MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA) Detailed Hospital Profile

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

This Hospital:	98.0%
Virginia:	98.1%

Heart Failure

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

This Hospital:	99.0%
State:	99.5%

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

Here:	90.0%
State:	97.3%

Percent of Patients Given Discharge Instructions

Here:	97.0%
Virginia:	94.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Virginia:	99.7%

Pneumonia

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

This Hospital:	95.0%
Virginia:	97.0%

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

This Hospital:	98.0%
Virginia:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.4%

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

This Hospital:	85.0%
Virginia:	95.5%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Virginia:	94.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
State:	96.9%

Surgery

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

This Hospital:	96.0%
Virginia:	98.4%

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

This Hospital:	91.0%
Virginia:	97.7%

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

This Hospital:	100.0%
State:	98.9%

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

This Hospital:	91.0%
Virginia:	97.1%

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

This Hospital:	91.0%
State:	97.9%

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%
Virginia:	100.0%

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

Here:	93.0%
State:	95.0%

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

This Hospital:	100.0%
Virginia:	97.7%

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

This Hospital:	95.0%
Virginia:	96.7%

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

Here:	94.0%
Virginia:	96.9%

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

Here:	100.0%
State:	99.9%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.7%
State:	15.2%

30-Day Mortality Rates from Heart Failure

Here:	10.7%
State:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.1%
Virginia:	12.2%

30-Day Readmission Rates from Heart Failure

Here:	26.7%
State:	24.6%

30-Day Readmission Rates from Pneumonia

Here:	18.5%
Virginia:	19.2%

Complaint Deficiency

Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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: 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Ensure the activities program is directed by a qualified professional
- Harm: Potential for minimal 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: 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- 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: Potential for minimal harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- 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: Few
Make sure medically necessary lab services/tests are ordered by the attending physician
- 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: 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
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- 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: Few
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Use of Medical Imaging

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

This Hospital:	5.700%
Virginia:	7.783%

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

Here:	0.289%
Virginia:	0.107%

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

This Hospital:	0.211%
Virginia:	0.028%

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

Here:	0.800%
Virginia:	5.232%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 16%

How often did nurses communicate well with patients?

Sometimes or never

Here:	10%
Virginia:	6%

Usually

This Hospital:	16%
Virginia:	17%

Always

This Hospital:	74%
Virginia:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	5%

Usually

This Hospital:	12%
State:	15%

Always

This Hospital:	83%
Virginia:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	22%
State:	11%

Usually

This Hospital:	16%
State:	26%

Always

This Hospital:	62%
State:	63%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	13%
Virginia:	8%

Usually

This Hospital:	21%
Virginia:	23%

Always

This Hospital:	66%
State:	69%

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

Sometimes or never

Here:	22%
State:	21%

Usually

This Hospital:	16%
Virginia:	18%

Always

This Hospital:	62%
Virginia:	61%

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

Sometimes or never

This Hospital:	9%
Virginia:	10%

Usually

Here:	13%
Virginia:	20%

Always

Here:	78%
State:	70%

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

Sometimes or never

This Hospital:	17%
State:	11%

Usually

Here:	25%
State:	30%

Always

This Hospital:	58%
State:	59%

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

Yes

Here:	84%
State:	84%

This Hospital:	16%
Virginia:	16%

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

6 or lower

This Hospital:	14%
State:	9%

7 or 8

Here:	28%
State:	25%

9 or 10

Here:	58%
Virginia:	66%

Would patients recommend the hospital to friends and family?

