TRANSYLVANIA REGIONAL HOSPITAL, INC (BREVARD, NC) 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.

Here:	29.300%
State:	33.381%

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

This Hospital:	7.300%
North Carolina:	8.387%

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

Here:	0.026%
State:	0.085%

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

This Hospital:	0.006%
State:	0.026%

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

This Hospital:	5.100%
North Carolina:	5.566%

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

Here:	1.500%
North Carolina:	2.465%

Quality Measures

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

Here:	20.8%
North Carolina:	21.9%

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

Here:	100.0%
State:	88.7%

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

This Hospital:	100.0%
State:	87.2%

Process of Care

Heart Attack

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

This Hospital:	5
State:	8

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

This Hospital:	133
State:	49

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

This Hospital:	94.0%
North Carolina:	96.2%

Heart Failure

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

Here:	100.0%
State:	99.5%

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

This Hospital:	100.0%
North Carolina:	97.3%

Percent of Patients Given Discharge Instructions

This Hospital:	96.0%
State:	93.8%

Pneumonia

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

This Hospital:	99.0%
North Carolina:	95.8%

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

This Hospital:	99.0%
North Carolina:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
North Carolina:	99.3%

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

This Hospital:	98.0%
North Carolina:	95.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	100.0%
North Carolina:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
North Carolina:	97.2%

Surgery

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

Here:	100.0%
North Carolina:	98.8%

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

This Hospital:	100.0%
North Carolina:	97.7%

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

Here:	100.0%
North Carolina:	99.0%

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

Here:	98.0%
North Carolina:	97.5%

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

This Hospital:	99.0%
North Carolina:	98.4%

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

Here:	100.0%
North Carolina:	99.9%

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

This Hospital:	97.0%
State:	96.0%

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

This Hospital:	100.0%
North Carolina:	97.6%

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

This Hospital:	100.0%
State:	97.7%

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

Here:	97.0%
North Carolina:	96.7%

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

Here:	100.0%
North Carolina:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	13.0%
State:	11.5%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.5%
State:	12.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.8%
State:	24.1%

30-Day Readmission Rates from Pneumonia

Here:	15.8%
North Carolina:	18.8%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
State:	4%

Usually

Here:	16%
North Carolina:	16%

Always

Here:	82%
North Carolina:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	4%

Usually

This Hospital:	16%
State:	13%

Always

This Hospital:	80%
North Carolina:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
State:	9%

Usually

This Hospital:	21%
North Carolina:	24%

Always

Here:	74%
North Carolina:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
North Carolina:	7%

Usually

This Hospital:	22%
State:	22%

Always

This Hospital:	74%
North Carolina:	71%

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

Sometimes or never

Here:	13%
North Carolina:	19%

Usually

This Hospital:	18%
North Carolina:	16%

Always

This Hospital:	69%
State:	65%

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

Sometimes or never

This Hospital:	5%
State:	10%

Usually

This Hospital:	17%
State:	19%

Always

This Hospital:	78%
North Carolina:	71%

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

Sometimes or never

Here:	7%
State:	9%

Usually

This Hospital:	26%
State:	28%

Always

Here:	67%
State:	63%

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

Yes

This Hospital:	88%
North Carolina:	84%

Here:	12%
North Carolina:	16%

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

6 or lower

Here:	6%
State:	7%

7 or 8

This Hospital:	19%
State:	23%

9 or 10

Here:	75%
North Carolina:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
North Carolina:	5%

Yes, probably

This Hospital:	19%
North Carolina:	24%

Yes, definitely

Here:	77%
North Carolina:	71%

Complaint Deficiency

Make sure services provided by the nursing facility meet professional standards of quality
- 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
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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- 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
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- 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

TRANSYLVANIA REGIONAL HOSPITAL, INC - BREVARD, NC

Use of Medical Imaging

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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