WELLSTAR PAULDING HOSPITAL (DALLAS, GA) Detailed Hospital Profile

Quality Measures

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

This Hospital:	10.0%
Georgia:	15.5%

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

Here:	16.0%
Georgia:	12.0%

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

This Hospital:	4.0%
Georgia:	7.3%

Percent of long-stay residents who lose too much weight

Here:	9.5%
Georgia:	8.1%

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

Here:	27.1%
Georgia:	45.1%

Percent of long-stay residents with a urinary tract infection

This Hospital:	6.3%
State:	7.6%

Percent of long-stay residents who have depressive symptoms

Here:	3.1%
State:	10.7%

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

This Hospital:	2.5%
State:	3.6%

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

Here:	98.8%
State:	96.0%

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

Here:	99.4%
Georgia:	95.5%

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

Here:	25.5%
State:	22.0%

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

Here:	100.0%
State:	87.1%

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

This Hospital:	98.6%
Georgia:	84.7%

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

This Hospital:	6.3%
State:	3.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	21.4%
State:	28.2%

Process of Care

Heart Attack

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

This Hospital:	8
State:	33

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

Here:	95.0%
State:	95.8%

Heart Failure

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

Here:	100.0%
State:	99.2%

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

This Hospital:	95.0%
State:	95.8%

Percent of Patients Given Discharge Instructions

Here:	95.0%
State:	89.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Georgia:	99.5%

Pneumonia

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

Here:	100.0%
Georgia:	96.3%

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

This Hospital:	99.0%
Georgia:	97.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.9%

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

This Hospital:	98.0%
Georgia:	94.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	97.0%
State:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
Georgia:	96.2%

Surgery

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

This Hospital:	99.0%
State:	98.2%

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

This Hospital:	99.0%
State:	96.5%

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

Here:	99.0%
Georgia:	98.4%

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%
State:	96.5%

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

This Hospital:	100.0%
State:	97.4%

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

Here:	100.0%
State:	99.6%

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

Here:	96.0%
Georgia:	93.5%

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

Here:	98.0%
Georgia:	95.9%

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

This Hospital:	100.0%
Georgia:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	10.3%
State:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.2%
Georgia:	12.6%

30-Day Readmission Rates from Heart Failure

Here:	26.6%
State:	24.1%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.7%
Georgia:	18.5%

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

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$17,204
State:	$12,553

Average Total Payments

This Hospital:	$3,586
Georgia:	$3,631

Number of discharges: 11

Here:	2.07%
Georgia:	1.39%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$13,305
State:	$17,342

Average Total Payments

Here:	$6,005
Georgia:	$5,372

Number of discharges: 24

This Hospital:	4.52%
Georgia:	1.61%

Chest Pain

Average Covered Charges

Here:	$11,143
Georgia:	$15,911

Average Total Payments

Here:	$3,462
Georgia:	$3,607

Number of discharges: 37

Here:	6.97%
State:	1.74%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$17,083
State:	$20,363

Average Total Payments

Here:	$6,048
State:	$6,113

Number of discharges: 33

Here:	6.21%
State:	2.30%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$15,226
Georgia:	$15,346

Average Total Payments

This Hospital:	$4,480
State:	$4,587

Number of discharges: 37

Here:	6.97%
Georgia:	1.80%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$17,262
State:	$17,921

Average Total Payments

This Hospital:	$4,523
Georgia:	$4,668

Number of discharges: 30

Here:	5.65%
State:	3.05%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$15,064
Georgia:	$14,841

Average Total Payments

Here:	$3,236
Georgia:	$4,338

Number of discharges: 12

Here:	2.26%
Georgia:	0.27%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$21,019
Georgia:	$20,917

Average Total Payments

Here:	$5,417
State:	$5,983

Number of discharges: 14

This Hospital:	2.64%
State:	0.56%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$17,337
State:	$19,560

Average Total Payments

Here:	$6,245
Georgia:	$6,481

Number of discharges: 17

This Hospital:	3.20%
State:	3.50%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$25,930
Georgia:	$31,202

Average Total Payments

Here:	$9,347
State:	$9,507

Number of discharges: 12

Here:	2.26%
State:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$13,303
Georgia:	$13,448

Average Total Payments

This Hospital:	$4,243
State:	$4,372

Number of discharges: 25

This Hospital:	4.71%
State:	1.23%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$15,606
Georgia:	$16,440

Average Total Payments

This Hospital:	$4,948
Georgia:	$4,869

Number of discharges: 49

Here:	9.23%
Georgia:	3.08%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$49,305
State:	$46,857

