ST CLAIRE REGIONAL MEDICAL CENTER (MOREHEAD, KY) 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.

This Hospital:	46.500%
State:	40.592%

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

Here:	9.300%
Kentucky:	8.052%

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

Here:	0.080%
State:	0.126%

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

Here:	0.005%
Kentucky:	0.042%

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

Here:	5.500%
Kentucky:	5.467%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- 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: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- 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: Few
Provide clean bed and bath linens that are in good condition
- Harm: Actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Actual harm
- Scope: Some
Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- Harm: 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: Actual harm
- Scope: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Actual harm
- Scope: Some
Fire-resistant room wall surfaces
- Harm: Actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- 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
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: 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: Some
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 services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- 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
Store, cook, and serve food in a safe and clean way
- 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- 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: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- 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
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- 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: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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 a safe, clean, comfortable and homelike environment
- 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: Some
Have a program that investigates, controls and keeps infection from spreading
- 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

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	5%
Kentucky:	4%

Usually

This Hospital:	15%
State:	16%

Always

This Hospital:	80%
Kentucky:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
Kentucky:	3%

Usually

This Hospital:	15%
Kentucky:	13%

Always

Here:	81%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	9%
Kentucky:	9%

Usually

This Hospital:	30%
State:	23%

Always

This Hospital:	61%
Kentucky:	68%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
State:	7%

Usually

Here:	27%
Kentucky:	21%

Always

Here:	67%
State:	72%

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

Sometimes or never

Here:	17%
Kentucky:	19%

Usually

Here:	18%
State:	17%

Always

Here:	65%
State:	64%

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

Sometimes or never

Here:	6%
State:	8%

Usually

This Hospital:	17%
State:	18%

Always

Here:	77%
State:	74%

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

Sometimes or never

This Hospital:	14%
Kentucky:	9%

Usually

This Hospital:	35%
Kentucky:	29%

Always

This Hospital:	51%
Kentucky:	62%

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

Yes

Here:	85%
Kentucky:	83%

Here:	15%
Kentucky:	17%

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

6 or lower

Here:	11%
State:	8%

7 or 8

This Hospital:	23%
State:	22%

9 or 10

This Hospital:	66%
Kentucky:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	5%
Kentucky:	5%

Yes, probably

This Hospital:	30%
State:	24%

Yes, definitely

This Hospital:	65%
Kentucky:	71%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$26,147
State:	$23,224

Average Total Payments

This Hospital:	$7,801
State:	$7,434

Number of discharges: 20

Here:	1.45%
Kentucky:	0.58%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$27,198
State:	$32,520

Average Total Payments

This Hospital:	$11,448
Kentucky:	$11,283

Number of discharges: 20

Here:	1.45%
State:	0.97%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$10,636
Kentucky:	$11,894

Average Total Payments

This Hospital:	$4,062
State:	$3,657

Number of discharges: 52

This Hospital:	3.77%
State:	0.71%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$12,270
Kentucky:	$15,106

Average Total Payments

Here:	$5,830
Kentucky:	$5,206

Number of discharges: 30

Here:	2.17%
Kentucky:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$16,961
State:	$23,396

Average Total Payments

Here:	$8,629
Kentucky:	$7,874

Number of discharges: 13

This Hospital:	0.94%
State:	0.80%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$8,962
State:	$10,390

Average Total Payments

This Hospital:	$4,064
State:	$3,523

Number of discharges: 52

Here:	3.77%
State:	1.82%

Cellulitis without Major Complications

Average Covered Charges

Here:	$12,606
Kentucky:	$13,744

Average Total Payments

Here:	$5,549
Kentucky:	$5,175

Number of discharges: 25

This Hospital:	1.81%
State:	1.73%

Chest Pain

Average Covered Charges

This Hospital:	$9,639
State:	$12,630

Average Total Payments

This Hospital:	$3,888
Kentucky:	$3,521

Number of discharges: 90

This Hospital:	6.52%
Kentucky:	2.06%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$13,051
Kentucky:	$17,372

Average Total Payments

Here:	$6,730
State:	$5,992

Number of discharges: 53

Here:	3.84%
State:	2.84%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$15,258
Kentucky:	$20,645

Average Total Payments

Here:	$8,237
State:	$7,341

Number of discharges: 57

This Hospital:	4.13%
Kentucky:	2.94%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$10,068
Kentucky:	$13,107

