SONOMA VALLEY HOSPITAL (SONOMA, CA) Detailed Hospital Profile

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	92.0%
California:	99.3%

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

Here:	9
State:	9

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

Here:	85
California:	78

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

This Hospital:	100.0%
State:	97.2%

Heart Failure

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

This Hospital:	94.0%
California:	98.9%

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

Here:	100.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

This Hospital:	88.0%
California:	93.5%

Pneumonia

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

This Hospital:	98.0%
California:	96.1%

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

This Hospital:	100.0%
State:	96.7%

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

Here:	98.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	88.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	92.0%
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:	98.0%
California:	98.1%

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

This Hospital:	92.0%
California:	96.3%

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

Here:	99.0%
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

This Hospital:	94.0%
California:	96.0%

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

Here:	96.0%
California:	96.9%

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:	99.8%

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

Here:	94.0%
State:	93.9%

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

Here:	100.0%
State:	96.1%

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

Here:	90.0%
State:	95.1%

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

Here:	97.0%
California:	95.5%

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

This Hospital:	99.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.5%
State:	14.9%

30-Day Mortality Rates from Heart Failure

Here:	9.4%
State:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.8%
State:	11.7%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.8%
State:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	21.6%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	16.2%
California:	18.3%

Use of Medical Imaging

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

Here:	5.700%
State:	8.180%

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

Here:	0.085%
State:	0.170%

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

This Hospital:	0.007%
State:	0.043%

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

This Hospital:	5.000%
State:	5.492%

Complaint Deficiency

Let residents talk to and get information from agencies acting on their behalf
- Harm: Potential for minimal harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Potential for minimal harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: 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
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: Some
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents
- 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: Some
Approved construction type or materials
- 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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of highly flammable materials
- 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: Some
Weekly inspections and monthly testing of generators
- 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: Some
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Potential for minimal harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide clean bed and bath linens that are in good condition
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Many
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
An automatic smoke detection system in all hallways
- 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

Quality Measures

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

This Hospital:	37.9%
State:	21.2%

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

Here:	95.9%
State:	81.9%

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

This Hospital:	95.3%
State:	79.7%

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$29,340
California:	$39,980

Average Total Payments

Here:	$6,852
State:	$7,146

Number of discharges: 13

Here:	3.69%
State:	1.30%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$18,953
California:	$28,713

Average Total Payments

This Hospital:	$4,762
State:	$4,819

Number of discharges: 11

This Hospital:	3.13%
California:	1.18%

Cellulitis without Major Complications

Average Covered Charges

Here:	$25,988
State:	$36,707

Average Total Payments

Here:	$7,022
California:	$7,245

Number of discharges: 15

Here:	4.26%
State:	2.08%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$23,970
State:	$36,899

Average Total Payments

Here:	$5,878
State:	$6,233

Number of discharges: 14

Here:	3.98%
California:	3.09%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$20,580
California:	$33,350

Average Total Payments

Here:	$6,021
California:	$5,631

Number of discharges: 13

Here:	3.69%
State:	0.31%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$33,074
California:	$46,039

Average Total Payments

This Hospital:	$8,527
State:	$8,685

Number of discharges: 17

Here:	4.83%
California:	1.95%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$29,006
State:	$47,292

Average Total Payments

Here:	$8,376
State:	$8,831

Number of discharges: 20

Here:	5.68%
California:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$26,808
California:	$70,963

Average Total Payments

Here:	$10,693
State:	$13,159

Number of discharges: 14

This Hospital:	3.98%
California:	3.03%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$25,514
State:	$55,669

Average Total Payments

Here:	$9,333
California:	$9,837

Number of discharges: 13

Here:	3.69%
California:	1.65%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$20,821
State:	$36,114

Average Total Payments

This Hospital:	$6,564
State:	$6,728

Number of discharges: 20

This Hospital:	5.68%
California:	2.98%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$62,390
California:	$88,239

Average Total Payments

Here:	$17,068
California:	$17,187

Number of discharges: 38

This Hospital:	10.80%
State:	6.26%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$40,425
State:	$64,758

Average Total Payments

This Hospital:	$10,730
State:	$11,179

Number of discharges: 11

Here:	3.13%
State:	1.15%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$29,647
California:	$51,386

Average Total Payments

This Hospital:	$9,334
State:	$8,854

Number of discharges: 11

Here:	3.13%
State:	0.29%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$46,887
California:	$101,885

Average Total Payments

Here:	$15,279
California:	$17,925

Number of discharges: 15

Here:	4.26%
California:	1.30%

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

Average Covered Charges

This Hospital:	$46,512
State:	$90,173

Average Total Payments

Here:	$14,419
California:	$16,748

Number of discharges: 81

This Hospital:	23.01%
California:	7.21%

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

Average Covered Charges

Here:	$34,460
California:	$50,385

Average Total Payments

Here:	$9,461
California:	$9,612

Number of discharges: 17

Here:	4.83%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$26,012
State:	$48,755

Average Total Payments

Here:	$8,349
California:	$8,695

Number of discharges: 12

Here:	3.41%
California:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$35,116
California:	$70,362

Average Total Payments

This Hospital:	$11,390
California:	$12,496

Number of discharges: 17

This Hospital:	4.83%
California:	1.89%

Hospital Acquired Conditions

Signs of Uncontrolled Blood Sugar

This Hospital:	0.603%
State:	0.246%

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:	3%
California:	7%

Usually

This Hospital:	22%
California:	21%

Always

Here:	75%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
California:	6%

Usually

Here:	17%
California:	17%

Always

This Hospital:	79%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	8%
California:	13%

Usually

Here:	31%
California:	28%

Always

Here:	61%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
California:	8%

Usually

This Hospital:	24%
California:	25%

Always

Here:	69%
California:	67%

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

Sometimes or never

This Hospital:	19%
State:	23%

Usually

Here:	23%
California:	19%

Always

This Hospital:	58%
California:	58%

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

Sometimes or never

Here:	10%
State:	10%

Usually

Here:	23%
State:	21%

Always

This Hospital:	67%
State:	69%

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

Sometimes or never

Here:	18%
California:	18%

Usually

Here:	34%
State:	33%

Always

This Hospital:	48%
California:	49%

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

Yes

Here:	88%
State:	81%

This Hospital:	12%
California:	19%

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

6 or lower

This Hospital:	8%
California:	10%

7 or 8

Here:	26%
State:	24%

9 or 10

This Hospital:	66%
State:	66%

Would patients recommend the hospital to friends and family?

Here:	4%
California:	7%

Yes, probably

This Hospital:	29%
California:	24%

Yes, definitely

This Hospital:	67%
California:	69%

SONOMA VALLEY HOSPITAL - SONOMA, CA

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Complaint Deficiency

Quality Measures

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

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

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