NORTH ARKANSAS REGIONAL MEDICAL CENTER (HARRISON, AR) Detailed Hospital Profile

Use of Medical Imaging

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

This Hospital:	37.300%
State:	39.185%

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

This Hospital:	5.000%
State:	10.315%

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

Here:	0.259%
State:	0.180%

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

Here:	0.012%
Arkansas:	0.062%

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

Here:	7.400%
State:	4.940%

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

This Hospital:	3.000%
State:	3.184%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
State:	5%

Usually

This Hospital:	17%
State:	17%

Always

This Hospital:	78%
Arkansas:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	3%
Arkansas:	4%

Usually

Here:	11%
State:	13%

Always

This Hospital:	86%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	8%
State:	10%

Usually

Here:	24%
State:	24%

Always

This Hospital:	68%
State:	66%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
Arkansas:	7%

Usually

Here:	22%
State:	23%

Always

This Hospital:	70%
Arkansas:	70%

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

Sometimes or never

This Hospital:	23%
Arkansas:	20%

Usually

Here:	18%
Arkansas:	18%

Always

This Hospital:	59%
State:	62%

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

Sometimes or never

Here:	8%
State:	10%

Usually

Here:	16%
Arkansas:	18%

Always

Here:	76%
Arkansas:	72%

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

Sometimes or never

This Hospital:	8%
State:	8%

Usually

This Hospital:	29%
State:	27%

Always

Here:	63%
State:	65%

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

Yes

This Hospital:	80%
State:	81%

Here:	20%
State:	19%

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

6 or lower

This Hospital:	9%
Arkansas:	9%

7 or 8

Here:	25%
State:	22%

9 or 10

Here:	66%
State:	69%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	6%

Yes, probably

Here:	29%
State:	25%

Yes, definitely

Here:	65%
Arkansas:	69%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	1.322%
Arkansas:	0.772%

Blood infection from a catheter in a large vein

This Hospital:	0.529%
State:	0.471%

Severe pressure sores (bed sores)

This Hospital:	0.264%
Arkansas:	0.207%

Complaint Deficiency

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide routine and 24-hour emergency dental care for each resident
- Harm: Potential for minimal harm
- Scope: Many
Meet the definition of a skilled nursing facility or nursing facility, according to law
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Ensure the activities program is directed by a qualified professional
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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

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

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

This Hospital:	$10,347
State:	$16,271

Average Total Payments

This Hospital:	$4,405
State:	$4,729

Number of discharges: 13

This Hospital:	1.00%
Arkansas:	0.30%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$11,094
Arkansas:	$11,500

Average Total Payments

This Hospital:	$3,967
State:	$3,472

Number of discharges: 16

Here:	1.23%
Arkansas:	0.39%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$10,430
State:	$14,064

Average Total Payments

This Hospital:	$4,543
Arkansas:	$4,885

Number of discharges: 20

This Hospital:	1.53%
Arkansas:	1.39%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$9,183
Arkansas:	$9,784

Average Total Payments

Here:	$3,382
State:	$3,320

Number of discharges: 43

Here:	3.29%
State:	1.87%

Cellulitis without Major Complications

Average Covered Charges

Here:	$11,599
State:	$14,876

Average Total Payments

This Hospital:	$4,984
Arkansas:	$4,890

Number of discharges: 40

Here:	3.06%
State:	1.65%

Chest Pain

Average Covered Charges

Here:	$12,262
State:	$11,787

Average Total Payments

Here:	$3,272
Arkansas:	$3,218

Number of discharges: 29

This Hospital:	2.22%
Arkansas:	1.39%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$15,770
Arkansas:	$16,636

Average Total Payments

This Hospital:	$5,374
Arkansas:	$5,641

Number of discharges: 36

This Hospital:	2.76%
State:	1.98%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$19,580
Arkansas:	$20,478

