WILKES REGIONAL MEDICAL CENTER (NORTH WILKESBORO, NC) Detailed Hospital Profile

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$19,525
North Carolina:	$31,268

Average Total Payments

Here:	$9,536
North Carolina:	$12,140

Number of discharges: 18

Here:	1.40%
North Carolina:	1.10%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$9,663
State:	$11,840

Average Total Payments

Here:	$3,402
North Carolina:	$4,012

Number of discharges: 11

Here:	0.86%
State:	0.57%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$11,748
North Carolina:	$14,669

Average Total Payments

Here:	$4,889
State:	$5,810

Number of discharges: 30

Here:	2.33%
State:	1.66%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$13,995
North Carolina:	$22,422

Average Total Payments

This Hospital:	$6,668
North Carolina:	$8,780

Number of discharges: 20

This Hospital:	1.56%
State:	1.07%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$9,400
State:	$10,855

Average Total Payments

This Hospital:	$3,380
State:	$3,934

Number of discharges: 20

This Hospital:	1.56%
North Carolina:	1.74%

Cellulitis without Major Complications

Average Covered Charges

Here:	$9,281
North Carolina:	$13,979

Average Total Payments

Here:	$4,773
North Carolina:	$5,681

Number of discharges: 19

This Hospital:	1.48%
North Carolina:	1.56%

Chest Pain

Average Covered Charges

This Hospital:	$7,742
State:	$12,542

Average Total Payments

This Hospital:	$3,205
North Carolina:	$3,788

Number of discharges: 33

This Hospital:	2.57%
North Carolina:	2.07%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$10,316
North Carolina:	$16,598

Average Total Payments

Here:	$5,313
North Carolina:	$6,474

Number of discharges: 26

This Hospital:	2.02%
North Carolina:	1.95%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$12,843
North Carolina:	$20,025

Average Total Payments

Here:	$6,913
North Carolina:	$7,977

Number of discharges: 75

Here:	5.83%
State:	2.12%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$8,293
North Carolina:	$13,090

Average Total Payments

This Hospital:	$4,257
State:	$4,841

Number of discharges: 19

Here:	1.48%
State:	1.35%

Diabetes with Complications

Average Covered Charges

This Hospital:	$8,566
North Carolina:	$14,802

Average Total Payments

Here:	$4,690
North Carolina:	$5,742

Number of discharges: 21

Here:	1.63%
North Carolina:	0.86%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$9,834
State:	$14,805

Average Total Payments

This Hospital:	$4,545
State:	$5,010

Number of discharges: 49

This Hospital:	3.81%
North Carolina:	3.29%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$15,665
North Carolina:	$17,587

Average Total Payments

This Hospital:	$5,841
State:	$6,877

Number of discharges: 28

This Hospital:	2.18%
North Carolina:	2.04%

G.I. Hemorrhage with Major Complications

Average Covered Charges

Here:	$21,143
State:	$30,201

Average Total Payments

This Hospital:	$8,544
North Carolina:	$12,281

Number of discharges: 13

This Hospital:	1.01%
State:	0.73%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$13,233
North Carolina:	$16,501

Average Total Payments

Here:	$5,316
State:	$6,542

Number of discharges: 14

Here:	1.09%
State:	0.62%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$10,408
State:	$16,617

Average Total Payments

Here:	$5,622
North Carolina:	$6,986

Number of discharges: 34

Here:	2.64%
North Carolina:	3.07%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$16,922
State:	$23,957

Average Total Payments

Here:	$8,100
State:	$10,019

Number of discharges: 40

This Hospital:	3.11%
State:	3.02%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$7,479
State:	$12,262

Average Total Payments

This Hospital:	$4,005
State:	$4,640

Number of discharges: 11

Here:	0.86%
North Carolina:	1.14%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$41,630
North Carolina:	$36,549

Average Total Payments

This Hospital:	$10,955
North Carolina:	$12,287

Number of discharges: 17

Here:	1.32%
North Carolina:	1.15%

Hypertension without Major Complications

Average Covered Charges

This Hospital:	$9,488
State:	$13,258

Average Total Payments

Here:	$3,666
State:	$4,339

Number of discharges: 12

This Hospital:	0.93%
North Carolina:	0.34%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$15,930
State:	$21,044

