SOUTHWEST MEDICAL CENTER (LIBERAL, KS) Detailed Hospital Profile

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

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$17,803
Kansas:	$21,197

Average Total Payments

This Hospital:	$7,617
Kansas:	$5,894

Number of discharges: 21

This Hospital:	10.94%
State:	1.72%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$20,151
State:	$26,095

Average Total Payments

This Hospital:	$9,246
Kansas:	$7,120

Number of discharges: 21

This Hospital:	10.94%
Kansas:	1.52%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$16,200
State:	$16,307

Average Total Payments

Here:	$5,875
State:	$4,586

Number of discharges: 16

Here:	8.33%
State:	1.40%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$12,832
State:	$16,445

Average Total Payments

Here:	$5,935
State:	$4,727

Number of discharges: 25

Here:	13.02%
Kansas:	2.56%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$49,028
State:	$39,811

Average Total Payments

This Hospital:	$18,112
State:	$12,597

Number of discharges: 30

This Hospital:	15.63%
Kansas:	10.01%

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

Average Covered Charges

Here:	$13,769
Kansas:	$15,554

Average Total Payments

This Hospital:	$5,400
Kansas:	$4,223

Number of discharges: 25

This Hospital:	13.02%
Kansas:	2.74%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$17,343
Kansas:	$23,627

Average Total Payments

Here:	$7,866
State:	$6,288

Number of discharges: 15

Here:	7.81%
Kansas:	2.38%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$19,478
Kansas:	$22,493

Average Total Payments

Here:	$8,273
Kansas:	$6,338

Number of discharges: 14

This Hospital:	7.29%
State:	3.39%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$24,612
State:	$35,857

Average Total Payments

Here:	$11,417
State:	$9,219

Number of discharges: 11

Here:	5.73%
Kansas:	1.96%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$16,946
State:	$16,144

Average Total Payments

This Hospital:	$5,596
State:	$4,432

Number of discharges: 14

This Hospital:	7.29%
Kansas:	1.39%

Process of Care

Heart Attack

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

Here:	9
State:	8

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

This Hospital:	90.0%
Kansas:	96.1%

Pneumonia

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

Here:	86.0%
State:	96.4%

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

Here:	82.0%
State:	97.9%

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

This Hospital:	60.0%
Kansas:	90.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
Kansas:	93.5%

Surgery

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

Here:	100.0%
State:	98.2%

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

This Hospital:	98.0%
Kansas:	96.5%

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

Here:	100.0%
Kansas:	98.5%

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

Here:	93.0%
State:	96.6%

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

Here:	93.0%
Kansas:	97.7%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
Kansas:	99.9%

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

This Hospital:	95.0%
Kansas:	92.3%

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

Here:	95.0%
Kansas:	95.6%

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

This Hospital:	98.0%
State:	95.9%

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

Here:	99.0%
State:	97.1%

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

This Hospital:	100.0%
Kansas:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	14.7%
State:	12.0%

30-Day Mortality Rates from Pneumonia

Here:	14.3%
Kansas:	12.2%

30-Day Readmission Rates from Heart Failure

Here:	26.7%
State:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	19.0%
State:	18.2%

Hospital Acquired Conditions

Infection from a Urinary Catheter

This Hospital:	0.941%
Kansas:	0.951%

Quality Measures

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

This Hospital:	29.4%
Kansas:	23.4%

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

This Hospital:	2.9%
State:	1.9%

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

Here:	100.0%
State:	87.0%

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

Here:	95.0%
State:	83.3%

Complaint Deficiency

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- 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 backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- 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
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
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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- 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
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
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- 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: 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
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
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
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: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions
- 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
Ensure the activities program is directed by a qualified professional
- Harm: Potential for minimal harm
- Scope: Many
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- 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

Use of Medical Imaging

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

This Hospital:	47.100%
Kansas:	38.255%

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

Here:	4.400%
Kansas:	7.702%

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

This Hospital:	0.155%
Kansas:	0.305%

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

Here:	0.178%
Kansas:	0.037%

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

Here:	2.900%
Kansas:	5.166%

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

Here:	1.000%
Kansas:	2.932%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
State:	3%

Usually

This Hospital:	22%
State:	17%

Always

Here:	73%
Kansas:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	3%
State:	3%

Usually

This Hospital:	19%
State:	14%

Always

This Hospital:	78%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
Kansas:	6%

Usually

Here:	30%
State:	24%

Always

This Hospital:	60%
Kansas:	70%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
Kansas:	5%

Usually

Here:	27%
State:	24%

Always

Here:	68%
State:	71%

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

Sometimes or never

Here:	17%
Kansas:	17%

Usually

This Hospital:	21%
State:	19%

Always

This Hospital:	62%
Kansas:	64%

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

Sometimes or never

Here:	7%
Kansas:	7%

Usually

This Hospital:	25%
State:	18%

Always

This Hospital:	68%
State:	75%

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

Sometimes or never

Here:	13%
Kansas:	7%

Usually

Here:	33%
Kansas:	28%

Always

This Hospital:	54%
Kansas:	65%

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

Yes

Here:	88%
Kansas:	85%

This Hospital:	12%
State:	15%

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

6 or lower

This Hospital:	9%
State:	6%

7 or 8

Here:	28%
Kansas:	20%

9 or 10

This Hospital:	63%
State:	74%

Would patients recommend the hospital to friends and family?

Here:	4%
Kansas:	3%

Yes, probably

This Hospital:	34%
Kansas:	21%

Yes, definitely

This Hospital:	62%
Kansas:	76%

SOUTHWEST MEDICAL CENTER - LIBERAL, KS

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

Process of Care

Heart Attack

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Quality Measures

Complaint Deficiency

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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