TRUMAN MEDICAL CENTER LAKEWOOD (KANSAS CITY, MO) Detailed Hospital Profile

Use of Medical Imaging

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

This Hospital:	16.500%
Missouri:	8.189%

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

Here:	0.087%
State:	0.184%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Hospital:	2.2%
State:	14.0%

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

This Hospital:	3.1%
State:	11.8%

Percent of long-stay high-risk residents with pressure ulcers

This Hospital:	5.9%
Missouri:	6.5%

Percent of long-stay residents who lose too much weight

This Hospital:	8.0%
State:	7.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Hospital:	32.5%
State:	31.8%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	3.1%
Missouri:	3.7%

Percent of long-stay residents with a urinary tract infection

This Hospital:	1.2%
Missouri:	7.5%

Percent of long-stay residents who were physically restrained

This Hospital:	0.6%
State:	1.8%

Percent of long-stay residents experiencing one or more falls with major injury

This Hospital:	3.1%
State:	3.9%

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

Here:	82.8%
Missouri:	95.3%

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

Here:	79.8%
Missouri:	89.3%

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

Here:	4.2%
State:	1.9%

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

Here:	41.7%
Missouri:	82.3%

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

This Hospital:	41.7%
State:	74.7%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	14.8%
Missouri:	25.1%

Complaint Deficiency

Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- 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
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide enough notice before discharging or transferring a resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Listen to the resident or family groups or act on their complaints or suggestions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each 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
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Many
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain 15 months of resident assessments in the resident's active clinical record
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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: Some
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- 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: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual 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: Some
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- 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: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give the right treatment and services to residents who have mental or psychosocial problems adjusting
- 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
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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Potential for minimal harm
- Scope: Many
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
Provide necessary care and services to maintain the highest well being of each resident
- 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
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Minimal harm or potential for actual harm
- Scope: Few

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

Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications

Average Covered Charges

This Hospital:	$5,168
Missouri:	$11,777

Average Total Payments

This Hospital:	$5,933
Missouri:	$4,342

Number of discharges: 67

Here:	17.01%
Missouri:	0.48%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$12,084
Missouri:	$16,957

Average Total Payments

Here:	$9,986
State:	$5,280

Number of discharges: 13

This Hospital:	3.30%
State:	1.81%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$9,764
Missouri:	$17,168

Average Total Payments

Here:	$6,422
State:	$4,547

Number of discharges: 14

This Hospital:	3.55%
Missouri:	3.74%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$8,521
Missouri:	$21,078

Average Total Payments

Here:	$8,430
State:	$6,410

Number of discharges: 14

This Hospital:	3.55%
State:	2.86%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$24,874
State:	$40,743

Average Total Payments

Here:	$18,794
Missouri:	$12,852

Number of discharges: 45

This Hospital:	11.42%
Missouri:	6.00%

Psychoses

Average Covered Charges

Here:	$10,872
State:	$14,440

Average Total Payments

This Hospital:	$8,523
State:	$5,641

Number of discharges: 180

This Hospital:	45.69%
Missouri:	1.88%

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

Average Covered Charges

This Hospital:	$19,648
State:	$41,930

Average Total Payments

Here:	$16,174
State:	$11,968

Number of discharges: 36

Here:	9.14%
Missouri:	4.42%

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

Average Covered Charges

Here:	$13,205
State:	$24,576

Average Total Payments

Here:	$9,056
State:	$7,135

Number of discharges: 13

This Hospital:	3.30%
Missouri:	1.41%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$11,204
State:	$22,459

Average Total Payments

Here:	$9,278
State:	$6,369

Number of discharges: 12

This Hospital:	3.05%
State:	2.85%

Process of Care

Heart Attack

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

This Hospital:	6
State:	9

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

Here:	100.0%
Missouri:	95.8%

Heart Failure

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

Here:	100.0%
State:	98.0%

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

Here:	100.0%
State:	95.8%

Percent of Patients Given Discharge Instructions

Here:	95.0%
State:	91.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Missouri:	99.3%

Pneumonia

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

This Hospital:	99.0%
Missouri:	95.8%

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

Here:	90.0%
Missouri:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Missouri:	98.4%

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

This Hospital:	94.0%
Missouri:	93.6%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	100.0%
State:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
Missouri:	95.7%

Surgery

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

Here:	100.0%
Missouri:	98.1%

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

This Hospital:	98.0%
Missouri:	96.7%

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

This Hospital:	98.0%
State:	98.5%

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

This Hospital:	97.0%
State:	97.0%

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

Here:	98.0%
Missouri:	97.9%

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

Here:	100.0%
Missouri:	99.8%

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

This Hospital:	93.0%
State:	91.7%

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

This Hospital:	93.0%
State:	95.3%

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

This Hospital:	98.0%
Missouri:	97.2%

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

This Hospital:	92.0%
State:	97.4%

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

This Hospital:	100.0%
Missouri:	99.4%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.0%
Missouri:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	14.4%
State:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	24.5%
State:	24.9%

30-Day Readmission Rates from Pneumonia

Here:	19.7%
Missouri:	18.9%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 22%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
Missouri:	5%

Usually

This Hospital:	18%
Missouri:	18%

Always

This Hospital:	77%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	4%

Usually

Here:	18%
Missouri:	15%

Always

Here:	78%
Missouri:	81%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	11%
Missouri:	9%

Usually

Here:	25%
Missouri:	26%

Always

This Hospital:	64%
Missouri:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	10%
State:	7%

Usually

This Hospital:	25%
Missouri:	24%

Always

This Hospital:	65%
Missouri:	69%

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

Sometimes or never

This Hospital:	18%
Missouri:	21%

Usually

This Hospital:	19%
Missouri:	18%

Always

This Hospital:	63%
State:	61%

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

Sometimes or never

This Hospital:	8%
State:	9%

Usually

Here:	21%
State:	19%

Always

Here:	71%
Missouri:	72%

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

Sometimes or never

Here:	12%
State:	11%

Usually

Here:	29%
State:	31%

Always

Here:	59%
State:	58%

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

Yes

This Hospital:	82%
State:	84%

This Hospital:	18%
State:	16%

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

6 or lower

Here:	10%
Missouri:	9%

7 or 8

Here:	23%
State:	23%

9 or 10

This Hospital:	67%
Missouri:	68%

Would patients recommend the hospital to friends and family?

Here:	7%
State:	5%

Yes, probably

This Hospital:	25%
State:	27%

Yes, definitely

Here:	68%
State:	68%

TRUMAN MEDICAL CENTER LAKEWOOD - KANSAS CITY, MO

Use of Medical Imaging

Quality Measures

Complaint Deficiency

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

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