facility_id,facility_name,address,city,state,zip_code,county_name,hbips_2_measure_description,hbips_2_overall_rate_per_1000,hbips_2_overall_num,hbips_2_overall_den,hbips_2_overall_footnote,hbips_3_measure_description,hbips_3_overall_rate_per_1000,hbips_3_overall_num,hbips_3_overall_den,hbips_3_overall_footnote,hbips_5_measure_description,hbips_5_pct,hbips_5_denominator,hbips_5_footnote,smd_measure_description,smd_pct,smd_denominator,smd_footnote,sub_1_measure_description,sub_1_pct,sub_1_denominator,sub_1_footnote,sub_2_2a_measure_description,sub_2_pct,sub_2_denominator,sub_2_footnote,sub_2a_pct,sub_2a_denominator,sub_2a_footnote,sub_3_3a_measure_description,sub_3_pct,sub_3_denominator,sub_3_footnote,sub_3a_pct,sub_3a_denominator,sub_3a_footnote,tob_1_measure_description,tob_1_pct,tob_1_denominator,tob_1_footnote,tob_2_2a_measure_desc,tob_2_pct,tob_2_denominator,tob_2_footnote,tob_2a_pct,tob_2a_denominator,tob_2a_footnote,tob_3_3a_measure_description,tob_3_pct,tob_3_denominator,tob_3_footnote,tob_3a_pct,tob_3a_denominator,tob_3a_footnote,peoc_measure_description,peoc_assessed_response,peoc_assessed_footnote,ehr_use_measure_description,ehr_use_response,ehr_use_footnote,ehr_hisp_measure_description,ehr_hisp_response,ehr_hisp_footnote,tr_1_measure_description,tr_1_pct,tr_1_denominator,tr_1_footnote,tr_2_measure_description,tr_2_pct,tr_2_denominator,tr_2_footnote,start_date,end_date,fuh_measure_description,fuh_30_pct,fuh_30_denominator,fuh_30_footnote,fuh_7_pct,fuh_7_denominator,fuh_7_footnote,fuh_measure_start_date,fuh_measure_end_date,readm_30_ipf_measure_desc,readm_30_ipf_category,readm_30_ipf_denominator,readm_30_ipf_rate,readm_30_ipf_lower_estimate,readm_30_ipf_higher_estimate,readm_30_ipf_footnote,readm_30_ipf_start_date,readm_30_ipf_end_date,imm_2_measure_description,imm_2_pct,imm_2_denominator,imm_2_footnote,hcp_measure_description,hcp_pct,hcp_denominator,hcp_footnote,flu_season_start_date,flu_season_end_date
10007,MIZELL MEMORIAL HOSPITAL,702 N MAIN ST,OPP,AL,36467,COVINGTON,Hours of physical-restraint use,0.0,0.0,3753.0,nan,Hours of seclusion use,0.0,0.0,3753.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,14.0,nan,Screening for metabolic disorders (SMD),100.0,258.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,259.0,nan,Alcohol use brief intervention provided or offered,100.0,17.0,nan,100.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,17.0,nan,100.0,17.0,nan,Tobacco use screening,29.0,259.0,nan,Tobacco use treatment provided or offered,100.0,74.0,nan,100.0,74.0,nan,Tobacco use treatment provided or offered at discharge,100.0,74.0,nan,0.0,74.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,259.0,nan,Timely transmission of transition record (TR2),100.0,259.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,25.0,nan,28.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,316.0,25.7,21.3,30.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),11.0,123.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),37.0,27.0,nan,2017-10-01,2018-03-31
10008,CRENSHAW COMMUNITY HOSPITAL,101 HOSPITAL CIRCLE,LUVERNE,AL,36049,CRENSHAW,Hours of physical-restraint use,0.04,4.8,5178.0,nan,Hours of seclusion use,0.03,3.92,5178.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,195.0,nan,Screening for metabolic disorders (SMD),100.0,557.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,643.0,nan,Alcohol use brief intervention provided or offered,8.0,119.0,nan,2.0,119.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,582.0,nan,1.0,582.0,nan,Tobacco use screening,97.0,616.0,nan,Tobacco use treatment provided or offered,97.0,429.0,nan,72.0,429.0,nan,Tobacco use treatment provided or offered at discharge,94.0,375.0,nan,7.0,375.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,665.0,nan,Timely transmission of transition record (TR2),98.0,665.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.0,98.0,nan,17.3,98.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,240.0,17.3,13.8,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,56.0,nan,2017-10-01,2018-03-31
10011,ST VINCENT'S EAST,50 MEDICAL PARK EAST DRIVE,BIRMINGHAM,AL,35235,JEFFERSON,Hours of physical-restraint use,1.5,223.17,6217.0,nan,Hours of seclusion use,0.0,0.0,6217.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,2.0,41.0,nan,Screening for metabolic disorders (SMD),36.0,276.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,351.0,nan,Alcohol use brief intervention provided or offered,0.0,14.0,nan,0.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,32.0,nan,0.0,32.0,nan,Tobacco use screening,98.0,352.0,nan,Tobacco use treatment provided or offered,43.0,65.0,nan,11.0,65.0,nan,Tobacco use treatment provided or offered at discharge,0.0,41.0,nan,0.0,41.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),8.0,381.0,nan,Timely transmission of transition record (TR2),8.0,381.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,32.0,nan,12.5,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,259.0,17.9,14.1,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,154.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,36.0,nan,2017-10-01,2018-03-31
