HOSPITAL SAN FRANCISCO (SAN JUAN, PR) Detailed Hospital Profile

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	94.1%

Percent of Patients Given Aspirin at Discharge

Here:	94.0%
State:	90.4%

Percent of Patients Given Beta Blocker at Discharge

Here:	86.0%
Puerto Rico:	89.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	82.0%
Puerto Rico:	94.0%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	78.0%
State:	83.8%

Heart Failure

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

This Hospital:	91.0%
Puerto Rico:	92.7%

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

Here:	87.0%
Puerto Rico:	92.1%

Percent of Patients Given Discharge Instructions

Here:	42.0%
State:	84.2%

Pneumonia

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

This Hospital:	65.0%
State:	71.9%

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

Here:	53.0%
State:	78.2%

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

Here:	86.0%
State:	76.4%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	5.0%
State:	58.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	10.0%
Puerto Rico:	54.4%

Surgery

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

Here:	90.0%
Puerto Rico:	84.2%

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

This Hospital:	80.0%
State:	78.5%

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

Here:	90.0%
Puerto Rico:	95.1%

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

This Hospital:	98.0%
State:	81.7%

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

Here:	98.0%
Puerto Rico:	81.6%

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

This Hospital:	99.0%
Puerto Rico:	95.8%

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

Here:	98.0%
State:	88.0%

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

This Hospital:	100.0%
State:	80.5%

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

Here:	100.0%
State:	88.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.1%
Puerto Rico:	12.1%

30-Day Mortality Rates from Pneumonia

Here:	12.9%
State:	15.2%

30-Day Readmission Rates from Heart Failure

Here:	27.2%
State:	26.6%

30-Day Readmission Rates from Pneumonia

Here:	19.1%
State:	20.9%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,517

Acute myocardial infarction, discharged alive w MCC: $8,005

Acute myocardial infarction, discharged alive w CC: $5,138

Heart failure and shock w/o CC/MCC: $2,979

Heart failure and shock w MCC: $5,905

Heart failure and shock w CC: $4,154

Chronic obstructive pulmonary disease w/o CC/MCC: $3,052

Chronic obstructive pulmonary disease w MCC: $5,270

Chronic obstructive pulmonary disease w CC: $3,946

Simple pneumonia and pleurisy w MCC: $6,027

Diabetes w MCC: $5,609

Permanent cardiac pacemaker implant w CC: $10,469

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $4,555

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $9,990

Laparoscopic cholecystectomy w/o c.d.e. w CC: $6,810

Hernia procedures except inguinal and femoral w/o CC/MCC: $3,981

Major small and large bowel procedures w/o CC/MCC: $6,693

Major small and large bowel procedures w CC: $10,764

Major shoulder or elbow joint procedures w/o CC/MCC: $4,506

Major joint replacement or reattachment of lower extremity w/o MCC: $8,446

Revision of hip or knee replacement w/o CC/MCC: $10,107

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $5,947

Transurethral prostatectomy w/o CC/MCC: $2,558

Transurethral prostatectomy w CC/MCC: $4,511

HOSPITAL SAN FRANCISCO - SAN JUAN, PR