Surgical Care FMHGettysburgShady Grove Mont.Gen.CHCWCHS 86% of 383 pts. 90% of 337 pts 86% of 254 pts 93% of 323 pts 78% of 301 pts 93% of 874 pts Percent

Surgical Care

FMH Gettysburg Shady Grove

Mont.Gen. CHC WCHS

86%of 383 pts.

90%of 337 pts

86%of 254 pts

93%of 323 pts

78%of 301 pts

93%of 874 pts

Percent of Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision. Avg. U.S. = 82% Avg. in Md. = 89%

Percent of Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for their surgery. Avg. U.S. = 90% Avg. in Md. = 92%


Mont.Gen. CHC WCHS

97%of 383 pts.

91%of 338 pts

89%of 256 pts

93%of 323 pts

84%of 296 pts

85%of 873 pts

Surgical Care


Mont. Gen. CHC WCHS

85%of 372 pts.

65%of 333 pts

76%of 242 pts

49%of 317 pts

68%of 295 pts

80%of 860 pts

Percent of Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 Hours After Surgery. Avg. U.S. = 78% Avg. in Md. = 78%

Percent of Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries. Avg. U.S. = 79% Avg. in Md. = 78%


Mont. Gen. CHC WCHS

83%of 131 pts.

87%of 213 pts

Not

Available

Not

Available71%

of 164 pts

67%of 654 pts

Surgical Care

Percent of Surgery Patients Who Received Treatment to Prevent Blood Clots Within 24 hours Before or After Selected surgeries to prevent blood clots For Certain Types of Surgeries. Avg. U.S. = 75% Avg. in Md. = 75%


Mont. Gen. CHC WCHS

79%of 131 pts.

82%of 213 pts

Not

Available

Not

Available69%

of 164 pts

64%of 654 pts

Heart Attack Process of Care


Mont. Gen. CHC WCHS

96%of 67 pts.

95%of 65 pts

99%of 189 pts

96%of 77 pts

92%of 71 pts

88%of 56 pts

Percent of Heart Attack Patients Given Aspirin at Arrival. Avg. U.S. = 93% Avg. in Md. = 96%

Percent of Heart Attack Patients Given Aspirin at Discharge. Avg. U.S. = 90% Avg. in Md. = 95%


Mont. Gen. CHC WCHS

100%of 50 pts.

84%of 37 pts

97%of 135 pts

89%of 47 pts

90%of 31 pts

89%of 35 pts



Mont. Gen. CHC WCHS

100%of 6 pts.

100%of 4 pts

100%of 40 pts

100%of 4 pts

100%of 7 pts

100%of 1 pts

Percent of Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD). Avg. U.S. = 85% Avg. in Md. = 85%

Percent of Heart Attack Patients Given Smoking Cessation Advice/Counseling.Avg. U.S. = 91% Avg. in Md. = 97%


Mont. Gen. CHC WCHS

91%of 11 pts.

90%of 10 pts

82%of 34 pts

69%of 26 pts

100%of 10 pts

70%of 10 pts



Mont. Gen. CHC WCHS

96%of 53 pts.

92%of 40 pts

99%of 142 pts

97%of 59 pts

98%of 47 pts

94%of 34 pts

Percent of Heart Attack Patients Given Beta Blocker at Discharge.Avg. U.S. = 91% Avg. in Md. = 94%


Mont. Gen. CHC WCHS

94%of 47 pts.

93%of 61 pts

94%of 175 pts

95%of 66 pts

93%of 44 pts

88%of 26 pts

Percent of Heart Attack Patients Given Beta Blocker at Arrival.Avg. U.S. = 88% Avg. in Md. = 93%

Pneumonia Process of Care


Mont. Gen. CHC WCHS

100%of 424 pts.

100%of 68 pts

100%of 152 pts

100%of 264 pts

100%of 181 pts

100%of 679 pts

Percent of Pneumonia Patients Given Oxygenation Assessment.Avg. U.S. = 99% Avg. in Md. = 100%

Percent of Pneumonia Patients Assessed and Given Pneumococcal Vaccination. Avg. U.S. = 75% Avg. in Md. = 76%


Mont. Gen. CHC WCHS

84%of 321 pts.

86%of 139 pts

70%of 123 pts

55%of 220 pts

66%of 134 pts

59%of 514 pts



Mont. Gen. CHC WCHS

93%of 270 pts.

95%of 142 pts

94%of 127 pts

93%of 230 pts

83%of 150 pts

86%of 458 pts

Percent of Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics. Avg. U.S. = 90% Avg. in Md. = 87%

Percent of Pneumonia Patients Given Smoking Cessation Advice/Counseling. Avg. U.S. = 84% Avg. in Md. = 93%


Mont. Gen. CHC WCHS

100%of 127 pts.

