LOUISIANA HOSPITAL INFORM | A SERVICE FROM THE LOUISIANA HOSPITAL ASSOCIATION
Compare Hospitals

Reports

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.

Morehouse General Hospital
323 West Walnut Avenue
Bastrop, LA 71220
(318) 283-3600

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 N/A 5 N/A 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 17   35% 57% 56%
SEP-SH-3HR. Septic Shock 3-Hour Bundle N/A 1 N/A 82% 81%
SEP-SH-6HR. Septic Shock 6-Hour Bundle N/A 5 N/A 83% 77%
SEV_SEP_3HR. Severe Sepsis 3-Hour Bundle 17   82% 78% 78%
SEV_SEP_6HR. Severe Sepsis 6-Hour Bundle N/A 1 N/A 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 1 N/A 53% 43%
OP-3b. Median Time to transfer patients for Acute Coronary Intervention N/A 1, 3 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 328   105 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. 23   217 minutes 254 minutes 230 minutes
OP-22. Percentage of patients who left the emergency department before being seen N/A 5 N/A 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 357   55% 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 35 2 3% 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 85% Usually 11% Sometimes 4% Not Available
Doctors communicated well Always 90% Usually 7% Sometimes 3% Not Available
Help received quickly Always 65% Usually 25% Sometimes 10% Not Available
Staff explained medicines Always 66% Usually 13% Sometimes 21% Not Available
Room and bath kept clean Always 83% Usually 12% Sometimes 5% Not Available
Area quiet at night Always 90% Usually 5% Sometimes 5% Not Available
Given discharge instructions Yes 80% No 20%   Not Available
Patient understood care Strongly Agree 52% Agree 42% Disagree 6% Not Available
Overall hospital rating High 65% Medium 28% Low 7% Not Available
Would recommend hospital Definitely 57% Probably 32% No 11% Not Available
Summary Star Rating   Not Available

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 N/A N/A N/A N/A 12.4%
Heart Failure 46 12.9% 8.7% 19.0% 11.3%
Pneumonia N/A N/A N/A N/A N/A
COPD 41 10.2% 6.7% 15.0% 8.4%
Stroke N/A N/A N/A N/A 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 N/A N/A N/A N/A 15.0%
Heart Failure 46 23.4% 19.1% 28.7% 21.3%
Pneumonia N/A N/A N/A N/A N/A
COPD 46 21.5% 17.5% 26.3% 19.8%
Hip/Knee Surgery N/A N/A N/A N/A 4.1%
Hospital-wide 167 15.4% 13.5% 17.7% 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 N/A N/A N/A N/A N/A

Hospital Return Days

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack N/A N/A N/A N/A N/A
Heart Failure 46 36.3% 4.3% 72.6% N/A
Pneumonia 94 15.2% -7.6% 42.4% N/A

Surgical Complications

Measure Hospital Predicted Range National Average
Number Patients Rate from to
Complications for Hip/Knee Replacements N/A N/A N/A N/A 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) N/A 1.309
HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) N/A 0.650
HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) N/A 0.851
HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) N/A 1.260
HAI-5-SIR. Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections N/A 1.774
HAI-6-SIR. Clostridium difficile (or C.diff.) Infections (intestinal infections) 0.000 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 1 N/A 45.2% 48.1%
OP-10. Abdomen CT - Use of Contrast Material 14.2% 6.2% 13.7%
OP-13. Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery 1 N/A 3.9% 3.6%
OP-39. Breast Cancer Screening Recall Rates 3.5% 9.4% 7.6%

Medicare Spending Per Beneficiary

Measure Hospital Score National Average State Average
MSPB. Medicare Spending per Beneficiary 1.11 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 0.00/1,000 0.30% 0.07%
HBIPS-3. Hours of seclusion 0.00/1,000 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 69.00% 79.00% 76.00%
MedCoPsy. Medication Continuation Following Inpatient Psychiatric Discharge N/A 73.10% 75.60%
SMD. Screening for metabolic disorders 45.00 77.00% 78.00%
SUB-2. Alcohol use brief intervention provided or offered 92.00 79.00% 87.00%
SUB-2A. Alcohol use brief intervention received 69.00 72.00% 74.00%
SUB-3. Alcohol and other drug use disorder treatment provided or offered at discharge N/A 75.00% 82.00%
SUB-3A. Alcohol and other drug use disorder treatment receieved N/A 63.00% 62.00%
TOB-2. Tobacco use treatment provided or offered 73.00 80.00% 89.00%
TOB-2A. Tobacco use treatment received 64.00 45.00% 41.00%
TOB-3. Tobacco use treatment provided or offered at discharge 69.00 61.00% 81.00%
TOB-3A. Tobacco use treatment received at discharge 15.00 21.00% 35.00%
TR1. Transition record with specified elements received by discharged patients 44.00 69.00% 82.00%
TR2. Timely transmission of transition record 44.00 60.00% 74.00%
FUH-30. Follow-Up After Hospitalization for Mental Illness within 30 days 50.00% 49.50% 47.70%
FUH-7. Follow-Up After Hospitalization for Mental Illness within 7 days 41.70% 27.90% 30.70%