Publicly Reported Quality Measures

Five-Star Quality Rating System

As part of the initiative to add five-star quality ratings to its Compare Web sites, the Centers for Medicare & Medicaid Services (CMS) publishes HCAHPS Star Ratings to the Hospital Compare Web site. Star Ratings make it easier for consumers to use the information on the Compare Web sites and spotlight excellence in healthcare quality. Twelve HCAHPS Star Ratings will appear on Hospital Compare: one for each of the 11 publicly reported HCAHPS measures, plus an HCAHPS Summary Star Rating. CMS updates the HCAHPS Star Ratings each quarter.          

Five Star Quality Rating HRH
Rating
Q2 2015
Overall Star Rating 4

 

Infection Prevention

Infections can cause additional medical problems for patients, increase the time a patient spends in the hospital, and sometimes can result in serious illness. The risk of healthcare-associated infections can be reduced by following best practices for infection control. 

 

Infections
(Higher Rate is Better)
HRH
Rating
Q4 2015
HRH
Internal  
Goal
Preventing Ventilator Associated Pneumonia
100% 100%
Central Line Associated Bloodstream Infection
100% 100%
Sever Sepsis/Septic Shock   83.38%  90%

Hand Hygiene
(Higher Rate is Better)
HRH
Performance
Q2 2015
HRH
 Internal  
Goal
Hand Hygiene: Intensive Care Unit
96% 90%
Hand Hygiene: Medical-Surgical Unit
100% 90%
Hand Hygiene: Emergency Department    82% 90%

Heart Care

The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for heart attack and heart failure measures.

Appropriate and Timely Treatment
for Heart Attack
(Higher Rate is Better)
HRH
Performance
Q2 2015
Top 10%
Nationally
Primary PCI Received Within 90 Minutes   
of Hospital Arrival
                                         
100% 100%

Post Discharge Outcomes for
Heart Attack
(Lower Rate is Better)
HRH
Performance
Q2 2015
National
Performance
Heart Attack 30-Day Mortality Rate
13.6% 14.2%
Heart Attack 30-Day Readmission Rate  17.1% 17.0%

Appropriate and Timely Treatment
for Heart Failure
(Higher Rate is Better)
HRH
Performance
Q2 2015
Top 10%
Nationally
Evaluation of Left Ventricular Function        100% 100%

Post Discharge Outcomes
for Heart Failure
(Lower Rate is Better)
HRH
Performance
Q2 2015
National
Performance
Heart Failure 30-Day Mortality Rate
12.9% 11.6%
Heart Failure 30-Day Readmission Rate
19.7% 22.0%

Surgical Care

The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for for preventing infection from surgical procedures.

Prevention of Surgical Infections
(Higher Rate is Better)
HRH
Performance
Q2 2015
Top 10%
Nationally
Antibiotic Received Within 1 Hour Prior to Surgical Incision
100% 100%
Appropriate Antibiotic Selection for Surgical Patients
100% 100%
Antibiotics Stopped Within 24 Hours of Surgery
100% 100%

Pneumonia Care

The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for pneumonia care measures.

Appropriate Treatment for Pneumonia
(Higher Rate is Better)
HRH
Performance
Q2 2015
Top 10%
Nationally
Appropriate Antibiotic Selection                  100% 100%

Post Discharge Outcomes
for Pneumonia
(Lower Rate is Better)
HRH
Performance
Q2 2015
National
Performance
Pneumonia 30-Day Mortality Rate
11.7% 11.5%
Pneumonia 30-Day Readmission Rate  15.9%   16.9%

Source for measures obtained from Hospital Compare, Centers for Medicare & Medicaid Services.  Last updated: March, 2016

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