UNICOI COUNTY MEMORIAL HOSPITAL (ERWIN, TN) Detailed Hospital Profile

Quality Measures

Percent of long-stay residents who lose too much weight

This Hospital:	7.1%
State:	8.2%

Percent of long-stay residents with a urinary tract infection

Here:	4.8%
Tennessee:	8.6%

Percent of long-stay residents experiencing one or more falls with major injury

This Hospital:	2.4%
State:	3.5%

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

Here:	97.6%
Tennessee:	95.8%

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

Here:	100.0%
State:	92.9%

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

This Hospital:	36.4%
State:	21.3%

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

Here:	5.6%
State:	1.5%

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

This Hospital:	88.9%
Tennessee:	86.6%

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

This Hospital:	93.1%
State:	83.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	14.3%
Tennessee:	29.9%

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

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$8,371
State:	$19,593

Average Total Payments

Here:	$5,100
State:	$5,660

Number of discharges: 11

This Hospital:	2.75%
State:	2.47%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$6,952
Tennessee:	$23,923

Average Total Payments

Here:	$6,479
State:	$7,037

Number of discharges: 15

Here:	3.75%
Tennessee:	2.65%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$4,436
State:	$14,972

Average Total Payments

Here:	$3,944
State:	$4,309

Number of discharges: 38

Here:	9.50%
Tennessee:	2.17%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$5,137
Tennessee:	$16,359

Average Total Payments

Here:	$3,944
State:	$4,325

Number of discharges: 36

This Hospital:	9.00%
State:	3.25%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$5,118
Tennessee:	$19,150

Average Total Payments

Here:	$4,989
State:	$6,090

Number of discharges: 13

This Hospital:	3.25%
State:	3.17%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$11,795
State:	$29,962

Average Total Payments

Here:	$7,808
Tennessee:	$8,869

Number of discharges: 11

Here:	2.75%
State:	2.69%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$14,159
State:	$42,601

Average Total Payments

This Hospital:	$10,203
Tennessee:	$11,072

Number of discharges: 12

This Hospital:	3.00%
Tennessee:	1.11%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$5,163
State:	$15,485

Average Total Payments

Here:	$4,264
State:	$4,583

Number of discharges: 43

This Hospital:	10.75%
State:	3.34%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$20,832
State:	$48,672

Average Total Payments

This Hospital:	$11,336
Tennessee:	$13,186

Number of discharges: 33

This Hospital:	8.25%
State:	5.32%

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

Average Covered Charges

Here:	$4,214
State:	$14,272

Average Total Payments

This Hospital:	$3,679
Tennessee:	$4,148

Number of discharges: 11

This Hospital:	2.75%
Tennessee:	2.15%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$9,721
State:	$26,754

Average Total Payments

Here:	$7,012
State:	$7,625

Number of discharges: 24

Here:	6.00%
State:	1.78%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$11,804
Tennessee:	$27,845

Average Total Payments

This Hospital:	$8,030
Tennessee:	$8,368

Number of discharges: 22

Here:	5.50%
Tennessee:	0.93%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$15,957
State:	$40,945

Average Total Payments

This Hospital:	$10,980
Tennessee:	$11,818

Number of discharges: 18

Here:	4.50%
State:	1.09%

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

Average Covered Charges

This Hospital:	$14,739
Tennessee:	$38,065

Average Total Payments

Here:	$10,091
Tennessee:	$11,398

Number of discharges: 21

This Hospital:	5.25%
Tennessee:	4.50%

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

Average Covered Charges

Here:	$8,990
State:	$21,763

Average Total Payments

This Hospital:	$5,809
Tennessee:	$6,717

Number of discharges: 11

Here:	2.75%
Tennessee:	1.42%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$7,927
Tennessee:	$20,741

Average Total Payments

This Hospital:	$5,489
Tennessee:	$5,942

Number of discharges: 31

Here:	7.75%
Tennessee:	3.38%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$9,650
State:	$30,931