Average Total Payments

This Hospital:	$6,695
Arkansas:	$6,847

Number of discharges: 29

This Hospital:	2.22%
State:	2.04%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$13,445
Arkansas:	$13,025

Average Total Payments

This Hospital:	$4,073
State:	$4,289

Number of discharges: 36

Here:	2.76%
Arkansas:	1.89%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$11,663
State:	$15,315

Average Total Payments

This Hospital:	$4,232
Arkansas:	$4,305

Number of discharges: 81

Here:	6.20%
Arkansas:	3.62%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

This Hospital:	$9,931
State:	$10,806

Average Total Payments

This Hospital:	$3,980
Arkansas:	$3,956

Number of discharges: 15

This Hospital:	1.15%
Arkansas:	0.31%

G.I. Hemorrhage without Complications

Average Covered Charges

Here:	$12,710
Arkansas:	$13,426

Average Total Payments

This Hospital:	$4,090
Arkansas:	$4,268

Number of discharges: 12

This Hospital:	0.92%
Arkansas:	0.44%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$12,643
Arkansas:	$17,370

Average Total Payments

Here:	$5,226
State:	$5,570

Number of discharges: 12

This Hospital:	0.92%
Arkansas:	0.70%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$15,263
Arkansas:	$17,465

Average Total Payments

This Hospital:	$5,601
State:	$5,859

Number of discharges: 36

This Hospital:	2.76%
Arkansas:	3.17%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$23,325
Arkansas:	$28,268

Average Total Payments

This Hospital:	$8,520
Arkansas:	$8,662

Number of discharges: 11

This Hospital:	0.84%
State:	2.18%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$12,441
State:	$12,406

Average Total Payments

This Hospital:	$3,862
State:	$3,978

Number of discharges: 25

This Hospital:	1.91%
State:	1.65%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$29,032
Arkansas:	$33,459

Average Total Payments

This Hospital:	$10,581
State:	$10,641

Number of discharges: 31

Here:	2.37%
State:	1.16%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

This Hospital:	$23,756
Arkansas:	$27,906

Average Total Payments

Here:	$8,744
Arkansas:	$8,725

Number of discharges: 21

This Hospital:	1.61%
Arkansas:	0.52%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$17,733
State:	$18,643

Average Total Payments

This Hospital:	$6,891
State:	$6,646

Number of discharges: 21

This Hospital:	1.61%
State:	1.69%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$19,677
Arkansas:	$31,614

Average Total Payments

This Hospital:	$9,857
State:	$10,900

Number of discharges: 14

Here:	1.07%
State:	0.76%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$12,308
State:	$15,028

Average Total Payments

This Hospital:	$4,613
State:	$4,813

Number of discharges: 20

Here:	1.53%
State:	0.87%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$16,502
Arkansas:	$21,323

Average Total Payments

Here:	$6,882
State:	$7,028

Number of discharges: 14

Here:	1.07%
Arkansas:	0.79%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$12,482
State:	$13,623

Average Total Payments

Here:	$4,475
Arkansas:	$4,576

Number of discharges: 98

Here:	7.50%
State:	3.21%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$32,134
Arkansas:	$37,206

Average Total Payments

Here:	$12,340
Arkansas:	$12,038

Number of discharges: 97

Here:	7.43%
State:	6.27%

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

Average Covered Charges

Here:	$12,243
State:	$12,527

Average Total Payments

Here:	$3,886
Arkansas:	$4,040

Number of discharges: 25

This Hospital:	1.91%
Arkansas:	2.37%

Peripheral Vascular Disorders without Complications

Average Covered Charges

This Hospital:	$7,758
State:	$11,145

Average Total Payments

This Hospital:	$3,772
Arkansas:	$3,788

Number of discharges: 13

Here:	1.00%
State:	0.26%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$18,508
State:	$23,064

