MCALESTER REGIONAL HEALTH CENTER (MCALESTER, OK) Detailed Hospital Profile

Complaint Deficiency

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.677%
State:	1.316%

Blood infection from a catheter in a large vein

Here:	0.226%
Oklahoma:	0.522%

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

This Hospital:	7%
Oklahoma:	5%

Usually

This Hospital:	18%
Oklahoma:	17%

Always

Here:	75%
Oklahoma:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
Oklahoma:	4%

Usually

This Hospital:	15%
Oklahoma:	12%

Always

Here:	78%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	10%
Oklahoma:	8%

Usually

This Hospital:	24%
State:	23%

Always

Here:	66%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
Oklahoma:	6%

Usually

Here:	23%
State:	22%

Always

This Hospital:	68%
State:	72%

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

Sometimes or never

Here:	23%
Oklahoma:	19%

Usually

This Hospital:	16%
State:	18%

Always

Here:	61%
State:	63%

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

Sometimes or never

Here:	12%
State:	9%

Usually

Here:	20%
Oklahoma:	18%

Always

Here:	68%
State:	73%

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

Sometimes or never

Here:	14%
Oklahoma:	7%

Usually

Here:	32%
Oklahoma:	26%

Always

Here:	54%
State:	67%

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

Yes

Here:	79%
State:	82%

Here:	21%
Oklahoma:	18%

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

6 or lower

This Hospital:	16%
Oklahoma:	9%

7 or 8

Here:	29%
State:	20%

9 or 10

This Hospital:	55%
State:	71%

Would patients recommend the hospital to friends and family?

This Hospital:	10%
Oklahoma:	5%

Yes, probably

Here:	39%
State:	25%

Yes, definitely

Here:	51%
Oklahoma:	70%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$20,153
State:	$27,055

Average Total Payments

Here:	$6,076
State:	$7,067

Number of discharges: 13

Here:	0.88%
Oklahoma:	0.58%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$25,672
State:	$41,728

Average Total Payments

This Hospital:	$7,728
Oklahoma:	$11,350

Number of discharges: 19

Here:	1.28%
State:	0.70%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

This Hospital:	$15,496
Oklahoma:	$22,094

Average Total Payments

Here:	$4,390
Oklahoma:	$5,019

Number of discharges: 12

This Hospital:	0.81%
Oklahoma:	0.28%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$13,656
State:	$12,446

Average Total Payments

Here:	$3,269
Oklahoma:	$3,605

Number of discharges: 16

Here:	1.08%
Oklahoma:	0.73%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$14,536
State:	$16,526

Average Total Payments

This Hospital:	$4,703
State:	$5,110

Number of discharges: 20

This Hospital:	1.35%
State:	1.24%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$21,865
State:	$26,832

Average Total Payments

Here:	$6,919
Oklahoma:	$7,697

Number of discharges: 20

Here:	1.35%
Oklahoma:	0.80%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$11,384
State:	$11,452

Average Total Payments

Here:	$3,385
State:	$3,510

Number of discharges: 20

Here:	1.35%
State:	1.43%

Cellulitis without Major Complications

Average Covered Charges

Here:	$11,437
State:	$17,175

Average Total Payments

This Hospital:	$4,748
Oklahoma:	$5,201

Number of discharges: 31

This Hospital:	2.09%
Oklahoma:	1.61%

Chest Pain

Average Covered Charges

This Hospital:	$11,180
Oklahoma:	$12,122

Average Total Payments

This Hospital:	$3,084
Oklahoma:	$3,337

Number of discharges: 14

This Hospital:	0.95%
Oklahoma:	2.17%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$13,097
Oklahoma:	$20,357

Average Total Payments

Here:	$5,155
Oklahoma:	$5,990

Number of discharges: 20

Here:	1.35%
State:	2.45%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$15,372
Oklahoma:	$25,875

Average Total Payments

This Hospital:	$5,955
Oklahoma:	$7,437

Number of discharges: 40

Here:	2.70%
Oklahoma:	2.40%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$13,007
Oklahoma:	$15,888

Average Total Payments

Here:	$3,988
Oklahoma:	$4,495

Number of discharges: 27

Here:	1.82%
State:	2.26%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

This Hospital:	$23,330
State:	$31,024

Average Total Payments

This Hospital:	$5,803
State:	$6,704

Number of discharges: 12

This Hospital:	0.81%
Oklahoma:	2.01%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$14,169
State:	$16,855

Average Total Payments

Here:	$4,014
State:	$4,488

Number of discharges: 45

This Hospital:	3.04%
State:	3.38%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$19,424
Oklahoma:	$21,776

Average Total Payments

This Hospital:	$5,812
Oklahoma:	$6,317

Number of discharges: 35

This Hospital:	2.36%
Oklahoma:	1.80%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$16,075
State:	$20,023

