PERFORMANCE AT BLUEGRASS COMMUNITY HOSPITAL
Critical Access Hospital in Versailles, KY 40383
Performance: Timely and Effective Care - Process of Care Measures
BLUEGRASS COMMUNITY HOSPITAL
360 Amsden Avenue Versailles, KY 40383
Phone: (859) 879-2300
The measures of timely and effective care at Bluegrass Community Hospital show how rapidly patients received recommended treatments known to get the best results for certain medical conditions. The timely and effective care measures (also known as “process of care” measures) indicate the percentage of patients who received timely treatments for common conditions, serious medical conditions or surgical procedures. These quality measures only apply to patients for whom the recommended treatment would be appropriate.
The data and graphs below compare applicable quality measures with state and national averages. Notice that small differences between different hospitals wont necessary indicate a material difference in the real world.
Emergency Department Care
The emergency department quality measures comprise sample data of all hospitalized inpatients, regardless of diagnosis or clinical condition. The waiting times at different hospitals varies depending on the number of factors including: number of patients seen, staffing levels, hospital efficiency, admitting procedures and the availability of beds for admitted patients.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Time Before Admission | 3 hours 22 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 227. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time spent in the emergency room before patients were admitted to the hospital. [2] A lower time before admission is better. |
| Transfer Time | 49 minutes Measure: Transfer Time This emergency department measure is based on a sample size of 227. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time patients spent in the emergency room, after the doctor admitted them as an inpatient before being taken to their room. [2] A lower transfer time is better. |
Pneumonia Care
Pneumonia is a lung infection that might be by caused by a bacteria or a virus. If the cause of pneumonia is bacterial, hospitals will treat the infection with the appropriate antibiotics.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Pneumonia Patients given Antibiotic(s) | 93% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 14. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients with pneumonia who received an initial antibiotic regimen during the first 24 hours consistent with current guidelines. [3] A higher percentage is better. |
Preventive Care
Hospitals play a key role in promoting and educating patients about preventive services like immunizations, screenings, treatment, and lifestyle changes the preventive care measures shows how well hospitals are providing preventive services in their communities.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Patients Flu Immunization | 98% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 122. Sample data was collected between 10/01/2014 and 03/31/2015 | Percentage of patients assessed and given influenza vaccination. [2] A higher percentage of vaccinated patients is better. |
| Healthcare Workers Flu Immunization | 60% Measure: Healthcare Workers Flu Immunization This preventive care measure is based on a sample size of 177. Sample data was collected between 10/01/2014 and 03/31/2015 | Healthcare workers given influenza vaccination. A higher percentage of vaccinated workers is better. |
Surgical Care
The surgical care measures show how well hospitals follow the best practices of surgical care that help prevent complications after certain surgeries like colon surgery, hip replacement, knee replacement, hysterectomy, cardiac surgery and vascular surgery.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Antibiotic within 1 Hour | 100% Measure: Antibiotic within 1 Hour This surgical care improvement project measure is based on a sample size of 15. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients who were given an antibiotic within one hour before surgery to help prevent infection. [3] A higher percentage is better. |
| Antibiotic Discontinued After 24 Hours | 100% Measure: Antibiotic Discontinued After 24 Hours This surgical care improvement project measure is based on a sample size of 15. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients whose preventive antibiotics were stopped within 24 hours after surgery. [3] A higher percentage is better. |
| VTE Prophylaxis | 100% Measure: VTE Prophylaxis This surgical care improvement project measure is based on a sample size of 17. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients who got treatment within 24 hours before or after their surgery to help prevent blood clots after certain types of surgery. [3] A higher percentage is better. |
| Antibiotic Selection | 100% Measure: Antibiotic Selection This surgical care improvement project measure is based on a sample size of 15. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients who were given the right kind of antibiotic to help prevent infection. [3] A higher percentage is better. |
| Catheter Removal | 94% Measure: Catheter Removal This surgical care improvement project measure is based on a sample size of 18. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients whose urinary catheters were removed on the first or second day after surgery. [3] A higher percentage is better. |
Blood Clot Care
The blood clot care quality measures show how well hospitals provide the recommended treatments that might prevent or treat blood clots.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Treatment to Prevent Blood Clots | 98% Measure: Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 124. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery. [2] A higher percentage is better. |
- [2] Data submitted were based on a sample of cases/patients.
- [3] Results are based on a shorter time period than required.