ST JUDE MEDICAL CENTER (FULLERTON, CA) 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:	31.100%
State:	33.932%

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

This Hospital:	4.800%
State:	8.180%

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

Here:	0.430%
California:	0.170%

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

This Hospital:	0.028%
California:	0.043%

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

This Hospital:	3.100%
State:	5.492%

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

Here:	0.800%
State:	1.898%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
State:	7%

Usually

This Hospital:	22%
California:	21%

Always

This Hospital:	72%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
State:	6%

Usually

This Hospital:	18%
California:	17%

Always

This Hospital:	76%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
California:	13%

Usually

Here:	30%
California:	28%

Always

This Hospital:	57%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
California:	8%

Usually

Here:	25%
California:	25%

Always

This Hospital:	68%
State:	67%

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

Sometimes or never

Here:	25%
California:	23%

Usually

Here:	22%
State:	19%

Always

This Hospital:	53%
State:	58%

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

Sometimes or never

Here:	7%
California:	10%

Usually

Here:	21%
State:	21%

Always

This Hospital:	72%
State:	69%

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

Sometimes or never

Here:	17%
California:	18%

Usually

Here:	38%
California:	33%

Always

Here:	45%
State:	49%

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

Yes

This Hospital:	86%
California:	81%

This Hospital:	14%
State:	19%

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

6 or lower

Here:	7%
State:	10%

7 or 8

Here:	19%
State:	24%

9 or 10

This Hospital:	74%
State:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
California:	7%

Yes, probably

This Hospital:	17%
California:	24%

Yes, definitely

Here:	79%
California:	69%

Quality Measures

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

Here:	16.6%
California:	21.2%

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

Here:	87.7%
California:	81.9%

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

Here:	97.3%
State:	79.7%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$40,163
State:	$55,746

Average Total Payments

This Hospital:	$7,753
California:	$9,903

Number of discharges: 21

This Hospital:	0.71%
California:	0.48%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$72,584
State:	$83,364

Average Total Payments

Here:	$12,479
State:	$15,491

Number of discharges: 30

Here:	1.01%
State:	0.94%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$27,887
State:	$28,823

Average Total Payments

Here:	$3,858
State:	$4,913

Number of discharges: 11

Here:	0.37%
State:	0.40%

Back and Neck Procedures Except Spinal Fusion without Complications

Average Covered Charges

This Hospital:	$36,534
State:	$57,529

Average Total Payments

Here:	$6,560
State:	$8,621

Number of discharges: 24

Here:	0.81%
State:	0.62%

Bronchitis and Asthma with Complications

Average Covered Charges

This Hospital:	$42,628
State:	$47,272

Average Total Payments

This Hospital:	$5,574
State:	$7,271

Number of discharges: 16

Here:	0.54%
State:	0.41%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$33,733
State:	$39,980

Average Total Payments

Here:	$5,549
California:	$7,146

Number of discharges: 49

Here:	1.65%
California:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$44,025
California:	$59,369

Average Total Payments

Here:	$8,393
California:	$10,810

Number of discharges: 40

This Hospital:	1.35%
State:	0.79%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$24,578
California:	$28,713

Average Total Payments

Here:	$3,776
State:	$4,819

Number of discharges: 41

This Hospital:	1.38%
State:	1.18%

Cellulitis with Major Complications

Average Covered Charges

This Hospital:	$50,998
State:	$67,232

Average Total Payments

This Hospital:	$9,402
State:	$12,858

Number of discharges: 15

This Hospital:	0.50%
State:	0.28%

Cellulitis without Major Complications

Average Covered Charges

Here:	$28,851
California:	$36,707

Average Total Payments

Here:	$5,638
California:	$7,245

Number of discharges: 60

This Hospital:	2.02%
State:	2.08%

Chest Pain

Average Covered Charges

Here:	$31,588
California:	$29,034

Average Total Payments

This Hospital:	$3,639
California:	$4,742

Number of discharges: 29

Here:	0.98%
California:	2.11%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$47,852
California:	$46,809

Average Total Payments

This Hospital:	$8,119
State:	$8,290

Number of discharges: 38

Here:	1.28%
State:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$68,685
State:	$58,013

Average Total Payments

Here:	$8,086
California:	$10,305

Number of discharges: 44

This Hospital:	1.48%
California:	2.00%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$40,535
State:	$35,163