Average Total Payments

This Hospital:	$5,404
State:	$6,322

Number of discharges: 26

Here:	1.76%
Oklahoma:	3.05%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$27,416
Oklahoma:	$31,963

Average Total Payments

This Hospital:	$7,889
State:	$9,065

Number of discharges: 28

Here:	1.89%
State:	2.05%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$13,020
State:	$13,984

Average Total Payments

Here:	$3,778
State:	$4,278

Number of discharges: 16

This Hospital:	1.08%
State:	1.13%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$31,193
Oklahoma:	$41,456

Average Total Payments

This Hospital:	$10,236
State:	$11,190

Number of discharges: 40

Here:	2.70%
Oklahoma:	1.29%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

Here:	$49,750
Oklahoma:	$70,086

Average Total Payments

Here:	$16,975
Oklahoma:	$18,961

Number of discharges: 12

Here:	0.81%
Oklahoma:	0.20%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

This Hospital:	$26,312
State:	$33,350

Average Total Payments

This Hospital:	$8,773
Oklahoma:	$9,080

Number of discharges: 33

This Hospital:	2.23%
State:	0.33%

Hypertension without Major Complications

Average Covered Charges

This Hospital:	$13,608
Oklahoma:	$13,600

Average Total Payments

Here:	$3,442
Oklahoma:	$3,834

Number of discharges: 15

This Hospital:	1.01%
State:	0.33%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

Here:	$63,516
State:	$140,242

Average Total Payments

This Hospital:	$24,792
State:	$39,857

Number of discharges: 11

Here:	0.74%
Oklahoma:	0.50%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$22,143
State:	$24,876

Average Total Payments

Here:	$6,245
State:	$7,097

Number of discharges: 21

This Hospital:	1.42%
Oklahoma:	1.56%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$12,193
Oklahoma:	$19,019

Average Total Payments

This Hospital:	$4,597
State:	$5,139

Number of discharges: 11

Here:	0.74%
State:	0.73%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$10,765
Oklahoma:	$15,496

Average Total Payments

Here:	$4,293
Oklahoma:	$4,767

Number of discharges: 15

Here:	1.01%
State:	3.05%

Major Joint Replacement or Reattachment of Lower Extremity with Major Complications

Average Covered Charges

This Hospital:	$54,796
State:	$78,940

Average Total Payments

Here:	$15,968
Oklahoma:	$21,408

Number of discharges: 12

Here:	0.81%
State:	0.27%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$42,442
Oklahoma:	$42,672

Average Total Payments

This Hospital:	$11,685
Oklahoma:	$12,472

Number of discharges: 188

Here:	12.70%
State:	7.22%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

This Hospital:	$60,149
Oklahoma:	$126,296

Average Total Payments

Here:	$25,280
State:	$35,277

Number of discharges: 14

Here:	0.95%
State:	0.59%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$11,982
State:	$18,839

Average Total Payments

This Hospital:	$4,407
State:	$5,036

Number of discharges: 11

Here:	0.74%
Oklahoma:	0.61%

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

Average Covered Charges

This Hospital:	$16,448
Oklahoma:	$25,050

Average Total Payments

This Hospital:	$6,081
Oklahoma:	$7,299

Number of discharges: 12

Here:	0.81%
Oklahoma:	0.72%

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

Average Covered Charges

This Hospital:	$12,243
Oklahoma:	$12,842

Average Total Payments

Here:	$3,786
Oklahoma:	$4,286

Number of discharges: 38

Here:	2.57%
State:	2.85%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

This Hospital:	$9,935
State:	$14,606

Average Total Payments

Here:	$3,441
Oklahoma:	$3,931

Number of discharges: 13

This Hospital:	0.88%
Oklahoma:	0.57%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$16,578
State:	$31,124

Average Total Payments

This Hospital:	$7,183
Oklahoma:	$8,287

Number of discharges: 43

This Hospital:	2.91%
State:	1.13%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$18,302
Oklahoma:	$22,991

Average Total Payments

This Hospital:	$5,660
Oklahoma:	$6,560

Number of discharges: 12

Here:	0.81%
Oklahoma:	0.42%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$17,497
Oklahoma:	$16,293

Average Total Payments

Here:	$4,462
Oklahoma:	$4,894

Number of discharges: 14

This Hospital:	0.95%
Oklahoma:	1.35%

Renal Failure with Complications

Average Covered Charges

Here:	$12,590
State:	$21,220

Average Total Payments

Here:	$5,431
Oklahoma:	$6,390

Number of discharges: 29

Here:	1.96%
State:	2.07%

Renal Failure with Major Complications

Average Covered Charges

Here:	$26,314
State:	$37,957

Average Total Payments

This Hospital:	$8,854
State:	$10,607

Number of discharges: 26

Here:	1.76%
State:	1.27%

Renal Failure without Complications

Average Covered Charges

Here:	$11,181
State:	$15,059

Average Total Payments

This Hospital:	$3,694
State:	$4,110

Number of discharges: 15

This Hospital:	1.01%
State:	0.36%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$19,903
Oklahoma:	$32,845

