NORTHFIELD HOSPITAL (NORTHFIELD, MN) 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:	6
State:	7

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

Here:	100.0%
State:	96.6%

Heart Failure

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

This Hospital:	95.0%
Minnesota:	97.5%

Percent of Patients Given Discharge Instructions

This Hospital:	53.0%
Minnesota:	88.6%

Pneumonia

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

This Hospital:	100.0%
State:	97.1%

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

This Hospital:	100.0%
State:	96.1%

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

Here:	97.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	93.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	95.0%
State:	94.9%

Surgery

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

Here:	99.0%
State:	97.4%

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

This Hospital:	96.0%
State:	97.6%

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

This Hospital:	98.0%
Minnesota:	97.9%

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

This Hospital:	97.0%
Minnesota:	96.7%

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

This Hospital:	98.0%
State:	97.4%

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

Here:	98.0%
Minnesota:	99.8%

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

This Hospital:	92.0%
State:	92.7%

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

This Hospital:	79.0%
State:	95.2%

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

Here:	91.0%
State:	94.0%

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

This Hospital:	100.0%
State:	96.8%

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

This Hospital:	98.0%
Minnesota:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	11.4%
State:	11.2%

30-Day Mortality Rates from Pneumonia

Here:	10.4%
Minnesota:	11.4%

30-Day Readmission Rates from Heart Failure

Here:	23.8%
State:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	17.9%
State:	18.3%

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

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$11,425
Minnesota:	$11,692

Average Total Payments

This Hospital:	$4,013
Minnesota:	$4,101

Number of discharges: 13

Here:	4.96%
State:	1.67%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$14,512
State:	$15,700

Average Total Payments

This Hospital:	$6,157
State:	$5,990

Number of discharges: 22

This Hospital:	8.40%
Minnesota:	1.78%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$15,359
Minnesota:	$16,955

Average Total Payments

This Hospital:	$6,580
Minnesota:	$6,897

Number of discharges: 17

This Hospital:	6.49%
State:	1.39%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$17,428
State:	$20,945

Average Total Payments

This Hospital:	$8,021
State:	$8,297

Number of discharges: 12

Here:	4.58%
State:	1.44%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$15,796
Minnesota:	$15,752

Average Total Payments

Here:	$5,113
Minnesota:	$5,193

Number of discharges: 20

Here:	7.63%
State:	3.65%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$17,628
State:	$19,497

Average Total Payments

Here:	$6,903
Minnesota:	$7,303

Number of discharges: 25

Here:	9.54%
Minnesota:	2.99%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$14,980
State:	$13,992

Average Total Payments

Here:	$4,604
Minnesota:	$4,779

Number of discharges: 15

This Hospital:	5.73%
Minnesota:	1.05%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$37,334
Minnesota:	$38,413

Average Total Payments

This Hospital:	$13,273
State:	$12,843

Number of discharges: 12

Here:	4.58%
Minnesota:	1.31%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$43,224
State:	$36,865

Average Total Payments

Here:	$14,991
Minnesota:	$14,961

Number of discharges: 62

Here:	23.66%
Minnesota:	9.87%

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

Average Covered Charges

This Hospital:	$16,519
Minnesota:	$13,567

Average Total Payments

Here:	$4,691
State:	$4,921

Number of discharges: 13

This Hospital:	4.96%
State:	2.24%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$17,356
State:	$16,939

Average Total Payments

Here:	$6,806
State:	$7,101

Number of discharges: 36

This Hospital:	13.74%
Minnesota:	3.04%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$12,761
Minnesota:	$12,348

Average Total Payments

This Hospital:	$5,035
Minnesota:	$4,896

Number of discharges: 15

This Hospital:	5.73%
Minnesota:	0.96%

Use of Medical Imaging

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

This Hospital:	8.800%
State:	6.118%

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

This Hospital:	0.033%
State:	0.072%

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

Here:	0.051%
Minnesota:	0.011%

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

Here:	4.800%
Minnesota:	5.841%

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

Here:	1.100%
State:	2.414%

Complaint Deficiency

Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual 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 residents receive treatment/services to not only continue, but improve the ability to care for themselves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to 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: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Hospital:	18.8%
Minnesota:	15.5%

Percent of long-stay residents who lose too much weight

Here:	3.0%
Minnesota:	7.6%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	4.7%
Minnesota:	4.1%

Percent of long-stay residents who have depressive symptoms

Here:	6.3%
State:	7.4%

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

Here:	9.1%
State:	3.9%

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

This Hospital:	100.0%
State:	97.0%

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

This Hospital:	100.0%
Minnesota:	96.8%

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

This Hospital:	26.3%
State:	26.2%

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

This Hospital:	94.6%
Minnesota:	87.6%

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

This Hospital:	95.2%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	9.1%
Minnesota:	17.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 41%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	3%
Minnesota:	3%

Usually

Here:	17%
Minnesota:	18%

Always

Here:	80%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	3%
Minnesota:	3%

Usually

This Hospital:	13%
Minnesota:	14%

Always

This Hospital:	84%
Minnesota:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	6%
Minnesota:	6%

Usually

This Hospital:	24%
State:	22%

Always

This Hospital:	70%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
State:	5%

Usually

Here:	22%
Minnesota:	25%

Always

This Hospital:	71%
State:	70%

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

Sometimes or never

This Hospital:	14%
Minnesota:	16%

Usually

Here:	20%
Minnesota:	20%

Always

Here:	66%
Minnesota:	64%

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

Sometimes or never

Here:	7%
State:	6%

Usually

Here:	18%
State:	18%

Always

Here:	75%
State:	76%

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

Sometimes or never

This Hospital:	5%
Minnesota:	7%

Usually

This Hospital:	31%
Minnesota:	30%

Always

Here:	64%
Minnesota:	63%

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

Yes

This Hospital:	86%
Minnesota:	86%

This Hospital:	14%
State:	14%

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

6 or lower

This Hospital:	5%
Minnesota:	6%

7 or 8

This Hospital:	19%
State:	22%

9 or 10

Here:	76%
State:	72%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
Minnesota:	3%

Yes, probably

This Hospital:	18%
Minnesota:	24%

Yes, definitely

Here:	79%
Minnesota:	73%

NORTHFIELD HOSPITAL - NORTHFIELD, MN

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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

Use of Medical Imaging

Complaint Deficiency

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

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