WAHIAWA GENERAL HOSPITAL (WAHIAWA, HI) Detailed Nursing Home Profile

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Nursing Home:	98.0%
State:	99.0%

Percent of Patients Given Aspirin at Discharge

This Nursing Home:	95.0%
Hawaii:	98.0%

Percent of Patients Given Beta Blocker at Discharge

Here:	87.0%
State:	98.5%

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

Here:	4
Hawaii:	9

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

Here:	95.0%
State:	97.9%

Patients Given a Prescription for a Statin at Discharge

Here:	91.0%
Hawaii:	97.7%

Heart Failure

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

Here:	97.0%
Hawaii:	98.9%

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

Here:	80.0%
Hawaii:	94.7%

Percent of Patients Given Discharge Instructions

This Nursing Home:	70.0%
State:	93.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Hawaii:	99.3%

Pneumonia

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

Here:	96.0%
State:	96.7%

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

This Nursing Home:	94.0%
Hawaii:	95.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	92.0%
State:	99.0%

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

Here:	92.0%
State:	94.6%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	59.0%
Hawaii:	90.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	81.0%
Hawaii:	91.1%

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:	98.8%

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

Here:	100.0%
State:	98.8%

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

Here:	59.0%
State:	94.2%

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

Here:	61.0%
Hawaii:	95.4%

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

This Nursing Home:	100.0%
State:	99.7%

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

This Nursing Home:	47.0%
State:	93.7%

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

Here:	50.0%
Hawaii:	97.6%

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

This Nursing Home:	96.0%
Hawaii:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.9%
State:	15.3%

30-Day Mortality Rates from Heart Failure

This Nursing Home:	12.3%
State:	11.7%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	14.6%
Hawaii:	11.9%

30-Day Readmission Rates from Heart Attack

This Nursing Home:	20.6%
Hawaii:	19.8%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.2%
State:	22.9%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.2%
State:	17.7%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- 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
Keep each resident's personal and medical records private and confidential
- 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 enough notice before discharging or transferring a resident
- Harm: Potential for minimal 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: 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: 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: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
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: Few
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: 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
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
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- 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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- 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: 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
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: 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: 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
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- 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
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: Many
Keep all essential equipment working safely
- 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
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: Many
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
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
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

Here:	9%
State:	5%

Usually

This Nursing Home:	25%
State:	19%

Always

Here:	66%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
Hawaii:	5%

Usually

Here:	16%
State:	15%

Always

This Nursing Home:	78%
Hawaii:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	23%
Hawaii:	11%

Usually

Here:	30%
Hawaii:	27%

Always

This Nursing Home:	47%
Hawaii:	62%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	14%
State:	7%

Usually

Here:	28%
Hawaii:	24%

Always

Here:	58%
State:	69%

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

Sometimes or never

This Nursing Home:	25%
Hawaii:	19%

Usually

Here:	19%
State:	19%

Always

This Nursing Home:	56%
Hawaii:	62%

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

Sometimes or never

This Nursing Home:	17%
State:	7%

Usually

Here:	26%
State:	20%

Always

This Nursing Home:	57%
Hawaii:	73%

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

Sometimes or never

Here:	20%
Hawaii:	14%

Usually

Here:	31%
Hawaii:	33%

Always

Here:	49%
Hawaii:	53%

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

Yes

This Nursing Home:	76%
State:	81%

Here:	24%
Hawaii:	19%

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

6 or lower

This Nursing Home:	20%
State:	10%

7 or 8

Here:	31%
State:	23%

9 or 10

Here:	49%
Hawaii:	67%

Would patients recommend the hospital to friends and family?

Here:	14%
Hawaii:	5%

Yes, probably

This Nursing Home:	39%
Hawaii:	26%

Yes, definitely

Here:	47%
State:	69%

Quality Measures

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

Here:	22.2%
State:	13.0%

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

Here:	8.7%
Hawaii:	6.4%

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

This Nursing Home:	4.0%
State:	3.7%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.4%
State:	6.2%

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

This Nursing Home:	4.3%
Hawaii:	2.6%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	3.1%
State:	4.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.5%
State:	2.0%

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

This Nursing Home:	97.0%
State:	98.0%

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

This Nursing Home:	77.6%
State:	97.9%

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

This Nursing Home:	16.2%
Hawaii:	14.0%

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

Here:	5.3%
State:	1.2%

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

Here:	45.4%
Hawaii:	89.3%

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

This Nursing Home:	44.0%
Hawaii:	85.9%

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

This Nursing Home:	2.7%
State:	1.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	14.1%
Hawaii:	13.7%

