SETON MEDICAL CENTER (DALY CITY, CA) Detailed Hospital Profile

Complaint Deficiency

Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Keep each resident's personal and medical records private and confidential
- 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
Keep each resident free from drugs that restrain them, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Provide housekeeping and maintenance services
- 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
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
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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
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: 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
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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- 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
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: Few
Approved construction type or materials
- 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
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Portable fire extinguishers
- 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: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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
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
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: Minimal harm or potential for actual 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: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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: Some
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
No-smoking signs where oxygen is used
- 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
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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
Provide housekeeping and maintenance services
- 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
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- 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: Few
Post nurse staffing information/data on a daily basis
- 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: Few
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
Corridor and hallway doors that block smoke
- 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: 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- 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
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$166,597
State:	$83,364

Average Total Payments

Here:	$18,876
State:	$15,491

Number of discharges: 11

This Hospital:	0.63%
State:	0.94%

Bronchitis and Asthma without Complications

Average Covered Charges

This Hospital:	$42,573
California:	$35,518

Average Total Payments

Here:	$5,694
California:	$5,397

Number of discharges: 11

This Hospital:	0.63%
State:	0.13%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$57,924
California:	$39,980

Average Total Payments

This Hospital:	$7,854
California:	$7,146

Number of discharges: 27

Here:	1.55%
California:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$112,832
California:	$59,369

Average Total Payments

Here:	$12,645
California:	$10,810

Number of discharges: 22

Here:	1.27%
California:	0.79%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$43,267
California:	$28,713

Average Total Payments

Here:	$6,737
California:	$4,819

Number of discharges: 23

Here:	1.32%
California:	1.18%

Cellulitis without Major Complications

Average Covered Charges

Here:	$60,449
State:	$36,707

Average Total Payments

Here:	$7,736
State:	$7,245

Number of discharges: 30

This Hospital:	1.73%
State:	2.08%

Chest Pain

Average Covered Charges

This Hospital:	$53,408
California:	$29,034

Average Total Payments

This Hospital:	$5,110
California:	$4,742

Number of discharges: 15

Here:	0.86%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$79,026
State:	$46,809

Average Total Payments

This Hospital:	$9,178
State:	$8,290

Number of discharges: 39

Here:	2.24%
State:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$84,510
State:	$58,013

Average Total Payments

Here:	$11,087
California:	$10,305

Number of discharges: 58

Here:	3.34%
State:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$46,862
State:	$35,163

Average Total Payments

Here:	$7,334
State:	$6,206

Number of discharges: 15

This Hospital:	0.86%
State:	1.11%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath with Major Complications

Average Covered Charges

Here:	$212,215
California:	$117,989

Average Total Payments

This Hospital:	$20,968
State:	$20,259

Number of discharges: 16

Here:	0.92%
State:	0.26%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

This Hospital:	$110,847
California:	$62,234

Average Total Payments

Here:	$11,869
California:	$9,681

Number of discharges: 27

This Hospital:	1.55%
State:	1.28%

Cranial and Peripheral Nerve Disorders without Major Complications

Average Covered Charges

Here:	$58,754
California:	$42,162

Average Total Payments

Here:	$8,060
State:	$7,743

Number of discharges: 12

Here:	0.69%
State:	0.28%

Diabetes with Complications

Average Covered Charges

This Hospital:	$53,529
California:	$38,964

Average Total Payments

This Hospital:	$7,531
California:	$7,470

Number of discharges: 12

This Hospital:	0.69%
California:	0.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

Here:	$120,388
California:	$55,838

Average Total Payments

Here:	$12,097
California:	$10,485

Number of discharges: 12

This Hospital:	0.69%
State:	0.67%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$64,388
State:	$36,899

Average Total Payments

Here:	$6,815
State:	$6,233

Number of discharges: 24

This Hospital:	1.38%
State:	3.09%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$54,215
California:	$33,350

Average Total Payments

Here:	$6,707
California:	$5,631

Number of discharges: 14

Here:	0.81%
California:	0.31%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$74,826
State:	$46,039

Average Total Payments

This Hospital:	$9,620
State:	$8,685

Number of discharges: 43

This Hospital:	2.47%
State:	1.95%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$127,329
State:	$80,936

Average Total Payments

This Hospital:	$19,069
State:	$15,696

Number of discharges: 29

Here:	1.67%
California:	0.79%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$64,647
State:	$44,086

