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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.

Willis-Knighton Medical Center
2600 Greenwood Road
Shreveport, LA 71103
(318) 212-4000

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 57   98% 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 917 2 55% 57% 56%
SEP-SH-3HR. Septic Shock 3-Hour Bundle 675 2 78% 82% 81%
SEP-SH-6HR. Septic Shock 6-Hour Bundle 154 2 74% 83% 77%
SEV_SEP_3HR. Severe Sepsis 3-Hour Bundle 918 2 79% 78% 78%
SEV_SEP_6HR. Severe Sepsis 6-Hour Bundle 512 2 96% 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 7 N/A 53% 43%
OP-3b. Median Time to transfer patients for Acute Coronary Intervention N/A 1 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 402   152 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. 14   338 minutes 254 minutes 230 minutes
OP-22. Percentage of patients who left the emergency department before being seen 140,264   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 49   73% 71% 70%

Preventive Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
IMM-3. Healthcare workers given influenza vaccination 8,022   80% 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 275   8% 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 16% Sometimes 6% ***
Doctors communicated well Always 80% Usually 14% Sometimes 6% ***
Help received quickly Always 66% Usually 21% Sometimes 13% ***
Staff explained medicines Always 62% Usually 19% Sometimes 19% ***
Room and bath kept clean Always 70% Usually 18% Sometimes 12% ***
Area quiet at night Always 65% Usually 25% Sometimes 10% ****
Given discharge instructions Yes 85% No 15%   ***
Patient understood care Strongly Agree 49% Agree 45% Disagree 6% ***
Overall hospital rating High 74% Medium 18% Low 8% ****
Would recommend hospital Definitely 74% Probably 22% No 4% ****
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 209 2.3% 1.2% 4.2% 2.9%
Heart Attack 390 12.9% 10.7% 15.4% 12.4%
Heart Failure 1,057 10.6% 9.1% 12.4% 11.3%
Pneumonia N/A N/A N/A N/A N/A
COPD 609 8.7% 7.0% 10.6% 8.4%
Stroke 596 12.2% 10.2% 14.6% 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 207 11.0% 8.5% 14.3% 11.9%
Heart Attack 404 16.0% 13.6% 18.7% 15.0%
Heart Failure 1,285 22.0% 20.1% 24.0% 21.3%
Pneumonia N/A N/A N/A N/A N/A
COPD 707 19.5% 17.4% 22.0% 19.8%
Hip/Knee Surgery 472 3.1% 2.2% 4.3% 4.1%
Hospital-wide 7,303 14.9% 14.3% 15.6% 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 660 1.0% 0.8% 1.3% N/A

Hospital Return Days

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack 404 32.0% 14.4% 51.7% N/A
Heart Failure 1,285 7.8% -5.4% 21.4% N/A
Pneumonia 1,186 3.8% -7.0% 15.7% N/A

Surgical Complications

Measure Hospital Predicted Range National Average
Number Patients Rate from to
Complications for Hip/Knee Replacements 442 1.50% 0.90% 2.30% 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) 1.663 1.309
HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) 0.641 0.650
HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) 1.100 0.851
HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) 1.670 1.260
HAI-5-SIR. Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections 1.164 1.774
HAI-6-SIR. Clostridium difficile (or C.diff.) Infections (intestinal infections) 0.824 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 42.8% 45.2% 48.1%
OP-10. Abdomen CT - Use of Contrast Material 11% 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 8.1% 9.4% 7.6%

Medicare Spending Per Beneficiary

Measure Hospital Score National Average State Average
MSPB. Medicare Spending per Beneficiary 1.10 0.99 1.04

Measures of Psychiatric Facilities

Inpatient Psychiatric Facility Quality Reporting (IPFQR)

Measure Hospital Score National Average State Average
HBIPS-2. Hours of physical-restraint use 0.06/1,000 0.30% 0.07%
HBIPS-3. Hours of seclusion 0.17/1,000 0.29% 0.06%
HBIPS-5. Patients discharged on multiple antipsychotic medications with appropriate justification N/A 64.00% 68.00%
IMM-2. Influenza immunization 94.00% 79.00% 76.00%
MedCoPsy. Medication Continuation Following Inpatient Psychiatric Discharge 82.30 73.10% 75.60%
SMD. Screening for metabolic disorders 36.00 77.00% 78.00%
SUB-2. Alcohol use brief intervention provided or offered 9.00 79.00% 87.00%
SUB-2A. Alcohol use brief intervention received 9.00 72.00% 74.00%
SUB-3. Alcohol and other drug use disorder treatment provided or offered at discharge 49.00 75.00% 82.00%
SUB-3A. Alcohol and other drug use disorder treatment receieved 30.00 63.00% 62.00%
TOB-2. Tobacco use treatment provided or offered 0.00 80.00% 89.00%
TOB-2A. Tobacco use treatment received 0.00 45.00% 41.00%
TOB-3. Tobacco use treatment provided or offered at discharge 0.00 61.00% 81.00%
TOB-3A. Tobacco use treatment received at discharge 0.00 21.00% 35.00%
TR1. Transition record with specified elements received by discharged patients 0.00 69.00% 82.00%
TR2. Timely transmission of transition record 0.00 60.00% 74.00%
FUH-30. Follow-Up After Hospitalization for Mental Illness within 30 days 26.20% 49.50% 47.70%
FUH-7. Follow-Up After Hospitalization for Mental Illness within 7 days 11.90% 27.90% 30.70%