• Posted on 07/11/2014
  • Collection Periods
  • Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.
Florida Hospital North Pinellas
Tarpon Springs, FL  34689
CMS Certification Number: 100055
     
 

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Quality Measures Linked to Payment

Value-Based Purchasing Program

Fiscal Year Clinical Process of Care Domain - 45% Patient Experience of Care Domain - 30% Outcome Domain - 25% Total Performance Score National Percentile
2013 ### ### ### ### ###

Readmission Reduction Program

Measure Name Number of Discharges Number of Readmissions Predicted Readmission Rate Expected Readmission Rate Excess Readmission Ratio
Heart Attack ### ### ### ### ###
Heart Failure ### ### ### ### ###
Pneumonia ### ### ### ### ###

Timely & Effective Care

Timely Heart Attack Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
AMI-7a. Fibrinolytic Medication Within 30 Minutes Of Arrival ### ### ### ### ###
AMI-8a. PCI Within 90 Minutes Of Arrival ### ### ### ### ###
OP-2. Fibrinolytic Therapy received within 30 minutes ### ### ### ### ###
OP-3b. Median Time to transfer patients for Acute Coronary Intervention ### ### ### ### ###
OP-4. Aspirin at Arrival ### ### ### ### ###
OP-5. Median Time to ECG ### ### ### ### ###

Effective Heart Attack Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
AMI-2. Aspirin at Discharge ### ### ### ### ###
AMI-10. Heart Attack Patients Given a Prescription for a Statin at Discharge ### ### ### ### ###

Effective Heart Failure Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
HF-1. Discharge Instructions ### ### ### ### ###
HF-2. Evaluation of Left Ventricular Systolic (LVS) Function ### ### ### ### ###
HF-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) ### ### ### ### ###

Effective Pneumonia Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
PN-3b. Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospita ### ### ### ### ###
PN-6. Appropriate Initial Antibiotic Selection ### ### ### ### ###

Emergency Department: AMI Cardiac Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-1. Median Time to Fibrinolysis ### ### ### ### ###

Timely Surgical Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-6. Timing of Antibiotic Prophylaxis ### ### ### ### ###
SCIP-INF-1. Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision ### ### ### ### ###
SCIP-INF-3. Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time ### ### ### ### ###
SCIP-VTE-2. Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery ### ### ### ### ###

Effective Surgical Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-7. Prophylactic Antiobiotic Selection ### ### ### ### ###
SCIP-CARD-2. Patients on beta blocker at admission who received beta blocker during perioperative period ### ### ### ### ###
SCIP-INF-2. Prophylactic Antibiotic Selection ### ### ### ### ###
SCIP-INF-4. Blood glucose controlled in days following heart surgery ### ### ### ### ###
SCIP-INF-9. Urinary catheter removed within two days following surgery ### ### ### ### ###
SCIP-INF-10. Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery ### ### ### ### ###

Timely Emergency Department Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
ED-1b. Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient ### ### ### ### ###
ED-2b. Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room ### ### ### ### ###
OP-18b. Average time patients spent in the emergency department before being sent home ### ### ### ### ###
OP-20. Average time patients spent in the emergency department before they were seen by a healthcare professional ### ### ### ### ###
OP-21. Average time patients who came to the emergency department with broken bones had to wait before receiving pain medication ### ### ### ### ###
OP-22. Percentage of patients who left the emergency department before being seen ### ### ### ### ###
OP-23. Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival ### ### ### ### ###

Preventive Care

Measure Number of Patients Footnotes Hospital Score National Average State Average
IMM-1a. Patients assessed and given pneumonia vaccination ### ### ### ### ###
IMM-2. Patients assessed and given influenza vaccination ### ### ### ### ###

Effective Children's Asthma Care

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

Timely Stroke Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
STK-1. Ischemic or hemorrhagic stroke patients who received treatment to prevent venous thromboembolism within 2 days of arrival ### ### ### ### ###
STK-4. Ischemic stroke patients who received t-PA within 3 hours of symptoms ### ### ### ### ###
STK-5. Ischemic stroke patients who received antithrombotic therapy within 2 days of arrival ### ### ### ### ###