Average Total Payments

Here:	$8,480
California:	$8,042

Number of discharges: 16

This Hospital:	0.92%
State:	0.72%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$78,761
State:	$47,292

Average Total Payments

Here:	$9,619
California:	$8,831

Number of discharges: 82

Here:	4.72%
State:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$116,213
California:	$70,963

Average Total Payments

Here:	$15,931
California:	$13,159

Number of discharges: 76

This Hospital:	4.37%
California:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$52,653
State:	$32,995

Average Total Payments

Here:	$6,419
State:	$5,851

Number of discharges: 12

Here:	0.69%
State:	1.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$131,689
State:	$88,197

Average Total Payments

This Hospital:	$17,498
California:	$15,201

Number of discharges: 27

This Hospital:	1.55%
State:	1.05%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

This Hospital:	$340,580
California:	$260,329

Average Total Payments

Here:	$58,760
State:	$51,393

Number of discharges: 30

Here:	1.73%
State:	0.87%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$94,193
State:	$55,669

Average Total Payments

Here:	$10,935
California:	$9,837

Number of discharges: 40

Here:	2.30%
State:	1.65%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$162,975
State:	$95,326

Average Total Payments

This Hospital:	$20,916
California:	$17,327

Number of discharges: 45

This Hospital:	2.59%
State:	1.11%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$63,964
California:	$42,438

Average Total Payments

This Hospital:	$7,677
California:	$6,978

Number of discharges: 16

Here:	0.92%
State:	0.78%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$118,657
State:	$52,262

Average Total Payments

Here:	$18,095
State:	$10,172

Number of discharges: 22

Here:	1.27%
State:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$69,108
State:	$36,114

Average Total Payments

Here:	$7,914
State:	$6,728

Number of discharges: 65

This Hospital:	3.74%
State:	2.98%

Laparoscopic Cholecystectomy without C.D.E. with Complications

Average Covered Charges

Here:	$136,110
State:	$83,366

Average Total Payments

This Hospital:	$23,858
California:	$14,137

Number of discharges: 11

Here:	0.63%
State:	0.25%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$92,161
California:	$59,926

Average Total Payments

Here:	$11,578
State:	$10,745

Number of discharges: 11

Here:	0.63%
State:	0.36%

Major Joint Replacement or Reattachment of Lower Extremity with Major Complications

Average Covered Charges

This Hospital:	$239,753
California:	$155,449

Average Total Payments

Here:	$31,377
State:	$27,698

Number of discharges: 15

This Hospital:	0.86%
California:	0.22%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$149,269
California:	$88,239

Average Total Payments

Here:	$20,095
State:	$17,187

Number of discharges: 85

Here:	4.89%
State:	6.26%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

Here:	$384,781
State:	$258,767

Average Total Payments

Here:	$59,507
State:	$49,384

Number of discharges: 12

This Hospital:	0.69%
California:	0.51%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$71,301
State:	$42,156

Average Total Payments

This Hospital:	$7,450
State:	$6,908

Number of discharges: 13

Here:	0.75%
California:	0.92%

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

Average Covered Charges

This Hospital:	$63,549
California:	$49,218

Average Total Payments

This Hospital:	$10,670
California:	$10,092

Number of discharges: 18

This Hospital:	1.04%
State:	0.94%

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

Average Covered Charges

This Hospital:	$55,789
State:	$32,446

Average Total Payments

This Hospital:	$6,239
State:	$5,975

Number of discharges: 17

This Hospital:	0.98%
State:	2.21%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$134,999
State:	$89,034

Average Total Payments

This Hospital:	$18,556
State:	$17,349

Number of discharges: 12

This Hospital:	0.69%
California:	0.83%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$101,345
State:	$49,604

Average Total Payments

Here:	$11,057
State:	$8,812

Number of discharges: 18

This Hospital:	1.04%
California:	0.66%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

This Hospital:	$90,495
California:	$76,730

Average Total Payments

Here:	$15,072
California:	$15,378

Number of discharges: 13

Here:	0.75%
California:	0.34%

Other Vascular Procedures with Complications

Average Covered Charges

Here:	$172,236
State:	$124,507

Average Total Payments

Here:	$23,524
California:	$21,685

Number of discharges: 15

Here:	0.86%
State:	0.44%

Other Vascular Procedures with Major Complications

Average Covered Charges

Here:	$286,573
California:	$141,530

Average Total Payments

Here:	$41,794
California:	$28,554

Number of discharges: 16

This Hospital:	0.92%
State:	0.56%

Other Vascular Procedures without Complications

Average Covered Charges

This Hospital:	$108,780
State:	$82,284

Average Total Payments

This Hospital:	$15,112
California:	$13,731

Number of discharges: 11

Here:	0.63%
California:	0.30%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or 4+ Vessels/Stents

