SOMC Service Dashboard: Fiscal Year 2011

Indicator Goal MetIndicator Goal Not MetBM = Benchmark   YTD results are calculated using YTD means and ranks report.

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Indicator Goal BM Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun YTD
Improve Patient Perception of Care – PRC Inpatient Indicators GOAL BM JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD
How Would you Rate the Courtesy and Friendliness Shown by all Hospital Employees ≥72nd 90th 47                       47
HCU -  Overall Quality of Care ≥64th 90th 48                       48
Maternity -  Overall Quality of Care ≥81st 90th 47                       47
MSCU -  Overall Quality of Care ≥60th 90th 4                       4
OCU -  Overall Quality of Care ≥55th 90th 34                       34
PCU -  Overall Quality of Care ≥50th 90th 91                       91
Rehab Care Unit (Inpatient) -  Overall Quality of Care ≥50st 90th 35                       35
SVCU -  Overall Quality of Care ≥57th 90th 34                       34
Improve Patient Perception of Care HCAHPS (Hospital Consumer Assessment
of Healthcare Providers and Systems)
GOAL BM JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD
How Often did Nurses Communicate Well With Patients ≥86% 90% 80                       80
How Often did Doctors Communicate Well With Patients ≥86% 90% 81                       81
How Often did Patients Receive Help Quickly From Hospital Staff ≥75% 90% 73                       73
How Often was Patients Pain Well Controlled ≥83% 90% 75                       75
How Often did Staff Explain About Medicines Before Giving Them to Patient ≥70% 90% 59                       59
How Often Were the Patients’ Rooms and Bathrooms Kept Clean ≥90% 90% 79                       79
How Often was the Area Around Patients Rooms Kept Quiet at Night ≥73% 90% 64                       64
Were Patients Given Information About What to do
During Their Recovery at Home
≥90% 90% 97                       97
How do Patients Rate the Hospital Overall ≥80% 90% 81                       81
Would Patients Recommend the Hospital to Friends and Family ≥77% 90% 84                       84
Improve Patient Perception of Care – PRC Indicators GOAL BM JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD
Ambulatory Surgery Overall Quality of Care ≥50th 90th 0                       0
Emergency Services Overall Quality of Care ≥50th 90th 66                       66
Urgent Care Portsmouth Overall Quality of Care ≥50th 90th 81                       81
Urgent Care Wheelersburg Overall Quality of Care ≥50th 90th 92                       92
Hospice Overall Quality of Care ≥90th 90th                          
Home Care Overall Quality of Care ≥56th 90th 26                       26
Improve Patient Perception of Care HOME CARE CAHPS
(Home Care Consumer Assessment of Healthcare Providers and Systems)
GOAL BM JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD
Home Care Patient Care ≥50% 90%                          
Home Care Communicate ≥50% 90%                          
Home Care Specific Care ≥50% 90%                          
How do Patients Rate Home Care Overall ≥50% 90%                          
Would Patients Recommend Home Care to Friends and Family ≥50% 90%                          
Outpatient  Care – PRC Indicators GOAL BM JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD
Cath Lab ≥50th 90th 6                       6
Cardiovascular Testing/Cardiopulmonary Rehab ≥50th 90th 59                       59
Laboratory ≥50th 90th 30                       30
Oncology ≥50th 90th 10                       10
X-Ray ≥50th 90th 19                       19
Cat Scan ≥50th 90th 82                       82
MRI ≥50th 90th 36                       36
Nuclear Medicine ≥50th 90th 38                       38
Breast Center ≥50th 90th 13                       13
Ultrasound ≥50th 90th 38                       38
Outpatient Therapy PT, OT, ST ≥50th 90th 3                       3

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How Often did Nurses Communicate Well With Patients

Patients reported how often their nurses communicated well with them during their hospital stay. “Communicated well” means nurses explained things clearly, listened carefully to the patient, and treated the patient with courtesy and respect.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

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How Often did Doctors Communicate Well With Patients

Patients reported how often their doctors communicated well with them during their hospital stay. “Communicated well” means doctors explained things clearly, listened carefully to the patient, and treated the patient with courtesy and respect.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

How Often did Patients Receive Help Quickly From Hospital Staff

Patients reported how often they were helped quickly when they used the call button or needed help in getting to the bathroom or using a bedpan.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

