PACIFICA HOSPITAL OF THE VALLEY (SUN VALLEY, CA) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	16.0%
California:	7.5%

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

Here:	10.3%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	8.3%
California:	6.7%

Percent of long-stay residents who have depressive symptoms

Here:	8.6%
California:	2.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	14.8%
State:	3.6%

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

Here:	98.3%
California:	93.0%

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

This Nursing Home:	95.1%
California:	94.0%

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

This Nursing Home:	45.0%
State:	79.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	22.0%
State:	19.0%

Complaint Deficiency

Keep each resident's personal and medical records private and confidential
- Harm: Potential for minimal 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
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Check and assess each resident's assessment at least every 3 months
- Harm: Potential for minimal harm
- Scope: Some
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Potential for minimal harm
- Scope: Some
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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Potential for minimal harm
- Scope: Some
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
Put firmly secured handrails on each side of hallways
- Harm: Potential for minimal 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
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Potential for minimal harm
- Scope: Some
Fire-resistant room wall surfaces
- 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: Few
Proper stairway enclosures and vertical shafts
- 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: 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
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- 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: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A properly installed master alarm panel
- 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Other fire safety features required by fire safety codes
- 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: Some
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Dispose of garbage and refuse properly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
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
Have enough backup water supply for essential areas of the nursing home
- 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: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- 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
An approved installation, maintenance and testing program for fire alarm systems
- 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
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- 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: Some
Tell the resident completely about his or her health status, care and treatments
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- 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
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Potential for minimal harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
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: Potential for minimal harm
- Scope: Some
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.450
State:	0.748

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	3.590
State:	0.900

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	5.040
State:	1.608

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.280
California:	0.118

Number Therapy Hours Per Resident Per Day

Here:	0.280
State:	0.126

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

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$13,468
State:	$28,823

Average Total Payments

Here:	$6,062
California:	$4,913

Number of discharges: 16

This Nursing Home:	2.04%
State:	0.40%

Cellulitis without Major Complications

Average Covered Charges

This Nursing Home:	$13,716
State:	$36,707

Average Total Payments

Here:	$8,720
California:	$7,245

Number of discharges: 23

This Nursing Home:	2.93%
State:	2.08%

Chest Pain

Average Covered Charges

This Nursing Home:	$11,323
California:	$29,034

Average Total Payments

This Nursing Home:	$5,766
State:	$4,742

Number of discharges: 25

Here:	3.18%
State:	2.11%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$18,186
State:	$35,163

Average Total Payments

This Nursing Home:	$7,508
State:	$6,206

Number of discharges: 20

This Nursing Home:	2.55%
California:	1.11%

Diabetes with Complications

Average Covered Charges

Here:	$14,432
State:	$38,964

Average Total Payments

This Nursing Home:	$8,623
State:	$7,470

Number of discharges: 12

This Nursing Home:	1.53%
State:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Nursing Home:	$13,794
California:	$36,899

Average Total Payments

This Nursing Home:	$7,461
California:	$6,233

Number of discharges: 29

Here:	3.69%
California:	3.09%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$25,345
State:	$46,039

Average Total Payments

Here:	$10,692
State:	$8,685

Number of discharges: 16

This Nursing Home:	2.04%
State:	1.95%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$19,288
California:	$47,292

Average Total Payments

Here:	$10,564
California:	$8,831

Number of discharges: 17

Here:	2.17%
State:	2.91%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$13,085
California:	$32,995

Average Total Payments

This Nursing Home:	$7,138
State:	$5,851

Number of discharges: 17

Here:	2.17%
State:	1.02%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$14,163
State:	$36,114

Average Total Payments

This Nursing Home:	$7,658
California:	$6,728

Number of discharges: 21

Here:	2.68%
State:	2.98%

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

Average Covered Charges

This Nursing Home:	$12,963
State:	$32,446

Average Total Payments

Here:	$7,113
California:	$5,975

Number of discharges: 27

This Nursing Home:	3.44%
California:	2.21%

Psychoses

Average Covered Charges

This Nursing Home:	$14,833
State:	$24,503

Average Total Payments

This Nursing Home:	$9,622
California:	$8,916

Number of discharges: 418

Here:	53.25%
California:	2.32%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