10012,DEKALB REGIONAL MEDICAL CENTER,200 MED CENTER DRIVE,FORT PAYNE,AL,35968,DE KALB,Hours of physical-restraint use,0.0,0.0,5266.0,nan,Hours of seclusion use,0.0,0.0,5266.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,208.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,207.0,nan,Tobacco use treatment provided or offered,100.0,26.0,nan,100.0,26.0,nan,Tobacco use treatment provided or offered at discharge,25.0,12.0,nan,0.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,217.0,nan,Timely transmission of transition record (TR2),100.0,217.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,13.0,nan,15.4,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,283.0,23.2,18.9,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,92.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,43.0,nan,2017-10-01,2018-03-31
10016,SHELBY BAPTIST MEDICAL CENTER,1000 FIRST STREET NORTH,ALABASTER,AL,35007,SHELBY,Hours of physical-restraint use,0.02,10.08,17518.0,nan,Hours of seclusion use,0.0,1.0,17518.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,23.0,nan,Screening for metabolic disorders (SMD),98.0,452.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,633.0,nan,Alcohol use brief intervention provided or offered,99.0,114.0,nan,99.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,224.0,nan,93.0,224.0,nan,Tobacco use screening,99.0,633.0,nan,Tobacco use treatment provided or offered,98.0,346.0,nan,96.0,346.0,nan,Tobacco use treatment provided or offered at discharge,98.0,313.0,nan,98.0,313.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,622.0,nan,Timely transmission of transition record (TR2),98.0,622.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,94.0,nan,21.3,94.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,518.0,19.7,16.7,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,72.0,nan,2017-10-01,2018-03-31
10021,DALE MEDICAL CENTER,126 HOSPITAL AVE,OZARK,AL,36360,DALE,Hours of physical-restraint use,0.0,0.0,1290.0,nan,Hours of seclusion use,0.0,0.0,1290.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,55.0,nan,Screening for metabolic disorders (SMD),0.0,171.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,165.0,nan,Alcohol use brief intervention provided or offered,100.0,16.0,nan,12.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,16.0,nan,0.0,16.0,nan,Tobacco use screening,97.0,165.0,nan,Tobacco use treatment provided or offered,75.0,68.0,nan,12.0,68.0,nan,Tobacco use treatment provided or offered at discharge,75.0,68.0,nan,24.0,68.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,165.0,nan,Timely transmission of transition record (TR2),100.0,165.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.5,43.0,nan,14.0,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,256.0,20.1,16.3,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
10023,BAPTIST MEDICAL CENTER SOUTH,2105 EAST SOUTH BOULEVARD,MONTGOMERY,AL,36116,MONTGOMERY,Hours of physical-restraint use,0.12,39.05,13802.0,nan,Hours of seclusion use,0.07,24.75,13802.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,8.0,40.0,nan,Screening for metabolic disorders (SMD),30.0,573.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,76.0,798.0,nan,Alcohol use brief intervention provided or offered,61.0,161.0,nan,59.0,161.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,352.0,nan,35.0,352.0,nan,Tobacco use screening,96.0,794.0,nan,Tobacco use treatment provided or offered,72.0,443.0,nan,62.0,443.0,nan,Tobacco use treatment provided or offered at discharge,37.0,414.0,nan,2.0,414.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),3.0,1030.0,nan,Timely transmission of transition record (TR2),3.0,1030.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,17.4,184.0,nan,8.7,184.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,519.0,21.5,18.4,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,376.0,nan,2017-10-01,2018-03-31
10033,UNIVERSITY OF ALABAMA HOSPITAL,619 SOUTH 19TH STREET,BIRMINGHAM,AL,35233,JEFFERSON,Hours of physical-restraint use,0.32,238.69,30848.0,nan,Hours of seclusion use,0.83,617.33,30848.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,472.0,nan,Alcohol use brief intervention provided or offered,100.0,116.0,nan,100.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,252.0,nan,59.0,252.0,nan,Tobacco use screening,99.0,472.0,nan,Tobacco use treatment provided or offered,88.0,301.0,nan,13.0,301.0,nan,Tobacco use treatment provided or offered at discharge,64.0,258.0,nan,1.0,258.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,576.0,nan,Timely transmission of transition record (TR2),75.0,576.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.9,109.0,nan,19.3,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,459.0,18.9,15.9,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,280.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,349.0,nan,2017-10-01,2018-03-31