Average Total Payments

Here:	$6,651
State:	$7,833

Number of discharges: 16

This Hospital:	1.24%
State:	1.70%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$14,165
State:	$16,936

Average Total Payments

Here:	$4,780
State:	$5,642

Number of discharges: 11

Here:	0.86%
State:	0.90%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,341
State:	$14,052

Average Total Payments

This Hospital:	$4,475
North Carolina:	$5,326

Number of discharges: 60

Here:	4.67%
North Carolina:	2.46%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$51,062
State:	$42,293

Average Total Payments

Here:	$12,600
State:	$13,554

Number of discharges: 57

Here:	4.43%
State:	6.15%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$10,424
State:	$16,502

Average Total Payments

Here:	$4,694
North Carolina:	$5,833

Number of discharges: 11

This Hospital:	0.86%
North Carolina:	0.66%

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

Average Covered Charges

This Hospital:	$8,434
North Carolina:	$13,158

Average Total Payments

This Hospital:	$4,095
State:	$4,790

Number of discharges: 41

Here:	3.19%
State:	1.96%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$14,128
State:	$21,562

Average Total Payments

Here:	$7,560
State:	$8,579

Number of discharges: 39

Here:	3.03%
State:	1.96%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$11,758
North Carolina:	$14,717

Average Total Payments

This Hospital:	$4,559
North Carolina:	$5,673

Number of discharges: 14

This Hospital:	1.09%
State:	1.29%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$11,233
State:	$16,705

Average Total Payments

This Hospital:	$5,911
State:	$6,949

Number of discharges: 46

This Hospital:	3.58%
North Carolina:	2.38%

Renal Failure with Major Complications

Average Covered Charges

Here:	$20,439
State:	$26,632

Average Total Payments

Here:	$8,854
State:	$11,435

Number of discharges: 36

Here:	2.80%
North Carolina:	1.71%

Renal Failure without Complications

Average Covered Charges

This Hospital:	$8,366
North Carolina:	$11,357

Average Total Payments

Here:	$3,801
State:	$4,583

Number of discharges: 12

Here:	0.93%
State:	0.30%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$13,990
North Carolina:	$22,947

Average Total Payments

This Hospital:	$8,433
North Carolina:	$9,860

Number of discharges: 14

This Hospital:	1.09%
North Carolina:	0.84%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$20,824
North Carolina:	$30,856

Average Total Payments

This Hospital:	$11,568
North Carolina:	$13,291

Number of discharges: 17

This Hospital:	1.32%
State:	1.35%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$28,556
North Carolina:	$45,134

Average Total Payments

Here:	$12,407
North Carolina:	$16,101

Number of discharges: 28

Here:	2.18%
State:	0.98%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$10,519
State:	$16,903

Average Total Payments

Here:	$4,356
State:	$5,529

Number of discharges: 11

Here:	0.86%
State:	0.57%

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

Average Covered Charges

Here:	$17,497
State:	$32,059

Average Total Payments

This Hospital:	$10,001
North Carolina:	$12,838

Number of discharges: 108

This Hospital:	8.40%
State:	5.09%

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

Average Covered Charges

Here:	$13,255
State:	$19,865

Average Total Payments

This Hospital:	$6,464
State:	$7,684

Number of discharges: 45

Here:	3.50%
North Carolina:	1.78%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$9,275
North Carolina:	$13,822

Average Total Payments

This Hospital:	$3,838
North Carolina:	$4,799

Number of discharges: 25

This Hospital:	1.94%
State:	0.58%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$10,594
North Carolina:	$17,495

Average Total Payments

Here:	$5,814
North Carolina:	$6,811

Number of discharges: 34

Here:	2.64%
State:	2.26%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$16,152
North Carolina:	$25,424

Average Total Payments

This Hospital:	$8,452
State:	$9,800

Number of discharges: 67

Here:	5.21%
North Carolina:	2.12%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$8,966
North Carolina:	$13,441

Average Total Payments

This Hospital:	$4,233
State:	$4,784

Number of discharges: 33

Here:	2.57%
State:	0.79%

Syncope and Collapse

Average Covered Charges

Here:	$10,840
North Carolina:	$14,967

Average Total Payments

This Hospital:	$4,264
State:	$4,973

Number of discharges: 31

Here:	2.41%
North Carolina:	1.63%

Transient Ischemia

Average Covered Charges

Here:	$13,024
North Carolina:	$15,482

Average Total Payments

This Hospital:	$4,270
North Carolina:	$4,882

Number of discharges: 20

Here:	1.56%
North Carolina:	1.10%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
The appropriate emergency electrical equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly working alarms on sprinkler valves
- 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: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- 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: Many
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Quality Measures

