METROPLEX ADVENTIST HOSPITAL INC
NPI 1255447181
General Acute Care Hospital - Critical Access in Lampasas, TX

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

• Overall Quality Rating Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.

  The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

• Hospital Type Critical Access Hospitals - Voluntary non-profit - Private

• Emergency Services: Yes

  Shows if the hospital provides emergency services like acute medical care or trauma care.

• Meaningful Use of Electronic Health Records: Y

  Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

• Death rate for heart attack patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Death rate for COPD patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Death rate for heart failure patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for pneumonia patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for stroke patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

Unplanned Hospital Visits Quality Ratings

• Hospital return days for heart attack patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Hospital return days for heart failure patients is average days per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Hospital return days for pneumonia patients is fewer days than average per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

  Evaluation Period: January 2020 - December 2022

• Ratio of unplanned hospital visits after hospital outpatient surgery is number of cases too small

  Evaluation Period: January 2022 - December 2022

• Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

  Evaluation Period: July 2022 - June 2023

• Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

• Maternal Morbidity Structural Measure: Not Applicable (our hospital does not provide inpatient labor/delivery care)

  Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
  Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

• Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

  Evaluation Period: January 2023 - December 2023

• Venous Thromboembolism Prophylaxis is 89

  Evaluation Period: January 2023 - December 2023

• Discharged on Statin Medication is not available

  Evaluation Period: January 2023 - December 2023

• Antithrombotic Therapy by End of Hospital Day 2 is not available

  Evaluation Period: January 2023 - December 2023

• Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

  Evaluation Period: January 2023 - December 2023

• Discharged on Antithrombotic Therapy is not available

  Evaluation Period: January 2023 - December 2023

• Severe Sepsis 6-Hour Bundle is not available %

  Septic Shock 6 Hour.
  Evaluation Period: January 2023 - December 2023

• Severe Sepsis 3-Hour Bundle is 23

  Evaluation Period: January 2023 - December 2023

• Septic Shock 6-Hour Bundle is not available %

  Severe Sepsis 6 Hour.
  Evaluation Period: January 2023 - December 2023

• Septic Shock 3-Hour Bundle is not available %

  Septic Shock 3 Hour.
  Evaluation Period: January 2023 - December 2023

• Appropriate care for severe sepsis and septic shock is 15 %

  Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
  Evaluation Period: January 2023 - December 2023

• Safe Use of Opioids - Concurrent Prescribing is 17

  Evaluation Period: January 2023 - December 2023

• ST-Segment Elevation Myocardial Infarction (STEMI) is not available

  Evaluation Period: January 2023 - December 2023

• Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

  Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
  Evaluation Period: January 2022 - December 2022

• Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is not available %

  Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
  Evaluation Period: January 2022 - December 2022

• Head CT results is 18 %

  Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
  Evaluation Period: January 2023 - December 2023

• Left before being seen is 2 %

  Percentage of patients who left the emergency department before being seen.
  Evaluation Period: January 2022 - December 2022

• Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 143 minutes

  Average time patients spent in the emergency department before being sent home.
  Evaluation Period: January 2023 - December 2023

• Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 108 minutes

  Average time patients spent in the emergency department before leaving from the visit.
  Evaluation Period: January 2023 - December 2023

• Healthcare workers given influenza vaccination is 88%

  Percentage of healthcare workers given influenza vaccination.
  Evaluation Period: October 2023 - March 2024

• Hospital Harm - Severe Hyperglycemia is not available

  Evaluation Period: January 2023 - December 2023

• Hospital Harm - Severe Hypoglycemia is not available

  Evaluation Period: January 2023 - December 2023

• Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 0%

  Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
  Evaluation Period: October 2023 - December 2023

• Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

  Evaluation Period: January 2023 - December 2023

• Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is 50

  Evaluation Period: January 2023 - December 2023

• Emergency department volume is low

  Evaluation Period: January 2022 - December 2022

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