Community Hospital – Fairfax

26136 US Highway 59 | Fairfax, MO 64446-9105
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The quality measures were selected based on agreement from Missouri providers and national organizations and experts. The measures chosen represent the primary goal of quality care — do no harm. Infections, falls and unnecessary hospitalization or unplanned readmission are areas hospitals strive to improve.

The data used for the quality data measures is patient hospital discharge data. This source was used to ensure consistent data sources from all providers. However, this data source is not perfect. It is recognized that other data sources and calculations could provide more accurate rates, at the hospital level. In particular, this source and method of calculation for infection rates may result in higher rates when calculated with more exact and sensitive data sources. These measures do not fully explain the level of quality care provided in a hospital. If you have questions, please talk to your care provider.

Please note some hospitals do not treat patients with these conditions and therefore may not have information displayed in some categories. Similarly, if there are not enough cases for a particular measure, the data can be misleading. Therefore, harm and infection information will only be shown if there are at least 25 cases per 12-month reporting period. Readmission information will be displayed if a hospital has at least 25 cases in the three-year reporting period. If a hospital does not have the minimum amount of cases required, their data will not be displayed. In addition, only acute care hospitals are required to submit infection data to the National Healthcare Surveillance Network.  Hospitals that are not required to submit will not have data displayed.

Because different patient populations have different health outcomes, simply comparing the number or percentage of some quality measures will not provide an accurate comparison. To make a more accurate comparison, some measures are “adjusted.” This is a common statistical step so that comparison may be similar. However, even adjusting the data cannot guarantee an identical comparison of “apples to apples.” Read the methodology report for risk adjustment for sociodemographic status in 30-day hospital readmissions.

Measures calculated from time periods including data on or after October 1, 2015 display rates using provisional methodology. This methodology has been tested at the state level, however, has not been nationally tested or approved.

Understanding the Data

Hospital data can be complex. We hope these resources will assist you in navigating the data on Focus on Hospitals.

Have questions about the data? Feel free to contact us, we’ll do our best to answer your questions promptly.


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Hospital Data
Community Hospital – Fairfax
Missouri Statewide Average
Add a hospital
Reducing Harm
Lower is better
Rate of major bedsores obtained during hospital stay The number of people who get a serious bedsore while in the hospital

Reporting Date:
1/1/2016 - 12/31/2016
0.0 per 1,000 discharges
Age, gender and medical condition adjusted
0.4 per 1,000 discharges
Age, gender and medical condition adjusted
Rate of unexpected patient deaths during hospital stay The number of people who die unexpectedly while in the hospital

Reporting Date:
1/1/2016 - 12/31/2016
0.0 per 1,000 discharges
Age, gender and medical condition adjusted
0.2 per 1,000 discharges
Age, gender and medical condition adjusted
Rate of falls with injury during hospital stay The percentage of people who fall and become injured while in the hospital

Reporting Date:
1/1/2016 - 12/31/2016
0.0 per 1,000 discharges
Unadjusted rate
0.3 per 1,000 discharges
Unadjusted rate
Rate of blood clots following surgery The number of people who get a blood clot after surgery

Reporting Date:
1/1/2016 - 12/31/2016
0.0 per 1,000 discharges
Age, gender and medical condition adjusted
4.4 per 1,000 discharges
Age, gender and medical condition adjusted
Preventing Infection
Lower is better
Rate of serious complications from infection following surgery The percentage of people who have serious complications from an infection following surgery

Reporting Date:
1/1/2016 - 12/31/2016
Not enough cases / does not provide services
9.5 per 1,000 discharges
Age, gender and medical condition adjusted
Rate of surgical site infections following colon surgery The percentage of people who get an infection after colon surgery

Reporting Date:
1/1/2016 - 12/31/2016
Reporting Not Required
0.775
Standardized Infection Ratio
Rate of urinary tract infections among patients with a urine tube placed during hospital stay The percentage of people who get a urinary tract infection from a urine tube, which is used to drain the bladder, while in the hospital