Average Total Payments

This Hospital:	$5,082
State:	$4,458

Number of discharges: 49

Here:	3.55%
Kentucky:	3.01%

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

Average Covered Charges

Here:	$28,221
State:	$24,391

Average Total Payments

Here:	$7,894
State:	$6,897

Number of discharges: 47

Here:	3.40%
Kentucky:	2.21%

Diabetes with Complications

Average Covered Charges

This Hospital:	$9,594
Kentucky:	$14,320

Average Total Payments

This Hospital:	$5,744
Kentucky:	$5,248

Number of discharges: 11

This Hospital:	0.80%
State:	0.55%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$15,013
Kentucky:	$13,998

Average Total Payments

This Hospital:	$5,215
State:	$4,507

Number of discharges: 61

This Hospital:	4.42%
Kentucky:	3.82%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$15,041
Kentucky:	$18,407

Average Total Payments

Here:	$7,016
State:	$6,339

Number of discharges: 44

Here:	3.19%
Kentucky:	1.93%

G.I. Hemorrhage with Major Complications

Average Covered Charges

Here:	$24,417
Kentucky:	$33,270

Average Total Payments

This Hospital:	$11,712
Kentucky:	$11,336

Number of discharges: 15

Here:	1.09%
State:	0.62%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$11,418
Kentucky:	$16,913

Average Total Payments

Here:	$6,938
State:	$6,315

Number of discharges: 52

This Hospital:	3.77%
Kentucky:	3.15%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$17,782
Kentucky:	$26,625

Average Total Payments

Here:	$9,850
Kentucky:	$9,229

Number of discharges: 33

Here:	2.39%
Kentucky:	2.66%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$8,383
Kentucky:	$11,669

Average Total Payments

Here:	$4,659
State:	$4,186

Number of discharges: 22

This Hospital:	1.59%
Kentucky:	1.54%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$33,314
State:	$36,810

Average Total Payments

Here:	$12,868
State:	$11,509

Number of discharges: 19

This Hospital:	1.38%
Kentucky:	0.94%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$11,519
State:	$13,466

Average Total Payments

Here:	$5,225
Kentucky:	$4,783

Number of discharges: 35

Here:	2.53%
Kentucky:	2.86%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$43,481
State:	$42,051

Average Total Payments

This Hospital:	$14,134
Kentucky:	$13,336

Number of discharges: 31

This Hospital:	2.24%
State:	4.90%

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

Average Covered Charges

This Hospital:	$9,522
State:	$12,072

Average Total Payments

Here:	$4,706
State:	$4,289

Number of discharges: 26

Here:	1.88%
State:	2.14%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

This Hospital:	$12,244
State:	$19,626

Average Total Payments

This Hospital:	$6,314
State:	$6,757

Number of discharges: 11

This Hospital:	0.80%
State:	0.25%

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

Average Covered Charges

This Hospital:	$69,372
Kentucky:	$67,942

Average Total Payments

Here:	$22,240
State:	$21,117

Number of discharges: 14

This Hospital:	1.01%
Kentucky:	0.47%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$53,832
State:	$46,589

Average Total Payments

Here:	$14,434
Kentucky:	$12,592

Number of discharges: 41

This Hospital:	2.97%
Kentucky:	2.18%

Percutaneous Cardiovascular Procedures with Non-Drug-Eluting Stent without Major Complications

Average Covered Charges

Here:	$55,562
Kentucky:	$41,494

Average Total Payments

Here:	$12,117
State:	$10,955

Number of discharges: 12

This Hospital:	0.87%
State:	0.52%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$17,403
Kentucky:	$20,882

Average Total Payments

This Hospital:	$8,916
State:	$8,036

Number of discharges: 78

This Hospital:	5.65%
State:	2.17%

Renal Failure with Complications

Average Covered Charges

Here:	$13,874
Kentucky:	$16,969

Average Total Payments

Here:	$6,960
State:	$6,346

Number of discharges: 30

This Hospital:	2.17%
Kentucky:	2.10%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$21,144
State:	$28,420

Average Total Payments

Here:	$11,023
Kentucky:	$10,235

Number of discharges: 19

This Hospital:	1.38%
Kentucky:	1.38%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$25,274
Kentucky:	$25,625

