LOUISIANA HOSPITAL INFORM | A SERVICE FROM THE LOUISIANA HOSPITAL ASSOCIATION

Quality Measures

 

  • Quality Measurements as reported on Hospital Compare
  • Posted on 09/21/2018 - Quality data on this website is updated annually.

This report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services, along with the Hospital Quality Alliance (HQA). The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

For more extensive quality data, visit the Hospital Compare website, which is updated quarterly.

Sabine Medical Center
240 Highland Drive
Many, LA 71449
(318) 256-5691

Timely & Effective Care

Cancer Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-33. External Beam Radiotherapy for Bone Metastases N/A 5 N/A 82% 84%

Cataract Surgery Outcome

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-31. Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery N/A 5 N/A 96% 97%

Colonoscopy Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-29. Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients 32   0% 85% 83%
OP-30. Endoscopy/Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use 23   35% 90% 90%

Sepsis Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
SEP-1. Appropriate care for severe sepsis and septic shock N/A 5 N/A 50% 45%

Timely Heart Attack Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-1. Median Time to Fibrinolysis N/A 7 N/A 27 minutes 34 minutes
OP-2. Fibrinolytic Therapy received within 30 minutes N/A 7 N/A 59% 48%
OP-3b. Median Time to transfer patients for Acute Coronary Intervention N/A 1 N/A 57 minutes 63 minutes
OP-4. Aspirin at Arrival 47   87% 95% 90%
OP-5. Median Time to ECG 52   12 minutes 7 minutes 10 minutes

Timely Emergency Department Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
ED-1b. Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient 422 2 238 minutes 280 minutes 272 minutes
ED-2b. Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room 422 2 77 minutes 102 minutes 97 minutes
OP-18b. Average time patients spent in the emergency department before being sent home 321   121 minutes 141 minutes 123 minutes
OP-18c. Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. N/A 1 N/A 238 minutes 218 minutes
OP-20. Average time patients spent in the emergency department before they were seen by a healthcare professional 382   32 minutes 20 minutes 19 minutes
OP-21. Average time patients who came to the emergency department with broken bones had to wait before receiving pain medication 46   72 minutes 48 minutes 49 minutes
OP-22. Percentage of patients who left the emergency department before being seen 8,805   2% 2% 2%
OP-23. Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival N/A 1, 3 N/A 73% 73%

Preventive Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
IMM-2. Patients assessed and given influenza vaccination 273 2 49% 93% 90%
IMM-3-OP-27-FAC-ADHPCT. Healthcare workers given influenza vaccination 209   89% 89% 87%

Stroke Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
No Data are available for this hospital.

Blood Clot Prevention and Treatment

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
VTE-6. Patients who developed blood clots who did not receive preventative treatment N/A 1, 3 N/A 2% 4%

Pregnancy and Delivery Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
PC-01. Women who had elective deliveries 1-3 weeks early when not medically necessary N/A 7 N/A 2% 1%

Survey of Patients' Experiences

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Survey question Measure Percent Measure Percent Measure Percent Star Rating
Nurses communicated well Always 87% Usually 11% Sometimes 2% Not Available
Doctors communicated well Always 91% Usually 9% Sometimes 0% Not Available
Help received quickly Always 81% Usually 16% Sometimes 3% Not Available
Staff explained medicines Always 78% Usually 16% Sometimes 6% Not Available
Room and bath kept clean Always 69% Usually 24% Sometimes 7% Not Available
Area quiet at night Always 78% Usually 20% Sometimes 2% Not Available
Given discharge instructions Yes 82% No 18%   Not Available
Patient understood care Strongly Agree 57% Agree 40% Disagree 3% Not Available
Overall hospital rating High 74% Medium 25% Low 1% Not Available
Would recommend hospital Definitely 68% Probably 30% No 2% Not Available
Summary Star Rating   Not Available

