The PHCQA Performance & Progress Report on hosptial quality
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Charles Cole Memorial Hospital

1001 East Second Street

Coudersport, PA 16915-9762

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NOTE: This is a Critical Access Hospital

Critical Access Hospitals (CAH) are rural hospitals that provide essential services to their communities. These hospitals are designed by Medicare to receive cost-based reimbursement which is intended to improve their financial performance and thereby prevent hospital closures. Use caution when comparing these hospitals to larger institutions as they tend to have a smaller sample sizes and different reporting requirements.

Key

Green indicates that the hospital's result was better than or equal to the selected benchmark.

Black indicates that the hospital's result was below the selected benchmark.

Rollover the Questionmark for more information on the measure.

Rollover the Calendar to see the corresponding measurement period and number of patients included in the results.

Appropriate Care

Appropriate Care Measures Indicates how often patients received all recommended treatments for their clinical condition. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Charles Cole Memorial Hospital PA Rate * US Rate *+ Top 10% Nationally +
Overall Appropriate Care    81% 88% 86% 97%
   Heart Attack Care    93% 94% 93% 100%
   Heart Failure Care    87% 87% 85% 99%
   Pneumonia Care    84% 84% 84% 97%
   Surgical Care    77% 89% 86% 97%

Heart Attack

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Charles Cole Memorial Hospital PA Rate * US Rate * Top 10% Nationally
Aspirin on Arrival    100% 98% 98% 100%
Aspirin Prescribed at Discharge    100% 99% 98% 100%
ACEI or ARB for LVSD    100% 95% 95% 100%
Beta Blocker Prescribed at Discharge    100% 99% 98% 100%
PCI within 90 Minutes    Critical Access Hospital — No data available

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Charles Cole Memorial Hospital PA Average    
Heart Attack Mortality   No different than U.S. National Rate
CABG Mortality    Critical Access Hospital — No data available

Heart Failure

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Charles Cole Memorial Hospital PA Rate * US Rate * Top 10% Nationally
Discharge Instructions    86% 87% 86% 100%
ACEI or ARB for LVSD    100% 94% 93% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Charles Cole Memorial Hospital PA Average    
Heart Failure Mortality   No different than U.S. National Rate
Readmission Rate for Heart Failure (Complication / Infection)    7.1 % 7.3 % Not significantly different than the expected rate

Pneumonia

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Charles Cole Memorial Hospital PA Rate * US Rate * Top 10% Nationally
Pneumococcal Screen/Vaccination    96% 93% 91% 100%
Blood Culture within First 24 hours (ICU)    100% 96% 95% 100%
Blood Culture prior to First Antibiotic    97% 95% 94% 100%
Initial Antibiotic within 6 Hours    93% 95% 94% 100%
Initial Antibiotic Selection    92% 92% 91% 99%
Initial Antibiotic Selection for ICU Patients    60% 67% 66% 100%
Initial Antibiotic Selection for Non-ICU Patients    95% 95% 94% 100%
Influenza Screen/Vaccination    96% 89% 88% 100%

Surgical Care and Infection Prevention

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Charles Cole Memorial Hospital PA Rate * US Rate * Top 10% Nationally
Beta Blocker during the Perioperative Period    Critical Access Hospital — No data available
Prophylactic Antibiotic within 1 hour of incision    [ + ] 76% 96% 95% 100%
Appropriate Antibiotic    [ + ] 99% 98% 98% 100%
Prophylactic Antibiotic Discontinued within 24 hours    [ + ] 94% 94% 92% 99%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose    Critical Access Hospital — No data available
VTE Ordered prior to Surgery    100% 96% 93% 100%
VTE Received within 24 Hours of Surgery    100% 94% 91% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Charles Cole Memorial Hospital PA Average    
Bloodstream Infections    1.0 1.6    

Consumer Assessment

Patient Experience Measures Measures various aspects of patients’ experiences during their hospital stay. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Charles Cole Memorial Hospital PA Avg US Avg Top 10% Nationally
Doctor Communication    82% 78% 80% 87%
Nurse Communication    78% 75% 75% 83%
Responsiveness of Hospital Staff    70% 62% 63% 75%
Pain Well Controlled    70% 68% 69% 75%
Medicine Explained by Staff    67% 58% 59% 67%
Room and Bathroom Kept Clean    74% 69% 70% 81%
Room Quiet at Night    58% 50% 57% 70%
Provided Discharge Information    86% 81% 81% 87%
Hospital Rating    67% 63% 66% 77%
Hospital Recommendation    64% 65% 68% 81%

*The PA and US rates are case-weighted averages. The rates are calculated by dividing the total number of patients who had the recommended care by the total number of patients who met the criteria for that measure across all hospitals.

**The hospital quality measures reported on this website come from a variety of sources using several data collection processes and update schedules. While the PHCQA website contains the most recent publicly available information, the time periods represented by these data range from 6 to 24 months old. Caution should be used when drawing conclusions from these data as a hospital's performance may have changed significantly since the data was collected and reported. The PHCQA recommends you contact the hospital directly to obtain the most recent performance data.

+US rates and Top 10% Benchmarks for Overall and Pneumonia Care are calculated using PN-5c in place of PN-5b for all data from April 2007 forward. National benchmark data provided by the Oklahoma Foundation for Medical Quality.

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