Average Total Payments

Here:	$10,243
Kentucky:	$9,061

Number of discharges: 15

This Hospital:	1.09%
Kentucky:	0.86%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$30,847
State:	$43,386

Average Total Payments

Here:	$15,175
State:	$14,679

Number of discharges: 21

This Hospital:	1.52%
State:	1.27%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$9,852
State:	$15,499

Average Total Payments

This Hospital:	$4,917
State:	$5,115

Number of discharges: 11

Here:	0.80%
State:	0.60%

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

Average Covered Charges

Here:	$28,215
Kentucky:	$34,004

Average Total Payments

Here:	$12,467
State:	$11,802

Number of discharges: 53

This Hospital:	3.84%
Kentucky:	3.65%

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

Average Covered Charges

This Hospital:	$22,996
Kentucky:	$19,108

Average Total Payments

Here:	$8,059
Kentucky:	$7,022

Number of discharges: 33

This Hospital:	2.39%
Kentucky:	1.29%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$11,668
Kentucky:	$13,892

Average Total Payments

This Hospital:	$4,530
Kentucky:	$4,372

Number of discharges: 13

Here:	0.94%
Kentucky:	0.69%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$14,085
Kentucky:	$17,934

Average Total Payments

This Hospital:	$6,872
State:	$6,263

Number of discharges: 81

Here:	5.87%
Kentucky:	3.27%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$23,969
State:	$25,985

Average Total Payments

This Hospital:	$10,426
State:	$9,009

Number of discharges: 30

Here:	2.17%
Kentucky:	2.34%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$9,758
State:	$13,217

Average Total Payments

Here:	$5,273
State:	$4,395

Number of discharges: 27

Here:	1.96%
Kentucky:	1.49%

Syncope and Collapse

Average Covered Charges

Here:	$14,889
Kentucky:	$14,708

Average Total Payments

Here:	$5,071
Kentucky:	$4,466

Number of discharges: 35

Here:	2.53%
Kentucky:	2.00%

Quality Measures

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

Here:	34.2%
State:	25.0%

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

This Hospital:	1.1%
Kentucky:	1.6%

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

Here:	96.2%
Kentucky:	88.6%

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

Here:	94.7%
State:	87.8%

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

This Hospital:	2.2%
Kentucky:	3.4%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	99.0%
State:	99.0%

Percent of Patients Given Aspirin at Discharge

This Hospital:	99.0%
State:	99.1%

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

Here:	100.0%
Kentucky:	96.7%

Percent of Patients Given Beta Blocker at Discharge

Here:	98.0%
State:	98.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Kentucky:	99.9%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	91.0%
Kentucky:	92.1%

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

Here:	4
State:	7

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

This Hospital:	95.0%
State:	96.4%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	97.0%
State:	97.7%

Heart Failure

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

This Hospital:	99.0%
State:	97.6%

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

This Hospital:	100.0%
Kentucky:	92.9%

Percent of Patients Given Discharge Instructions

This Hospital:	94.0%
Kentucky:	88.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Kentucky:	99.3%

Pneumonia

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

Here:	96.0%
State:	95.8%

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

This Hospital:	98.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.6%

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

This Hospital:	96.0%
State:	92.0%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	95.0%
State:	92.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	96.0%
Kentucky:	95.3%

Surgery

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

Here:	99.0%
Kentucky:	98.4%

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

Here:	93.0%
State:	97.0%

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

Here:	94.0%
State:	98.6%

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:	96.4%

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

This Hospital:	99.0%
Kentucky:	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%

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

Here:	86.0%
State:	93.0%

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

This Hospital:	93.0%
Kentucky:	96.3%

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

Here:	95.0%
State:	95.1%

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

This Hospital:	96.0%
State:	95.4%

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

This Hospital:	99.0%
Kentucky:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.5%
State:	15.4%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.9%
Kentucky:	11.4%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.2%
State:	12.4%

30-Day Readmission Rates from Heart Attack

Here:	24.1%
State:	20.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	22.8%
State:	25.2%

30-Day Readmission Rates from Pneumonia

Here:	18.4%
Kentucky:	19.4%

Hospital Acquired Conditions

Signs of Uncontrolled Blood Sugar

This Hospital:	0.248%
State:	0.169%

ST CLAIRE REGIONAL MEDICAL CENTER - MOREHEAD, KY

Use of Medical Imaging

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

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

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

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