ST FRANCIS HOSPITAL (CHARLESTON, WV) Detailed Hospital Profile

Quality Measures

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

This Hospital:	24.6%
West Virginia:	25.2%

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

Here:	2.6%
West Virginia:	2.0%

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

Here:	100.0%
State:	86.0%

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

This Hospital:	98.3%
State:	85.4%

Use of Medical Imaging

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

Here:	27.400%
West Virginia:	42.623%

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

Here:	8.300%
West Virginia:	8.958%

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

Here:	0.011%
State:	0.275%

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

This Hospital:	0.011%
State:	0.071%

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

Here:	7.500%
State:	3.183%

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$9,386
West Virginia:	$12,030

Average Total Payments

This Hospital:	$4,594
State:	$5,051

Number of discharges: 23

This Hospital:	2.58%
West Virginia:	1.55%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$5,737
State:	$9,955

Average Total Payments

Here:	$4,291
State:	$4,934

Number of discharges: 25

This Hospital:	2.81%
State:	2.14%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$9,452
State:	$12,902

Average Total Payments

Here:	$5,174
West Virginia:	$5,791

Number of discharges: 44

This Hospital:	4.94%
West Virginia:	3.65%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$8,800
West Virginia:	$16,204

Average Total Payments

Here:	$6,193
West Virginia:	$7,123

Number of discharges: 47

Here:	5.27%
State:	3.14%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$7,318
State:	$9,702

Average Total Payments

Here:	$3,741
State:	$4,286

Number of discharges: 13

Here:	1.46%
State:	3.30%

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

Average Covered Charges

This Hospital:	$16,336
State:	$18,767

Average Total Payments

This Hospital:	$5,540
State:	$6,630

Number of discharges: 45

Here:	5.05%
State:	1.98%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$8,565
State:	$11,121

Average Total Payments

This Hospital:	$3,781
State:	$4,399

Number of discharges: 40

Here:	4.49%
West Virginia:	3.99%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$12,435
State:	$15,574

Average Total Payments

Here:	$5,350
West Virginia:	$6,146

Number of discharges: 32

Here:	3.59%
State:	1.88%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$10,457
West Virginia:	$13,518

Average Total Payments

This Hospital:	$5,358
West Virginia:	$6,064

Number of discharges: 36

This Hospital:	4.04%
State:	3.11%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$14,316
West Virginia:	$20,887

Average Total Payments

This Hospital:	$7,891
West Virginia:	$8,936

Number of discharges: 28

This Hospital:	3.14%
West Virginia:	2.50%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$9,535
State:	$10,257

Average Total Payments

Here:	$4,120
State:	$4,701

Number of discharges: 31

Here:	3.48%
State:	3.45%

Major Joint Replacement or Reattachment of Lower Extremity with Major Complications

Average Covered Charges

Here:	$47,360
State:	$46,456

Average Total Payments

This Hospital:	$17,493
State:	$19,440

Number of discharges: 11

Here:	1.23%
State:	0.15%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$40,884
West Virginia:	$33,555

Average Total Payments

Here:	$11,607
State:	$12,548

Number of discharges: 250

This Hospital:	28.06%
West Virginia:	4.22%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$7,437
State:	$12,767

Average Total Payments

Here:	$4,421
State:	$5,026

Number of discharges: 17

Here:	1.91%
State:	0.85%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$10,052
West Virginia:	$18,551

Average Total Payments

Here:	$6,830
State:	$7,863

Number of discharges: 37

Here:	4.15%
West Virginia:	1.77%

Renal Failure with Complications

Average Covered Charges

Here:	$9,592
State:	$13,699

Average Total Payments

This Hospital:	$5,062
West Virginia:	$6,153

Number of discharges: 43

Here:	4.83%
State:	2.20%

Renal Failure with Major Complications

Average Covered Charges

Here:	$12,167
State:	$23,118

Average Total Payments

Here:	$8,382
West Virginia:	$10,082

Number of discharges: 39

Here:	4.38%
West Virginia:	1.22%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$20,170
West Virginia:	$36,399

Average Total Payments

This Hospital:	$11,375
State:	$14,359

Number of discharges: 14

This Hospital:	1.57%
State:	1.30%

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

Average Covered Charges

This Hospital:	$13,883
West Virginia:	$30,150

Average Total Payments

Here:	$9,930
West Virginia:	$12,053

Number of discharges: 24

This Hospital:	2.69%
West Virginia:	3.24%

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

Average Covered Charges

This Hospital:	$10,730
State:	$15,708

Average Total Payments

This Hospital:	$6,018
West Virginia:	$6,916

Number of discharges: 12

Here:	1.35%
State:	1.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$9,154
State:	$14,392

