Home / Quality Report of PEMBINA COUNTY MEMORIAL HOSPITAL at CAVALIER, ND

PEMBINA COUNTY MEMORIAL HOSPITAL Quality Report

PEMBINA COUNTY MEMORIAL HOSPITAL
BOX 380
CAVALIER, ND 58220

PEMBINA county
Phone: 701-265-8461
Critical Access Hospitals
Ownership: Voluntary non-profit - Private
Accreditation: No
Emergency Service: Yes

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

Heart Failure

1. Heart Failure Patients Given Discharge Instructions

PEMBINA COUNTY MEMORIAL HOSPITAL
100%
Average for the State of North Dakota
59%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 9 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 Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

PEMBINA COUNTY MEMORIAL HOSPITAL
42%
Average for the State of North Dakota
65%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 12 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 Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

PEMBINA COUNTY MEMORIAL HOSPITAL
50%
Average for the State of North Dakota
78%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 2 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.

Pneumonia

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

PEMBINA COUNTY MEMORIAL HOSPITAL
70%
Average for the State of North Dakota
80%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 20 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. Pneumonia Patients Given Smoking Cessation Advice/Counseling

PEMBINA COUNTY MEMORIAL HOSPITAL
100%
Average for the State of North Dakota
65%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 7 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.

3. Pneumonia Patients Given Oxygenation Assessment

PEMBINA COUNTY MEMORIAL HOSPITAL
100%
Average for the State of North Dakota
100%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 32 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

PEMBINA COUNTY MEMORIAL HOSPITAL
90%
Average for the State of North Dakota
91%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 20 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.

5. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

PEMBINA COUNTY MEMORIAL HOSPITAL
85%
Average for the State of North Dakota
75%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 20 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.


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...