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Specialty

PAM Health Specialty Hospital of Las Vegas

Emergency Care

Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
Measure Rate State Avg. National Avg.
Percentage of patients whose activities of daily living and thinking skills are assessed and related goals were included in their treatment plan 97.8% Not Applicable 98.9%
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan 97.2% Not Applicable 98%
Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay 0.1% Not Applicable 0.1%
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified 98.3% Not Applicable 93.6%
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened 1% Not Applicable Not Applicable
Percentage of patients that were successfully weaned from the ventilator during their LTCH stay 52.1% Not Applicable Not Applicable

Readmissions

Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
Measure Rate State Avg. National Avg.
Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH 19.43% Not Applicable No different than the National RateNot Applicable

Mortality AHRQ

Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
Measure Rate Relative to State Relative to National
Heart Failure Mortality Rate 0.0899 Worse than State Mean0.021 Worse than National Mean0.0272

Immunizations

Measure Rate State Avg. National Avg.
Influenza vaccination coverage among healthcare personnel 64.1% Not Applicable 71.5%
Percentage of LTCH healthcare personnel who completed COVID-19 primary vaccination series 95% Not Applicable 88%

Postoperative Complication

Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
Measure Rate Relative to State Relative to National
Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate 0.1882 Worse than State MeanNot Applicable Worse than National MeanNot Applicable
Postoperative Sepsis Rate 0.234 Worse than State MeanNot Applicable Worse than National MeanNot Applicable

Infections

Measure Rate Relative to State Relative to National
Catheter-associated urinary tract infection (CAUTI)
Not Applicable Better than the National BenchmarkNot Applicable
Central-line associated bloodstream infections (CLABSI)
Not Applicable No Different than the National BenchmarkNot Applicable
Clostridium Difficile Infection (CDI)
Not Applicable No Different than the National BenchmarkNot Applicable

Patient Satisfaction

Measure Stars
Doctor Communication Not Applicable
Overall Satisfaction Rating Not Applicable
Patients Recommend Not Applicable
Provided Discharge Instructions Not Applicable
Quiet at Night Not Applicable
Room Cleanliness Not Applicable
Staff Explained Medicine Not Applicable
Nurse Communication Not Applicable
Staff Responsiveness Not Applicable
Care Transition Not Applicable
Summary Star Rating Not Applicable