MUHLENBERG COMMUNITY HOSPITAL (GREENVILLE, KY) Detailed Hospital Profile

Quality Measures

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

Here:	33.3%
State:	25.0%

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

This Hospital:	100.0%
State:	88.6%

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

This Hospital:	99.0%
Kentucky:	87.8%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
Kentucky:	4%

Usually

This Hospital:	17%
State:	16%

Always

Here:	80%
Kentucky:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	3%

Usually

Here:	8%
Kentucky:	13%

Always

Here:	90%
Kentucky:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	11%
State:	9%

Usually

This Hospital:	23%
State:	23%

Always

Here:	66%
Kentucky:	68%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	5%
Kentucky:	7%

Usually

Here:	21%
State:	21%

Always

Here:	74%
State:	72%

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

Sometimes or never

This Hospital:	16%
State:	19%

Usually

Here:	17%
Kentucky:	17%

Always

This Hospital:	67%
State:	64%

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

Sometimes or never

This Hospital:	8%
Kentucky:	8%

Usually

Here:	17%
State:	18%

Always

Here:	75%
Kentucky:	74%

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

Sometimes or never

Here:	10%
State:	9%

Usually

Here:	32%
State:	29%

Always

Here:	58%
Kentucky:	62%

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

Yes

Here:	79%
Kentucky:	83%

This Hospital:	21%
Kentucky:	17%

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

6 or lower

Here:	12%
Kentucky:	8%

7 or 8

This Hospital:	24%
Kentucky:	22%

9 or 10

Here:	64%
State:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	5%
State:	5%

Yes, probably

This Hospital:	29%
State:	24%

Yes, definitely

Here:	66%
State:	71%

Process of Care

Heart Attack

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:	49
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:	91.0%
Kentucky:	97.6%

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

Here:	100.0%
Kentucky:	92.9%

Percent of Patients Given Discharge Instructions

This Hospital:	90.0%
State:	88.1%

Pneumonia

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

This Hospital:	97.0%
State:	95.8%

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

This Hospital:	98.0%
Kentucky:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
Kentucky:	98.6%

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

Here:	91.0%
Kentucky:	92.0%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	94.0%
State:	92.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	92.0%
Kentucky:	95.3%

Surgery

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

Here:	89.0%
State:	98.4%

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

Here:	97.0%
State:	97.0%

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

Here:	100.0%
State:	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:	100.0%
State:	96.4%

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

This Hospital:	100.0%
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:	96.0%
State:	93.0%

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

This Hospital:	85.0%
Kentucky:	96.3%

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

Here:	92.0%
State:	95.1%

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

Here:	100.0%
Kentucky:	95.4%

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

Here:	100.0%
Kentucky:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	12.8%
Kentucky:	11.4%

30-Day Mortality Rates from Pneumonia

This Hospital:	15.5%
State:	12.4%

30-Day Readmission Rates from Heart Failure

Here:	22.6%
State:	25.2%

30-Day Readmission Rates from Pneumonia

Here:	16.3%
State:	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:	66.700%
State:	40.592%

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

Here:	3.100%
State:	8.052%

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

This Hospital:	0.274%
State:	0.126%

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

This Hospital:	0.014%
State:	0.042%

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

Bronchitis and Asthma without Complications

Average Covered Charges

This Hospital:	$9,533
Kentucky:	$10,017

Average Total Payments

Here:	$3,541
Kentucky:	$3,841

Number of discharges: 12

This Hospital:	1.90%
Kentucky:	0.24%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$16,122
Kentucky:	$15,106

Average Total Payments

This Hospital:	$4,735
Kentucky:	$5,206

Number of discharges: 11

This Hospital:	1.74%
State:	1.30%

Cellulitis without Major Complications

Average Covered Charges

Here:	$9,255
State:	$13,744

Average Total Payments

This Hospital:	$4,701
State:	$5,175

Number of discharges: 19

Here:	3.01%
Kentucky:	1.73%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$16,047
State:	$17,372

Average Total Payments

Here:	$5,668
State:	$5,992

Number of discharges: 36

Here:	5.70%
Kentucky:	2.84%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$18,517
State:	$20,645

