PINEVILLE COMMUNITY HOSPITAL (PINEVILLE, KY) Detailed Hospital Profile

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	91.0%
Kentucky:	99.0%

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

Here:	10
Kentucky:	7

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

This Hospital:	96.0%
State:	96.4%

Heart Failure

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

This Hospital:	99.0%
State:	97.6%

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

Here:	98.0%
Kentucky:	92.9%

Percent of Patients Given Discharge Instructions

This Hospital:	89.0%
Kentucky:	88.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	95.0%
Kentucky:	99.3%

Pneumonia

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

This Hospital:	92.0%
State:	95.8%

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

Here:	92.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	96.0%
Kentucky:	98.6%

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

This Hospital:	79.0%
Kentucky:	92.0%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	77.0%
Kentucky:	92.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	92.0%
State:	95.3%

Surgery

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

This Hospital:	91.0%
Kentucky:	98.4%

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

Here:	68.0%
Kentucky:	97.0%

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

Here:	95.0%
State:	98.6%

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

This Hospital:	78.0%
Kentucky:	96.4%

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

Here:	76.0%
State:	97.6%

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:	99.9%

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

This Hospital:	45.0%
State:	93.0%

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

Here:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.2%
Kentucky:	15.4%

30-Day Mortality Rates from Heart Failure

Here:	9.7%
State:	11.4%

30-Day Mortality Rates from Pneumonia

This Hospital:	9.7%
Kentucky:	12.4%

30-Day Readmission Rates from Heart Failure

This Hospital:	30.8%
Kentucky:	25.2%

30-Day Readmission Rates from Pneumonia

Here:	22.3%
State:	19.4%

Use of Medical Imaging

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

This Hospital:	3.400%
Kentucky:	8.052%

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

Here:	0.405%
State:	0.126%

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

Here:	0.315%
Kentucky:	0.042%

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

Here:	0.700%
State:	3.072%

Quality Measures

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

Here:	31.0%
Kentucky:	25.0%

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

This Hospital:	1.8%
State:	1.6%

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

Here:	100.0%
State:	88.6%

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

This Hospital:	100.0%
State:	87.8%

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

Here:	2.2%
State:	3.4%

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

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$5,672
State:	$11,894

Average Total Payments

Here:	$3,185
State:	$3,657

Number of discharges: 13

This Hospital:	1.20%
State:	0.71%

Bronchitis and Asthma with Complications

Average Covered Charges

Here:	$8,797
Kentucky:	$15,056

Average Total Payments

This Hospital:	$6,117
State:	$5,287

Number of discharges: 13

Here:	1.20%
Kentucky:	0.33%

Bronchitis and Asthma without Complications

Average Covered Charges

Here:	$5,509
State:	$10,017

Average Total Payments

This Hospital:	$3,630
State:	$3,841

Number of discharges: 21

Here:	1.94%
State:	0.24%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$6,076
State:	$15,106

Average Total Payments

This Hospital:	$4,489
State:	$5,206

Number of discharges: 16

Here:	1.48%
Kentucky:	1.30%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$4,339
State:	$10,390

Average Total Payments

This Hospital:	$3,103
Kentucky:	$3,523

Number of discharges: 26

Here:	2.40%
Kentucky:	1.82%

Cellulitis without Major Complications

Average Covered Charges

Here:	$7,825
Kentucky:	$13,744

Average Total Payments

Here:	$4,697
State:	$5,175

Number of discharges: 35

This Hospital:	3.23%
State:	1.73%

Chest Pain

Average Covered Charges

This Hospital:	$5,443
State:	$12,630

Average Total Payments

Here:	$3,005
Kentucky:	$3,521

Number of discharges: 44

This Hospital:	4.06%
Kentucky:	2.06%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$10,207
Kentucky:	$17,372

Average Total Payments

Here:	$5,599
State:	$5,992

Number of discharges: 52

This Hospital:	4.80%
State:	2.84%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$10,513
Kentucky:	$20,645

Average Total Payments

This Hospital:	$7,154
Kentucky:	$7,341

Number of discharges: 51

This Hospital:	4.70%
Kentucky:	2.94%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$7,370
Kentucky:	$13,107

Average Total Payments

This Hospital:	$3,940
Kentucky:	$4,458

Number of discharges: 89

This Hospital:	8.21%
Kentucky:	3.01%

Diabetes with Complications

Average Covered Charges

Here:	$7,675
State:	$14,320

Average Total Payments

This Hospital:	$4,551
Kentucky:	$5,248

Number of discharges: 13

This Hospital:	1.20%
State:	0.55%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

This Hospital:	$14,092
State:	$25,398

Average Total Payments

Here:	$6,332
Kentucky:	$7,578

Number of discharges: 17

Here:	1.57%
State:	0.56%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$6,811
State:	$13,998

Average Total Payments

Here:	$3,942
Kentucky:	$4,507

Number of discharges: 85

Here:	7.84%
Kentucky:	3.82%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$8,061
State:	$16,781

Average Total Payments

Here:	$4,679
State:	$5,762

Number of discharges: 12

This Hospital:	1.11%
Kentucky:	0.52%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$9,414
Kentucky:	$16,913

Average Total Payments

Here:	$5,555
Kentucky:	$6,315

Number of discharges: 64

Here:	5.90%
Kentucky:	3.15%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$12,906
Kentucky:	$26,625