10034,COMMUNITY HOSPITAL INC,805 FRIENDSHIP ROAD,TALLASSEE,AL,36078,ELMORE,Hours of physical-restraint use,0.0,0.0,2125.0,nan,Hours of seclusion use,0.0,0.0,2125.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),12.0,161.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,183.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,85.0,183.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,161.0,nan,Timely transmission of transition record (TR2),0.0,161.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.3,15.0,nan,26.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,19.9,15.6,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,83.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),26.0,34.0,nan,2017-10-01,2018-03-31
10039,HUNTSVILLE HOSPITAL,101 SIVLEY RD,HUNTSVILLE,AL,35801,MADISON,Hours of physical-restraint use,0.0,0.0,7450.0,nan,Hours of seclusion use,0.0,0.0,7450.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,29.0,nan,Screening for metabolic disorders (SMD),50.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,575.0,nan,Alcohol use brief intervention provided or offered,100.0,107.0,nan,100.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,6.0,149.0,nan,6.0,149.0,nan,Tobacco use screening,100.0,576.0,nan,Tobacco use treatment provided or offered,90.0,283.0,nan,81.0,283.0,nan,Tobacco use treatment provided or offered at discharge,0.0,257.0,nan,0.0,257.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,583.0,nan,Timely transmission of transition record (TR2),87.0,583.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.7,149.0,nan,26.2,149.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,536.0,19.5,16.6,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,284.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,63.0,nan,2017-10-01,2018-03-31
10040,GADSDEN REGIONAL MEDICAL CENTER,1007 GOODYEAR AVENUE,GADSDEN,AL,35903,ETOWAH,Hours of physical-restraint use,0.0,0.0,4074.0,nan,Hours of seclusion use,0.0,0.0,4074.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,200.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,319.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,18.0,nan,6.0,18.0,nan,Tobacco use screening,100.0,315.0,nan,Tobacco use treatment provided or offered,90.0,48.0,nan,6.0,48.0,nan,Tobacco use treatment provided or offered at discharge,72.0,29.0,nan,0.0,29.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,325.0,nan,Timely transmission of transition record (TR2),82.0,325.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,13.0,23.0,nan,8.7,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,292.0,22.7,18.7,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,174.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,24.0,nan,2017-10-01,2018-03-31
10046,RIVERVIEW REGIONAL MEDICAL CENTER,600 SOUTH THIRD STREET,GADSDEN,AL,35901,ETOWAH,Hours of physical-restraint use,0.0,0.0,1972.0,nan,Hours of seclusion use,0.0,0.0,1972.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),98.0,128.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,57.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,57.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,229.0,nan,Timely transmission of transition record (TR2),95.0,229.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.8,23.0,nan,17.4,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,161.0,20.6,16.3,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,283.0,nan,2017-10-01,2018-03-31
10062,WIREGRASS MEDICAL CENTER,1200 W MAPLE AVENUE,GENEVA,AL,36340,GENEVA,Hours of physical-restraint use,0.0,0.0,3862.0,nan,Hours of seclusion use,0.0,0.0,3862.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,14.0,nan,Screening for metabolic disorders (SMD),10.0,206.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,293.0,nan,Alcohol use brief intervention provided or offered,78.0,37.0,nan,76.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,292.0,nan,Tobacco use treatment provided or offered,73.0,66.0,nan,67.0,66.0,nan,Tobacco use treatment provided or offered at discharge,0.0,39.0,nan,0.0,39.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,295.0,nan,Timely transmission of transition record (TR2),39.0,295.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.0,40.0,nan,10.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,360.0,21.9,18.2,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),65.0,66.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,46.0,nan,2017-10-01,2018-03-31
