Home / Quality Report of ALTA VISTA REGIONAL HOSPITAL at LAS VEGAS, NM

ALTA VISTA REGIONAL HOSPITAL Quality Report

ALTA VISTA REGIONAL HOSPITAL
104 LEGION AVE
LAS VEGAS, NM 87701

SAN MIGUEL county
Phone: 505-426-3500
Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given Smoking Cessation Advice/Counseling

ALTA VISTA REGIONAL HOSPITAL
0%
Average for the State of New Mexico
77%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 1 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  4. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Heart Attack Patients Given Beta Blocker at Discharge

ALTA VISTA REGIONAL HOSPITAL
100%
Average for the State of New Mexico
82%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 3 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  4. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Attack Patients Given Beta Blocker at Arrival

ALTA VISTA REGIONAL HOSPITAL
60%
Average for the State of New Mexico
74%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 5 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  4. Rate reflects fewer than the maximum possible quarters of data for the measure.

4. Heart Attack Patients Given Aspirin at Discharge

ALTA VISTA REGIONAL HOSPITAL
100%
Average for the State of New Mexico
85%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  4. Rate reflects fewer than the maximum possible quarters of data for the measure.

5. Heart Attack Patients Given Aspirin at Arrival

ALTA VISTA REGIONAL HOSPITAL
100%
Average for the State of New Mexico
90%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  4. Rate reflects fewer than the maximum possible quarters of data for the measure.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

ALTA VISTA REGIONAL HOSPITAL
62%
Average for the State of New Mexico
59%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 21 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Failure Patients Given Discharge Instructions

ALTA VISTA REGIONAL HOSPITAL
2%
Average for the State of New Mexico
32%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 64 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

ALTA VISTA REGIONAL HOSPITAL
79%
Average for the State of New Mexico
66%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 78 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

ALTA VISTA REGIONAL HOSPITAL
74%
Average for the State of New Mexico
75%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 23 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

ALTA VISTA REGIONAL HOSPITAL
84%
Average for the State of New Mexico
90%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 106 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

ALTA VISTA REGIONAL HOSPITAL
73%
Average for the State of New Mexico
82%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 94 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

ALTA VISTA REGIONAL HOSPITAL
67%
Average for the State of New Mexico
61%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 54 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Given Oxygenation Assessment

ALTA VISTA REGIONAL HOSPITAL
100%
Average for the State of New Mexico
99%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 141 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

ALTA VISTA REGIONAL HOSPITAL
70%
Average for the State of New Mexico
75%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 121 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

ALTA VISTA REGIONAL HOSPITAL
58%
Average for the State of New Mexico
58%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 84 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Pneumonia Patients Assessed and Given Influenza Vaccination

ALTA VISTA REGIONAL HOSPITAL
33%
Average for the State of New Mexico
56%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 21 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

ALTA VISTA REGIONAL HOSPITAL
66%
Average for the State of New Mexico
68%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 70 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

ALTA VISTA REGIONAL HOSPITAL
76%
Average for the State of New Mexico
88%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 34 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

ALTA VISTA REGIONAL HOSPITAL
78%
Average for the State of New Mexico
82%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 63 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...