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Quality Measures

 
  • Quality Measurements as reported on Hospital Compare
  • Posted on 07/08/2022 - Quality data on this website is updated annually.

This report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services, along with the Hospital Quality Alliance (HQA). The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

For more extensive quality data, visit the Hospital Compare website, which is updated quarterly.

West Jefferson Medical Center
1101 Medical Center Boulevard
Marrero, LA 70072
(504) 508-5433

Timely & Effective Care

Cancer Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
No Data are available for this hospital.

Cataract Surgery Outcome

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-31. Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery N/A 5 N/A 96% 98%

Colonoscopy Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-29. Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients 143   99% 90% 88%

Sepsis Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
SEP-1. Appropriate care for severe sepsis and septic shock 87 2 63% 57% 56%
SEP-SH-3HR. Septic Shock 3-Hour Bundle 61 2 82% 82% 81%
SEP-SH-6HR. Septic Shock 6-Hour Bundle 20 2 85% 83% 77%
SEV_SEP_3HR. Severe Sepsis 3-Hour Bundle 87 2 89% 78% 78%
SEV_SEP_6HR. Severe Sepsis 6-Hour Bundle 58 2 91% 89% 90%

Timely Heart Attack Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-2. Fibrinolytic Therapy received within 30 minutes N/A 3, 7 N/A 53% 43%
OP-3b. Median Time to transfer patients for Acute Coronary Intervention N/A 5 N/A 61 minutes 66 minutes

Timely Emergency Department Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
OP-18b. Average time patients spent in the emergency department before being sent home 383   154 minutes 155 minutes 131 minutes
OP-18c. Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. 19   213 minutes 254 minutes 230 minutes
OP-22. Percentage of patients who left the emergency department before being seen 41,698   2% 2% 2%
OP-23. Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival N/A 1 N/A 71% 70%

Preventive Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
IMM-3. Healthcare workers given influenza vaccination 2,228   52% 86% 81%

Stroke Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
No Data are available for this hospital.

Blood Clot Prevention and Treatment

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
No Data are available for this hospital.

Pregnancy and Delivery Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
PC-01. Women who had elective deliveries 1-3 weeks early when not medically necessary 77 2 0% 2% 2%

Survey of Patients' Experiences

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Survey question Measure Percent Measure Percent Measure Percent Star Rating
Nurses communicated well Always 78% Usually 15% Sometimes 7% ***
Doctors communicated well Always 79% Usually 16% Sometimes 5% ***
Help received quickly Always 65% Usually 21% Sometimes 14% ***
Staff explained medicines Always 62% Usually 17% Sometimes 21% ***
Room and bath kept clean Always 68% Usually 20% Sometimes 12% ***
Area quiet at night Always 59% Usually 25% Sometimes 16% **
Given discharge instructions Yes 86% No 14%   ***
Patient understood care Strongly Agree 49% Agree 45% Disagree 6% ***
Overall hospital rating High 70% Medium 19% Low 11% ***
Would recommend hospital Definitely 69% Probably 25% No 6% ***
Summary Star Rating   ***

Readmissions, Complications and Deaths

30-Day Risk Adjusted Mortality Rates

Measure Hospital Predicted Range National Average
Number Patients Mortality Rate from to
CABG N/A N/A N/A N/A 2.9%
Heart Attack 60 12.7% 9.8% 16.1% 12.4%
Heart Failure 226 11.9% 8.9% 15.5% 11.3%
Pneumonia N/A N/A N/A N/A N/A
COPD 78 7.9% 5.4% 11.7% 8.4%
Stroke 105 12.0% 9.0% 15.4% 13.6%

30-Day Risk Adjusted Readmission Rates

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Colonoscopy N/A N/A N/A N/A N/A
CABG N/A N/A N/A N/A 11.9%
Heart Attack 49 14.8% 12.1% 18.1% 15.0%
Heart Failure 268 22.4% 19.2% 25.9% 21.3%
Pneumonia N/A N/A N/A N/A N/A
COPD 94 17.5% 14.4% 21.6% 19.8%
Hip/Knee Surgery 54 3.6% 2.3% 5.3% 4.1%
Hospital-wide 1,052 15.2% 14.0% 16.5% 15.0%

Visit Rates Following OP Procedure

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy N/A N/A N/A N/A N/A
Rate of inpatient admissions for patients receiving outpatient chemotherapy N/A N/A N/A N/A N/A
Ratio of unplanned hospital visits after hospital outpatient surgery 80 1.0% 0.6% 1.5% N/A

Hospital Return Days

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack 49 -24.1% -46.8% 4.8% N/A
Heart Failure 268 32.9% 8.5% 61.4% N/A
Pneumonia 111 11.1% -14.5% 42.3% N/A

Surgical Complications

Measure Hospital Predicted Range National Average
Number Patients Rate from to
Complications for Hip/Knee Replacements 57 2.00% 1.10% 3.60% 2.40%
PSI-3. Pressure sores N/A N/A N/A N/A N/A
PSI-4. Death from serious treatable complications after surgery N/A N/A N/A N/A N/A
PSI-6. Collapsed lung due to medical treatment N/A N/A N/A N/A N/A
PSI-8. Broken hip from a fall after surgery N/A N/A N/A N/A N/A
PSI-9. Postoperative Hemorrhage or Hematoma Rate N/A N/A N/A N/A N/A
PSI-10. Postoperative Acute Kidney Injury Rate N/A N/A N/A N/A N/A
PSI-11. Postoperative Respiratory Failure Rate N/A N/A N/A N/A N/A
PSI-12. Serious blood clots after surgery N/A N/A N/A N/A N/A
PSI-13. Blood stream infection after surgery N/A N/A N/A N/A N/A
PSI-14. A wound that splits open after surgery N/A N/A N/A N/A N/A
PSI-15. Accidental cuts and tears from medical treatment N/A N/A N/A N/A N/A
PSI-90. Serious Complications Not Applicable N/A N/A N/A N/A

Healthcare Associated Infections

Measure Hospital Score State Score
HAI-1-SIR. Central Line Associated Blood Stream Infections (CLABSI) 0.816 1.309
HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) 0.895 0.650
HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) 1.126 0.851
HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) 3.668 1.260
HAI-5-SIR. Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections 2.850 1.774
HAI-6-SIR. Clostridium difficile (or C.diff.) Infections (intestinal infections) 0.271 0.454

Payment and Value of Care

Use of Medical Imaging

Measure Hospital Footnotes Hospital Score National Average State Average
OP-8. MRI Lumbar Spine for Low Back Pain 35.4% 45.2% 48.1%
OP-10. Abdomen CT - Use of Contrast Material 21.5% 6.2% 13.7%
OP-13. Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery 4.5% 3.9% 3.6%
OP-39. Breast Cancer Screening Recall Rates 7.8% 9.4% 7.6%

Medicare Spending Per Beneficiary

Measure Hospital Score National Average State Average
MSPB. Medicare Spending per Beneficiary 1.06 0.99 1.04

Measures of Psychiatric Facilities

Inpatient Psychiatric Facility Quality Reporting (IPFQR)

Measure Hospital Score National Average State Average
No Data are available for this hospital.