OJAI VALLEY COMMUNITY HOSPITAL (OJAI, CA) Detailed Hospital Profile

Hospital Acquired Conditions

Severe pressure sores (bed sores)

This Hospital:	1.385%
State:	0.321%

Process of Care

Heart Attack

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

This Hospital:	7
State:	9

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

This Hospital:	100.0%
State:	97.2%

Heart Failure

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

Here:	73.0%
State:	98.9%

Percent of Patients Given Discharge Instructions

This Hospital:	40.0%
State:	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:	100.0%
California:	96.1%

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

Here:	100.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	98.1%

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

This Hospital:	87.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	71.0%
State:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	93.0%
California:	95.8%

Surgery

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

Here:	95.0%
State:	98.1%

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

This Hospital:	90.0%
State:	96.3%

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

Here:	100.0%
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

This Hospital:	97.0%
State:	96.0%

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

This Hospital:	97.0%
California:	96.9%

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:	96.0%
California:	93.9%

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

Here:	100.0%
State:	96.1%

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

This Hospital:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	10.8%
California:	11.7%

30-Day Readmission Rates from Pneumonia

Here:	16.4%
California:	18.3%

Use of Medical Imaging

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

Here:	11.400%
State:	8.180%

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

This Hospital:	0.461%
California:	0.170%

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

This Hospital:	0.040%
California:	0.043%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	5%
California:	7%

Usually

This Hospital:	18%
State:	21%

Always

This Hospital:	77%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	6%

Usually

Here:	16%
State:	17%

Always

This Hospital:	80%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	8%
California:	13%

Usually

This Hospital:	23%
California:	28%

Always

Here:	69%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	4%
California:	8%

Usually

This Hospital:	22%
California:	25%

Always

This Hospital:	74%
State:	67%

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

Sometimes or never

This Hospital:	23%
California:	23%

Usually

This Hospital:	19%
California:	19%

Always

This Hospital:	58%
State:	58%

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

Sometimes or never

This Hospital:	8%
California:	10%

Usually

This Hospital:	17%
State:	21%

Always

This Hospital:	75%
State:	69%

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

Sometimes or never

Here:	9%
California:	18%

Usually

Here:	33%
California:	33%

Always

This Hospital:	58%
State:	49%

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

Yes

This Hospital:	84%
State:	81%

This Hospital:	16%
California:	19%

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

6 or lower

Here:	9%
California:	10%

7 or 8

Here:	28%
State:	24%

9 or 10

This Hospital:	63%
California:	66%

Would patients recommend the hospital to friends and family?

Here:	7%
State:	7%

Yes, probably

Here:	24%
State:	24%

Yes, definitely

Here:	69%
State:	69%

Quality Measures

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

Here:	21.3%
State:	13.1%

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

Here:	17.7%
State:	8.9%

Percent of long-stay residents who lose too much weight

This Hospital:	4.3%
State:	6.3%

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

Here:	7.8%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

This Hospital:	8.5%
California:	6.7%

Percent of long-stay residents who were physically restrained

This Hospital:	12.5%
California:	3.6%

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

Here:	2.1%
California:	1.6%

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

This Hospital:	93.6%
State:	93.0%

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

Here:	93.8%
State:	94.0%

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

This Hospital:	26.7%
State:	21.2%

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

Here:	1.8%
California:	1.2%

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

This Hospital:	92.2%
California:	81.9%

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

Here:	87.2%
State:	79.7%

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

This Hospital:	1.5%
State:	2.2%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	10.6%
State:	19.0%

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

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$24,341
State:	$36,899

Average Total Payments

This Hospital:	$5,664
State:	$6,233

Number of discharges: 11

Here:	25.00%
State:	3.09%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$65,814
California:	$88,239

Average Total Payments

This Hospital:	$16,449
State:	$17,187

Number of discharges: 12

This Hospital:	27.27%
State:	6.26%

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

Average Covered Charges

This Hospital:	$31,760
California:	$50,385

Average Total Payments

Here:	$8,875
State:	$9,612

Number of discharges: 21

Here:	47.73%
State:	2.35%

Complaint Deficiency

An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 each residents' abilities in activities of daily living do not decline, unless unavoidable
- 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
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
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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protect each resident from all abuse, physical punishment, and being separated from others
- 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: 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 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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly sized and located linen or trash receptacles
- 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
Properly installed electrical wiring and equipment
- 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: Potential for minimal harm
- Scope: Many
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Many
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: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

OJAI VALLEY COMMUNITY HOSPITAL - OJAI, CA

Hospital Acquired Conditions

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

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

Complaint Deficiency

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