Average Covered Charges

This Hospital:	$331,809
State:	$166,637

Average Total Payments

This Hospital:	$38,473
State:	$28,878

Number of discharges: 34

Here:	1.96%
State:	0.42%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$223,905
State:	$102,086

Average Total Payments

Here:	$21,218
California:	$16,769

Number of discharges: 31

This Hospital:	1.78%
California:	1.40%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$61,521
California:	$46,464

Average Total Payments

Here:	$9,206
State:	$8,334

Number of discharges: 15

This Hospital:	0.86%
State:	0.45%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

This Hospital:	$168,127
California:	$107,281

Average Total Payments

This Hospital:	$27,185
State:	$22,071

Number of discharges: 20

This Hospital:	1.15%
California:	0.47%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$111,416
State:	$64,758

Average Total Payments

Here:	$12,554
California:	$11,179

Number of discharges: 17

Here:	0.98%
California:	1.15%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

This Hospital:	$62,315
State:	$54,654

Average Total Payments

This Hospital:	$11,742
State:	$11,520

Number of discharges: 11

Here:	0.63%
California:	0.36%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$166,363
California:	$35,878

Average Total Payments

Here:	$22,926
State:	$7,039

Number of discharges: 23

This Hospital:	1.32%
California:	1.21%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$49,635
State:	$48,439

Average Total Payments

Here:	$8,790
California:	$8,967

Number of discharges: 18

This Hospital:	1.04%
California:	1.90%

Renal Failure with Major Complications

Average Covered Charges

Here:	$126,868
California:	$72,128

Average Total Payments

Here:	$16,084
State:	$14,548

Number of discharges: 27

Here:	1.55%
California:	1.48%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$98,777
State:	$70,949

Average Total Payments

Here:	$13,577
California:	$12,543

Number of discharges: 37

This Hospital:	2.13%
California:	1.04%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$126,275
California:	$101,885

Average Total Payments

This Hospital:	$19,126
State:	$17,925

Number of discharges: 28

This Hospital:	1.61%
State:	1.30%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

This Hospital:	$517,957
California:	$262,024

Average Total Payments

This Hospital:	$73,408
California:	$48,700

Number of discharges: 16

Here:	0.92%
State:	0.44%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$222,089
State:	$120,888

Average Total Payments

Here:	$28,877
California:	$21,006

Number of discharges: 11

This Hospital:	0.63%
California:	0.92%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

Here:	$506,790
California:	$277,564

Average Total Payments

Here:	$69,021
State:	$53,075

Number of discharges: 15

This Hospital:	0.86%
State:	0.64%

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

Average Covered Charges

Here:	$155,044
State:	$90,173

Average Total Payments

This Hospital:	$20,588
State:	$16,748

Number of discharges: 124

Here:	7.13%
State:	7.21%

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

Average Covered Charges

This Hospital:	$67,407
State:	$50,385

Average Total Payments

This Hospital:	$10,518
State:	$9,612

Number of discharges: 33

This Hospital:	1.90%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$69,760
State:	$48,755

Average Total Payments

This Hospital:	$9,531
California:	$8,695

Number of discharges: 49

Here:	2.82%
State:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$102,759
State:	$70,362

Average Total Payments

This Hospital:	$13,731
State:	$12,496

Number of discharges: 28

This Hospital:	1.61%
California:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$49,022
California:	$34,477

Average Total Payments

This Hospital:	$6,539
State:	$5,838

Number of discharges: 13

This Hospital:	0.75%
State:	0.97%

Spinal Fusion Except Cervical without Major Complications

Average Covered Charges

Here:	$175,665
California:	$154,326

Average Total Payments

Here:	$36,239
State:	$32,547

Number of discharges: 27

This Hospital:	1.55%
California:	0.83%

Syncope and Collapse

Average Covered Charges

This Hospital:	$63,504
State:	$37,038

Average Total Payments

Here:	$6,862
California:	$6,233

Number of discharges: 24

Here:	1.38%
State:	1.60%

Quality Measures

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

Here:	3.6%
State:	13.1%

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

This Hospital:	0.8%
State:	8.9%

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

Here:	7.1%
California:	7.5%

Percent of long-stay residents who lose too much weight

This Hospital:	12.1%
California:	6.3%

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

This Hospital:	20.0%
California:	42.7%

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

This Hospital:	5.6%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	9.1%
State:	6.7%

