Specialty
PAM Health Specialty Hospital of Las Vegas
Emergency Care
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
Percentage of patients whose activities of daily living and thinking skills are assessed and related goals were included in their treatment plan
|
97.8%
|
Not Applicable |
98.9% |
|
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
|
97.2%
|
Not Applicable |
98% |
|
Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay
|
0.1%
|
Not Applicable |
0.1% |
|
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
|
98.3%
|
Not Applicable |
94.3% |
|
Percentage of patients that were successfully weaned from the ventilator during their LTCH stay
|
52.1%
|
Not Applicable |
Not Applicable |
Readmissions
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH
|
19.97%
|
Not Applicable |
No different than the National RateNot Applicable |
Mortality AHRQ
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Heart Failure Mortality Rate
|
0.0899
|
Worse than State Mean0.021 |
Worse than National Mean0.0272 |
Immunizations
| Measure |
Rate |
State Avg. |
National Avg. |
|
Influenza vaccination coverage among healthcare personnel
|
64.1%
|
Not Applicable |
71.5% |
|
Percentage of LTCH healthcare personnel who completed COVID-19 primary vaccination series
|
95%
|
Not Applicable |
88% |
Postoperative Complication
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate
|
0.1882
|
Worse than State MeanNot Applicable |
Worse than National MeanNot Applicable |
|
Postoperative Sepsis Rate
|
0.234
|
Worse than State MeanNot Applicable |
Worse than National MeanNot Applicable |
Infections
Infection measures are reported in relation to the national benchmark.
N/C
Not calculated:
Too few events
| Measure |
Rate |
Relative to State |
Relative to National |
|
Catheter-associated urinary tract infection (CAUTI)
|
|
Not Applicable |
Better than the National BenchmarkNot Applicable |
|
Central-line associated bloodstream infections (CLABSI)
|
|
Not Applicable |
No Different than the National BenchmarkNot Applicable |
|
Clostridium Difficile Infection (CDI)
|
|
Not Applicable |
No Different than the National BenchmarkNot Applicable |
Patient Satisfaction
| Measure |
Stars |
|
Doctor Communication
|
Not Applicable
|
|
Overall Satisfaction Rating
|
Not Applicable
|
|
Patients Recommend
|
Not Applicable
|
|
Provided Discharge Instructions
|
Not Applicable
|
|
Quiet at Night
|
Not Applicable
|
|
Room Cleanliness
|
Not Applicable
|
|
Staff Explained Medicine
|
Not Applicable
|
|
Nurse Communication
|
Not Applicable
|
|
Staff Responsiveness
|
Not Applicable
|
|
Care Transition
|
Not Applicable
|
|
Summary Star Rating
|
Not Applicable
|
Patient Safety
| Measure |
Rate |
Relative to State |
Relative to National |
|
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
|
1%
|
Not Applicable |
Not Applicable |