How Often was Patients Pain Well Controlled

If patients needed medicine for pain during their hospital stay, the survey asked how often their pain was well controlled. “Well controlled” means their pain was well controlled and that the hospital staff did everything they could to help patients with their pain.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

How Often did Staff Explain About Medicines Before Giving Them to Patient

If patients were given medicine that they had not taken before, the survey asked how often staff explained about the medicine. “Explained” means that hospital staff told what the medicine was for and what side effects it might have before they gave it to the patient.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

How Often Were the Patients’ Rooms and Bathrooms Kept Clean

Patients reported how often their hospital room and bathroom were kept clean.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

How Often was the Area Around Patients Rooms Kept Quiet at Night

Patients reported how often the area around their room was quiet at night.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

Were Patients Given Information About What to do During Their Recovery at Home

The survey asked patients about information they were given when they were ready to leave the hospital. Patients reported whether hospital staff had discussed the help they would need at home. Patients also reported whether they were given written information about symptoms or health problems to watch for during their recovery.

The question is calculated using the percent of scores rated as always on a scale of never being the worst possible response and always being the best possible response 

This benchmark is a National Average of top box scores as reported by hospitalcompare.hhs.gov

There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

How do Patients Rate the Hospital Overall

After answering all other questions on the survey, patients answered a separate question that asked for an overall rating of the hospital. Ratings were on a scale from 0 to 10, where “0” means “worst hospital possible” and “10” means “best hospital possible.”

This is a global rating item score.

This question is a single item indicator of the hospital experience.

It is calculated using the percent of scores rated as a 9 or 10 on a scale of 1-10 with 1 being the worst possible hospital and 10 being the best possible hospital.

This benchmark is a National Average as reported by hospitalcompare.hhs.gov There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

Would Patients Recommend the Hospital to Friends and Family

The survey asked patients whether they would recommend the hospital to their friends and family.

This is a global rating item score.

This question is a single item indicator of the hospital experience.

It is calculated using the percent of scores rated as a 9 or 10 on a scale of 1-10 with 1 being the worst possible hospital and 10 being the best possible hospital.

This benchmark is a National Average as reported by hospitalcompare.hhs.gov There are four approved modes of administration for the CAHPS® Hospital Survey: 1) Mail Only; 2) Telephone Only; 3) Mixed (mail followed by telephone); and 4) Active Interactive Voice Response (IVR).

SOMC uses a telephone survey.

The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks following discharge; the survey is not restricted to Medicare beneficiaries.

Close

close

Ambulatory Surgery Overall Quality of Care

PRC Definition

PRC = Professional Research Corporation

Why is this important?

As we move towards Patient-Centered Care, this will just be the final step in reaching and maintaining customer satisfaction. With current competition between health care facilities and the importance of good financial stability, great customer service is a must.

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Emergency Services Overall Quality of Care

PRC Definition

PRC = Professional Research Corporation

Why is this important?

ED is the front door to the organization.

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Home Health Overall Quality of Care

PRC Definition

PRC = Professional Research Corporation

Why is this important?

Home Care is important to SOMC since it provides continuity of care from the Hospital to the Home Setting. SOMC Home Care is the oldest Home Care provider in Scioto County.

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Hospice Overall Quality of Care

PRC Definition

PRC = Professional Research Corporation

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Inpatient Overall Quality of Care

PRC Definition

PRC = Professional Research Corporation

Why is this important?

Service is what sets us apart from other organizations

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How Would you Rate the Courtesy and Friendliness Shown by all Hospital Employees

PRC = Professional Research Corporation

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HCU - Overall Quality of Care

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Maternity - Overall Quality of Care

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MSCU - Overall Quality of Care

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OCU - Overall Quality of Care

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PCU - Overall Quality of Care

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Rehab Care Unit (Inpatient) - Overall Quality of Care

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SVCU - Overall Quality of Care

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Urgent Care Portsmouth Overall Quality of Care

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Urgent Care Wheelersburg Overall Quality of Care

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Home Care Overall Quality of Care

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Home Care Patient Care

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Home Care Communicate

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Home Care Specific Care

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How do Patients Rate Home Care Overall

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Would Patients Recommend Home Care to Friends and Family

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Cath Lab

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Cardiovascular Testing/Cardiopulmonary Rehab

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Laboratory

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Oncology

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X-Ray

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Cat Scan

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MRI

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Nuclear Medicine

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Breast Center

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Ultrasound

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Outpatient Therapy PT, OT, ST

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