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Madison Memorial Hospital Survey History

• HCAHPS Hospital Survey

  Patient Questions:	Provider Average	State Average	National Average
  1 Patients who reported that their room and bathroom were "Always" clean. Rooms were always clean	86%	76%	71%
  2 Patients who reported that their nurses "Always" communicated well. Nurses always communicated well	87%	78%	76%
  3 Patients who reported that their doctors "Always" communicated well. Doctors always communicated well	91%	82%	80%
  4 Patients who reported that they "Always" received help as soon as they wanted. Patients always received help as soon as they wanted	81%	70%	64%
  5 Patients who reported that their pain was "Always" well controlled. Pain was always well controlled	85%	73%	69%
  6 Patients who reported that staff "Always" explained about medicines before giving it to them. Staff always explained	74%	64%	61%
  7 Patients at each hospital who reported that YES, they were given information about what to do during Yes, staff did give patients this information	86%	87%	82%
  8 Patients who reported that the area around their room was "Always" quiet at night. Always quiet at night	73%	60%	58%
  9 Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). Patients who gave a rating of 9 or 10 (high)	76%	72%	67%
  10 Patients who reported YES, they would definitely recommend the hospital. Yes, patients would definitely recommend the hospital	87%	74%	69%

• Process of Care Measures

  Heart Attack

  	Provider Average	State Average	National Average
  Heart Attack Patients Given Aspirin at Arrival Results are out of 5 patients	100%	99%	99%
  Heart Attack Patients Given Aspirin at Discharge Results are out of 5 patients	40%	99%	99%
  Heart Attack Patients Given Ace Inhibitor or Arb for Left Ventricular Systolic Dysfunction (lvsd) Results are out of 1 patients	0%	96%	96%
  Heart Attack Patients Given Smoking Cessation Advice/counseling Results are out of 2 patients	50%	100%	100%
  Heart Attack Patients Given Beta Blocker at Discharge Results are out of 6 patients	50%	99%	98%
  Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes of Arrival Results are out of 0 patients	0%	50%	57%
  Heart Attack Patients Given Pci Within 90 Minutes of Arrival Results are out of 0 patients	0%	94%	90%

  Heart Failure

  	Provider Average	State Average	National Average
  Heart Failure Patients Given Discharge Instructions Results are out of 30 patients	13%	88%	89%
  Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (lvs) Function Results are out of 31 patients	65%	99%	98%
  Heart Failure Patients Given Ace Inhibitor or Arb for Left Ventricular Systolic Dysfunction (lvsd) Results are out of 5 patients	0%	96%	95%
  Heart Failure Patients Given Smoking Cessation Advice/counseling Results are out of 1 patients	100%	97%	99%

  Pneumonia

  	Provider Average	State Average	National Average
  Pneumonia Patients Assessed and Given Pneumococcal Vaccination Results are out of 35 patients	11%	93%	93%
  Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior to the Administration of the First Hospital Dose of Antibiotics Results are out of 28 patients	93%	97%	96%
  Pneumonia Patients Given Smoking Cessation Advice/counseling Results are out of 5 patients	40%	96%	97%
  Pneumonia Patients Given Initial Antibiotic(s) Within 6 Hours After Arrival Results are out of 56 patients	96%	97%	95%
  Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s) Results are out of 45 patients	84%	94%	92%
  Pneumonia Patients Assessed and Given Influenza Vaccination Results are out of 24 patients	38%	89%	91%

  Surgical Infection Prevention

  	Provider Average	State Average	National Average
  Surgery Patients Who Were Given an Antibiotic at the Right Time (within One Hour Before Surgery) to Help Prevent Infection Results are out of 198 patients	70%	96%	97%
  Surgery Patients Who Were Given the Right Kind of Antibiotic to Help Prevent Infection Results are out of 186 patients	92%	0%	0%
  Surgery Patients Whose Preventive Antibiotics Were Stopped at the Right Time (within 24 Hours After Surgery) Results are out of 184 patients	67%	93%	95%
  All Heart Surgery Patients Whose Blood Sugar (blood Glucose) Is Kept Under Good Control in the Days Right After Surgery Results are out of 0 patients	0%	0%	0%
  Surgery Patients Needing Hair Removed from the Surgical Area Before Surgery, Who Had Hair Removed Using a Safer Method (electric Clippers or Hair Removal Cream ? Not a Razor) Results are out of 255 patients	87%	99%	100%
  Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots After Certain Types of Surgeries Results are out of 138 patients	78%	94%	94%
  Patients Who Got Treatment at the Right Time (within 24 Hours Before or After Their Surgery) to Help Prevent Blood Clots After Certain Types of Surgery Results are out of 123 patients	83%	0%	0%

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