Quality Scores

Scores shown are for 4th quarter 2016.

Key PCMH Above State/National Average PCMH Near State/National Average PCMH Below State/National Average

Click on a category below to view statistics.

Quality Measures

Indicator PCMH 4Q16 State
Average
National
Average
Cardiac Care
Aspirin at arrival 100% of 20 patients 95% 95%
Median time to ECG 8 min. based on
20 patients
8 min. 8 min.
Emergency Department
Median time from ED arrival to ED departure for discharged ED patients 98 min. based on
92 patients
98 min. 104 min.
Median time from ED arrival to provider contact for ED patients 8 min. based on
110 patients
15 min. 17 min.
Pain Management
Median time to pain management for long bone fracture 43 min. based on 7 patients 46 min. 46 min.
Immunization
Influenza immunization 89% of 148 patients 89% 85%

Care Transitions Quality Report

Indicator PCMH 1Q17 State
Average
National
Average
Administrative communication 100% 93% 95%
Patient information 100% 97% 95%
Vital signs 100% 98% 94%
Medication information 100% 94% 92%
Practitioner information 100% 96% 94%
Nurse information 98% 96% 89%
Procedures and tests 100% 98% 96%
Composite 98% 83% 78%

Survey of Inpatients About Their Hospital Experience (HCAHPS)

Indicator Star Rating (0 out of 5 PCMH
Average
State
Average
National
Average
Communication with nurses 4 82% 80% 80%
Communication with doctors 4 85% 82% 82%
Responsiveness of hospital staff 4 72% 67% 69%
Pain management 3 67% 70% 71%
Communication about medication 4 71% 63% 65%
Cleanliness of hospital environment 4 81% 73% 75%
Quietness of hospital environment 3 62% 62% 63%
Discharge information 4 91% 87% 87%
Care transition 5 61% 52% 52%
Overall rating of hospital 4 78% 72% 73%
Willingness to recommend this hospital 3 72% 70% 72%

Star rating legend

  • 5 Stars: Excellent
  • 4 Stars: Above average
  • 3 Stars: Average
  • 2 Stars: Below average