Here:	$98,849
State:	$262,024

Average Total Payments

Here:	$45,380
State:	$48,700

Number of discharges: 13

This Nursing Home:	1.66%
State:	0.44%

Seizures without Major Complications

Average Covered Charges

This Nursing Home:	$14,320
California:	$38,752

Average Total Payments

Here:	$7,738
California:	$6,932

Number of discharges: 12

This Nursing Home:	1.53%
State:	0.59%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

This Nursing Home:	$91,452
State:	$277,564

Average Total Payments

This Nursing Home:	$46,004
California:	$53,075

Number of discharges: 19

This Nursing Home:	2.42%
State:	0.64%

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

Average Covered Charges

Here:	$29,271
State:	$90,173

Average Total Payments

This Nursing Home:	$19,174
California:	$16,748

Number of discharges: 22

This Nursing Home:	2.80%
California:	7.21%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$13,038
California:	$35,628

Average Total Payments

Here:	$6,981
State:	$6,112

Number of discharges: 11

Here:	1.40%
State:	0.53%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$23,681
California:	$48,755

Average Total Payments

Here:	$10,218
California:	$8,695

Number of discharges: 17

Here:	2.17%
State:	2.75%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Nursing Home:	$20,081
California:	$34,477

Average Total Payments

Here:	$7,391
California:	$5,838

Number of discharges: 17

Here:	2.17%
State:	0.97%

Syncope and Collapse

Average Covered Charges

Here:	$12,045
California:	$37,038

Average Total Payments

Here:	$7,465
California:	$6,233

Number of discharges: 21

Here:	2.68%
State:	1.60%

Transient Ischemia

Average Covered Charges

Here:	$13,365
California:	$37,396

Average Total Payments

Here:	$7,615
State:	$6,120

Number of discharges: 12

This Nursing Home:	1.53%
California:	0.94%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 30%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	9%
California:	7%

Usually

Here:	20%
State:	21%

Always

This Nursing Home:	71%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
California:	6%

Usually

Here:	18%
California:	17%

Always

This Nursing Home:	75%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	15%
State:	13%

Usually

Here:	31%
State:	28%

Always

Here:	54%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

Here:	14%
California:	8%

Usually

Here:	21%
California:	25%

Always

Here:	65%
California:	67%

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

Sometimes or never

This Nursing Home:	27%
State:	23%

Usually

Here:	19%
State:	19%

Always

This Nursing Home:	54%
State:	58%

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

Sometimes or never

This Nursing Home:	9%
State:	10%

Usually

Here:	16%
State:	21%

Always

This Nursing Home:	75%
California:	69%

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

Sometimes or never

Here:	17%
State:	18%

Usually

This Nursing Home:	33%
California:	33%

Always

Here:	50%
California:	49%

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

Yes

This Nursing Home:	76%
California:	81%

Here:	24%
State:	19%

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

6 or lower

This Nursing Home:	12%
State:	10%

7 or 8

Here:	23%
California:	24%

9 or 10

This Nursing Home:	65%
California:	66%

Would patients recommend the hospital to friends and family?

Here:	10%
California:	7%

Yes, probably

This Nursing Home:	28%
California:	24%

Yes, definitely

Here:	62%
State:	69%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	96.0%
California:	99.3%

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

This Nursing Home:	16
State:	9

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

This Nursing Home:	100.0%
California:	97.2%

Heart Failure

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

This Nursing Home:	82.0%
State:	98.9%

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

Here:	89.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

Here:	29.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
California:	99.4%

Pneumonia

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

Here:	92.0%
State:	96.1%

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

This Nursing Home:	92.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	75.0%
California:	98.1%

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

This Nursing Home:	88.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	95.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	81.0%
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:	69.0%
State:	98.1%

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

Here:	74.0%
State:	96.3%

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

This Nursing Home:	93.0%
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

Here:	87.0%
California:	96.0%

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

Here:	76.0%
California:	96.9%

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

This Nursing Home:	79.0%
State:	99.8%

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

This Nursing Home:	83.0%
State:	95.1%

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

Here:	92.0%
California:	95.5%

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

Here:	90.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	10.8%
State:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	13.6%
California:	11.7%

30-Day Readmission Rates from Heart Failure

Here:	25.4%
California:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	19.8%
State:	18.3%

Hospital Acquired Conditions

Signs of Uncontrolled Blood Sugar

Here:	0.402%
California:	0.246%

PACIFICA HOSPITAL OF THE VALLEY - SUN VALLEY, CA

Quality Measures

Complaint Deficiency

Staff Information

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

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

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