Percent of long-stay residents who have depressive symptoms

Here:	8.6%
State:	2.4%

Percent of long-stay residents who were physically restrained

This Hospital:	3.0%
State:	3.6%

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

Here:	1.5%
California:	1.6%

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

This Hospital:	100.0%
State:	93.0%

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

This Hospital:	99.3%
State:	94.0%

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

Here:	7.5%
State:	21.2%

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

Here:	8.9%
California:	1.2%

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

Here:	56.1%
State:	81.9%

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

Here:	60.9%
California:	79.7%

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

This Hospital:	3.8%
State:	2.2%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	12.0%
California:	19.0%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never

Here:	7%
California:	7%

Usually

Here:	21%
California:	21%

Always

Here:	72%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
California:	6%

Usually

Here:	15%
State:	17%

Always

Here:	78%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	16%
State:	13%

Usually

Here:	27%
State:	28%

Always

Here:	57%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	8%
California:	8%

Usually

Here:	25%
State:	25%

Always

This Hospital:	67%
State:	67%

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

Sometimes or never

Here:	23%
State:	23%

Usually

Here:	18%
California:	19%

Always

This Hospital:	59%
State:	58%

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

Sometimes or never

This Hospital:	11%
California:	10%

Usually

This Hospital:	23%
State:	21%

Always

This Hospital:	66%
State:	69%

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

Sometimes or never

Here:	19%
State:	18%

Usually

Here:	31%
State:	33%

Always

Here:	50%
California:	49%

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

Yes

Here:	80%
California:	81%

Here:	20%
California:	19%

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

6 or lower

This Hospital:	12%
State:	10%

7 or 8

This Hospital:	29%
State:	24%

9 or 10

This Hospital:	59%
California:	66%

Would patients recommend the hospital to friends and family?

Here:	10%
California:	7%

Yes, probably

Here:	30%
California:	24%

Yes, definitely

Here:	60%
California:	69%

Use of Medical Imaging

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

Here:	38.500%
California:	33.932%

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

This Hospital:	8.400%
State:	8.180%

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

Here:	0.203%
California:	0.170%

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

This Hospital:	0.022%
California:	0.043%

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

Here:	6.500%
State:	5.492%

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

This Hospital:	1.300%
State:	1.898%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	98.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
State:	99.0%

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

Here:	93.0%
California:	96.8%

Percent of Patients Given Beta Blocker at Discharge

Here:	98.0%
State:	98.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	100.0%
California:	93.9%

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

This Hospital:	18
State:	9

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

Here:	100.0%
State:	97.2%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	96.0%
California:	97.5%

Heart Failure

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

This Hospital:	100.0%
State:	98.9%

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

This Hospital:	97.0%
California:	96.2%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.4%

Pneumonia

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

Here:	97.0%
California:	96.1%

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

Here:	100.0%
California:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.1%

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

This Hospital:	93.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	97.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
California:	95.8%

Surgery

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

This Hospital:	99.0%
California:	98.1%

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

Here:	97.0%
California:	96.3%

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

Here:	98.0%
State:	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:	96.0%
State:	96.0%

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

Here:	97.0%
California:	96.9%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	88.0%
California:	94.7%

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%
California:	99.8%

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

Here:	87.0%
State:	93.9%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Hospital:	99.0%
California:	96.1%

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

Here:	97.0%
State:	95.1%

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

This Hospital:	97.0%
California:	95.5%

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

Here:	100.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	18.6%
California:	14.9%

30-Day Mortality Rates from Heart Failure

Here:	11.5%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	13.0%
State:	11.7%

30-Day Readmission Rates from Heart Attack

Here:	23.4%
California:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	25.4%
California:	24.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.9%
State:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.380%
State:	0.625%

Blood infection from a catheter in a large vein

Here:	0.253%
California:	0.530%

Infection from a Urinary Catheter

Here:	0.127%
State:	0.608%

Severe pressure sores (bed sores)

Here:	0.127%
California:	0.321%

Signs of Uncontrolled Blood Sugar

This Hospital:	0.127%
State:	0.246%

SETON MEDICAL CENTER - DALY CITY, CA

Complaint Deficiency

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

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

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