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Hillcrest Hospital

The Quality Performance Report shows how Hillcrest Hospital has been doing at providing the right care for certain common conditions and preventing certain types of infections.

Heart Attack Patient Hospital Readmission

This score tells you about the percent (rate) of hospitalized heart attack patients who go back into a hospital again within 30 days after going home. Patients may have been readmitted back to the same hospital or to a different hospital. They may have been readmitted for heart attack-related care or for a different reason.

This information is important because one way to tell if a hospital is doing a good job is to see if the readmission rate for heart attack patients is better than, the same as or worse than the U.S. national average. The readmission rates take into account how sick patients were before they were admitted to the hospital.

Lower numbers are better.

How is Hillcrest Hospital doing with heart attack patient hospital readmission?

July 2009 – June 2012

Hillcrest 16.3%
U.S. national average 18.3%

Hillcrest Hospital's readmission rate is lower (better) than the national average, but that difference is not significant. This means that Hillcrest Hospital’s rate is basically the same as the national average.

Only regular Medicare patients are included. People in Medicare Advantage (managed care plans) and people who do not have Medicare are not included.

For details, visit: Medicare.gov | Hospital Compare.

Updated: July 2013

Heart Failure Patient Hospital Readmission

This score tells you about the percent (rate) of hospitalized heart failure patients who go back into a hospital again within 30 days after going home. Patients may have been readmitted back to the same hospital or to a different hospital. They may have been readmitted for heart failure-related care or for a different reason.

This information is important because one way to tell if a hospital is doing a good job is to see if the readmission rate for heart failure patients is better than, the same as or worse than the U.S. national average. The readmission rates take into account how sick patients were before they were admitted to the hospital.

Lower numbers are better.

How is Hillcrest Hospital doing with heart failure patient hospital readmission?

July 2009 – June 2012

Hillcrest Hospital 23.1%
U.S. national average 23.0%

Hillcrest Hospital's readmission rate is higher (worse) than the national average, but that difference is not significant. This means that Hillcrest Hospital’s rate is basically the same as the national average.

Only regular Medicare patients are included. People in Medicare Advantage (managed care plans) and people who do not have Medicare are not included.

For details, visit Medicare.gov | Hospital Compare.

Updated: July 2013

How is Hillcrest Hospital Performing on Stroke Care?

This score tells you the hospital's overall performance on the stroke care items list below:

    This score tells you the hospital's overall performance on the stroke care items list below:

    1. medication or other treatment was given to prevent blood clots in veins
    2. an antithrombotic medication such as aspirin, clopidogrel (Plavix®) or aspirin combined with dipyridamole (Aggrenox®) was given by end of hospital day two
    3. an anticoagulant medication such as warfarin (Coumadin®) was prescribed at discharge from the hospital (applies only to patients with atrial fibrillation or flutter)
    4. a tissue plasminogen activator (tPA) medication (sometimes called a “clot buster”) was given within 3 hours of start of stroke symptoms (applies only to patients who arrived at the hospital within two hours of start of stroke symptoms)
    5. a cholesterol lowering medication (called a “statin” medication) was prescribed at discharge, (applies only to patients with an LDL or “bad” cholesterol level greater than 100 or who were on a cholesterol lowering medication prior to hospitalization)
    6. advice and stroke education material were provided before discharge from the hospital
    7. an antithrombotic medication such as aspirin, clopidogrel (Plavix®) or aspirin combined with dipyridamole (Aggrenox®) was prescribed at discharge from the hospital
    8. patients were assessed for rehabilitation services

This information is important because one way to tell if a hospital is doing a good job taking care of stroke patients is to look at how consistently the hospital provides the care listed above.

Higher numbers are better.

Q = Quarter. Example: January – March

* National stroke program percentage is the most current available for all hospitals participating in the American Heart Association Get With the Guidelines ® (GWTG) stroke program. Please note: “This Get With the Guidelines (GWTG) Aggregate Data report was generated using the Outcome PMT system. Copy or distribution of the GWTG Aggregate Data is prohibited without the prior written consent of the American Heart Association and Outcome Sciences, Inc. (Outcome).”

Updated: June 2014

For more information about brain health, go to:

View other publicly reported data about stroke care in hospitals:

What is Pneumonia?

Pneumonia is an infection of the lungs. It is caused by bacteria or a virus. The lungs fill with mucus. This lowers the oxygen level in your blood. Symptoms of pneumonia can include the following:

  • difficulty breathing
  • "wet" cough – mucus may look green or bloody
  • chest pain
  • fever and chills
  • fatigue

You should also be aware that flu shots reduce the risk of influenza, a serious and sometimes deadly lung infection that can spread quickly in a community. Hospitals should check to make sure that pneumonia patients get a flu shot during flu season to protect them from another lung infection and to help prevent the spread of influenza in the community.

