PERFORMANCE AT MT SAN RAFAEL HOSPITAL
Critical Access Hospital in Trinidad, CO 81082
Performance: Timely and Effective Care - Process of Care Measures
MT SAN RAFAEL HOSPITAL
410 Benedicta Avenue Trinidad, CO 81082
Phone: (719) 846-9213
The measures of timely and effective care at Mt San Rafael 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 52 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 243. 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, 3] A lower time before admission is better. |
| Transfer Time | 1 hour 21 minutes Measure: Transfer Time This emergency department measure is based on a sample size of 67. 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, 3] A lower transfer time is better. |
Heart Failure Care
The adequate treatment for heart failure patients depends on the area of heart affected. The "evaluation of the left ventricular systolic function" is a test that helps health providers determine whether the left side of the heart is pumping properly.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Evaluation of Left Ventricular Function | 12% Measure: Evaluation of Left Ventricular Function This heart failure measure is based on a sample size of 17. Sample data was collected between 04/01/2014 and 03/31/2015 | Heart failure patients given an evaluation of Left Ventricular Systolic (LVS) function. This evaluation can tell your doctor whether the left side of your heart is pumping properly. [2, 3] A higher percentage of LVS evaluation 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) | 60% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 20. 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. [2, 3] 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.