10069,MEDICAL CENTER BARBOUR,820 W WASHINGTON ST,EUFAULA,AL,36027,BARBOUR,Hours of physical-restraint use,0.0,0.0,3075.0,nan,Hours of seclusion use,0.0,0.0,3075.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,23.0,nan,Screening for metabolic disorders (SMD),100.0,23.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,338.0,nan,Alcohol use brief intervention provided or offered,1.0,338.0,nan,1.0,338.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,338.0,nan,Tobacco use treatment provided or offered,100.0,125.0,nan,100.0,125.0,nan,Tobacco use treatment provided or offered at discharge,0.0,125.0,nan,0.0,125.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,338.0,nan,Timely transmission of transition record (TR2),100.0,338.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.2,24.0,nan,12.5,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,309.0,19.3,15.5,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,168.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,34.0,nan,2017-10-01,2018-03-31
10078,NORTHEAST ALABAMA REGIONAL MEDICAL CENTER,400 EAST 10TH STREET,ANNISTON,AL,36207,CALHOUN,Hours of physical-restraint use,36.51,5396.59,6159.0,nan,Hours of seclusion use,2.21,326.92,6159.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,319.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,533.0,nan,Alcohol use brief intervention provided or offered,86.0,113.0,nan,83.0,113.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,211.0,nan,55.0,211.0,nan,Tobacco use screening,99.0,540.0,nan,Tobacco use treatment provided or offered,94.0,353.0,nan,70.0,353.0,nan,Tobacco use treatment provided or offered at discharge,98.0,303.0,nan,0.0,303.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,604.0,nan,Timely transmission of transition record (TR2),36.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.4,95.0,nan,8.4,95.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,357.0,19.1,15.7,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,278.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,590.0,nan,2017-10-01,2018-03-31
10085,DECATUR MORGAN HOSPITAL-DECATUR CAMPUS,1201 7TH STREET SE,DECATUR,AL,35601,MORGAN,Hours of physical-restraint use,0.04,13.78,15789.0,nan,Hours of seclusion use,0.0,0.5,15789.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,19.0,nan,Screening for metabolic disorders (SMD),25.0,414.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,257.0,nan,Alcohol use brief intervention provided or offered,54.0,37.0,nan,46.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,8.0,51.0,nan,4.0,51.0,nan,Tobacco use screening,93.0,257.0,nan,Tobacco use treatment provided or offered,19.0,120.0,nan,5.0,120.0,nan,Tobacco use treatment provided or offered at discharge,16.0,102.0,nan,6.0,102.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),6.0,609.0,nan,Timely transmission of transition record (TR2),4.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.9,114.0,nan,42.1,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,385.0,16.3,13.4,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,208.0,nan,2017-10-01,2018-03-31
10086,NORTHWEST MEDICAL CENTER,1530 U S HIGHWAY 43,WINFIELD,AL,35594,FAYETTE,Hours of physical-restraint use,0.0,0.0,3097.0,nan,Hours of seclusion use,0.0,0.0,3097.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,114.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,186.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,185.0,nan,Tobacco use treatment provided or offered,100.0,45.0,nan,98.0,45.0,nan,Tobacco use treatment provided or offered at discharge,71.0,17.0,nan,53.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,98.0,nan,Timely transmission of transition record (TR2),85.0,98.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.7,22.0,nan,27.3,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,277.0,19.1,15.3,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),87.0,97.0,nan,2017-10-01,2018-03-31
10089,WALKER BAPTIST MEDICAL CENTER,3400 HIGHWAY 78 EAST,JASPER,AL,35502,WALKER,Hours of physical-restraint use,0.03,16.13,22991.0,nan,Hours of seclusion use,0.01,7.47,22991.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,49.0,nan,Screening for metabolic disorders (SMD),99.0,371.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,602.0,nan,Alcohol use brief intervention provided or offered,96.0,75.0,nan,96.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,224.0,nan,96.0,224.0,nan,Tobacco use screening,99.0,601.0,nan,Tobacco use treatment provided or offered,99.0,396.0,nan,99.0,396.0,nan,Tobacco use treatment provided or offered at discharge,98.0,363.0,nan,98.0,363.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,604.0,nan,Timely transmission of transition record (TR2),99.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.8,199.0,nan,47.2,199.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,716.0,17.9,15.4,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,89.0,nan,2017-10-01,2018-03-31