Average Total Payments

This Hospital:	$7,066
Kentucky:	$7,341

Number of discharges: 22

Here:	3.48%
Kentucky:	2.94%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$11,266
State:	$13,107

Average Total Payments

Here:	$4,187
Kentucky:	$4,458

Number of discharges: 104

This Hospital:	16.46%
Kentucky:	3.01%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$10,177
Kentucky:	$13,998

Average Total Payments

This Hospital:	$4,301
State:	$4,507

Number of discharges: 29

This Hospital:	4.59%
State:	3.82%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$15,105
State:	$18,407

Average Total Payments

This Hospital:	$5,923
State:	$6,339

Number of discharges: 15

This Hospital:	2.37%
State:	1.93%

G.I. Hemorrhage without Complications

Average Covered Charges

Here:	$11,994
State:	$13,654

Average Total Payments

Here:	$4,096
State:	$4,398

Number of discharges: 15

Here:	2.37%
State:	0.45%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$9,877
Kentucky:	$11,696

Average Total Payments

This Hospital:	$3,708
State:	$3,938

Number of discharges: 12

This Hospital:	1.90%
Kentucky:	0.34%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$13,021
Kentucky:	$16,913

Average Total Payments

Here:	$5,681
State:	$6,315

Number of discharges: 19

Here:	3.01%
State:	3.15%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$16,323
State:	$26,625

Average Total Payments

Here:	$7,862
Kentucky:	$9,229

Number of discharges: 23

This Hospital:	3.64%
Kentucky:	2.66%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$9,826
Kentucky:	$11,669

Average Total Payments

Here:	$3,908
Kentucky:	$4,186

Number of discharges: 14

This Hospital:	2.22%
State:	1.54%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$13,641
State:	$25,337

Average Total Payments

This Hospital:	$6,173
Kentucky:	$7,502

Number of discharges: 11

Here:	1.74%
State:	1.27%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,717
Kentucky:	$13,466

Average Total Payments

Here:	$4,680
State:	$4,783

Number of discharges: 61

This Hospital:	9.65%
State:	2.86%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$42,769
Kentucky:	$42,051

Average Total Payments

Here:	$12,166
State:	$13,336

Number of discharges: 19

Here:	3.01%
State:	4.90%

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

Average Covered Charges

Here:	$8,487
Kentucky:	$12,072

Average Total Payments

This Hospital:	$4,036
State:	$4,289

Number of discharges: 40

This Hospital:	6.33%
Kentucky:	2.14%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$8,963
Kentucky:	$16,969

Average Total Payments

This Hospital:	$5,589
State:	$6,346

Number of discharges: 16

This Hospital:	2.53%
Kentucky:	2.10%

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

Average Covered Charges

This Hospital:	$22,503
State:	$34,004

Average Total Payments

Here:	$10,460
Kentucky:	$11,802

Number of discharges: 18

Here:	2.85%
Kentucky:	3.65%

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

Average Covered Charges

Here:	$17,851
State:	$19,108

Average Total Payments

This Hospital:	$6,348
Kentucky:	$7,022

Number of discharges: 12

This Hospital:	1.90%
Kentucky:	1.29%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$10,043
State:	$13,892

Average Total Payments

This Hospital:	$3,996
State:	$4,372

Number of discharges: 16

Here:	2.53%
State:	0.69%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$15,560
Kentucky:	$17,934

Average Total Payments

This Hospital:	$6,135
Kentucky:	$6,263

Number of discharges: 68

This Hospital:	10.76%
State:	3.27%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$12,740
Kentucky:	$13,217

Average Total Payments

Here:	$4,066
Kentucky:	$4,395

Number of discharges: 40

Here:	6.33%
Kentucky:	1.49%

Complaint Deficiency

Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of highly flammable materials
- 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
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: Immediate jeopardy to resident health or safety
- Scope: Few
Keep each resident's personal and medical records private and confidential
- 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
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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- 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: Some
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.978%
State:	0.802%

MUHLENBERG COMMUNITY HOSPITAL - GREENVILLE, KY

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

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

Complaint Deficiency

Hospital Acquired Conditions

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