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Acute Care

Spring Valley Hospital Medical Center

Emergency Care

Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
Measure Rate State Avg. National Avg.
Left ED Without Being Seen Not Applicable 1% 3%
Minutes in ED Before Going Home 170 145 162

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 19.5% Not Applicable No different than the National Rate19.3%
Coronary Artery Bypass Graft (CABG) Surgery 30-Day Readmission Rate 10.8% Not Applicable No different than the National Rate11%
Heart Attack Readmit 15% Not Applicable No different than the National Rate14%
Heart Failure 30-Day Readmission Rate 22.8% Not Applicable No different than the National Rate20.2%
Hip and Knee 30-Day Readmission Rate 4.6% Not Applicable No different than the National Rate4.3%
Hospital-wide 30-Day Readmission Rate 15.7% Not Applicable No different than the National Rate14.6%
Pneumonia 30-Day Readmission Rate 19.1% Not Applicable No different than the National Rate16.9%

Mortality CMS

Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
Measure Rate State Avg. National Avg.
COPD 30-Day Mortality Rate 7.7% Not Applicable No different than the National RateNot Applicable
Coronary Artery Bypass Graft (CABG) Surgery 30-Day Mortality Rate 2.6% Not Applicable No different than the National RateNot Applicable
Heart Attack 30-Day Mortality Rate 13.5% Not Applicable No different than the National RateNot Applicable
Heart Failure 30-Day Mortality Rate 12.9% Not Applicable No different than the National RateNot Applicable
Pneumonia 30-Day Mortality Rate 21.1% Not Applicable No different than the National RateNot Applicable
Stroke 30-Day Mortality Rate 21.2% Not Applicable Worse 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 0.062 Average compared to State Mean0.054 Average compared to National Mean0.051
Acute Stroke Mortality Rate 0.0782 Average compared to State Mean0.072 Average compared to National Mean0.0722
Death Rate Among Surgical Inpatients With Serious Treatable Complications 0.1172 Average compared to State MeanNot Applicable Average compared to National Mean16
Heart Failure Mortality Rate 0.017 Average compared to State Mean0.021 Average compared to National Mean0.0272
Pneumonia Mortality Rate 0.0249 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 0.7496 Not Applicable Better than National MeanNot Applicable
Birth Trauma - Injury to Neonate 0.0026 0.002 Not Applicable
Obstetric Trauma Rate - Vaginal Delivery With Instrument 8 131 Not Applicable
Obstetric Trauma Rate - Vaginal Delivery Without Instrument 26 340 Not Applicable

Immunizations

Measure Rate State Avg. National Avg.
Health Care Worker Flu Immunization 74% 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 0.0024 Average compared to State MeanNot Applicable Average compared to National MeanNot Applicable
Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate 0.0031 Average compared to State MeanNot Applicable Average compared to National MeanNot Applicable
Postoperative Respiratory Failure Rate 0.004 Average compared to State MeanNot Applicable Average compared to National MeanNot Applicable
Postoperative Sepsis Rate 0.0071 Better than State MeanNot Applicable Better than National MeanNot Applicable

Infections

Measure Rate Relative to State Relative to National
Catheter-Associated Urinary Tract Infections
0.537 1
Central Line Bloodstream Infection
0.790 1
Colon Surgery Infection
1.053 1
MRSA Infection
0.797 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