Average Total Payments

Here:	$7,777
Tennessee:	$8,698

Number of discharges: 19

Here:	4.75%
Tennessee:	2.30%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$6,151
State:	$15,203

Average Total Payments

This Hospital:	$3,924
Tennessee:	$4,222

Number of discharges: 18

This Hospital:	4.50%
State:	1.35%

Syncope and Collapse

Average Covered Charges

Here:	$4,466
State:	$17,657

Average Total Payments

Here:	$3,926
Tennessee:	$4,362

Number of discharges: 13

This Hospital:	3.25%
Tennessee:	1.51%

Process of Care

Heart Attack

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

This Hospital:	7
State:	6

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

This Hospital:	99.0%
State:	96.4%

Heart Failure

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

This Hospital:	81.0%
State:	98.6%

Percent of Patients Given Discharge Instructions

Here:	75.0%
Tennessee:	91.6%

Pneumonia

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

Here:	97.0%
Tennessee:	96.9%

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

This Hospital:	94.0%
State:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	94.0%
Tennessee:	99.0%

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

Here:	90.0%
State:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	90.0%
State:	95.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	84.0%
State:	97.2%

Surgery

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

Here:	100.0%
State:	98.5%

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

This Hospital:	100.0%
State:	96.4%

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

This Hospital:	99.0%
State:	98.3%

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

Here:	99.0%
Tennessee:	96.6%

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

This Hospital:	100.0%
Tennessee:	97.6%

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

This Hospital:	100.0%
State:	99.9%

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

This Hospital:	98.0%
State:	92.9%

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

Here:	100.0%
Tennessee:	96.1%

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

Here:	94.0%
Tennessee:	97.0%

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

This Hospital:	88.0%
State:	96.3%

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

This Hospital:	100.0%
Tennessee:	99.8%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Hospital:	11.5%
State:	11.7%

30-Day Mortality Rates from Pneumonia

Here:	8.7%
State:	12.4%

30-Day Readmission Rates from Heart Failure

Here:	24.2%
State:	25.0%

30-Day Readmission Rates from Pneumonia

Here:	21.1%
State:	19.3%

Use of Medical Imaging

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

This Hospital:	8.900%
State:	8.346%

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

This Hospital:	0.194%
State:	0.170%

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

This Hospital:	0.187%
Tennessee:	0.080%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- 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
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- 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
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
State:	5%

Usually

Here:	14%
State:	16%

Always

Here:	80%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	3%
State:	4%

Usually

This Hospital:	9%
State:	13%

Always

Here:	88%
Tennessee:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	13%
State:	10%

Usually

Here:	22%
State:	23%

Always

This Hospital:	65%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	10%
Tennessee:	7%

Usually

Here:	22%
Tennessee:	22%

Always

This Hospital:	68%
Tennessee:	71%

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

Sometimes or never

Here:	25%
State:	21%

Usually

Here:	17%
State:	16%

Always

Here:	58%
Tennessee:	63%

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

Sometimes or never

Here:	8%
State:	10%

Usually

This Hospital:	19%
Tennessee:	18%

Always

This Hospital:	73%
State:	72%

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

Sometimes or never

Here:	8%
Tennessee:	8%

Usually

This Hospital:	27%
Tennessee:	26%

Always

Here:	65%
Tennessee:	66%

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

Yes

Here:	80%
Tennessee:	82%

This Hospital:	20%
Tennessee:	18%

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

6 or lower

Here:	10%
Tennessee:	9%

7 or 8

This Hospital:	20%
Tennessee:	23%

9 or 10

Here:	70%
State:	68%

Would patients recommend the hospital to friends and family?

This Hospital:	6%
State:	6%

Yes, probably

This Hospital:	19%
State:	25%

Yes, definitely

This Hospital:	75%
State:	69%

UNICOI COUNTY MEMORIAL HOSPITAL - ERWIN, TN

Quality Measures

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

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