Average Total Payments

Here:	$4,687
State:	$6,206

Number of discharges: 19

This Hospital:	0.64%
California:	1.11%

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

Average Covered Charges

This Hospital:	$77,967
State:	$117,989

Average Total Payments

Here:	$13,243
State:	$20,259

Number of discharges: 16

Here:	0.54%
State:	0.26%

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

Average Covered Charges

This Hospital:	$46,399
State:	$62,234

Average Total Payments

Here:	$7,144
State:	$9,681

Number of discharges: 62

Here:	2.09%
California:	1.28%

Diabetes with Complications

Average Covered Charges

This Hospital:	$42,908
State:	$38,964

Average Total Payments

Here:	$5,060
California:	$7,470

Number of discharges: 15

This Hospital:	0.50%
State:	0.69%

Dysequilibrium

Average Covered Charges

Here:	$34,904
California:	$32,624

Average Total Payments

Here:	$4,228
State:	$5,257

Number of discharges: 11

Here:	0.37%
California:	0.23%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

Here:	$56,017
California:	$55,838

Average Total Payments

Here:	$8,287
California:	$10,485

Number of discharges: 22

Here:	0.74%
State:	0.67%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$36,881
State:	$36,899

Average Total Payments

This Hospital:	$4,887
California:	$6,233

Number of discharges: 86

This Hospital:	2.89%
California:	3.09%

Extracranial Procedures without Complications

Average Covered Charges

Here:	$39,047
California:	$54,275

Average Total Payments

This Hospital:	$6,711
California:	$8,252

Number of discharges: 16

Here:	0.54%
State:	0.36%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

This Hospital:	$21,444
State:	$33,350

Average Total Payments

Here:	$4,630
State:	$5,631

Number of discharges: 16

Here:	0.54%
State:	0.31%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$37,702
California:	$46,039

Average Total Payments

Here:	$6,612
California:	$8,685

Number of discharges: 66

This Hospital:	2.22%
State:	1.95%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$74,151
California:	$80,936

Average Total Payments

Here:	$11,901
California:	$15,696

Number of discharges: 29

Here:	0.98%
California:	0.79%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$30,689
California:	$44,086

Average Total Payments

Here:	$5,955
California:	$8,042

Number of discharges: 32

This Hospital:	1.08%
California:	0.72%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$24,185
California:	$30,586

Average Total Payments

This Hospital:	$4,238
California:	$5,436

Number of discharges: 22

This Hospital:	0.74%
State:	0.47%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$38,936
California:	$47,292

Average Total Payments

This Hospital:	$6,604
State:	$8,831

Number of discharges: 99

Here:	3.33%
California:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$61,538
State:	$70,963

Average Total Payments

Here:	$10,378
State:	$13,159

Number of discharges: 122

Here:	4.10%
State:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$27,355
California:	$32,995

Average Total Payments

Here:	$4,534
California:	$5,851

Number of discharges: 34

Here:	1.14%
State:	1.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$63,633
State:	$88,197

Average Total Payments

Here:	$11,930
State:	$15,201

Number of discharges: 58

This Hospital:	1.95%
State:	1.05%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

Here:	$122,574
State:	$139,101

Average Total Payments

This Hospital:	$24,064
State:	$25,918

Number of discharges: 15

This Hospital:	0.50%
California:	0.25%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

This Hospital:	$55,211
California:	$68,603

Average Total Payments

Here:	$10,083
State:	$12,359

Number of discharges: 20

Here:	0.67%
State:	0.32%

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

Average Covered Charges

Here:	$304,681
California:	$260,329

Average Total Payments

Here:	$55,448
State:	$51,393

Number of discharges: 31

This Hospital:	1.04%
State:	0.87%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$43,446
State:	$55,669

Average Total Payments

Here:	$7,301
State:	$9,837

Number of discharges: 60

This Hospital:	2.02%
State:	1.65%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$119,519
State:	$95,326

Average Total Payments

Here:	$18,904
California:	$17,327

Number of discharges: 35

This Hospital:	1.18%
State:	1.11%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$31,515
State:	$42,438

Average Total Payments

Here:	$5,379
California:	$6,978

Number of discharges: 31

Here:	1.04%
State:	0.78%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$61,319
California:	$52,262

Average Total Payments

This Hospital:	$8,001
California:	$10,172

Number of discharges: 32

Here:	1.08%
State:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$32,910
State:	$36,114

Average Total Payments

This Hospital:	$4,936
State:	$6,728

Number of discharges: 87

Here:	2.93%
State:	2.98%

Major Cardiovasc Procedures without Major Complications

Average Covered Charges

This Hospital:	$89,806
State:	$143,072

Average Total Payments

Here:	$20,109
State:	$27,615

Number of discharges: 20

Here:	0.67%
State:	0.37%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

This Hospital:	$34,186
State:	$59,926

Average Total Payments

Here:	$7,505
State:	$10,745

Number of discharges: 11

Here:	0.37%
State:	0.36%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$69,267
California:	$88,239

Average Total Payments

This Hospital:	$13,817
California:	$17,187

Number of discharges: 189

Here:	6.36%
California:	6.26%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

