Betsy Johnson Regional Hospital
Hospital in Dunn, NC, Medicare certification number 340071. CMS publishes 54 quality measures for it.
Medicare certification
Provider of Services- CCN
- 340071
- Status
- Active
- Provider type
- Hospital – Short-term
- Listed by Care Compare as
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Control type
- Private (not for profit)
- Participating since
- Jul 1, 1966
- Last certification
- Apr 30, 2001
- Beds
- 108
- Overall star rating
- Address
- 800 Tilghman Dr
Dunn, NC 28334
(910) 892-7161
NPI records for this facility 1
-
- General Acute Care Hospital
- Dunn, NC
- NPI 1922144757
Medicare enrollment
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Worse3
-
Communication about medicines - star rating Better3
-
Discharge information - star rating Worse3
-
Doctor communication - star rating As expected3
-
Nurse communication - star rating Better4
-
Overall hospital rating - star rating Worse2
-
Quietness - star rating Better4
-
Recommend hospital - star rating Worse3
-
Summary star rating Worse3
Complications and deaths 15
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected1.04
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.86
-
Death rate for COPD patients As expected9.3
-
Death rate for heart attack patients As expected11.5
-
Death rate for heart failure patients As expected9.9
-
Death rate for pneumonia patients As expected14.5
-
Death rate for stroke patients As expected11.1
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4
-
Iatrogenic pneumothorax rate As expected0.2
-
In-hospital fall-associated fracture rate As expected0.25
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.19
-
Postoperative hemorrhage or hematoma rate As expected2.23
-
Postoperative respiratory failure rate As expected7.98
-
Postoperative wound dehiscence rate As expected1.74
-
Pressure ulcer rate As expected0.37
Measures CMS does not publish for this facility (5)
Infections 3
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected2.12
-
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.95
-
Clostridium Difficile (C.Diff) As expected0.61
Measures CMS does not publish for this facility (3)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 2.5
-
Breast Cancer Screening Recall Rates 16.1
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.93
Timely and effective care 16
Medicare Care Compare-
Antithrombotic Therapy by End of Hospital Day 2 96
-
Appropriate care for severe sepsis and septic shock 60
-
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 214
-
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 210
-
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 285
-
Discharged on Antithrombotic Therapy 98
-
Head CT results 76
-
Healthcare workers given influenza vaccination 94
-
Intensive Care Unit Venous Thromboembolism Prophylaxis 92
-
Left before being seen 5
-
Safe Use of Opioids - Concurrent Prescribing 22
-
Septic Shock 3-Hour Bundle 72
-
Septic Shock 6-Hour Bundle 84
-
Severe Sepsis 3-Hour Bundle 74
-
Severe Sepsis 6-Hour Bundle 94
-
ST-Segment Elevation Myocardial Infarction (STEMI) 0
Measures CMS does not publish for this facility (14)
Unplanned visits 8
Medicare Care Compare-
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.3
-
Heart failure (HF) 30-Day Readmission Rate As expected21.7
-
Hospital return days for heart failure patients 21.5
-
Hospital return days for pneumonia patients -15.2
-
Pneumonia (PN) 30-Day Readmission Rate As expected17.8
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.1
-
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
Measures CMS does not publish for this facility (6)
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.