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Seven Hills Hospital

Readmissions

Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
Measure Rate State Avg. National Avg.
Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility 24.3% Not Applicable Worse than the National Rate19.4%

Immunizations

Measure Rate State Avg. National Avg.
Influenza immunization (IPFQR-IMM-2) 12% 68% 76%
Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) 9.8% 5% 18.1%

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

Substance Use Disorders

Measure Rate Relative to State Relative to National
Alcohol use brief intervention provided or offered 13% 35% 58%
Alcohol use brief intervention provided or offered 94% 77% 76%
Alcohol and other drug use disorder treatment provided or offered at discharge 6% 60% 71%
Alcohol and other drug use disorder treatment provided or offered at discharge 5% 55% 59%
Tobacco use treatment provided or offered at discharge 11% 36% 57%
Tobacco use treatment provided or offered at discharge 0% 11% 16%

Patient Safety

Measure Rate Relative to State Relative to National
Percent of patients receiving follow-up care within 30 days after hospitalization for mental illness 39.5% 47.8% 59.5%
Percent of patients receiving follow-up care within 7 days after hospitalization for mental illness 23.3% 26.6% 35.7%