Average Total Payments

Here:	$5,235
West Virginia:	$6,029

Number of discharges: 23

This Hospital:	2.58%
State:	3.71%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$11,347
West Virginia:	$21,145

Average Total Payments

This Hospital:	$7,630
State:	$8,863

Number of discharges: 45

Here:	5.05%
West Virginia:	2.15%

Syncope and Collapse

Average Covered Charges

Here:	$11,884
State:	$11,188

Average Total Payments

Here:	$3,747
State:	$4,415

Number of discharges: 12

Here:	1.35%
State:	1.99%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	1.847%
State:	0.833%

Blood infection from a catheter in a large vein

This Hospital:	0.308%
West Virginia:	0.393%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide enough notice before discharging or transferring a resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Potential for minimal harm
- Scope: Many
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- 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: Some
Provide a tasty and well-balanced diet that meets the nutritional needs of each resident
- 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Some
Portable fire extinguishers
- Harm: Potential for minimal harm
- Scope: Some
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	94.0%
West Virginia:	98.6%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
West Virginia:	98.8%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	98.9%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	95.0%
West Virginia:	96.3%

Heart Failure

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

Here:	99.0%
State:	98.4%

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

This Hospital:	94.0%
West Virginia:	95.0%

Percent of Patients Given Discharge Instructions

This Hospital:	97.0%
West Virginia:	91.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
West Virginia:	99.4%

Pneumonia

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

Here:	97.0%
State:	95.2%

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

Here:	91.0%
State:	96.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	97.0%
West Virginia:	98.3%

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

Here:	95.0%
West Virginia:	93.3%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	97.0%
State:	93.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	99.0%
State:	95.7%

Surgery

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

This Hospital:	99.0%
West Virginia:	98.3%

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

Here:	97.0%
State:	96.1%

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

This Hospital:	99.0%
West Virginia:	98.2%

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

Here:	96.0%
State:	95.5%

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

Here:	97.0%
West Virginia:	96.5%

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:	97.0%
West Virginia:	94.5%

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

This Hospital:	95.0%
West Virginia:	95.9%

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

Here:	91.0%
State:	94.8%

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

This Hospital:	72.0%
West Virginia:	93.8%

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

Here:	100.0%
West Virginia:	98.9%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.5%
State:	15.5%

30-Day Mortality Rates from Heart Failure

Here:	12.4%
West Virginia:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.2%
State:	12.3%

30-Day Readmission Rates from Heart Attack

Here:	23.5%
West Virginia:	20.2%

30-Day Readmission Rates from Heart Failure

This Hospital:	22.0%
West Virginia:	25.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.2%
West Virginia:	19.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	7%
State:	6%

Usually

Here:	15%
State:	17%

Always

This Hospital:	78%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
West Virginia:	4%

Usually

This Hospital:	14%
State:	14%

Always

This Hospital:	82%
West Virginia:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	8%
West Virginia:	12%

Usually

This Hospital:	23%
State:	23%

Always

This Hospital:	69%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
State:	8%

Usually

Here:	20%
West Virginia:	23%

Always

Here:	73%
West Virginia:	69%

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

Sometimes or never

This Hospital:	20%
State:	20%

Usually

Here:	17%
West Virginia:	18%

Always

This Hospital:	63%
State:	62%

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

Sometimes or never

Here:	12%
West Virginia:	9%

Usually

Here:	20%
State:	18%

Always

Here:	68%
West Virginia:	73%

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

Sometimes or never

Here:	10%
West Virginia:	13%

Usually

This Hospital:	29%
State:	32%

Always

This Hospital:	61%
State:	55%

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

Yes

Here:	85%
West Virginia:	83%

This Hospital:	15%
West Virginia:	17%

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

6 or lower

Here:	8%
State:	11%

7 or 8

Here:	21%
State:	24%

9 or 10

This Hospital:	71%
State:	65%

Would patients recommend the hospital to friends and family?

Here:	5%
West Virginia:	6%

Yes, probably

This Hospital:	19%
State:	29%

Yes, definitely

This Hospital:	76%
West Virginia:	65%

ST FRANCIS HOSPITAL - CHARLESTON, WV

Quality Measures

Use of Medical Imaging

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

Hospital Acquired Conditions

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

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