Average Total Payments

Here:	$7,827
State:	$8,930

Number of discharges: 15

Here:	1.01%
State:	0.90%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$26,164
State:	$49,098

Average Total Payments

This Hospital:	$11,113
Oklahoma:	$12,613

Number of discharges: 18

Here:	1.22%
Oklahoma:	0.79%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$28,954
Oklahoma:	$54,370

Average Total Payments

Here:	$12,024
State:	$14,604

Number of discharges: 23

Here:	1.55%
State:	1.03%

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

Average Covered Charges

Here:	$23,339
Oklahoma:	$41,402

Average Total Payments

This Hospital:	$10,027
State:	$11,891

Number of discharges: 210

Here:	14.19%
Oklahoma:	5.07%

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

Average Covered Charges

Here:	$16,624
Oklahoma:	$22,255

Average Total Payments

Here:	$6,182
Oklahoma:	$6,900

Number of discharges: 85

This Hospital:	5.74%
State:	1.64%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$14,413
Oklahoma:	$21,487

Average Total Payments

Here:	$5,515
State:	$6,233

Number of discharges: 54

This Hospital:	3.65%
State:	3.70%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$20,480
Oklahoma:	$35,577

Average Total Payments

Here:	$7,878
State:	$9,209

Number of discharges: 53

Here:	3.58%
Oklahoma:	1.76%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$11,409
Oklahoma:	$15,517

Average Total Payments

Here:	$3,802
State:	$4,406

Number of discharges: 23

Here:	1.55%
State:	1.59%

Quality Measures

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

Here:	33.8%
Oklahoma:	29.5%

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

This Hospital:	0.8%
State:	2.5%

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

Here:	95.3%
Oklahoma:	85.9%

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

Here:	98.8%
State:	77.9%

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

Here:	1.1%
Oklahoma:	3.4%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	91.0%
State:	99.0%

Percent of Patients Given Aspirin at Discharge

This Hospital:	73.0%
Oklahoma:	99.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	89.0%
Oklahoma:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Oklahoma:	100.0%

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

Here:	10
Oklahoma:	9

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

This Hospital:	94.0%
State:	95.7%

Patients Given a Prescription for a Statin at Discharge

Here:	95.0%
Oklahoma:	97.4%

Heart Failure

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

Here:	89.0%
Oklahoma:	96.0%

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

Here:	67.0%
Oklahoma:	94.9%

Percent of Patients Given Discharge Instructions

Here:	75.0%
Oklahoma:	88.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	85.0%
State:	98.5%

Pneumonia

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

Here:	95.0%
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:	97.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	91.0%
Oklahoma:	96.5%

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

Here:	96.0%
Oklahoma:	92.1%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	84.0%
Oklahoma:	92.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	88.0%
State:	92.6%

Surgery

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

This Hospital:	98.0%
Oklahoma:	97.7%

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

This Hospital:	99.0%
Oklahoma:	96.8%

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

This Hospital:	98.0%
State:	98.2%

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

This Hospital:	96.0%
State:	96.1%

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

Here:	98.0%
Oklahoma:	97.3%

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

Here:	100.0%
State:	99.8%

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

Here:	98.0%
State:	90.6%

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

Here:	100.0%
Oklahoma:	95.5%

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

This Hospital:	75.0%
Oklahoma:	97.0%

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

Here:	88.0%
Oklahoma:	96.7%

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

Here:	99.0%
Oklahoma:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	16.0%
State:	15.4%

30-Day Mortality Rates from Heart Failure

This Hospital:	13.9%
State:	11.8%

30-Day Mortality Rates from Pneumonia

Here:	12.5%
Oklahoma:	12.5%

30-Day Readmission Rates from Heart Attack

Here:	19.9%
Oklahoma:	19.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	26.4%
Oklahoma:	25.1%

30-Day Readmission Rates from Pneumonia

Here:	17.0%
Oklahoma:	18.6%

Use of Medical Imaging

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

This Hospital:	40.900%
Oklahoma:	39.053%

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

Here:	12.800%
State:	7.948%

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

This Hospital:	0.433%
State:	0.301%

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

Here:	0.013%
Oklahoma:	0.092%

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

This Hospital:	3.400%
Oklahoma:	4.718%

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

Here:	2.600%
Oklahoma:	2.081%

MCALESTER REGIONAL HEALTH CENTER - MCALESTER, OK

Complaint Deficiency

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

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

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

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