COFFEYVILLE REGIONAL MEDICAL CENTER (COFFEYVILLE, KS) Detailed Hospital Profile

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	4
State:	8

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Here:	93.0%
State:	96.1%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	100.0%
Kansas:	96.1%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	81.0%
Kansas:	95.8%

Percent of Patients Given Discharge Instructions

This Hospital:	98.0%
Kansas:	89.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	92.0%
State:	96.4%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	100.0%
Kansas:	97.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	95.0%
Kansas:	97.0%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	90.0%
State:	90.7%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	82.0%
Kansas:	92.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	94.0%
State:	93.5%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	98.0%
State:	98.2%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:	100.0%
State:	96.5%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	100.0%
Kansas:	98.5%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

This Hospital:	94.0%
Kansas:	96.6%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Hospital:	95.0%
Kansas:	97.7%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	100.0%
State:	99.9%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	88.0%
State:	92.3%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	89.0%
State:	95.6%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	93.0%
State:	95.9%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	100.0%
State:	97.1%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

Here:	100.0%
Kansas:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	16.2%
Kansas:	15.3%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.9%
State:	12.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	9.3%
State:	12.2%

30-Day Readmission Rates from Heart Attack

This Hospital:	21.0%
State:	18.9%

30-Day Readmission Rates from Heart Failure

Here:	27.2%
State:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.0%
Kansas:	18.2%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$9,091
Kansas:	$19,272

Average Total Payments

Here:	$4,282
State:	$5,037

Number of discharges: 15

This Hospital:	1.98%
State:	1.55%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$11,360
Kansas:	$27,449

Average Total Payments

Here:	$6,298
Kansas:	$7,468

Number of discharges: 18

Here:	2.37%
State:	0.92%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$6,427
Kansas:	$13,239

Average Total Payments

Here:	$2,894
Kansas:	$3,508

Number of discharges: 14

This Hospital:	1.84%
Kansas:	1.82%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$9,071
Kansas:	$17,653

Average Total Payments

This Hospital:	$4,314
State:	$5,185

Number of discharges: 22

This Hospital:	2.90%
State:	1.84%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$11,408
Kansas:	$21,197

Average Total Payments

This Hospital:	$4,968
State:	$5,894

Number of discharges: 11

This Hospital:	1.45%
State:	1.72%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$12,153
State:	$26,095

Average Total Payments

This Hospital:	$5,981
Kansas:	$7,120

Number of discharges: 58

Here:	7.64%
Kansas:	1.52%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$8,775
State:	$18,998

Average Total Payments

This Hospital:	$3,625
State:	$4,436

Number of discharges: 29

Here:	3.82%
Kansas:	3.50%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$10,879
State:	$23,244

Average Total Payments

Here:	$5,246
Kansas:	$6,187

Number of discharges: 17

This Hospital:	2.24%
State:	2.12%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$9,433
State:	$22,644

Average Total Payments

This Hospital:	$5,141
State:	$6,089

Number of discharges: 33

Here:	4.35%
State:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$15,206
State:	$35,549

Average Total Payments

This Hospital:	$7,168
Kansas:	$9,051

Number of discharges: 24

This Hospital:	3.16%
Kansas:	2.09%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$8,476
Kansas:	$15,099

Average Total Payments

This Hospital:	$3,435
State:	$4,239

Number of discharges: 16

Here:	2.11%
Kansas:	1.07%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$12,182
Kansas:	$29,537

Average Total Payments

Here:	$5,959
Kansas:	$7,024

Number of discharges: 21

Here:	2.77%
Kansas:	1.48%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$13,562
Kansas:	$45,431

Average Total Payments

This Hospital:	$8,599
Kansas:	$11,403

Number of discharges: 11

This Hospital:	1.45%
State:	0.84%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$9,045
Kansas:	$22,692

Average Total Payments

Here:	$4,089
State:	$5,073

Number of discharges: 11

Here:	1.45%
State:	0.69%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$15,620
State:	$25,881

Average Total Payments

This Hospital:	$5,963
Kansas:	$6,914

Number of discharges: 18

Here:	2.37%
Kansas:	0.56%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$9,981
State:	$16,445

Average Total Payments

This Hospital:	$3,999
Kansas:	$4,727

Number of discharges: 29

Here:	3.82%
State:	2.56%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

This Hospital:	$10,885
Kansas:	$26,289

Average Total Payments

This Hospital:	$5,824
State:	$7,050

Number of discharges: 13

Here:	1.71%
State:	0.69%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$7,954
Kansas:	$15,554

Average Total Payments

Here:	$3,504
State:	$4,223

Number of discharges: 41

Here:	5.40%
State:	2.74%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$17,880
Kansas:	$44,665