Readmissions, Complications and Deaths

30-Day Risk Adjusted Mortality Rates

Measure Hospital Predicted Range National Average
Number Patients Mortality Rate from to
CABG N/A N/A N/A N/A 3.1%
Heart Attack N/A N/A N/A N/A 13.2%
Heart Failure 52 11.2% 7.9% 15.6% 11.7%
Pneumonia 148 17.7% 13.8% 22.2% 15.7%
COPD 36 8.3% 5.7% 12.2% 8.3%
Stroke N/A N/A N/A N/A 14.3%

30-Day Risk Adjusted Readmission Rates

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Colonoscopy 42 15.8% 10.5% 23.1% 16.4%
CABG N/A N/A N/A N/A 13.2%
Heart Attack N/A N/A N/A N/A 16.0%
Heart Failure 58 22.3% 17.9% 27.5% 21.7%
Pneumonia 153 17.0% 13.7% 21.0% 16.7%
COPD 36 20.4% 16.8% 25.1% 19.6%
Hip/Knee Surgery N/A N/A N/A N/A 4.2%
Stroke N/A N/A N/A N/A 11.9%
Hospital-wide 212 15.4% 13.8% 17.2% 15.3%

Surgical Complications

Measure Hospital Predicted Range National Average
Number Patients Rate from to
Complications for Hip/Knee Replacements N/A N/A N/A N/A 2.60%
PSI-3. Pressure sores 395 0.33% 0.00% 1.38% 0.41%
PSI-4. Death from serious treatable complications after surgery N/A N/A N/A N/A 16.17%
PSI-6. Collapsed lung due to medical treatment 492 0.28% 0.05% 0.51% 0.29%
PSI-8. Broken hip from a fall after surgery 471 0.11% 0.03% 0.19% 0.11%
PSI-9. Postoperative Hemorrhage or Hematoma Rate N/A N/A N/A N/A 2.60%
PSI-10. Postoperative Acute Kidney Injury Rate N/A N/A N/A N/A 1.32%
PSI-11. Postoperative Respiratory Failure Rate N/A N/A N/A N/A 7.88%
PSI-12. Serious blood clots after surgery N/A N/A N/A N/A 3.86%
PSI-13. Blood stream infection after surgery N/A N/A N/A N/A 5.23%
PSI-14. A wound that splits open after surgery N/A N/A N/A N/A 0.86%
PSI-15. Accidental cuts and tears from medical treatment N/A N/A N/A N/A 1.29%
PSI-90. Serious Complications N/A 0.98% 0.53% 1.43% 1.00%

Healthcare Associated Infections

Measure Hospital Score State Score
HAI-1-SIR. Central Line Associated Blood Stream Infections (CLABSI) N/A 0.880
HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) N/A 0.822
HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) N/A 0.963
HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) N/A 0.964
HAI-5-SIR. Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections N/A 1.067
HAI-6-SIR. Clostridium difficile (or C.diff.) Infections (intestinal infections) N/A 0.744

Payment and Value of Care

Use of Medical Imaging

Measure Hospital Footnotes Hospital Score National Average State Average
OP-8. MRI Lumbar Spine for Low Back Pain 7 N/A 39.3% 41.8%
OP-9. Mammography Follow-up Rates 33.3% 8.9% 8.6%
OP-10. Abdomen CT - Use of Contrast Material 5.8% 7.8% 16.2%
OP-11. Thorax CT - Use of Contrast Material 0.9% 1.5% 4.0%
OP-13. Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery 7 N/A 4.6% 5.0%
OP-14. Outpatients with brain CT scans who got a sinus CT scan at the same time 1 N/A 1.1% 1.2%

Medicare Spending Per Beneficiary

Measure Hospital Score National Average State Average
MSPB. Medicare Spending per Beneficiary 1.10 0.98 1.04

Measures of Psychiatric Facilities

Inpatient Psychiatric Facility Quality Reporting (IPFQR)

Measure Hospital Score National Average State Average
No Data are available for this hospital.