Average Total Payments

Here:	$6,921
Arkansas:	$7,571

Number of discharges: 16

This Hospital:	1.23%
State:	1.58%

Pulmonary Embolism without Major Complications

Average Covered Charges

This Hospital:	$20,531
State:	$18,144

Average Total Payments

Here:	$6,515
Arkansas:	$6,201

Number of discharges: 24

This Hospital:	1.84%
State:	0.43%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$12,790
Arkansas:	$15,818

Average Total Payments

Here:	$4,485
State:	$4,830

Number of discharges: 25

This Hospital:	1.91%
State:	1.41%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$22,253
State:	$22,441

Average Total Payments

This Hospital:	$8,351
State:	$8,489

Number of discharges: 42

Here:	3.22%
State:	0.99%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$21,676
State:	$32,428

Average Total Payments

Here:	$10,602
State:	$11,614

Number of discharges: 22

Here:	1.68%
Arkansas:	0.98%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$29,855
Arkansas:	$42,898

Average Total Payments

This Hospital:	$13,370
State:	$13,634

Number of discharges: 22

Here:	1.68%
Arkansas:	0.95%

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

Average Covered Charges

This Hospital:	$25,158
Arkansas:	$31,667

Average Total Payments

This Hospital:	$10,573
Arkansas:	$11,118

Number of discharges: 48

Here:	3.68%
State:	3.87%

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

Average Covered Charges

This Hospital:	$16,906
Arkansas:	$19,156

Average Total Payments

This Hospital:	$6,466
Arkansas:	$6,658

Number of discharges: 44

Here:	3.37%
Arkansas:	1.65%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$19,201
State:	$19,585

Average Total Payments

This Hospital:	$5,788
State:	$5,984

Number of discharges: 147

Here:	11.26%
State:	3.51%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$28,888
State:	$29,919

Average Total Payments

This Hospital:	$8,498
Arkansas:	$8,721

Number of discharges: 23

Here:	1.76%
State:	1.84%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$13,657
State:	$14,647

Average Total Payments

Here:	$4,029
Arkansas:	$4,171

Number of discharges: 85

This Hospital:	6.51%
State:	1.79%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	90.0%
State:	98.8%

Percent of Patients Given Beta Blocker at Discharge

Here:	82.0%
Arkansas:	98.4%

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

Here:	17
State:	8

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

Here:	97.0%
Arkansas:	96.0%

Heart Failure

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

Here:	80.0%
State:	97.7%

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

Here:	88.0%
State:	96.3%

Percent of Patients Given Discharge Instructions

This Hospital:	91.0%
State:	93.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	93.0%
State:	99.6%

Pneumonia

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

This Hospital:	95.0%
Arkansas:	96.3%

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

This Hospital:	94.0%
State:	97.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
Arkansas:	98.6%

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

Here:	80.0%
Arkansas:	93.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	98.0%
Arkansas:	93.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	92.0%
Arkansas:	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:	98.0%
Arkansas:	98.2%

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

This Hospital:	94.0%
State:	96.1%

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

This Hospital:	99.0%
State:	98.4%

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%
Arkansas:	96.9%

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

Here:	98.0%
State:	97.8%

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%
State:	99.9%

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

Here:	89.0%
Arkansas:	91.2%

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

Here:	96.0%
Arkansas:	95.7%

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

Here:	98.0%
Arkansas:	96.9%

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

This Hospital:	99.0%
State:	96.0%

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

Here:	99.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	17.2%
Arkansas:	16.1%

30-Day Mortality Rates from Heart Failure

Here:	11.2%
Arkansas:	12.9%

30-Day Mortality Rates from Pneumonia

Here:	11.8%
State:	12.8%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.7%
Arkansas:	20.2%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.5%
Arkansas:	25.8%

30-Day Readmission Rates from Pneumonia

Here:	18.6%
State:	19.0%

NORTH ARKANSAS REGIONAL MEDICAL CENTER - HARRISON, AR

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Hospital Acquired Conditions

Complaint Deficiency

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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