Average Total Payments

Here:	$8,867
State:	$11,815

Number of discharges: 14

Here:	1.84%
Kansas:	0.56%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$10,858
Kansas:	$21,131

Average Total Payments

Here:	$4,786
State:	$5,829

Number of discharges: 12

This Hospital:	1.58%
State:	0.46%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$18,168
State:	$32,652

Average Total Payments

This Hospital:	$6,521
Kansas:	$8,167

Number of discharges: 21

Here:	2.77%
State:	1.70%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$9,745
State:	$23,627

Average Total Payments

Here:	$5,231
State:	$6,288

Number of discharges: 14

This Hospital:	1.84%
Kansas:	2.38%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$16,947
Kansas:	$28,656

Average Total Payments

This Hospital:	$7,346
Kansas:	$8,935

Number of discharges: 59

This Hospital:	7.77%
State:	0.89%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$17,824
State:	$45,641

Average Total Payments

This Hospital:	$10,020
State:	$12,322

Number of discharges: 39

This Hospital:	5.14%
State:	0.87%

Seizures without Major Complications

Average Covered Charges

Here:	$8,725
State:	$21,637

Average Total Payments

This Hospital:	$3,892
Kansas:	$4,798

Number of discharges: 11

Here:	1.45%
State:	0.53%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

This Hospital:	$17,024
Kansas:	$45,243

Average Total Payments

This Hospital:	$9,499
State:	$12,022

Number of discharges: 51

This Hospital:	6.72%
Kansas:	4.77%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

Here:	$13,940
Kansas:	$26,317

Average Total Payments

This Hospital:	$5,801
Kansas:	$7,019

Number of discharges: 21

This Hospital:	2.77%
Kansas:	1.80%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$11,525
State:	$22,493

Average Total Payments

Here:	$5,142
State:	$6,338

Number of discharges: 52

Here:	6.85%
State:	3.39%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$15,077
State:	$35,857

Average Total Payments

This Hospital:	$7,295
State:	$9,219

Number of discharges: 35

Here:	4.61%
State:	1.96%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$9,573
State:	$16,144

Average Total Payments

This Hospital:	$3,623
Kansas:	$4,432

Number of discharges: 14

This Hospital:	1.84%
State:	1.39%

Spinal Fusion Except Cervical without Major Complications

Average Covered Charges

This Hospital:	$32,277
Kansas:	$79,547

Average Total Payments

This Hospital:	$19,772
State:	$23,388

Number of discharges: 15

This Hospital:	1.98%
Kansas:	1.46%

Complaint Deficiency

Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Hospital Acquired Conditions

Falls and injuries

Here:	1.710%
Kansas:	1.001%

Infection from a Urinary Catheter

Here:	1.026%
Kansas:	0.951%

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain

Here:	40.9%
State:	23.4%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.6%
State:	1.9%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	94.1%
Kansas:	87.0%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	89.0%
Kansas:	83.3%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	1.3%
State:	2.8%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	47.400%
Kansas:	38.255%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	10.400%
State:	7.702%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.116%
Kansas:	0.305%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	9.300%
Kansas:	5.166%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 26%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
Kansas:	3%

Usually

This Hospital:	18%
State:	17%

Always

This Hospital:	76%
Kansas:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
State:	3%

Usually

This Hospital:	13%
Kansas:	14%

Always

This Hospital:	81%
Kansas:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
Kansas:	6%

Usually

This Hospital:	25%
State:	24%

Always

Here:	64%
Kansas:	70%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
State:	5%

Usually

Here:	27%
State:	24%

Always

This Hospital:	65%
State:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	23%
Kansas:	17%

Usually

Here:	22%
Kansas:	19%

Always

Here:	55%
Kansas:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Hospital:	9%
Kansas:	7%

Usually

Here:	21%
Kansas:	18%

Always

Here:	70%
Kansas:	75%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

Here:	11%
State:	7%

Usually

Here:	36%
State:	28%

Always

Here:	53%
Kansas:	65%

Were patients given information about what to do during their recovery at home?

Yes

Here:	78%
Kansas:	85%

This Hospital:	22%
Kansas:	15%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	11%
Kansas:	6%

7 or 8

This Hospital:	27%
State:	20%

9 or 10

Here:	62%
Kansas:	74%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
Kansas:	3%

Yes, probably

Here:	33%
Kansas:	21%

Yes, definitely

This Hospital:	59%
State:	76%

COFFEYVILLE REGIONAL MEDICAL CENTER - COFFEYVILLE, KS

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Complaint Deficiency

Hospital Acquired Conditions

Quality Measures

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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