10091,GROVE HILL MEMORIAL HOSPITAL,295 JACKSON HWY S,GROVE HILL,AL,36451,CLARKE,Hours of physical-restraint use,0.0,0.0,1829.0,nan,Hours of seclusion use,0.0,0.0,1829.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,100.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,173.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,173.0,nan,Tobacco use treatment provided or offered,100.0,26.0,nan,88.0,26.0,nan,Tobacco use treatment provided or offered at discharge,100.0,26.0,nan,31.0,26.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,173.0,nan,Timely transmission of transition record (TR2),100.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,18.2,11.0,nan,9.1,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,179.0,21.4,16.5,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),49.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,73.0,nan,2017-10-01,2018-03-31
10092,D C H REGIONAL MEDICAL CENTER,809 UNIVERSITY BOULEVARD EAST,TUSCALOOSA,AL,35401,TUSCALOOSA,Hours of physical-restraint use,0.6,260.34,18106.0,nan,Hours of seclusion use,0.16,68.97,18106.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,33.0,nan,Screening for metabolic disorders (SMD),92.0,327.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,584.0,nan,Alcohol use brief intervention provided or offered,78.0,118.0,nan,77.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,231.0,nan,95.0,231.0,nan,Tobacco use screening,99.0,586.0,nan,Tobacco use treatment provided or offered,95.0,318.0,nan,80.0,318.0,nan,Tobacco use treatment provided or offered at discharge,68.0,284.0,nan,9.0,284.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),54.0,655.0,nan,Timely transmission of transition record (TR2),40.0,655.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.8,225.0,nan,13.8,225.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,708.0,18.0,15.6,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,134.0,nan,2017-10-01,2018-03-31
10101,CITIZENS BAPTIST MEDICAL CENTER,604 STONE AVENUE,TALLADEGA,AL,35161,TALLADEGA,Hours of physical-restraint use,0.0,0.0,3071.0,nan,Hours of seclusion use,0.0,0.0,3071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,240.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,240.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,12.0,nan,83.0,12.0,nan,Tobacco use screening,99.0,227.0,nan,Tobacco use treatment provided or offered,100.0,53.0,nan,98.0,53.0,nan,Tobacco use treatment provided or offered at discharge,100.0,23.0,nan,96.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,237.0,nan,Timely transmission of transition record (TR2),98.0,237.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.7,15.0,nan,6.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,250.0,20.8,16.6,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,109.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,42.0,nan,2017-10-01,2018-03-31
10103,PRINCETON BAPTIST MEDICAL CENTER,701 PRINCETON AVENUE SOUTHWEST,BIRMINGHAM,AL,35211,JEFFERSON,Hours of physical-restraint use,0.0,0.0,31429.0,nan,Hours of seclusion use,0.0,0.0,31429.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,26.0,nan,Screening for metabolic disorders (SMD),91.0,388.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,518.0,nan,Alcohol use brief intervention provided or offered,70.0,44.0,nan,70.0,44.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,58.0,nan,55.0,58.0,nan,Tobacco use screening,99.0,516.0,nan,Tobacco use treatment provided or offered,93.0,111.0,nan,87.0,111.0,nan,Tobacco use treatment provided or offered at discharge,68.0,69.0,nan,67.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,528.0,nan,Timely transmission of transition record (TR2),85.0,528.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.2,36.0,nan,22.2,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,414.0,21.8,18.0,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,220.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,61.0,nan,2017-10-01,2018-03-31
10104,GRANDVIEW MEDICAL CENTER,3690 GRANDVIEW PARKWAY,BIRMINGHAM,AL,35243,JEFFERSON,Hours of physical-restraint use,0.47,40.07,3577.0,nan,Hours of seclusion use,0.0,0.0,3577.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,203.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,164.0,nan,Alcohol use brief intervention provided or offered,100.0,14.0,nan,93.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,21.0,nan,52.0,21.0,nan,Tobacco use screening,100.0,165.0,nan,Tobacco use treatment provided or offered,100.0,30.0,nan,23.0,30.0,nan,Tobacco use treatment provided or offered at discharge,100.0,24.0,nan,4.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,320.0,nan,Timely transmission of transition record (TR2),95.0,320.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.8,77.0,nan,19.5,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,341.0,19.5,16.0,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,133.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,106.0,nan,2017-10-01,2018-03-31
