PERFORMANCE AT SPEARFISH REGIONAL HOSPITAL
Acute Care Hospital in Spearfish, SD 57783
Performance: Timely and Effective Care - Process of Care Measures
SPEARFISH REGIONAL HOSPITAL
1440 N Main St Spearfish, SD 57783
Phone: (605) 644-4000
The measures of timely and effective care at Spearfish Regional 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 |
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ER Waiting Time | 17 minutes Measure: ER Waiting Time This emergency department measure is based on a sample size of 368. Sample data was collected between 04/01/2014 and 03/31/2015 | Average wait time patients spent in the emergency room before being seen by a doctor. A lower waiting time is better. |
Discharge Time | 1 hour 40 minutes Measure: Discharge Time This emergency department measure is based on a sample size of 460. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time discharged patients spent in the emergency room before being sent home. A lower discharge time is better. |
Time Before Admission | 3 hours 5 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 175. 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 | 56 minutes Measure: Transfer Time This emergency department measure is based on a sample size of 130. 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. |
Broken Bones | 44 minutes Measure: Broken Bones This emergency department measure is based on a sample size of 62. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time patients spent in the emergency room with broken bones before they received pain medication. |
Left Without Being Seen | 1% Measure:
Left Without
Being Seen This emergency department measure is based on a sample size of 8538. Sample data was collected between 01/01/2013 and 12/31/2013 | Percentage of emergency room patients who leave without being seen by a doctor. A lower percentage is better. |
ER Volume | Low (0 - 19,999 patients annually) Measure: ER Volume Sample data was collected between 01/01/2013 and 12/31/2013 | The Emergency Department Volume (EDV) measure is based on the volume of patients seen per year and is provided by the hospital for the Outpatient Quality Reporting Program.
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Heart Attack Care
The heart attack quality measures show how often or how quickly hospitals follow the best practices for the treatment of heart attacks which scientific evidence suggests might get the best results for people with certain common heart conditions.
Measure | Hospital Average | How this Hospital Compares |
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Median Time to Fibrinolysis | 26 minutes Measure: Median Time to Fibrinolysis This heart attack or chest pain measure is based on a sample size of 11. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time from arrival to administration of fibrinolytic therapy in ED patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to ED arrival and prior to transfer. A lower time to fibrinolysis is better. |
Fibrinolytic Therapy Received Within 30 Minutes | 73% Measure: Fibrinolytic Therapy Received Within 30 Minutes This heart attack or chest pain measure is based on a sample size of 11. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients with chest pain or possible heart attack who received fibrinolytic therapy (drugs to break up blood clots) having a time from ER arrival to fibrinolysis of 30 minutes or less. The time to fibrinolytic therapy is a strong predictor of outcome in patients with an acute myocardial infarction. A higher percentage is better. |
Time to ECG | 4 minutes Measure: Time to ECG This heart attack or chest pain measure is based on a sample size of 39. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time from ER arrival to ECG for patients with chest pain or possible heart attack. A lower time to ECG is better. |
Aspirin at Arrival | 100% Measure: Aspirin at Arrival This heart attack or chest pain measure is based on a sample size of 40. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients with chest pain or possible heart attack who received aspirin within 24 hours of arrival or before being transferred out of the emergency department. A higher percentage 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 |
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Pneumonia Patients given Antibiotic(s) | 92% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 25. 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. |
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 |
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Patients Flu Immunization | 96% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 254. 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 | 99% Measure: Healthcare Workers Flu Immunization This preventive care measure is based on a sample size of 393. 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. |
Stroke Care
The stroke care quality measures show well hospitals follow the standards of stroke care for adults who have had a stroke.
Measure | Hospital Average | How this Hospital Compares |
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Antithrombotic Medication by Day Two | 100% Measure: Antithrombotic Medication by Day Two This stroke care measure is based on a sample size of 12. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic stroke patients who received medicine known to prevent complications caused by blood clots within 2 days of hospital admission. A higher percentage is better. |
Venous Thromboembolism (VTE) Prophylaxis | 100% Measure: Venous Thromboembolism (VTE) Prophylaxis This stroke care measure is based on a sample size of 12. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of hospital admission. A higher percentage is better. |
Discharged on Antithrombotic Therapy | 100% Measure: Discharged on Antithrombotic Therapy This stroke care measure is based on a sample size of 12. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots at discharge. A higher percentage is better. |
Assessed for Rehabilitation | 100% Measure: Assessed for Rehabilitation This stroke care measure is based on a sample size of 12. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services. A higher percentage 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 |
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Antibiotic within 1 Hour | 98% Measure: Antibiotic within 1 Hour This surgical care improvement project measure is based on a sample size of 306. 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. [2, 3] A higher percentage is better. |
Antibiotic Discontinued After 24 Hours | 98% Measure: Antibiotic Discontinued After 24 Hours This surgical care improvement project measure is based on a sample size of 299. 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. [2, 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 247. 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. [2, 3] A higher percentage is better. |
Beta-Blocker Prior to Admission | 96% Measure: Beta-Blocker Prior to Admission This surgical care improvement project measure is based on a sample size of 81. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery. [2, 3] A higher percentage is better. |
Antibiotic Selection | 99% Measure: Antibiotic Selection This surgical care improvement project measure is based on a sample size of 307. 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. [2, 3] A higher percentage is better. |
Catheter Removal | 100% Measure: Catheter Removal This surgical care improvement project measure is based on a sample size of 248. 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. [2, 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 |
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Treatment to Prevent Blood Clots | 96% Measure: Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 322. 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. |
ICU Treatment to Prevent Blood Clots | 95% Measure: ICU Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 19. 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 being admitted to the intensive care unit (ICU). [2] A higher percentage is better. |
Pregnancy and Delivery Care
The pregnancy guidelines indicate it is best to wait until the 39th completed week of pregnancy before delivering a baby. Researchers suggest that important fetal development takes place in the brain and lungs during the last weeks of pregnancy.
Measure | Hospital Average | How this Hospital Compares |
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Delivery Scheduled Too Early | 3% Measure: Delivery Scheduled Too Early This pregnancy and delivery care measure is based on a sample size of 62. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary. A lower percentage of early deliveries is better. |
- [2] Data submitted were based on a sample of cases/patients.
- [3] Results are based on a shorter time period than required.