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

Here:	23.0%
State:	21.9%

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

This Hospital:	1.4%
North Carolina:	1.4%

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

This Hospital:	100.0%
State:	88.7%

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

Here:	98.3%
State:	87.2%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.531%
State:	0.641%

Infection from a Urinary Catheter

This Hospital:	0.265%
North Carolina:	0.553%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
State:	99.4%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
State:	99.5%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	99.5%

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

Here:	6
State:	8

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

Here:	98.0%
North Carolina:	96.2%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	82.0%
North Carolina:	98.3%

Heart Failure

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

This Hospital:	100.0%
North Carolina:	99.5%

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

Here:	100.0%
North Carolina:	97.3%

Percent of Patients Given Discharge Instructions

Here:	99.0%
State:	93.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.7%

Pneumonia

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

Here:	99.0%
State:	95.8%

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

This Hospital:	96.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	99.0%
State:	99.3%

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

This Hospital:	98.0%
State:	95.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	97.0%
North Carolina:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
State:	97.2%

Surgery

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

This Hospital:	98.0%
North Carolina:	98.8%

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

Here:	96.0%
State:	97.7%

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

This Hospital:	95.0%
State:	99.0%

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

This Hospital:	99.0%
State:	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:	98.0%
State:	96.0%

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

Here:	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)

Here:	94.0%
North Carolina:	97.7%

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

This Hospital:	100.0%
North Carolina:	96.7%

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

This Hospital:	100.0%
North Carolina:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.1%
State:	15.2%

30-Day Mortality Rates from Heart Failure

This Hospital:	13.1%
State:	11.5%

30-Day Mortality Rates from Pneumonia

Here:	11.7%
North Carolina:	12.5%

30-Day Readmission Rates from Heart Attack

Here:	20.2%
State:	19.6%

30-Day Readmission Rates from Heart Failure

This Hospital:	23.9%
State:	24.1%

30-Day Readmission Rates from Pneumonia

This Hospital:	20.0%
North Carolina:	18.8%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	43.800%
State:	33.381%

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

Here:	7.900%
State:	8.387%

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

This Hospital:	0.072%
State:	0.085%

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

Here:	0.045%
North Carolina:	0.026%

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

Here:	6.300%
North Carolina:	5.566%

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

This Hospital:	1.700%
State:	2.465%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	3%
North Carolina:	4%

Usually

Here:	15%
State:	16%

Always

Here:	82%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
North Carolina:	4%

Usually

Here:	14%
North Carolina:	13%

Always

Here:	84%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
State:	9%

Usually

This Hospital:	22%
North Carolina:	24%

Always

Here:	73%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
North Carolina:	7%

Usually

Here:	22%
State:	22%

Always

Here:	74%
North Carolina:	71%

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

Sometimes or never

Here:	14%
North Carolina:	19%

Usually

Here:	17%
State:	16%

Always

Here:	69%
State:	65%

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

Sometimes or never

Here:	5%
State:	10%

Usually

Here:	19%
State:	19%

Always

Here:	76%
State:	71%

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

Sometimes or never

This Hospital:	5%
North Carolina:	9%

Usually

Here:	25%
State:	28%

Always

This Hospital:	70%
State:	63%

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

Yes

This Hospital:	81%
North Carolina:	84%

This Hospital:	19%
North Carolina:	16%

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

6 or lower

This Hospital:	2%
North Carolina:	7%

7 or 8

Here:	21%
State:	23%

9 or 10

Here:	77%
State:	70%

Would patients recommend the hospital to friends and family?

Here:	1%
State:	5%

Yes, probably

This Hospital:	32%
North Carolina:	24%

Yes, definitely

Here:	67%
State:	71%

WILKES REGIONAL MEDICAL CENTER - NORTH WILKESBORO, NC

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

Complaint Deficiency

Quality Measures

Hospital Acquired Conditions

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

User Contributions:

Comment about this article, ask questions, or add new information about this topic: