Measure	Rate	State Avg.	National Avg.
Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility	23.6%	Not Applicable	Worse than the National Rate19.4%

Measure	Rate	State Avg.	National Avg.
Influenza immunization (IPFQR-IMM-2)	99%	68%	76%
Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19)	6.9%	5%	18.1%

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

Measure	Rate	Relative to State	Relative to National
Alcohol use brief intervention provided or offered	96%	35%	58%
Alcohol use brief intervention provided or offered	88%	77%	76%
Alcohol and other drug use disorder treatment provided or offered at discharge	83%	60%	71%
Alcohol and other drug use disorder treatment provided or offered at discharge	83%	55%	59%
Tobacco use treatment provided or offered at discharge	81%	36%	57%
Tobacco use treatment provided or offered at discharge	27%	11%	16%

Measure	Rate	Relative to State	Relative to National
Percent of patients receiving follow-up care within 30 days after hospitalization for mental illness	43.5%	47.8%	59.5%
Percent of patients receiving follow-up care within 7 days after hospitalization for mental illness	23.5%	26.6%	35.7%