Effective Stroke Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
STK-2. Ischemic stroke patients who received a prescription for an antithrombotic prior to discharge ### ### ### ### ###
STK-3. Ischemic stroke patients with an irregular heartbeat who received a prescription for an anticoagulant prior to discharge ### ### ### ### ###
STK-6. Ischemic stroke patients with high cholesterol who were given a prescription for a statin prior to discharge ### ### ### ### ###
STK-8. Ischemic or hemorrhagic stroke patients who received educational materials about stroke care during their stay ### ### ### ### ###
STK-10. Ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services ### ### ### ### ###

Blood Clot Prevention

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
VTE-1. Patients who received treatment to prevent blood clots within one day of admission or the day after surgery ### ### ### ### ###
VTE-2. ICU patients who received treatment to prevent blood clots within one day of admission, within one day of transfer to the ICU, or within one day following surgery ### ### ### ### ###
VTE-6. Patients who developed blood clots who did not receive preventative treatment ### ### ### ### ###

Blood Clot Treatment

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
VTE-3. Patients with blood clots who received recommended treatment with two blood thinners ### ### ### ### ###
VTE-4. Patients with blood clots who were treated with unfractionated IV heparin and had their blood checked using recommended procedures ### ### ### ### ###
VTE-5. Patients with blood clots who were discharged on blood thinners and received educational instructions at discharge ### ### ### ### ###

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 ### ### ### ### ###
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Patient Survey Results

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Survey question Measure Percent Measure Percent Measure Percent
Nurses communicated well ### ### ### ### ### ###
Doctors communicated well ### ### ### ### ### ###
Help received quickly ### ### ### ### ### ###
Pain controlled well ### ### ### ### ### ###
Staff explained medicines ### ### ### ### ### ###
Room and bath kept clean ### ### ### ### ### ###
Area quiet at night ### ### ### ### ### ###
Given discharge instructions ### ### ### ### ### ###
Overall hospital rating ### ### ### ### ### ###
Would recommend hospital ### ### ### ### ### ###
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Readmissions, Complications and Deaths

30-Day Risk Adjusted Mortality Rates

Measure Hospital Predicted Range National Average
Number Patients Mortality Rate from to
Heart Attack ### ### ### ### ###
Heart Failure ### ### ### ### ###
Pneumonia ### ### ### ### ###

30-Day Risk Adjusted Readmission Rates

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack ### ### ### ### ###
Heart Failure ### ### ### ### ###
Pneumonia ### ### ### ### ###
Hip/Knee Surgery ### ### ### ### ###
Hospital-wide ### ### ### ### ###
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Surgical Complications

Measure Hospital Predicted Range National Average
Number Patients Rate from to
Complications for Hip/Knee Replacements ### ### ### ### ###
PSI-4. Death from serious treatable complications after surgery ### ### ### ### ###
PSI-90. Serious Complications ### ### ### ### ###

Healthcare Associated Infections

Measure Hospital Score State Score
HAI-1-SIR. Central Line Associated Blood Stream Infections (CLABSI) ### ###
HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) ### ###
HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) ### ###
HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) ### ###
HAI-5-SIR. Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections ### ###
HAI-6-SIR. Clostridium difficile (or C.diff.) Infections (intestinal infections) ### ###
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Efficiency Measures

Use of Medical Imaging

Measure Hospital Footnotes Hospital Score National Average State Average
OP-8. MRI Lumbar Spine for Low Back Pain ### ### ### ###
OP-9. Mammography Follow-up Rates ### ### ### ###
OP-10. Abdomen CT - Use of Contrast Material ### ### ### ###
OP-11. Thorax CT - Use of Contrast Material ### ### ### ###
OP-13. Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery ### ### ### ###
OP-14. Outpatients with brain CT scans who got a sinus CT scan at the same time ### ### ### ###

Medicare Spending Per Patient

Measure Hospital Score National Average State Average
SPP-1. Spending per Hospital Patient with Medicare (displayed in ratio) ### ### ###
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Measures of Psychiatric Facilities

Inpatient Psychiatric Facility Quality Reporting (IPFQR)

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