Hillcrest Medical Center - Quality Data

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At Hillcrest Medical Center, we recognize that you have choice in where you go for your healthcare needs and it’s important to have current and reliable information to help you with your decision. We strive to provide the very best patient care and in doing so, we constantly measure and track our performance. We invite you to take a look at our performance – as we are measuring & measuring up when it comes to quality.

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Acute Myocardial Infarction (AMI)

A heart attack (acute myocardial infarction, or AMI) happens when part of the heart muscle does not receive the supply of oxygen-rich blood that it needs to function. When the blood supply stops flowing to that part of the heart muscle, that muscle area dies. These quality measures show the standards of care provided to someone experiencing a heart attack.

  90th Percentile National Average
AMI-1 100% 94%
AMI-2 100% 93%
AMI-3 100% 91%
AMI-4 100% 96%
AMI-5 100% 94%
AMI-8A 98% 79%
AMI-9 0%  
Mar 10 Feb 10 Jan 10 Dec 09 Nov 09 Oct 09 Sep 09 Aug 09 Jul 09 Jun 09 May 09 Apr 09 Mar 09 Feb 09 Jan 09 Dec 08 Nov 08
100% 100% 100% 100% 100% 100% 100% 100% 95% 95% 93% 93% 90% 100% 100% 93% 100%
100% 100% 100% 100% 100% 100% 100% 94% 94% 100% 100% 100% 97% 100% 100% 100% 100%
100% 86% 100% 75% 75% 67% 50% 100% 86% 100% 80% 100% 100% 83% 100% 80% 60%
100% 100% 100% 93% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 92%
98% 100% 100% 100% 100% 97% 100% 100% 100% 93% 100% 97% 97% 100% 100% 100% 100%
100% 100% 50% N.A. 100% N.A. 100% 100% 67% 100% 50% 100% 100% N.A. 100% 50% 100%
11% 11% 3% 0% 3% 0% 0% 0% 5% 0% 0% 7% 0% 0% 13% 0% 6%
 
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Heart Failure (HF)

Congestive heart failure, also known as CHF, is a condition in which a weakened heart cannot pump enough blood to body organs. Since the pumping action of the heart is reduced, blood backs up into certain body tissues. These quality measures show the standards of care provided to someone experiencing heart failure.

  90th Percentile National Average
HF-1 99% 77%
HF-2 100% 90%
HF-3 100% 89%
HF-4 100% 92%
Mar 10 Feb 10 Jan 10 Dec 09 Nov 09 Oct 09 Sep 09 Aug 09 Jul 09 Jun 09 May 09 Apr 09 Mar 09 Feb 09 Jan 09 Dec 08 Nov 08
98% 95% 100% 98% 100% 90% 100% 88% 91% 81% 67% 85% 67% 77% 89% 67% 96%
98% 98% 98% 98% 95% 98% 95% 98% 96% 96% 100% 96% 98% 100% 98% 100% 100%
95% 92% 84% 90% 73% 78% 91% 95% 100% 100% 96% 90% 94% 100% 91% 96% 94%
100% 100% 100% 100% 100% 83% 100% 100% 100% 100% 100% 100% 100% 93% 100% 100% 100%
 
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Pneumonia (PN)

Pneumonia occurs when an infectious organism causes inflammation in the lungs. The air sacs fill with liquid and mucus. This means they can’t deliver oxygen as well to the blood vessels. These quality measures show the standards of care provided to someone suffering from pneumonia.

  90th Percentile National Average
PN-2 99% 85%
PN-3A 100% 92%
PN-3B 100% 90%
PN-4 100% 90%
PN-5 180 180
PN-5C 100% 93%
PN-6A 98% 88%
PN-6B 98% 88%
PN-7 99% 85%
Mar 10 Feb 10 Jan 10 Dec 09 Nov 09 Oct 09 Sep 09 Aug 09 Jul 09 Jun 09 May 09 Apr 09 Mar 09 Feb 09 Jan 09 Dec 08 Nov 08
100% 91% 100% 93% 83% 92% 92% 93% 100% 75% 80% 92% 93% 80% 77% 80% 92%
100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
100% 100% 100% 100% 88% 93% 100% 100% 100% 100% 93% 85% 83% 94% 75% 93% 88%
100% 100% 100% 100% 100% 100% 100% 100% 91% 82% 100% 88% 100% 94% 100% 100% 83%
278 129 186 189 151 160 180 176 137 306 156 155 128 167 134 156 145
72% 96% 96% 100% 100% 86% 93% 100% 100% 50% 70% 82% 95% 94% 87% 70% 100%
50% 100% 100% 100% N.A. 100% 100% 100% 0% N.A. 100% N.A. 0% 33% 50% 100% 100%
100% 100% 100% 100% 94% 100% 100% 100% 100% 100% 73% 92% 100% 85% 89% 73% 80%
90% 88% 72% 83% 88% 77% N.A. N.A. N.A. N.A. N.A. N.A. 82% 83% 63% N.A. 56%
 
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Surgical Care Improvement Project (SCIP)

The Surgical Care Improvement Project (SCIP) is a national quality partnership of organizations focused on improving surgical care by significantly reducing surgical complications. Although some surgical complications are unavoidable, surgical care can be improved through better adherence to evidence-based practice recommendations and more attention to designing systems of care with redundant safeguards.

