Becker's Hospital Review

20 230 Hospital Benchmarks | 2017 By Ayla Ellison and Jessica Kim Cohen H ospitals across the nation compete in a number of ways, including on quality of care and price, and many use bench- marking to determine the top priorities for improvement. e continuous benchmarking process allows hospital executives to see how their organizations stack up against regional competitors as well as national leaders. For the sixth year, Becker's Hospital Review has collected benchmarks related to some of the most important day-to-day areas hospital ex- ecutives oversee: quality, patient satisfaction, staffing, utilization, finance, affiliations, com- pensation and health IT. Quality and process of care Source: Hospital Compare, HHS, Complica- tions-National Averages December 2016 and Timely and Effective Care Measures-National Averages December 2016, the latest available data for these measures. Hospital-acquired conditions e following represent the average percentage of patients in the U.S. who experienced the conditions. 1. Collapsed lung due to medical treatment: 0.41 percent 2. A wound that splits open on the abdomen or pelvis aer surgery: 2.32 percent 3. Accidental cuts and tears from medical treat- ment: 1.43 percent 4. Serious blood clots aer surgery: 5.31 per- cent 5. Serious complications: 0.9 percent 6. Bloodstream infection aer surgery: 10.21 percent 7. Infections from a large venous catheter: 0.17 percent 8. Developed a blood clot while in the hospital and did not get treatment that could have pre- vented it: 2 percent Heart attack patients 9. Median time to fibrinolysis: 28 minutes 10. Median time to transfer to another facility for acute coronary intervention: 58 minutes Outpatients with chest pain or possible heart attack 11. Who received aspirin within 24 hours of arrival or before transferring from the emer- gency department: 96 percent 12. Who received drugs to break up blood clots within 30 minutes of arrival: 59 percent 13. Median time before patient received an electrocardiogram: 7 minutes Lower extremity joint replacement patients 14. Rate of complications for hip/knee replace- ment patients: 3 percent Stroke patients 15. Who received fibrinolysis within three hours aer symptoms started: 87 percent Blood clot patients 16. Who were discharged on a blood thinner medicine and received written instructions about that medicine: 93 percent Colonoscopy patients 17. Who received appropriate recommenda- tion for follow-up colonoscopy: 80 percent 18. Percentage of patients with history of pol- yps who received follow-up colonoscopy in the appropriate timeframe: 87 percent Flu vaccination 19. Preventive care patients assessed and given flu vaccination: 94 percent 20. Healthcare workers who received flu vacci- nation: 86 percent Pregnancy and delivery care 21. Mothers whose deliveries were scheduled one to two weeks early, when a scheduled de- livery was not medically necessary: 2 percent Emergency department care 22. Average time spent in the ED before patient is admitted to the hospital as an inpatient: 279 minutes 23. Average time patient spent in ED aer the physician decided to admit as an inpatient but before leaving the ED for the inpatient room: 99 minutes 24. Average time patient spent in the ED before sent home: 140 minutes 25. Average time patient spent in the ED before seen by a healthcare professional: 22 minutes 26. Average time patient who came to the ED with broken bones had to wait before receiving pain medication: 52 minutes 27. Percentage of patients who came to the ED with stroke symptoms who received brain scan results within 45 minutes of arrival: 69 percent 28. Percentage of patients who le the ED be- fore being seen: 2 percent Patient satisfaction Source: Hospital Compare, HHS, HCAHPS Na- tional Survey Results December 2016, the latest available data for these measures. Overall hospital rating 29. Patients who gave the hospital a rating of nine or 10: 72 percent 30. Patients who gave the hospital a rating of seven or eight: 21 percent 31. Patients who gave the hospital a rating of six or lower: 7 percent Patient recommendation 32. Patients who said, yes, they would definitely recommend the hospital to friends and family: 72 percent 33. Patients who said, yes, they would probably recommend the hospital to friends and family: 23 percent 34. Patients who said, no, they probably or definitely would not recommend the hospital to friends and family: 5 percent Cleanliness 35. Patients who said their room and bathroom was "always" clean: 74 percent 36. Patients who said their room and bathroom was "usually" clean: 18 percent 37. Patients who said their room and bathroom was "sometimes" or "never" clean: 8 percent Noise 38. Patients who said the area around their room was "always" quiet at night: 62 percent 39. Patients who said the area around their room was "usually" quiet at night: 29 percent 40. Patients who said the area around their room was "sometimes" or "never" quiet at night: 9 percent Physician communication 41. Patients who said their physicians "always" communicated well: 82 percent 42. Patients who said their physicians "usually" communicated well: 14 percent 43. Patients who said their physicians "some- times" or "never" communicated well: 4 per- cent Nurse communication 44. Patients who said their nurses "always" communicated well: 80 percent 45. Patients who said their nurses "usually" communicated well: 16 percent

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