Here:	9%
State:	6%

Yes, probably

This Hospital:	29%
Virginia:	26%

Yes, definitely

Here:	62%
Virginia:	68%

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

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$11,182
Virginia:	$18,712

Average Total Payments

Here:	$5,241
State:	$6,003

Number of discharges: 56

This Hospital:	9.54%
Virginia:	2.09%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$11,766
Virginia:	$22,971

Average Total Payments

This Hospital:	$6,370
State:	$7,375

Number of discharges: 67

Here:	11.41%
State:	2.01%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$7,474
State:	$14,677

Average Total Payments

Here:	$3,752
State:	$4,562

Number of discharges: 17

Here:	2.90%
Virginia:	1.55%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$10,517
Virginia:	$16,267

Average Total Payments

Here:	$3,917
Virginia:	$4,677

Number of discharges: 36

Here:	6.13%
State:	3.33%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$15,732
State:	$19,562

Average Total Payments

This Hospital:	$5,408
Virginia:	$6,368

Number of discharges: 15

Here:	2.56%
State:	2.17%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$11,931
Virginia:	$18,524

Average Total Payments

Here:	$5,358
State:	$6,409

Number of discharges: 32

Here:	5.45%
Virginia:	3.24%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$16,127
Virginia:	$27,627

Average Total Payments

This Hospital:	$7,545
Virginia:	$9,254

Number of discharges: 29

Here:	4.94%
State:	3.02%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$12,713
State:	$20,337

Average Total Payments

This Hospital:	$5,634
State:	$7,368

Number of discharges: 11

This Hospital:	1.87%
Virginia:	1.05%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,035
State:	$15,209

Average Total Payments

Here:	$3,981
Virginia:	$4,914

Number of discharges: 16

This Hospital:	2.73%
State:	2.90%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$34,329
State:	$47,709

Average Total Payments

This Hospital:	$11,631
State:	$13,248

Number of discharges: 32

This Hospital:	5.45%
State:	6.42%

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

Average Covered Charges

Here:	$9,683
Virginia:	$14,229

Average Total Payments

Here:	$3,595
Virginia:	$4,420

Number of discharges: 14

Here:	2.39%
State:	2.07%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$14,013
Virginia:	$25,878

Average Total Payments

Here:	$7,095
State:	$8,160

Number of discharges: 59

Here:	10.05%
State:	1.90%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$10,169
Virginia:	$19,940

Average Total Payments

Here:	$4,888
Virginia:	$6,384

Number of discharges: 15

This Hospital:	2.56%
Virginia:	2.46%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$15,866
State:	$26,604

Average Total Payments

This Hospital:	$7,351
State:	$9,105

Number of discharges: 11

This Hospital:	1.87%
State:	0.77%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$20,192
Virginia:	$37,946

Average Total Payments

This Hospital:	$9,560
State:	$12,347

Number of discharges: 20

This Hospital:	3.41%
State:	1.03%

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

Average Covered Charges

Here:	$21,211
Virginia:	$36,847

Average Total Payments

Here:	$9,053
Virginia:	$12,110

Number of discharges: 90

Here:	15.33%
State:	5.11%

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

Average Covered Charges

This Hospital:	$12,042
Virginia:	$22,569

Average Total Payments

This Hospital:	$5,894
Virginia:	$7,309

Number of discharges: 28

This Hospital:	4.77%
Virginia:	1.85%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$10,215
State:	$19,305

Average Total Payments

Here:	$4,937
State:	$6,423

Number of discharges: 12

Here:	2.04%
Virginia:	2.58%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$14,995
State:	$27,841

Average Total Payments

Here:	$7,911
State:	$9,090

Number of discharges: 27

This Hospital:	4.60%
Virginia:	1.96%

Quality Measures

Percent of long-stay residents who lose too much weight

This Hospital:	12.9%
Virginia:	7.6%

Percent of long-stay residents with a urinary tract infection

This Hospital:	12.9%
State:	7.9%

Percent of long-stay residents who were physically restrained

Here:	12.5%
State:	1.0%

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

Here:	6.3%
Virginia:	3.2%

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

Here:	100.0%
Virginia:	93.7%

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

Here:	100.0%
State:	94.6%

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

This Hospital:	34.9%
Virginia:	19.3%

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

Here:	1.8%
Virginia:	1.3%

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

This Hospital:	97.4%
Virginia:	85.3%

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

Here:	95.9%
Virginia:	83.6%

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

Here:	5.6%
Virginia:	3.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	35.5%
State:	22.2%

MOUNTAIN VIEW REGIONAL MEDICAL CENTER - NORTON, VA

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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

Quality Measures

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