Home / Quality Report of PENDER MEMORIAL HOSPITAL at BURGAW, NC

PENDER MEMORIAL HOSPITAL Quality Report

PENDER MEMORIAL HOSPITAL
507 E FREMONT ST
BURGAW, NC 28425

PENDER county
Phone: 910-259-5451
Critical Access Hospitals
Ownership: Government - Local
Accreditation: Yes
Emergency Service: Yes

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

Heart Attack

1. Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

PENDER MEMORIAL HOSPITAL
0%
Average for the State of North Carolina
42%
National Average of Hospitals submitting data:
34%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Heart Attack Patients Given Beta Blocker at Discharge

PENDER MEMORIAL HOSPITAL
50%
Average for the State of North Carolina
91%
National Average of Hospitals submitting data:
90%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Attack Patients Given Beta Blocker at Arrival

PENDER MEMORIAL HOSPITAL
33%
Average for the State of North Carolina
89%
National Average of Hospitals submitting data:
87%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.

4. Heart Attack Patients Given Aspirin at Discharge

PENDER MEMORIAL HOSPITAL
100%
Average for the State of North Carolina
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: 2 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

5. Heart Attack Patients Given Aspirin at Arrival

PENDER MEMORIAL HOSPITAL
100%
Average for the State of North Carolina
93%
National Average of Hospitals submitting data:
93%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

PENDER MEMORIAL HOSPITAL
64%
Average for the State of North Carolina
89%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 11 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Heart Failure Patients Given Discharge Instructions

PENDER MEMORIAL HOSPITAL
29%
Average for the State of North Carolina
67%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.

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

PENDER MEMORIAL HOSPITAL
35%
Average for the State of North Carolina
88%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 37 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

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

PENDER MEMORIAL HOSPITAL
38%
Average for the State of North Carolina
83%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 13 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

Pneumonia

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

PENDER MEMORIAL HOSPITAL
81%
Average for the State of North Carolina
91%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 48 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

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

PENDER MEMORIAL HOSPITAL
80%
Average for the State of North Carolina
84%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 30 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

PENDER MEMORIAL HOSPITAL
71%
Average for the State of North Carolina
86%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 14 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

4. Pneumonia Patients Given Oxygenation Assessment

PENDER MEMORIAL HOSPITAL
98%
Average for the State of North Carolina
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: 64 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

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

PENDER MEMORIAL HOSPITAL
84%
Average for the State of North Carolina
80%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 51 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

PENDER MEMORIAL HOSPITAL
38%
Average for the State of North Carolina
74%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 34 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

Surgical Infection Prevention

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

PENDER MEMORIAL HOSPITAL
0%
Average for the State of North Carolina
83%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.

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

PENDER MEMORIAL HOSPITAL
100%
Average for the State of North Carolina
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: 1 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

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

PENDER MEMORIAL HOSPITAL
100%
Average for the State of North Carolina
76%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
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. Rate reflects fewer than the maximum possible quarters of data for the measure.


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...