Here:	$82,278
State:	$124,615

Average Total Payments

Here:	$15,840
State:	$22,968

Number of discharges: 23

Here:	0.77%
California:	0.69%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

Here:	$217,885
California:	$258,767

Average Total Payments

Here:	$42,044
California:	$49,384

Number of discharges: 20

This Hospital:	0.67%
State:	0.51%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$38,824
State:	$42,156

Average Total Payments

This Hospital:	$5,390
California:	$6,908

Number of discharges: 24

Here:	0.81%
State:	0.92%

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

Average Covered Charges

This Hospital:	$65,559
State:	$49,218

Average Total Payments

Here:	$7,817
State:	$10,092

Number of discharges: 22

This Hospital:	0.74%
State:	0.94%

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

Average Covered Charges

Here:	$31,596
State:	$32,446

Average Total Payments

This Hospital:	$4,533
State:	$5,975

Number of discharges: 50

This Hospital:	1.68%
State:	2.21%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$113,639
California:	$89,034

Average Total Payments

Here:	$16,388
California:	$17,349

Number of discharges: 16

This Hospital:	0.54%
California:	0.83%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$37,886
State:	$49,604

Average Total Payments

This Hospital:	$6,575
California:	$8,812

Number of discharges: 21

This Hospital:	0.71%
California:	0.66%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

This Hospital:	$35,874
State:	$47,223

Average Total Payments

This Hospital:	$6,448
California:	$9,528

Number of discharges: 15

Here:	0.50%
California:	0.32%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

Here:	$73,566
California:	$76,730

Average Total Payments

This Hospital:	$10,924
State:	$15,378

Number of discharges: 14

This Hospital:	0.47%
State:	0.34%

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

Average Covered Charges

This Hospital:	$147,985
California:	$166,637

Average Total Payments

Here:	$24,839
State:	$28,878

Number of discharges: 29

Here:	0.98%
State:	0.42%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$93,993
California:	$102,086

Average Total Payments

This Hospital:	$13,308
California:	$16,769

Number of discharges: 48

Here:	1.61%
California:	1.40%

Percutaneous Cardiovascular Procedures without Coronary Artery Stent without Major Complications

Average Covered Charges

This Hospital:	$108,609
State:	$102,162

Average Total Payments

Here:	$12,831
State:	$16,151

Number of discharges: 17

Here:	0.57%
California:	0.42%

Peripheral Vascular Disorders with Complications

Average Covered Charges

Here:	$44,102
State:	$46,464

Average Total Payments

This Hospital:	$6,232
California:	$8,334

Number of discharges: 19

Here:	0.64%
California:	0.45%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

This Hospital:	$79,246
State:	$107,281

Average Total Payments

This Hospital:	$16,889
California:	$22,071

Number of discharges: 28

This Hospital:	0.94%
State:	0.47%

Permanent Cardiac Pacemaker Implant without Complications

Average Covered Charges

Here:	$69,601
State:	$78,140

Average Total Payments

This Hospital:	$13,426
State:	$16,377

Number of discharges: 17

Here:	0.57%
California:	0.41%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$42,687
California:	$32,752

Average Total Payments

This Hospital:	$4,120
State:	$5,599

Number of discharges: 14

Here:	0.47%
California:	0.35%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$73,661
State:	$64,758

Average Total Payments

This Hospital:	$9,306
California:	$11,179

Number of discharges: 29

Here:	0.98%
State:	1.15%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$35,693
State:	$51,386

Average Total Payments

This Hospital:	$7,086
California:	$8,854

Number of discharges: 24

This Hospital:	0.81%
State:	0.29%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

Here:	$74,727
California:	$54,654

Average Total Payments

Here:	$12,046
California:	$11,520

Number of discharges: 16

This Hospital:	0.54%
State:	0.36%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$34,658
California:	$35,878

Average Total Payments

Here:	$5,264
California:	$7,039

Number of discharges: 26

Here:	0.87%
California:	1.21%

Renal Failure with Complications

Average Covered Charges

Here:	$36,976
California:	$48,439

Average Total Payments

Here:	$6,390
State:	$8,967

Number of discharges: 61

Here:	2.05%
State:	1.90%

Renal Failure with Major Complications

Average Covered Charges

Here:	$87,968
California:	$72,128

Average Total Payments

This Hospital:	$12,736
State:	$14,548

Number of discharges: 48

Here:	1.61%
California:	1.48%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$56,139
State:	$70,949

Average Total Payments

Here:	$9,145
California:	$12,543

Number of discharges: 31

This Hospital:	1.04%
State:	1.04%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$82,699
California:	$101,885

Average Total Payments

This Hospital:	$12,802
California:	$17,925

Number of discharges: 60

Here:	2.02%
California:	1.30%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