10109,PICKENS COUNTY MEDICAL CENTER,241 ROBERT K WILSON DRIVE,CARROLLTON,AL,35447,PICKENS,Hours of physical-restraint use,0.0,0.0,1321.0,nan,Hours of seclusion use,0.0,0.0,1321.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,51.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,57.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,67.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,70.0,nan,Timely transmission of transition record (TR2),97.0,70.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,112.0,20.0,15.0,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,35.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
10110,BULLOCK COUNTY HOSPITAL,102 WEST CONECUH AVENUE,UNION SPRINGS,AL,36089,BULLOCK,Hours of physical-restraint use,0.0,0.0,6387.0,nan,Hours of seclusion use,0.0,0.0,6387.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,78.0,nan,Screening for metabolic disorders (SMD),82.0,196.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,583.0,nan,Alcohol use brief intervention provided or offered,63.0,142.0,nan,26.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,349.0,nan,0.0,349.0,nan,Tobacco use screening,90.0,583.0,nan,Tobacco use treatment provided or offered,60.0,358.0,nan,4.0,358.0,nan,Tobacco use treatment provided or offered at discharge,15.0,358.0,nan,0.0,358.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,602.0,nan,Timely transmission of transition record (TR2),49.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,10.3,78.0,nan,7.7,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,17.7,13.8,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,289.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,51.0,nan,2017-10-01,2018-03-31
10112,BRYAN W. WHITFIELD MEMORIAL HOSPITAL,105 HIGHWAY 80 EAST,DEMOPOLIS,AL,36732,MARENGO,Hours of physical-restraint use,0.0,0.0,3683.0,nan,Hours of seclusion use,0.0,0.0,3683.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,51.0,nan,Screening for metabolic disorders (SMD),71.0,282.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,394.0,nan,Alcohol use brief intervention provided or offered,86.0,56.0,nan,66.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,37.0,nan,35.0,37.0,nan,Tobacco use screening,100.0,394.0,nan,Tobacco use treatment provided or offered,93.0,169.0,nan,73.0,169.0,nan,Tobacco use treatment provided or offered at discharge,59.0,148.0,nan,8.0,148.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,385.0,nan,Timely transmission of transition record (TR2),96.0,385.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.3,44.0,nan,29.5,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,226.0,20.0,15.8,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,196.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,51.0,nan,2017-10-01,2018-03-31
10113,MOBILE INFIRMARY MEDICAL CENTER,5 MOBILE INFIRMARY CIRCLE,MOBILE,AL,36652,MOBILE,Hours of physical-restraint use,0.67,135.45,8370.0,nan,Hours of seclusion use,0.15,29.95,8370.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,11.0,nan,Screening for metabolic disorders (SMD),82.0,325.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,300.0,nan,Alcohol use brief intervention provided or offered,100.0,35.0,nan,100.0,35.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,72.0,nan,88.0,72.0,nan,Tobacco use screening,99.0,319.0,nan,Tobacco use treatment provided or offered,92.0,116.0,nan,69.0,116.0,nan,Tobacco use treatment provided or offered at discharge,84.0,86.0,nan,44.0,86.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,530.0,nan,Timely transmission of transition record (TR2),0.0,530.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.0,100.0,nan,23.0,100.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,476.0,23.5,20.2,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,374.0,nan,2017-10-01,2018-03-31
10114,"MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM",995 9TH AVENUE SOUTHWEST,BESSEMER,AL,35021,JEFFERSON,Hours of physical-restraint use,0.15,21.75,6137.0,nan,Hours of seclusion use,0.0,0.0,6137.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,54.0,nan,Screening for metabolic disorders (SMD),17.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,78.0,191.0,nan,Alcohol use brief intervention provided or offered,82.0,11.0,nan,82.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,21.0,nan,10.0,21.0,nan,Tobacco use screening,86.0,200.0,nan,Tobacco use treatment provided or offered,28.0,43.0,nan,28.0,43.0,nan,Tobacco use treatment provided or offered at discharge,0.0,30.0,nan,0.0,30.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,361.0,nan,Timely transmission of transition record (TR2),1.0,361.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.7,35.0,nan,5.7,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,362.0,19.3,15.8,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,200.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,43.0,nan,2017-10-01,2018-03-31