Reporting Date:
1/1/2016 - 12/31/2016
Reporting Not Required
0.912
Standardized Infection Ratio
Rate of bloodstream infections among patients with a tube placed in the vein during hospital stay The percentage of people who get an infection from a tube placed in the vein while in the hospital

Reporting Date:
1/1/2016 - 12/31/2016
Reporting Not Required
0.909
Standardized Infection Ratio
Rate of Clostridium Difficile (C.Diff) infections obtained during hospital stay The number of people who get sick from a germ obtained while in the hospital, which causes severe diarrhea, stomach pain and fever

Reporting Date:
1/1/2016 - 12/31/2016
Reporting Not Required
0.947
Standardized Infection Ratio
Rate of antibiotic resistant forms of staph infection obtained during hospital stay The number of people who get an infection while in the hospital caused by a type of bacteria that has become resistant to many of the antibiotics used to treat ordinary staph infections

Reporting Date:
1/1/2016 - 12/31/2016
Reporting Not Required
1.020
Standardized Infection Ratio
Rate of surgical site infections following abdominal surgery to remove the uterus The percentage of people who get an infection after an abdominal surgery to remove the uterus

Reporting Date:
1/1/2016 - 12/31/2016
Reporting Not Required
0.836
Standardized Infection Ratio
Managing Readmissions
Lower is better
Rate of readmissions to the hospital within 30 days of leaving the hospital for any reason The number of people readmitted to the hospital within 30 days of when they were last in the hospital

Reporting Date:
12/1/2013 - 11/30/2016
Most Recent Quarter Reporting Date:
9/1/2016 - 11/30/2016
13.6% (of 855 cases during the last 36 months)
Age, medical condition and poverty adjusted rate
11.5%
Most recent 36-months unadjusted rate
Rate of readmissions to the hospital within 30 days of leaving the hospital for a heart attack The number of people readmitted to the hospital within 30 days of when they were last in the hospital for a heart attack

Reporting Date:
12/1/2013 - 11/30/2016
Most Recent Quarter Reporting Date:
9/
Not enough cases / does not provide services
10.9%
Most recent 36-months unadjusted rate
Rate of readmissions to the hospital within 30 days of leaving the hospital for a serious lung infection The number of people readmitted to the hospital within 30 days of when they were last in the hospital for a serious lung infection (pneumonia)

Reporting Date:
12/1/2013 - 11/30/2016
Most Recent Quarter Reporting Date:
9/1/2016 - 11/30/2016
15.8% (of 157 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
14.0%
Most recent 36-months unadjusted rate
Rate of readmissions to the hospital within 30 days of leaving the hospital for chronic obstructive pulmonary disease The number of people readmitted to the hospital within 30 days of when they were last in the hospital for long-term lung disease

Reporting Date:
12/1/2013 - 11/30/2016
Most Recent Quarter Reporting Date:
9/1/2016 - 11/30/2016
17.1% (of 72 cases during the last 36 months)
Age, medical condition and poverty adjusted rate
17.4%
Most recent 36-months unadjusted rate
Rate of readmissions to the hospital within 30 days of leaving the hospital for congestive heart failure The number of people readmitted to the hospital within 30 days of when they were last in the hospital for a weak heart muscle

Reporting Date:
12/1/2013 - 11/30/2016
Most Recent Quarter Reporting Date:
9/1/2016 - 11/30/2016
18.5% (of 42 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
19.0%
Most recent 36-months unadjusted rate
Rate of readmissions to the hospital within 30 days of leaving the hospital for hip or knee replacement The number of people readmitted to the hospital within 30 days of when they were last in the hospital for hip or knee replacement

Reporting Date:
12/1/2013
Most Recent Quarter Reporting Date:
Not enough cases / does not provide services
3.4%
Most recent 36-months unadjusted rate

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