For more information about lung health go to:

View other publicly reported data about pneumonia care in hospitals:

How is Hillcrest Hospital Performing on Surgical Care?

This score tells you the percent of surgical care patients who got all the recommended care appropriate for them from the list below:

  1. an antibiotic (medicine that prevents and treats infections) was given at the right time (within one hour before surgery)
  2. the right kind of antibiotic was given
  3. antibiotics were stopped at the right time (within 24 hours after surgery ended - or 48 hours after open heart surgery or other cardiac surgery)
  4. cardiac surgery patients’ blood sugar (blood glucose) was kept at a normal level in the days right after surgery
  5. urinary catheter (a small tube placed in the bladder to drain urine) was removed on the first or second day after surgery
  6. steps were taken to keep patients warm in the operating room and/or body temperature was near normal by the end of surgery
  7. patients on beta-blocker medicine before going into the hospital continued to get that medicine during the time before and after surgery
  8. the right treatment to prevent blood clots was provided at the right time (within 24 hours before or after surgery)
This information is important because one way to tell if a hospital is doing a good job is to look at the percent of surgery patients who got all the recommended care on the list below (as appropriate for each individual).

Higher numbers are better.

Hillcrest Hospital (October 2013 - December 2013) 98%
U.S. Hospitals (July 2013 - September 2013)  95%

Updated: June 2014

These scores tell you about how often patients had certain serious, but potentially preventable complications (listed below) related to medical or surgical inpatient hospital care.

Where does the score come from? The information comes from documenting certain events in patient medical records. These events are then “coded” by the hospital for billing Medicare. Coded information is sometimes called “administrative” data.

This information is important because one way to tell if a hospital is doing a good job is to look at how often patients experienced certain complications that might have been preventable.

Lower numbers are better.

How is Hillcrest Hospital doing with preventing certain serious complications?
July 2010 – June 2012

Rate per 1,000 Hospitalized Patients
Serious Complication U.S. National Average Hillcrest Hospital
Death among surgical patients with serious treatable complications 110.25 102.31*
Collapsed lung due to medical treatment 0.32 0.17*
Blood clot in the lung or large vein after surgery 4.14 6.52**
Wound that splits open after surgery 0.92 0.82*
Accidental cut or tear during surgery or other procedure 1.83 1.32*

Includes only people with “regular” Medicare. People in Medicare Advantage (managed care plans) and people who do not have Medicare are not included.

* The difference between Hillcrest Hospital and the national average is not significant. This means that Hillcrest Hospital’s rate is basically the same as the national average.
** Hillcrest Hospital's rate is worse than the national average.

For details, visit Medicare.gov | Hospital Compare.

Updated: September 2013

What is Hillcrest Hospital doing to improve?

Hillcrest Hospital has many initiatives underway to keep patients safe. Standard “best” practices are the key to success. Examples:

  • To prevent collapsed lungs due to medical treatment, Hillcrest Hospital implemented a standard procedure for placing and checking central lines (small tubes inserted and passed into a large vein or the heart).
  • To prevent blood clots in the lung or large vein after surgery, Hillcrest Hospital implemented a standard approach that includes checking each hospitalized patient’s risk for blood clots and providing medications or other treatment as indicated.

Preventing Patient Falls

Nationally, falls are a leading cause of hospital patient injury. A fall is more likely to occur in an environment that is unfamiliar such as a hospital room. Other risks for falling in the hospital include: medications that cause dizziness and tests or treatments that make you feel weak or unsteady. Some falls cause moderate to severe injuries.

How is Hillcrest Hospital Doing at Preventing Falls with Injuries?

This score tells you how many patients fell during their hospital stay and had a moderate or serious injury such as a cut that needed stitches, a head injury or a hip fracture.

This information is important because one way to tell if a hospital is doing a good job is to look at how many patients are moderately or seriously injured due to falls.

Lower numbers are better.

Hillcrest Hospital (January 2013 – December 2013) 7
Target 0
What we are doing to prevent falls

All hospitals aim for zero patient injuries. Our fall prevention efforts include: identifying patients who are at risk for falls, checking on them frequently, assisting them to the bathroom and providing non-skid footwear. Caregivers make sure patients have all necessary items, including a call light, within easy reach.

Updated: March 2014

Keep in mind that you should not choose a hospital based solely on reported data.
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