HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL - HARLAN, KY

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HARLAN APPALACHIAN REGIONAL HEALTHCARE HOSPITAL
81 BALL PARK ROAD
HARLAN, KY, 40831

Phone (make sure to verify first before calling): (606) 573-8100

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Psychiatric Units

Provided Services

Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 49.00
Registered Professional Nurses : 113.00
Other Salaried Personnel : 308.27
Certified Registered Nurse Anesthetists (CRNA) : 2.00
Dieticians : 2.00
Occupational Therapists : 2.00
Physical Therapists : 2.00
Registered Pharmacists : 4.92
Respiratory Therapists : 1.00
Speech Pathologists Or Audiologists : 3.00
Physicians : 8.00
Medical Social Workers : 2.00

Number Of Beds

Total: 150
Total Certified: 150
Psychiatric Unit Beds: 20

Hospital Acquired Conditions

Falls And Trauma

This Hospital:	0.541%
State:	0.611%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,072

Acute myocardial infarction, discharged alive w MCC: $6,093

Acute myocardial infarction, discharged alive w CC: $7,410

Heart failure and shock w/o CC/MCC: $4,381

Heart failure and shock w MCC: $8,859

Heart failure and shock w CC: $6,109

Chronic obstructive pulmonary disease w/o CC/MCC: $4,401

Chronic obstructive pulmonary disease w MCC: $7,906

Chronic obstructive pulmonary disease w CC: $5,920

Simple pneumonia and pleurisy w MCC: $8,693

Diabetes w MCC: $8,231

Chest Pain: $3,235

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,846

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $15,076

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,049

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $21,947

Major small and large bowel procedures w/o CC/MCC: $9,844

Major small and large bowel procedures w CC: $15,526

Major small and large bowel procedures w MCC: $22,071

Major joint replacement or reattachment of lower extremity w/o MCC: $12,222

Major joint replacement or reattachment of lower extremity w MCC: $19,996

Transurethral prostatectomy w/o CC/MCC: $3,838

Transurethral prostatectomy w CC/MCC: $6,785

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,136

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	71.0%
State:	98.1%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
Kentucky:	98.8%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.3%

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

Here:	15
Kentucky:	7

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	83
State:	79

Median Time to Fibrinolysis

Here:	21
Kentucky:	27

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

This Hospital:	98.0%
Kentucky:	95.2%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

Here:	83
State:	62

Heart Failure

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

Here:	100.0%
State:	96.7%

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

Here:	100.0%
Kentucky:	91.1%

Percent of Patients Given Discharge Instructions

Here:	99.0%
Kentucky:	83.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.4%

Pneumonia

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

This Hospital:	97.0%
State:	95.1%

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

Here:	95.0%
State:	94.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.0%

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

This Hospital:	92.0%
State:	89.6%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	91.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	93.4%

Surgery

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

This Hospital:	97.0%
Kentucky:	96.9%

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

This Hospital:	100.0%
Kentucky:	93.9%

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

This Hospital:	100.0%
Kentucky:	97.7%

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

Here:	100.0%
State:	91.3%

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

This Hospital:	100.0%
Kentucky:	93.9%

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

Here:	100.0%
Kentucky:	99.3%

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

Here:	100.0%
Kentucky:	89.5%

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

This Hospital:	100.0%
Kentucky:	92.6%

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

Here:	94.0%
Kentucky:	91.6%

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

Here:	94.0%
State:	92.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.9%
Kentucky:	15.9%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.1%
Kentucky:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	13.4%
State:	11.3%

30-Day Readmission Rates from Heart Attack

Here:	19.9%
State:	20.2%

30-Day Readmission Rates from Heart Failure

Here:	30.7%
Kentucky:	25.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	21.8%
Kentucky:	19.3%

Use of Medical Imaging

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

This Hospital:	42.300%
Kentucky:	34.989%

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

Here:	8.900%
State:	7.993%

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

This Hospital:	0.424%
Kentucky:	0.169%

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

This Hospital:	0.235%
State:	0.048%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	7%
State:	5%

Usually

This Hospital:	16%
Kentucky:	17%

Always

Here:	77%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	8%
State:	4%

Usually

Here:	13%
State:	13%

Always

Here:	79%
Kentucky:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	12%
State:	10%

Usually

This Hospital:	18%
State:	24%

Always

Here:	70%
Kentucky:	66%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	15%
State:	7%

Usually

This Hospital:	17%
Kentucky:	22%

Always

This Hospital:	68%
Kentucky:	71%

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

Sometimes or never

This Hospital:	25%
Kentucky:	21%

Usually

This Hospital:	14%
Kentucky:	17%

Always

This Hospital:	61%
State:	62%

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

Sometimes or never

This Hospital:	12%
Kentucky:	9%

Usually

Here:	16%
State:	18%

Always

Here:	72%
State:	73%

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

Sometimes or never

This Hospital:	12%
State:	10%

Usually

Here:	25%
State:	29%

Always

Here:	63%
State:	61%

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

Yes

This Hospital:	80%
Kentucky:	82%

Here:	20%
Kentucky:	18%

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

6 or lower

Here:	8%
Kentucky:	8%

7 or 8

Here:	26%
State:	24%

9 or 10

Here:	66%
Kentucky:	68%

Would patients recommend the hospital to friends and family?

Here:	7%
State:	5%

Yes, probably

This Hospital:	31%
Kentucky:	26%

Yes, definitely

Here:	62%
State:	69%

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