10125,LAKELAND COMMUNITY HOSPITAL,42024 HIGHWAY 195 E,HALEYVILLE,AL,35565,WINSTON,Hours of physical-restraint use,0.0,0.0,1712.0,nan,Hours of seclusion use,0.0,0.0,1712.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,86.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,120.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,121.0,nan,Tobacco use treatment provided or offered,95.0,39.0,nan,95.0,39.0,nan,Tobacco use treatment provided or offered at discharge,96.0,24.0,nan,96.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,88.0,nan,Timely transmission of transition record (TR2),97.0,88.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.8,24.0,nan,33.3,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,142.0,22.3,17.3,28.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,52.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,138.0,nan,2017-10-01,2018-03-31
10129,NORTH BALDWIN INFIRMARY,1815 HAND AVENUE,BAY MINETTE,AL,36507,BALDWIN,Hours of physical-restraint use,0.01,1.5,4366.0,nan,Hours of seclusion use,0.09,9.0,4366.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,242.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,220.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,14.0,nan,14.0,14.0,nan,Tobacco use screening,99.0,234.0,nan,Tobacco use treatment provided or offered,94.0,31.0,nan,84.0,31.0,nan,Tobacco use treatment provided or offered at discharge,92.0,24.0,nan,79.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),70.0,332.0,nan,Timely transmission of transition record (TR2),68.0,332.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,21.0,nan,23.8,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,336.0,23.3,19.2,28.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,146.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,294.0,nan,2017-10-01,2018-03-31
10139,BROOKWOOD BAPTIST MEDICAL CENTER,2010 BROOKWOOD MEDICAL CENTER DRIVE,BIRMINGHAM,AL,35209,JEFFERSON,Hours of physical-restraint use,0.28,236.0,35659.0,nan,Hours of seclusion use,0.0,3.75,35659.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,11.0,28.0,nan,Screening for metabolic disorders (SMD),70.0,431.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,869.0,nan,Alcohol use brief intervention provided or offered,99.0,122.0,nan,99.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,345.0,nan,34.0,345.0,nan,Tobacco use screening,100.0,868.0,nan,Tobacco use treatment provided or offered,82.0,557.0,nan,71.0,557.0,nan,Tobacco use treatment provided or offered at discharge,57.0,516.0,nan,10.0,516.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,911.0,nan,Timely transmission of transition record (TR2),74.0,911.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.5,358.0,nan,18.7,358.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1151.0,20.1,18.1,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,230.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,505.0,nan,2017-10-01,2018-03-31
10150,L V STABLER MEMORIAL HOSPITAL,29 L V STABLER DRIVE,GREENVILLE,AL,36037,BUTLER,Hours of physical-restraint use,0.0,0.0,2596.0,nan,Hours of seclusion use,0.0,0.0,2596.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,189.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,190.0,nan,Tobacco use treatment provided or offered,100.0,18.0,nan,100.0,18.0,nan,Tobacco use treatment provided or offered at discharge,100.0,11.0,nan,82.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,192.0,nan,Timely transmission of transition record (TR2),100.0,192.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.7,15.0,nan,13.3,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,217.0,18.7,14.6,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,92.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,45.0,nan,2017-10-01,2018-03-31
10157,SHOALS HOSPITAL,201 WEST AVALON AVENUE,MUSCLE SHOALS,AL,35661,COLBERT,Hours of physical-restraint use,0.0,0.0,4895.0,nan,Hours of seclusion use,0.01,1.5,4895.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),53.0,275.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,69.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,69.0,nan,Tobacco use treatment provided or offered,88.0,16.0,nan,81.0,16.0,nan,Tobacco use treatment provided or offered at discharge,71.0,14.0,nan,36.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),35.0,369.0,nan,Timely transmission of transition record (TR2),33.0,369.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.1,38.0,nan,55.3,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,547.0,18.8,15.6,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,177.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,46.0,nan,2017-10-01,2018-03-31
