RHEA MEDICAL CENTER (DAYTON, TN) Detailed Hospital Profile

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

Here:	31.300%
Tennessee:	34.494%

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

This Hospital:	10.700%
State:	8.346%

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

Here:	0.093%
Tennessee:	0.170%

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

Here:	0.053%
State:	0.080%

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

Here:	4.500%
Tennessee:	4.940%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	5%

Usually

This Hospital:	17%
Tennessee:	16%

Always

This Hospital:	80%
Tennessee:	79%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	1%
State:	4%

Usually

This Hospital:	13%
Tennessee:	13%

Always

This Hospital:	86%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	7%
State:	10%

Usually

Here:	23%
Tennessee:	23%

Always

Here:	70%
Tennessee:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	7%

Usually

Here:	24%
Tennessee:	22%

Always

Here:	70%
Tennessee:	71%

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

Sometimes or never

This Hospital:	15%
State:	21%

Usually

Here:	17%
Tennessee:	16%

Always

Here:	68%
State:	63%

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

Sometimes or never

Here:	10%
State:	10%

Usually

Here:	20%
Tennessee:	18%

Always

Here:	70%
State:	72%

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

Sometimes or never

Here:	6%
Tennessee:	8%

Usually

Here:	31%
State:	26%

Always

Here:	63%
Tennessee:	66%

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

Yes

Here:	86%
State:	82%

Here:	14%
Tennessee:	18%

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

6 or lower

This Hospital:	6%
State:	9%

7 or 8

This Hospital:	21%
State:	23%

9 or 10

This Hospital:	73%
Tennessee:	68%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
Tennessee:	6%

Yes, probably

This Hospital:	22%
Tennessee:	25%

Yes, definitely

Here:	74%
Tennessee:	69%

Process of Care

Heart Attack

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

Here:	8
Tennessee:	6

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

This Hospital:	96.0%
Tennessee:	96.4%

Heart Failure

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

This Hospital:	95.0%
State:	98.6%

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

This Hospital:	75.0%
State:	96.4%

Percent of Patients Given Discharge Instructions

Here:	75.0%
Tennessee:	91.6%

Pneumonia

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

This Hospital:	95.0%
State:	96.9%

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

This Hospital:	98.0%
State:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Tennessee:	99.0%

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

Here:	93.0%
State:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	96.0%
Tennessee:	97.2%

Surgery

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%
Tennessee:	96.6%

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

This Hospital:	100.0%
Tennessee:	97.6%

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:	99.9%

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

Here:	100.0%
Tennessee:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.4%
Tennessee:	11.7%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.7%
State:	12.4%

30-Day Readmission Rates from Heart Failure

Here:	21.6%
State:	25.0%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.8%
State:	19.3%

Quality Measures

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

Here:	6.3%
State:	14.8%

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

This Hospital:	32.7%
Tennessee:	9.9%

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

Here:	7.8%
State:	5.9%

Percent of long-stay residents who lose too much weight

Here:	16.2%
Tennessee:	8.2%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	41.2%
State:	41.7%

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

This Hospital:	5.8%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	18.9%
Tennessee:	8.6%

Percent of long-stay residents who have depressive symptoms

Here:	2.9%
State:	3.7%

Percent of long-stay residents who were physically restrained

Here:	2.7%
Tennessee:	4.1%

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

This Hospital:	10.8%
State:	3.5%

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

This Hospital:	98.6%
Tennessee:	95.8%

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

Here:	85.1%
State:	92.9%

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

This Hospital:	37.5%
State:	21.3%

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

This Hospital:	85.1%
State:	86.6%

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

Here:	67.8%
Tennessee:	83.0%

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

Here:	2.6%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	17.8%
Tennessee:	29.9%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- 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
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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 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
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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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 sized and located linen or trash receptacles
- 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: Many
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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
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: 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: 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
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's personal and medical records private and confidential
- 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
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- 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: Few

RHEA MEDICAL CENTER - DAYTON, TN

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Quality Measures

Complaint Deficiency

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