Average Total Payments

This Hospital:	$7,634
State:	$9,229

Number of discharges: 39

This Hospital:	3.60%
Kentucky:	2.66%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$6,804
Kentucky:	$11,669

Average Total Payments

This Hospital:	$3,663
Kentucky:	$4,186

Number of discharges: 58

Here:	5.35%
Kentucky:	1.54%

Hypertension without Major Complications

Average Covered Charges

Here:	$4,537
Kentucky:	$12,624

Average Total Payments

This Hospital:	$3,532
Kentucky:	$3,863

Number of discharges: 26

Here:	2.40%
Kentucky:	0.47%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$12,803
State:	$19,880

Average Total Payments

This Hospital:	$6,607
State:	$7,246

Number of discharges: 14

This Hospital:	1.29%
State:	0.98%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$6,643
Kentucky:	$13,466

Average Total Payments

This Hospital:	$4,343
State:	$4,783

Number of discharges: 59

This Hospital:	5.44%
Kentucky:	2.86%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$6,388
State:	$15,097

Average Total Payments

Here:	$4,479
Kentucky:	$5,302

Number of discharges: 34

Here:	3.14%
Kentucky:	0.75%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

This Hospital:	$14,350
State:	$20,360

Average Total Payments

This Hospital:	$7,788
State:	$7,407

Number of discharges: 15

Here:	1.38%
State:	0.60%

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

Average Covered Charges

Here:	$6,099
State:	$12,072

Average Total Payments

Here:	$3,786
Kentucky:	$4,289

Number of discharges: 65

This Hospital:	6.00%
State:	2.14%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$6,347
State:	$14,170

Average Total Payments

This Hospital:	$4,358
Kentucky:	$4,959

Number of discharges: 40

This Hospital:	3.69%
State:	1.23%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$14,225
Kentucky:	$25,625

Average Total Payments

This Hospital:	$8,238
Kentucky:	$9,061

Number of discharges: 16

This Hospital:	1.48%
State:	0.86%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$21,266
State:	$35,535

Average Total Payments

This Hospital:	$12,287
State:	$12,449

Number of discharges: 12

Here:	1.11%
Kentucky:	1.04%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$27,058
State:	$43,386

Average Total Payments

Here:	$14,059
Kentucky:	$14,679

Number of discharges: 12

This Hospital:	1.11%
Kentucky:	1.27%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$6,268
Kentucky:	$13,892

Average Total Payments

This Hospital:	$3,763
State:	$4,372

Number of discharges: 13

This Hospital:	1.20%
Kentucky:	0.69%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$10,878
Kentucky:	$17,934

Average Total Payments

This Hospital:	$5,526
State:	$6,263

Number of discharges: 39

Here:	3.60%
State:	3.27%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$13,494
Kentucky:	$25,985

Average Total Payments

Here:	$7,983
Kentucky:	$9,009

Number of discharges: 19

Here:	1.75%
Kentucky:	2.34%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$7,099
Kentucky:	$13,217

Average Total Payments

Here:	$3,873
State:	$4,395

Number of discharges: 36

Here:	3.32%
Kentucky:	1.49%

Syncope and Collapse

Average Covered Charges

This Hospital:	$6,158
State:	$14,708

Average Total Payments

This Hospital:	$3,914
Kentucky:	$4,466

Number of discharges: 15

Here:	1.38%
Kentucky:	2.00%

Transient Ischemia

Average Covered Charges

Here:	$5,785
State:	$16,834

Average Total Payments

This Hospital:	$3,991
Kentucky:	$4,577

Number of discharges: 21

This Hospital:	1.94%
State:	1.25%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- 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
Exits that are free from obstructions and can be used at all times
- 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
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- 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
Allow the resident the right to participate in the planning or revision of the resident's care plan
- 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
Develop policies and procedures for influenza and pneumococcal immunizations
- 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: Potential for minimal harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- 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: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Many
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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
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
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Use a registered nurse at least 8 hours a day, 7 days a week
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Many
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 the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Many
Put firmly secured handrails on each side of hallways
- 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
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
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Many

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
State:	4%

Usually

Here:	16%
Kentucky:	16%

Always

Here:	80%
Kentucky:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
Kentucky:	3%

Usually

Here:	8%
State:	13%

Always

This Hospital:	91%
Kentucky:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	9%
State:	9%

Usually

Here:	24%
State:	23%

Always

This Hospital:	67%
Kentucky:	68%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
State:	7%

Usually

This Hospital:	23%
State:	21%

Always

This Hospital:	70%
State:	72%

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

Sometimes or never

This Hospital:	18%
Kentucky:	19%

Usually

This Hospital:	20%
Kentucky:	17%

Always

This Hospital:	62%
State:	64%

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

Sometimes or never

This Hospital:	3%
Kentucky:	8%

Usually

Here:	16%
Kentucky:	18%

Always

Here:	81%
State:	74%

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

Sometimes or never

This Hospital:	11%
State:	9%

Usually

This Hospital:	31%
State:	29%

Always

Here:	58%
State:	62%

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

Yes

This Hospital:	78%
State:	83%

Here:	22%
Kentucky:	17%

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

6 or lower

Here:	6%
State:	8%

7 or 8

This Hospital:	22%
State:	22%

9 or 10

This Hospital:	72%
Kentucky:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
Kentucky:	5%

Yes, probably

Here:	23%
Kentucky:	24%

Yes, definitely

Here:	74%
State:	71%

PINEVILLE COMMUNITY HOSPITAL - PINEVILLE, KY

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Quality Measures

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

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

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