collapse

Average Covered Charges

Here:	$40,313
State:	$37,038

Average Total Payments

This Hospital:	$5,927
California:	$6,233

Number of discharges: 26

This Hospital:	1.08%
State:	1.60%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- 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: Few
Proper power supply for life support equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- 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
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable sound levels
- 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: 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: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- 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: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- 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
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain comfortable and safe temperature levels
- 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Make sure that special or therapeutic diets are ordered by the attending doctor
- 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: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have enough backup water supply for essential areas of the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Employ or obtain outside professional resources providing services in the nursing home that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
State:	99.0%

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

Here:	100.0%
State:	96.8%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	98.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
California:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	88.0%
California:	93.9%

Patients Given a Prescription for a Statin at Discharge

Here:	99.0%
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%
California:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
California:	99.4%

Pneumonia

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

Here:	99.0%
California:	96.1%

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

This Hospital:	99.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
California:	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:	100.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
California:	95.8%

Surgery

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

This Hospital:	99.0%
State:	98.1%

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

This Hospital:	96.0%
California:	96.3%

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

This Hospital:	99.0%
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

This Hospital:	99.0%
California:	96.9%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

Here:	91.0%
California:	94.7%

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

Here:	100.0%
State:	99.8%

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

Here:	93.0%
California:	93.9%

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

Here:	90.0%
State:	96.1%

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

Here:	96.0%
California:	95.1%

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

This Hospital:	100.0%
State:	95.5%

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

This Hospital:	99.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	16.0%
State:	14.9%

30-Day Mortality Rates from Heart Failure

Here:	11.8%
State:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.4%
California:	11.7%

30-Day Readmission Rates from Heart Attack

Here:	18.2%
State:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	24.3%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	19.9%
State:	18.3%

PENINSULA MEDICAL CENTER - BURLINGAME, CA

Quality Measures

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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