Use of Medical Imaging

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

This Nursing Home:	9.100%
State:	8.403%

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

Here:	0.018%
State:	0.102%

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

This Nursing Home:	0.042%
State:	0.011%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.540
Hawaii:	1.095

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.980
State:	0.436

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.510
Hawaii:	1.511

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.090
Hawaii:	0.089

Number Therapy Hours Per Resident Per Day

Here:	0.090
State:	0.092

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$10,515
State:	$22,109

Average Total Payments

Here:	$9,243
State:	$10,965

Number of discharges: 11

Here:	3.72%
State:	1.10%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$16,951
State:	$39,855

Average Total Payments

Here:	$14,019
Hawaii:	$16,554

Number of discharges: 13

This Nursing Home:	4.39%
Hawaii:	2.04%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

This Nursing Home:	$10,496
Hawaii:	$19,076

Average Total Payments

This Nursing Home:	$7,216
Hawaii:	$8,169

Number of discharges: 12

Here:	4.05%
State:	0.88%

Cellulitis without Major Complications

Average Covered Charges

This Nursing Home:	$10,355
State:	$20,944

Average Total Payments

This Nursing Home:	$7,394
Hawaii:	$7,887

Number of discharges: 11

Here:	3.72%
Hawaii:	2.50%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Nursing Home:	$17,837
State:	$30,607

Average Total Payments

This Nursing Home:	$10,125
State:	$11,248

Number of discharges: 18

Here:	6.08%
Hawaii:	1.76%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Nursing Home:	$11,004
State:	$20,494

Average Total Payments

Here:	$6,303
State:	$7,108

Number of discharges: 13

Here:	4.39%
Hawaii:	1.06%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$18,757
Hawaii:	$21,559

Average Total Payments

Here:	$8,773
State:	$9,270

Number of discharges: 11

Here:	3.72%
Hawaii:	3.44%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$14,272
State:	$23,701

Average Total Payments

This Nursing Home:	$8,720
State:	$9,405

Number of discharges: 16

Here:	5.41%
Hawaii:	3.60%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Nursing Home:	$19,866
Hawaii:	$33,503

Average Total Payments

This Nursing Home:	$12,559
Hawaii:	$12,899

Number of discharges: 13

Here:	4.39%
Hawaii:	3.09%

Heart Failure and Shock without Complications

Average Covered Charges

This Nursing Home:	$7,932
Hawaii:	$14,760

Average Total Payments

This Nursing Home:	$6,432
Hawaii:	$6,560

Number of discharges: 14

Here:	4.73%
State:	1.22%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Nursing Home:	$11,731
Hawaii:	$18,385

Average Total Payments

This Nursing Home:	$6,670
State:	$7,120

Number of discharges: 21

Here:	7.09%
Hawaii:	2.04%

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

Average Covered Charges

Here:	$9,158
State:	$17,690

Average Total Payments

This Nursing Home:	$5,928
State:	$6,112

Number of discharges: 16

Here:	5.41%
Hawaii:	2.82%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$16,992
State:	$33,608

Average Total Payments

Here:	$12,192
Hawaii:	$12,516

Number of discharges: 20

Here:	6.76%
State:	1.66%

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

Average Covered Charges

This Nursing Home:	$29,359
Hawaii:	$43,436

Average Total Payments

This Nursing Home:	$17,045
Hawaii:	$17,002

Number of discharges: 46

Here:	15.54%
Hawaii:	8.21%

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

Average Covered Charges

Here:	$16,175
State:	$23,687

Average Total Payments

This Nursing Home:	$10,455
Hawaii:	$10,356

Number of discharges: 19

Here:	6.42%
Hawaii:	3.12%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$12,583
Hawaii:	$23,436

Average Total Payments

Here:	$8,615
State:	$9,352

Number of discharges: 17

Here:	5.74%
State:	3.53%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Nursing Home:	$17,382
Hawaii:	$35,483

Average Total Payments

This Nursing Home:	$12,541
State:	$12,888

Number of discharges: 14

Here:	4.73%
State:	2.08%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$10,009
Hawaii:	$16,114

Average Total Payments

This Nursing Home:	$5,959
Hawaii:	$6,172

Number of discharges: 11

Here:	3.72%
Hawaii:	1.37%

WAHIAWA GENERAL HOSPITAL - WAHIAWA, HI

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Use of Medical Imaging

Staff Information

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

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