PEACEHEALTH KETCHIKAN MEDICAL CENTER (KETCHIKAN, AK) Detailed Hospital Profile

Quality Measures

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

Here:	95.3%
Alaska:	94.2%

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

This Hospital:	98.4%
Alaska:	89.8%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 18%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
Alaska:	4%

Usually

Here:	18%
Alaska:	19%

Always

This Hospital:	80%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	4%

Usually

This Hospital:	15%
Alaska:	16%

Always

Here:	81%
State:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	9%
State:	9%

Usually

This Hospital:	20%
Alaska:	24%

Always

This Hospital:	71%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
State:	7%

Usually

Here:	26%
Alaska:	25%

Always

This Hospital:	66%
Alaska:	68%

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

Sometimes or never

Here:	15%
State:	16%

Usually

Here:	13%
Alaska:	18%

Always

Here:	72%
State:	66%

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

Sometimes or never

Here:	7%
State:	9%

Usually

This Hospital:	17%
Alaska:	21%

Always

Here:	76%
Alaska:	70%

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

Sometimes or never

This Hospital:	8%
Alaska:	10%

Usually

This Hospital:	28%
Alaska:	30%

Always

This Hospital:	64%
State:	60%

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

Yes

This Hospital:	93%
Alaska:	85%

Here:	7%
State:	15%

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

6 or lower

Here:	7%
Alaska:	9%

7 or 8

This Hospital:	28%
Alaska:	25%

9 or 10

This Hospital:	65%
State:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
Alaska:	4%

Yes, probably

Here:	33%
Alaska:	26%

Yes, definitely

Here:	64%
Alaska:	70%

Complaint Deficiency

Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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: 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
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- 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: Many
Two separate exits in rooms of more than 1000 square feet
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- 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: Few
Corridor and hallway doors that block smoke
- 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
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- 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: Some
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency showers
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Use of Medical Imaging

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

Here:	6.800%
Alaska:	10.007%

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

Here:	0.040%
Alaska:	0.077%

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

Here:	0.008%
State:	0.006%

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

Here:	4.900%
Alaska:	5.947%

Process of Care

Heart Attack

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

Here:	12
Alaska:	8

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

Here:	96.0%
State:	97.4%

Heart Failure

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

Here:	78.0%
State:	97.5%

Percent of Patients Given Discharge Instructions

Here:	82.0%
Alaska:	93.7%

Pneumonia

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

Here:	98.0%
Alaska:	95.7%

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

This Hospital:	92.0%
Alaska:	94.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Alaska:	96.8%

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

Here:	97.0%
Alaska:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	85.0%
Alaska:	91.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
Alaska:	97.0%

Surgery

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

This Hospital:	95.0%
Alaska:	97.2%

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

Here:	100.0%
State:	98.8%

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

Here:	97.0%
Alaska:	97.9%

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

Here:	100.0%
State:	95.2%

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

Here:	100.0%
Alaska:	95.3%

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:	99.7%

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

Here:	100.0%
Alaska:	95.4%

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

This Hospital:	100.0%
Alaska:	100.0%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.4%
State:	12.5%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.3%
State:	12.1%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.5%
Alaska:	23.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	16.7%
State:	17.4%

PEACEHEALTH KETCHIKAN MEDICAL CENTER - KETCHIKAN, AK

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Use of Medical Imaging

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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