100%of 35 pts

95%of 22 pts

81%of 36 pts

82%of 45 pts

98%of 175 pts



Mont. Gen. CHC WCHS

99%of 76 pts.

90%of 21 pts

100%of 29 pts

95%of 57 pts

89%of 44 pts

96%of 117 pts

Percent of Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival. Avg. U.S. = 93% Avg. in Md. = 93%

Percent of Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s). Avg. U.S. = 86% Avg. in Md. = 89%


Mont. Gen. CHC WCHS

87%of 231 pts.

94%of 66 pts

90%of 77 pts

87%of 179 pts

87%of 113 pts

89%of 337 pts

Pneumonia Process of CarePercent of Pneumonia Patients Assessed and Given Influenza Vaccination. Avg. U.S. = 75% Avg. in Md. = 73%


Mont. Gen. CHC WCHS

89%of 130 pts.

89%of 53 pts

62%of 34 pts

51%of 65 pts

82%of 39 pts

61%of 194 pts

Heart Failure Process of Care


Mont. Gen. CHC WCHS

82%of 312 pts.

72%of 101 pts

94%of 208 pts

88%of 234 pts

37%of 182 pts

54%of 413 pts

Percent of Heart Failure Patients Given Discharge Instructions. Avg. U.S. = 66% Avg. in Md. = 76%

Percent of Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function. Avg. U.S. = 85% Avg. in Md. = 93%


Mont. Gen. CHC WCHS

99%of 464 pts.

97%of 142 pts

98%of 286 pts

85%of 234 pts

89%of 275 pts

93%of 510 pts

Heart Failure Process of Care


Mont. Gen. CHC WCHS

91%of 146 pts.

80%of 35 pts

87%of 97 pts

79%of 84 pts

90%of 60 pts

88%of 124 pts

Percent of Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD. Avg. U.S. = 84% Avg. in Md. = 88%

Percent of Heart Failure Patients Given Smoking Cessation Advice/Counseling. Avg. U.S. = 86% Avg. in Md. = 95%


Mont. Gen. CHC WCHS

98%of 48 pts.

100%of 14 pts

100%of 34 pts

88%of 18 pts

100%of 30 pts

100%of 93 pts

Patients’ Hospital Experience


Mont. Gen. CHC WCHS

71% 68% 63% Not Available 77% 70%

Percent of patients who reported that their nurses "Always" communicated well. Avg. U.S. = 73% Avg. in Md. = 70%

Percent of patients who reported that their doctors "Always" communicated well. Avg. U.S. = 79% Avg. in Md. = 76%


Mont. Gen. CHC WCHS

71% 75% 74% Not Available 77% 73%



Mont. Gen. CHC WCHS

54% 57% 41% Not Available 63% 53%

Percent of patients who reported that they "Always" received help as soon as they wanted. Avg. U.S. = 60% Avg. in Md. = 54%

Percent of patients who reported that their pain was "Always" well controlled. Avg. U.S. = 67% Avg. in Md. = 64%


Mont. Gen. CHC WCHS

69% 63% 58% Not Available 70% 62%



Mont. Gen. CHC WCHS

54% 53% 47% Not Available 59% 55%

Percent of patients who reported that staff "Always" explained about medicines before giving it to them. Avg. U.S. = 58% Avg. in Md. = 54%

Percent of patients who reported that their room and bathroom were "Always" clean. Avg. U.S. = 68% Avg. in Md. = 63%


Mont. Gen. CHC WCHS

70% 63% 41% Not Available 64% 64%



Mont. Gen. CHC WCHS

52% 40% 28% Not Available 50% 40%

Percent of patients who reported that the area around their room was "Always" quiet at night. Avg. U.S. = 54% Avg. in Md. = 51%

Percent of patients at each hospital who reported that YES, they were given information about what to do during their recovery at home. Avg. U.S. = 79% Avg. in Md. = 77%


Mont. Gen. CHC WCHS

74% 81% 80% Not Available 79% 77%



Mont. Gen. CHC WCHS

56% 51% 40% Not Available 60% 48%

Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). Avg. U.S. = 63% Avg. in Md. = 58%

Percent of patients who reported YES, they would definitely recommend the hospital. Avg. U.S. = 67% Avg. in Md. = 63%


Mont. Gen. CHC WCHS

60% 54% 47% Not Available 64% 54%

Documents

Surgical Care FMHGettysburgShady Grove Mont.Gen.CHCWCHS 86% of 383 pts. 90% of 337 pts 86% of 254 pts 93% of 323 pts 78% of 301 pts 93% of 874 pts Percent