J ARTHUR DOSHER MEM HOSP (SOUTHPORT, NC) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents who lose too much weight

Here:	12.9%
State:	8.7%

Percent of long-stay residents with a urinary tract infection

Here:	9.7%
North Carolina:	8.1%

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

This Nursing Home:	100.0%
North Carolina:	94.9%

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

Here:	100.0%
North Carolina:	96.5%

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

This Nursing Home:	3.8%
State:	1.4%

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

This Nursing Home:	100.0%
North Carolina:	88.7%

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

This Nursing Home:	100.0%
State:	87.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	15.6%
State:	21.0%

Process of Care

Heart Attack

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

Here:	9
North Carolina:	8

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

This Nursing Home:	97.0%
North Carolina:	96.2%

Heart Failure

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

Here:	96.0%
North Carolina:	99.5%

Percent of Patients Given Discharge Instructions

Here:	59.0%
North Carolina:	93.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	91.0%
State:	99.7%

Pneumonia

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

Here:	98.0%
North Carolina:	95.8%

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

Here:	93.0%
North Carolina:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	86.0%
State:	99.3%

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

Here:	83.0%
North Carolina:	95.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	93.0%
State:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
North Carolina:	97.2%

Surgery

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

Here:	98.0%
North Carolina:	98.8%

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

This Nursing Home:	99.0%
North Carolina:	97.7%

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

Here:	99.0%
State:	99.0%

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

Here:	78.0%
North Carolina:	97.5%

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

This Nursing Home:	77.0%
North Carolina:	98.4%

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

Here:	98.0%
State:	99.9%

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

Here:	100.0%
State:	96.0%

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

This Nursing Home:	76.0%
State:	97.6%

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

This Nursing Home:	100.0%
State:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.8%
State:	11.5%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	12.9%
North Carolina:	12.5%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.9%
State:	24.1%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.8%
State:	18.8%

Complaint Deficiency

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- 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: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.910
North Carolina:	0.671

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.910
North Carolina:	0.848

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.820
North Carolina:	1.518

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.100
North Carolina:	0.086

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.100
State:	0.088

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 39%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	4%
State:	4%

Usually

This Nursing Home:	17%
State:	16%

Always

This Nursing Home:	79%
North Carolina:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	4%

Usually

This Nursing Home:	15%
State:	13%

Always

Here:	83%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	7%
North Carolina:	9%

Usually

This Nursing Home:	21%
State:	24%

Always

Here:	72%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	5%
State:	7%

Usually

This Nursing Home:	18%
State:	22%

Always

This Nursing Home:	77%
North Carolina:	71%

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

Sometimes or never

This Nursing Home:	21%
North Carolina:	19%

Usually

This Nursing Home:	16%
State:	16%

Always

This Nursing Home:	63%
State:	65%

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

Sometimes or never

Here:	7%
North Carolina:	10%

Usually

This Nursing Home:	18%
State:	19%

Always

This Nursing Home:	75%
State:	71%

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

Sometimes or never

This Nursing Home:	7%
State:	9%

Usually

This Nursing Home:	34%
State:	28%

Always

This Nursing Home:	59%
State:	63%

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

Yes

Here:	81%
State:	84%

Here:	19%
North Carolina:	16%

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

6 or lower

This Nursing Home:	8%
North Carolina:	7%

7 or 8

This Nursing Home:	20%
North Carolina:	23%

9 or 10

Here:	72%
State:	70%

Would patients recommend the hospital to friends and family?

This Nursing Home:	5%
North Carolina:	5%

Yes, probably

This Nursing Home:	24%
North Carolina:	24%

Yes, definitely

This Nursing Home:	71%
State:	71%

Use of Medical Imaging

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

This Nursing Home:	35.500%
North Carolina:	33.381%

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

Here:	5.900%
State:	8.387%

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

Here:	0.061%
State:	0.085%

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

Here:	6.800%
North Carolina:	5.566%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Nursing Home:	2.000%
State:	2.465%

J ARTHUR DOSHER MEM HOSP - SOUTHPORT, NC

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Staff Information

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

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