Average Total Payments

This Hospital:	$13,941
State:	$13,303

Number of discharges: 38

Here:	7.16%
State:	5.88%

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

Average Covered Charges

Here:	$14,254
State:	$14,725

Average Total Payments

Here:	$4,333
State:	$4,421

Number of discharges: 19

This Hospital:	3.58%
Georgia:	2.20%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$35,283
Georgia:	$28,786

Average Total Payments

Here:	$8,650
State:	$8,091

Number of discharges: 25

This Hospital:	4.71%
Georgia:	1.99%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$13,892
State:	$17,108

Average Total Payments

This Hospital:	$4,877
Georgia:	$5,275

Number of discharges: 14

This Hospital:	2.64%
State:	1.49%

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

Average Covered Charges

Here:	$32,860
State:	$41,116

Average Total Payments

Here:	$11,371
State:	$12,225

Number of discharges: 13

This Hospital:	2.45%
Georgia:	4.78%

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

Average Covered Charges

Here:	$19,375
State:	$23,222

Average Total Payments

This Hospital:	$6,699
Georgia:	$7,264

Number of discharges: 12

This Hospital:	2.26%
State:	1.59%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$15,589
Georgia:	$17,066

Average Total Payments

Here:	$4,319
State:	$4,443

Number of discharges: 16

This Hospital:	3.01%
State:	0.71%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$18,609
State:	$22,144

Average Total Payments

This Hospital:	$6,182
State:	$6,410

Number of discharges: 44

Here:	8.29%
State:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$42,118
State:	$32,348

Average Total Payments

Here:	$12,073
State:	$9,197

Number of discharges: 11

Here:	2.07%
State:	2.08%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$16,519
Georgia:	$16,155

Average Total Payments

This Hospital:	$4,602
Georgia:	$4,495

Number of discharges: 26

This Hospital:	4.90%
State:	1.11%

Syncope and Collapse

Average Covered Charges

Here:	$17,584
State:	$18,313

Average Total Payments

This Hospital:	$4,437
Georgia:	$4,627

Number of discharges: 12

Here:	2.26%
State:	1.59%

Complaint Deficiency

Exits that are free from obstructions and can be used at all times
- Harm: Potential for minimal harm
- Scope: Many
Other fire safety features required by fire safety codes
- 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
Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives
- Harm: Potential for minimal harm
- Scope: Many
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Potential for minimal 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Dispose of garbage and refuse properly
- Harm: Potential for minimal 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Potential for minimal harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of portable space heaters
- 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: Few
Properly sized and located linen or trash receptacles
- Harm: Potential for minimal harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Rooms that can be unlocked from inside without a key
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper exit design
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- 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
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 enough outside ventilation via a window or mechanical ventilation, or both
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Hospital Acquired Conditions

Falls and injuries

Here:	0.575%
State:	0.689%

Blood infection from a catheter in a large vein

Here:	0.575%
State:	0.572%

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%
Georgia:	35.075%

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

Here:	12.100%
State:	8.789%

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

This Hospital:	0.081%
Georgia:	0.125%

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

This Hospital:	0.030%
State:	0.053%

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:	4%
State:	5%

Usually

Here:	14%
Georgia:	18%

Always

This Hospital:	82%
Georgia:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	4%

Usually

Here:	12%
Georgia:	13%

Always

Here:	84%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
Georgia:	12%

Usually

Here:	22%
State:	24%

Always

This Hospital:	65%
Georgia:	64%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	8%
Georgia:	7%

Usually

Here:	18%
Georgia:	22%

Always

Here:	74%
Georgia:	71%

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

Sometimes or never

This Hospital:	23%
State:	21%

Usually

Here:	13%
Georgia:	17%

Always

Here:	64%
Georgia:	62%

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

Sometimes or never

This Hospital:	5%
Georgia:	10%

Usually

Here:	17%
State:	19%

Always

This Hospital:	78%
Georgia:	71%

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

Sometimes or never

This Hospital:	5%
State:	8%

Usually

This Hospital:	28%
State:	27%

Always

This Hospital:	67%
State:	65%

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

Yes

This Hospital:	82%
State:	81%

Here:	18%
Georgia:	19%

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

6 or lower

Here:	10%
Georgia:	9%

7 or 8

This Hospital:	22%
State:	22%

9 or 10

Here:	68%
State:	69%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	6%

Yes, probably

This Hospital:	21%
Georgia:	25%

Yes, definitely

This Hospital:	73%
State:	69%

WELLSTAR PAULDING HOSPITAL - DALLAS, GA

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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

Complaint Deficiency

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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