Here:	$331,853
California:	$262,024

Average Total Payments

This Hospital:	$58,668
State:	$48,700

Number of discharges: 16

Here:	0.54%
California:	0.44%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$148,171
California:	$120,888

Average Total Payments

Here:	$22,118
State:	$21,006

Number of discharges: 22

This Hospital:	0.74%
California:	0.92%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$40,437
California:	$38,752

Average Total Payments

Here:	$5,040
California:	$6,932

Number of discharges: 14

Here:	0.47%
California:	0.59%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

This Hospital:	$326,853
California:	$277,564

Average Total Payments

This Hospital:	$51,946
State:	$53,075

Number of discharges: 12

Here:	0.40%
State:	0.64%

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

Average Covered Charges

Here:	$81,455
California:	$90,173

Average Total Payments

This Hospital:	$13,545
State:	$16,748

Number of discharges: 231

This Hospital:	7.77%
California:	7.21%

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

Average Covered Charges

Here:	$40,614
State:	$50,385

Average Total Payments

Here:	$7,261
State:	$9,612

Number of discharges: 85

Here:	2.86%
California:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$39,228
State:	$48,755

Average Total Payments

This Hospital:	$6,476
State:	$8,695

Number of discharges: 91

Here:	3.06%
State:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$62,490
California:	$70,362

Average Total Payments

This Hospital:	$9,767
State:	$12,496

Number of discharges: 43

Here:	1.45%
California:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$35,043
California:	$34,477

Average Total Payments

This Hospital:	$6,129
State:	$5,838

Number of discharges: 14

This Hospital:	0.47%
California:	0.97%

Spinal Fusion Except Cervical without Major Complications

Average Covered Charges

This Hospital:	$132,123
California:	$154,326

Average Total Payments

This Hospital:	$26,017
California:	$32,547

Number of discharges: 35

Here:	1.18%
State:	0.83%

Syncope and Collapse

Average Covered Charges

Here:	$42,223
State:	$37,038

Average Total Payments

This Hospital:	$4,745
California:	$6,233

Number of discharges: 29

This Hospital:	0.98%
California:	1.60%

Transient Ischemia

Average Covered Charges

This Hospital:	$37,605
California:	$37,396

Average Total Payments

Here:	$4,837
California:	$6,120

Number of discharges: 35

This Hospital:	1.18%
California:	0.94%

Complaint Deficiency

Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that private space is available in the nursing home for resident groups or residents' families to meet
- Harm: Potential for minimal harm
- Scope: Many
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain comfortable sound levels
- Harm: Potential for minimal harm
- Scope: Some
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: Some
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: Potential for minimal harm
- Scope: Many
Corridor and hallway doors that block smoke
- 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
Emergency lighting that can last at least 1 1/2 hours
- 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
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Some
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
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: 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 each residents' abilities in activities of daily living do not decline, unless unavoidable
- 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
Store, cook, and serve food in a safe and clean way
- 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
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Potential for minimal harm
- Scope: Some
Tell the resident completely about his or her health status, care and treatments
- 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
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal 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: Potential for minimal harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
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: 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: Few
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- 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
Portable fire extinguishers
- 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

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
California:	99.0%

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

This Hospital:	100.0%
California:	96.8%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	95.0%
California:	93.9%

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

Here:	95.0%
State:	97.2%

Patients Given a Prescription for a Statin at Discharge

Here:	99.0%
State:	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)

Here:	96.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

Here:	96.0%
California:	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%
State:	96.1%

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

This Hospital:	99.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	81.0%
California:	98.1%

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

This Hospital:	94.0%
California:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	86.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	93.0%
State:	95.8%

Surgery

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

Here:	100.0%
California:	98.1%

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

Here:	97.0%
State:	96.3%

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

This Hospital:	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

Here:	92.0%
State:	96.0%

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

Here:	94.0%
State:	96.9%

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

Here:	99.0%
State:	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

This Hospital:	93.0%
California:	93.9%

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

Here:	99.0%
State:	96.1%

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

Here:	96.0%
State:	95.1%

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

This Hospital:	98.0%
California:	95.5%

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

This Hospital:	100.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	14.5%
State:	14.9%

30-Day Mortality Rates from Heart Failure

Here:	10.2%
State:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.3%
California:	11.7%

30-Day Readmission Rates from Heart Attack

Here:	18.8%
State:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	24.0%
California:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	17.6%
California:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.309%
State:	0.625%

Blood infection from a catheter in a large vein

Here:	0.103%
State:	0.530%

Infection from a Urinary Catheter

This Hospital:	0.516%
California:	0.608%

Severe pressure sores (bed sores)

Here:	0.206%
State:	0.321%

ST JUDE MEDICAL CENTER - FULLERTON, CA

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

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

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

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