Acute Care
Saint Mary's Regional Medical Center
Emergency Care
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
Left ED Without Being Seen
|
1%
|
1% |
3% |
|
Minutes in ED Before Going Home
|
161
|
144 |
163 |
Readmissions
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate
|
17.9%
|
Not Applicable |
No different than the National Rate18.5% |
|
Coronary Artery Bypass Graft (CABG) Surgery 30-Day Readmission Rate
|
10.5%
|
Not Applicable |
No different than the National Rate10.7% |
|
Heart Attack Readmit
|
12.6%
|
Not Applicable |
No different than the National Rate13.7% |
|
Heart Failure 30-Day Readmission Rate
|
19.4%
|
Not Applicable |
No different than the National Rate19.8% |
|
Hip and Knee 30-Day Readmission Rate
|
4.6%
|
Not Applicable |
No different than the National Rate4.5% |
|
Hospital-wide 30-Day Readmission Rate
|
14.8%
|
Not Applicable |
No different than the National Rate14.6% |
|
Pneumonia 30-Day Readmission Rate
|
16.8%
|
Not Applicable |
No different than the National Rate16.4% |
Mortality CMS
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
COPD 30-Day Mortality Rate
|
9.5%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Coronary Artery Bypass Graft (CABG) Surgery 30-Day Mortality Rate
|
3%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Heart Attack 30-Day Mortality Rate
|
11.6%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Heart Failure 30-Day Mortality Rate
|
12%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Pneumonia 30-Day Mortality Rate
|
15.5%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Stroke 30-Day Mortality Rate
|
14.4%
|
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 |
|
Acute Myocardial Infarction (AMI) Mortality Rate
|
0.0535
|
Average compared to State Mean0.063 |
Average compared to National Mean0.0501 |
|
Acute Stroke Mortality Rate
|
0.0715
|
Average compared to State Mean0.072 |
Average compared to National Mean0.0722 |
|
Death Rate Among Surgical Inpatients With Serious Treatable Complications
|
0.1451
|
Average compared to State MeanNot Applicable |
Average compared to National Mean16 |
|
Heart Failure Mortality Rate
|
0.0191
|
Average compared to State Mean0.021 |
Average compared to National Mean0.0272 |
|
Hip Fracture Mortality Rate
|
7.0602
|
0.019 |
Below National Mean0.0204 |
|
Pneumonia Mortality Rate
|
0.0207
|
Average compared to State Mean0.023 |
Average compared to National Mean0.026 |
Adverse Event
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Accidental Puncture or Laceration Rate
|
0.9614
|
Not Applicable |
Better than National MeanNot Applicable |
|
Birth Trauma - Injury to Neonate
|
0.0054
|
Better than State Mean0.002 |
Better than National MeanNot Applicable |
|
Obstetric Trauma Rate - Vaginal Delivery With Instrument
|
8
|
Better than State Mean131 |
Not Applicable |
|
Obstetric Trauma Rate - Vaginal Delivery Without Instrument
|
19
|
Better than State Mean340 |
Not Applicable |
Immunizations
| Measure |
Rate |
State Avg. |
National Avg. |
|
Health Care Worker Flu Immunization
|
84%
|
63% |
81% |
Postoperative Complication
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Postoperative Hemorrhage or Hematoma Rate
|
0.0025
|
Average compared to State MeanNot Applicable |
Average compared to National MeanNot Applicable |
|
Postoperative Respiratory Failure Rate
|
3.4645
|
Not Applicable |
Better than National MeanNot Applicable |
Infections
| Measure |
Rate |
Relative to State |
Relative to National |
|
Catheter-Associated Urinary Tract Infections
|
|
0.496 |
1 |
|
Central Line Bloodstream Infection
|
|
0.757 |
1 |
|
Colon Surgery Infection
|
|
1.086 |
1 |
|
MRSA Infection
|
|
0.821 |
1 |
Patient Satisfaction
| Measure |
Stars |
|
Doctor Communication
|
|
|
Overall Satisfaction Rating
|
|
|
Patients Recommend
|
|
|
Provided Discharge Instructions
|
|
|
Quiet at Night
|
|
|
Room Cleanliness
|
|
|
Staff Explained Medicine
|
|
|
Nurse Communication
|
|
|
Staff Responsiveness
|
|
|
Care Transition
|
|
|
Summary Star Rating
|
|
