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Acute Care

St. Rose Dominican Hospitals - San Martin Campus

Clark County, 89113

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Adverse Event

Accidental Puncture or Laceration Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Birth Trauma - Injury to Neonate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Iatrogenic Pneumothorax Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Obstetric Trauma Rate - Vaginal Delivery With Instrument

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Obstetric Trauma Rate - Vaginal Delivery Without Instrument

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Mortality (AHRQ)

Acute Myocardial Infarction (AMI) Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Acute Stroke Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Death Rate Among Surgical Inpatients With Serious Treatable Complications

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Heart Failure Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Hip Fracture Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Pneumonia Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Postoperative Complication

Postoperative Hemorrhage or Hematoma Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Postoperative Respiratory Failure Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Postoperative Sepsis Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Emergency Care

Brain Scan Results in 45 Mins

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Left ED Without Being Seen

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Minutes in ED Before Going Home

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients whose activities of daily living and thinking skills are assessed and related goals were included in their treatment plan

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients that were successfully weaned from the ventilator during their LTCH stay

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay; observed rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Immunizations

Health Care Worker Flu Immunization

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Influenza immunization (IPFQR-IMM-2)

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Influenza vaccination coverage among healthcare personnel

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of LTCH healthcare personnel who completed COVID-19 primary vaccination series

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Influenza vaccination coverage among healthcare personnel

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of healthcare personnel who completed COVID-19 primary vaccination series

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19)

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Mortality CMS

COPD 30-Day Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Coronary Artery Bypass Graft (CABG) Surgery 30-Day Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Heart Attack 30-Day Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Heart Failure 30-Day Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Pneumonia 30-Day Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Stroke 30-Day Mortality Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Readmissions

Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Coronary Artery Bypass Graft (CABG) Surgery 30-Day Readmission Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Heart Attack Readmit

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Heart Failure 30-Day Readmission Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Hip and Knee 30-Day Readmission Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Hospital-wide 30-Day Readmission Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Pneumonia 30-Day Readmission Rate

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Infections

Infection measures are reported in relation to the national benchmark.
Better
Worse
Not different
N/A Not applicable
N/C Not calculated:
Too few events
N/E No events reported

Abdominal Hysterectomy Infection

N/A

St. Rose Dominican Hospitals - San Martin Campus

Catheter-Associated Urinary Tract Infections

N/A

St. Rose Dominican Hospitals - San Martin Campus

Central Line Bloodstream Infection

N/A

St. Rose Dominican Hospitals - San Martin Campus

Colon Surgery Infection

N/A

St. Rose Dominican Hospitals - San Martin Campus

MRSA Infection

N/A

St. Rose Dominican Hospitals - San Martin Campus

Clostridium Difficile Infection (CDI)

N/A

St. Rose Dominican Hospitals - San Martin Campus

Clostridium Difficile Infection (CDI)

N/A

St. Rose Dominican Hospitals - San Martin Campus

Patient Satisfaction

Doctor Communication

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Overall Satisfaction Rating

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Patients Recommend

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Provided Discharge Instructions

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Quiet at Night

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Room Cleanliness

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Staff Explained Medicine

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Nurse Communication

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Staff Responsiveness

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Care Transition

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Summary Star Rating

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Substance Use Disorders

Alcohol use brief intervention provided or offered

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Alcohol use brief intervention provided or offered

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Alcohol and other drug use disorder treatment provided or offered at discharge

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Alcohol and other drug use disorder treatment provided or offered at discharge

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Tobacco use treatment provided or offered at discharge

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Tobacco use treatment provided or offered at discharge

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Patient Safety

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percent of patients receiving follow-up care within 30 days after hospitalization for mental illness

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percent of patients receiving follow-up care within 7 days after hospitalization for mental illness

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure

Percentage of patients who are at or above an expected ability to care for themselves at discharge

N/A
Not Applicable
St. Rose Dominican Hospitals - San Martin Campus
No data is available
for this measure