  90th Percentile National Average
SCIP-CARD-2    
SCIP-INF-1 100% 90%
SCIP-INF-10    
SCIP-INF-2 99% 94%
SCIP-INF-3 98% 89%
SCIP-INF-4 100% 87%
SCIP-INF-6 100% 97%
SCIP-INF-9    
SCIP-VTE-1 98% 87%
SCIP-VTE-2 97% 85%
Mar 10 Feb 10 Jan 10 Dec 09 Nov 09 Oct 09 Sep 09 Aug 09 Jul 09 Jun 09 May 09 Apr 09 Mar 09 Feb 09 Jan 09 Dec 08 Nov 08
100% 90% 82% 94% 88% 88% 89% 67% 75% 86% 64% 80% 87% 100% 100% 64% 80%
98% 97% 100% 100% 97% 100% 100% 97% 97% 97% 100% 90% 100% 100% 97% 100% 95%
100% 97% 100% 100% 100% 98% N.A. N.A. 100% N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A.
100% 100% 100% 97% 97% 94% 100% 100% 100% 97% 100% 98% 100% 100% 97% 100% 100%
95% 97% 97% 94% 94% 97% 92% 97% 97% 97% 97% 98% 100% 94% 97% 97% 97%
92% 100% 100% 100% 100% 100% 100% 86% 75% 100% 100% 100% 91% 92% 90% 100% 86%
100% 98% 100% 98% 98% 98% 100% 100% 100% 100% 98% 98% 100% 100% 100% 98% 98%
91% 90% 108% 100% 116% 107% N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A. N.A.
100% 100% 100% 100% 100% 100% 100% 80% 100% 100% 100% 100% 100% 80% 100% 100% 75%
100% 93% 79% 100% 100% 75% 71% 60% 75% 92% 57% 67% 73% 100% 100% 57% 86%
 
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Hospital Consumer Assessment of Healthcare Providers and Systems

Hospital Consumer Assessment of Health Plans Survey is a nationally standardized survey developed by CMS and AHRQ for measuring how patients perceive care they receive in hospitals. The survey is intended to inform hospital managers and caregivers what patients think of their hospital care.

  National Average
HCAHPS - Rating 65%
HCAHPS- Help 62%
HCAHPS - Quiet 56%
HCAHPS - Doctor Communication 80%
HCAHPS - Recovery 80%
HCAHPS - Nurse Communication 74%
HCAHPS - Pain 68%
HCAHPS - Cleanliness 70%
HCAHPS - Medications 59%
HCAHPS - Recommend 68%
Mar 10 Feb 10 Jan 10 Dec 09 Nov 09 Oct 09 Sep 09 Aug 09 Jul 09 Jun 09 May 09 Apr 09 Mar 09 Feb 09 Jan 09 Dec 08 Nov 08
60% 68% 65% 66% 47% 59% 53% 74% 66% 68% 55% 58% 57% 61% 67% 59% 68%
63% 63% 63% 57% 61% 64% 43% 50% 51% 55% 42% 52% 52% 55% 56% 44% 48%
52% 64% 59% 59% 47% 71% 66% 56% 70% 52% 60% 60% 61% 58% 51% 56% 48%
81% 71% 80% 80% 78% 77% 70% 75% 78% 75% 77% 80% 77% 78% 77% 80% 78%
76% 80% 85% 82% 83% 70% 76% 78% 78% 80% 79% 84% 85% 82% 81% 83% 80%
59% 69% 73% 68% 64% 75% 72% 61% 68% 71% 61% 70% 72% 68% 67% 68% 64%
63% 63% 66% 53% 69% 78% 60% 60% 60% 62% 62% 64% 69% 65% 65% 71% 68%
67% 63% 58% 58% 42% 68% 72% 64% 71% 61% 62% 61% 61% 55% 51% 65% 64%
59% 96% 63% 53% 50% 51% 55% 57% 41% 46% 31% 61% 57% 44% 48% 52% 58%
46% 62% 57% 65% 60% 68% 62% 72% 65% 61% 64% 69% 65% 60% 68% 68% 73%