REGINA MEDICAL CENTER (HASTINGS, MN) Detailed Hospital Profile

Hospital Acquired Conditions

Falls and injuries

Here:	1.428%
State:	0.732%

Blood infection from a catheter in a large vein

Here:	0.714%
State:	0.423%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.7%

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

Here:	7
Minnesota:	7

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	33
State:	52

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

This Hospital:	93.0%
Minnesota:	96.6%

Heart Failure

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

Here:	100.0%
Minnesota:	97.5%

Percent of Patients Given Discharge Instructions

Here:	96.0%
State:	88.6%

Pneumonia

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

This Hospital:	98.0%
Minnesota:	97.1%

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

Here:	98.0%
Minnesota:	96.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	94.0%
State:	96.0%

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

This Hospital:	97.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	100.0%
Minnesota:	93.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
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%
Minnesota:	97.4%

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

Here:	99.0%
State:	97.6%

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

This Hospital:	99.0%
State:	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:	99.0%
State:	96.7%

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

This Hospital:	100.0%
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:	100.0%
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

Here:	84.0%
Minnesota:	95.2%

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

Here:	98.0%
State:	94.0%

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

Here:	98.0%
State:	96.8%

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

Here:	96.0%
Minnesota:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.4%
Minnesota:	14.7%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.5%
Minnesota:	11.2%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.0%
Minnesota:	11.4%

30-Day Readmission Rates from Heart Attack

Here:	19.0%
State:	18.8%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.9%
Minnesota:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.1%
Minnesota:	18.3%

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$17,992
State:	$16,186

Average Total Payments

Here:	$5,297
Minnesota:	$5,965

Number of discharges: 14

This Hospital:	5.62%
Minnesota:	1.64%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$15,300
Minnesota:	$16,955

Average Total Payments

Here:	$5,925
Minnesota:	$6,897

Number of discharges: 17

Here:	6.83%
State:	1.39%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$12,358
State:	$13,090

Average Total Payments

This Hospital:	$4,898
Minnesota:	$5,187

Number of discharges: 12

This Hospital:	4.82%
State:	0.78%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$20,923
State:	$15,752

Average Total Payments

Here:	$4,879
State:	$5,193

Number of discharges: 27

This Hospital:	10.84%
State:	3.65%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$22,063
State:	$19,497

Average Total Payments

Here:	$6,789
Minnesota:	$7,303

Number of discharges: 24

Here:	9.64%
State:	2.99%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$14,475
State:	$13,992

Average Total Payments

Here:	$4,765
Minnesota:	$4,779

Number of discharges: 11

Here:	4.42%
Minnesota:	1.05%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$12,528
State:	$14,428

Average Total Payments

Here:	$4,744
Minnesota:	$5,431

Number of discharges: 13

Here:	5.22%
Minnesota:	2.35%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$37,170
Minnesota:	$36,865

Average Total Payments

This Hospital:	$14,191
State:	$14,961

Number of discharges: 49

This Hospital:	19.68%
State:	9.87%

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

Average Covered Charges

This Hospital:	$15,058
State:	$13,567

Average Total Payments

Here:	$4,439
Minnesota:	$4,921

Number of discharges: 11

This Hospital:	4.42%
State:	2.24%

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

Average Covered Charges

This Hospital:	$28,046
State:	$38,306

Average Total Payments

This Hospital:	$11,613
Minnesota:	$13,889

Number of discharges: 12

Here:	4.82%
State:	3.98%

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

Average Covered Charges

This Hospital:	$21,291
Minnesota:	$21,565

Average Total Payments

This Hospital:	$6,822
State:	$8,065

Number of discharges: 11

Here:	4.42%
Minnesota:	1.75%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$21,912
Minnesota:	$16,939

Average Total Payments

Here:	$6,727
State:	$7,101

Number of discharges: 33

Here:	13.25%
Minnesota:	3.04%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$23,114
State:	$26,863

Average Total Payments

This Hospital:	$9,280
State:	$10,284

Number of discharges: 15

This Hospital:	6.02%
State:	1.63%

Use of Medical Imaging

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

Here:	4.200%
State:	6.118%

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

This Hospital:	0.041%
Minnesota:	0.072%

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

Here:	0.010%
Minnesota:	0.011%

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

Here:	2.100%
State:	5.841%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
Minnesota:	3%

Usually

This Hospital:	17%
State:	18%

Always

Here:	79%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Minnesota:	3%

Usually

Here:	13%
Minnesota:	14%

Always

This Hospital:	82%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
Minnesota:	6%

Usually

This Hospital:	22%
State:	22%

Always

This Hospital:	73%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	5%

Usually

Here:	22%
State:	25%

Always

This Hospital:	72%
Minnesota:	70%

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

Sometimes or never

Here:	15%
Minnesota:	16%

Usually

This Hospital:	19%
Minnesota:	20%

Always

This Hospital:	66%
State:	64%

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

Sometimes or never

This Hospital:	5%
Minnesota:	6%

Usually

Here:	19%
Minnesota:	18%

Always

Here:	76%
State:	76%

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

Sometimes or never

Here:	4%
State:	7%

Usually

This Hospital:	24%
State:	30%

Always

Here:	72%
Minnesota:	63%

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

Yes

This Hospital:	86%
State:	86%

This Hospital:	14%
Minnesota:	14%

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

6 or lower

This Hospital:	8%
State:	6%

7 or 8

This Hospital:	24%
Minnesota:	22%

9 or 10

This Hospital:	68%
Minnesota:	72%

Would patients recommend the hospital to friends and family?

Here:	5%
Minnesota:	3%

Yes, probably

This Hospital:	20%
State:	24%

Yes, definitely

This Hospital:	75%
State:	73%

Complaint Deficiency

Record of quarterly fire drills for each shift under varying conditions
- 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: 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 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
Provide a safe, clean, comfortable and homelike environment
- 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 care by qualified persons according to each resident's written plan of care
- 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual 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: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many

Quality Measures

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

Here:	4.3%
Minnesota:	15.5%

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

Here:	22.3%
State:	12.5%

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

This Hospital:	11.4%
Minnesota:	4.1%

Percent of long-stay residents who lose too much weight

This Hospital:	9.8%
Minnesota:	7.6%

Percent of long-stay residents with a urinary tract infection

This Hospital:	3.9%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

This Hospital:	6.1%
Minnesota:	7.4%

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

Here:	3.9%
Minnesota:	3.9%

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

This Hospital:	98.0%
Minnesota:	97.0%

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

Here:	100.0%
Minnesota:	96.8%

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

This Hospital:	35.1%
Minnesota:	26.2%

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

Here:	4.5%
Minnesota:	1.3%

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

Here:	97.0%
State:	87.6%

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

This Hospital:	97.1%
Minnesota:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	28.6%
State:	17.4%

REGINA MEDICAL CENTER - HASTINGS, MN

Hospital Acquired Conditions

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

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

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