10164,COOSA VALLEY MEDICAL CENTER,315 W HICKORY ST,SYLACAUGA,AL,35150,TALLADEGA,Hours of physical-restraint use,0.0,0.0,4954.0,nan,Hours of seclusion use,0.0,0.0,4954.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,11.0,nan,Screening for metabolic disorders (SMD),2.0,171.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,257.0,nan,Alcohol use brief intervention provided or offered,100.0,15.0,nan,93.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,19.0,nan,16.0,19.0,nan,Tobacco use screening,100.0,257.0,nan,Tobacco use treatment provided or offered,71.0,45.0,nan,51.0,45.0,nan,Tobacco use treatment provided or offered at discharge,7.0,42.0,nan,0.0,42.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,261.0,nan,Timely transmission of transition record (TR2),0.0,261.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,23.0,nan,13.0,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,313.0,21.0,17.0,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),19.0,127.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,76.0,nan,2017-10-01,2018-03-31
14000,HILL CREST BEHAVIORAL HEALTH SERVICES,6869 FIFTH AVENUE SOUTH,BIRMINGHAM,AL,35212,JEFFERSON,Hours of physical-restraint use,0.02,11.95,24296.0,nan,Hours of seclusion use,0.0,0.0,24296.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,81.0,nan,Screening for metabolic disorders (SMD),65.0,471.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,409.0,nan,Alcohol use brief intervention provided or offered,91.0,81.0,nan,83.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,173.0,nan,24.0,173.0,nan,Tobacco use screening,100.0,409.0,nan,Tobacco use treatment provided or offered,97.0,288.0,nan,9.0,288.0,nan,Tobacco use treatment provided or offered at discharge,89.0,253.0,nan,0.0,253.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),84.0,677.0,nan,Timely transmission of transition record (TR2),84.0,677.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.4,23.0,nan,17.4,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,69.0,18.0,13.3,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,449.0,nan,2017-10-01,2018-03-31
14006,MOUNTAIN VIEW HOSPITAL,3201 SCENIC HIGHWAY,GADSDEN,AL,35902,ETOWAH,Hours of physical-restraint use,0.0,0.33,8804.0,nan,Hours of seclusion use,0.0,0.0,8804.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,34.0,nan,Screening for metabolic disorders (SMD),0.0,267.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,216.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,216.0,nan,Tobacco use treatment provided or offered,97.0,76.0,nan,89.0,76.0,nan,Tobacco use treatment provided or offered at discharge,30.0,76.0,nan,1.0,76.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.2,77.0,nan,11.7,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,178.0,22.9,18.5,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,469.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,438.0,nan,2017-10-01,2018-03-31
14007,BRYCE HOSPITAL,200 UNIVERSITY BLVD,TUSCALOOSA,AL,35401,TUSCALOOSA,Hours of physical-restraint use,0.11,89.47,34474.0,nan,Hours of seclusion use,0.07,55.53,34474.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,38.0,nan,Screening for metabolic disorders (SMD),100.0,82.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,46.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,11.0,nan,0.0,11.0,nan,Tobacco use screening,100.0,46.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,100.0,nan,Timely transmission of transition record (TR2),0.0,100.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,18.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,653.0,nan,2017-10-01,2018-03-31
14012,MARY S HARPER GERIATRIC PSYCHIATRY CENTER,201 UNIVERSITY BLVD,TUSCALOOSA,AL,35401,TUSCALOOSA,Hours of physical-restraint use,0.01,5.12,34472.0,nan,Hours of seclusion use,0.02,14.52,34472.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,121.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,98.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,96.0,98.0,nan,Tobacco use treatment provided or offered,69.0,26.0,nan,46.0,26.0,nan,Tobacco use treatment provided or offered at discharge,30.0,23.0,nan,4.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,162.0,nan,Timely transmission of transition record (TR2),1.0,162.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.6,29.0,nan,24.1,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,84.0,17.6,13.1,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,48.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,329.0,nan,2017-10-01,2018-03-31
14014,BAYPOINTE BEHAVIORAL HEALTH,5800 SOUTHLAND DRIVE,MOBILE,AL,36693,MOBILE,Hours of physical-restraint use,0.13,42.51,13158.0,nan,Hours of seclusion use,0.04,12.46,13158.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,99.0,73.0,nan,Screening for metabolic disorders (SMD),100.0,73.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,26.0,298.0,nan,Alcohol use brief intervention provided or offered,4.0,78.0,nan,4.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,78.0,nan,0.0,78.0,nan,Tobacco use screening,0.0,298.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1392.0,nan,Timely transmission of transition record (TR2),100.0,1392.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,722.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,322.0,nan,2017-10-01,2018-03-31
14015,BEACON CHILDREN'S HOSPITAL,150 HOSPITAL DRIVE,LUVERNE,AL,36049,CRENSHAW,Hours of physical-restraint use,0.17,24.3,6015.0,nan,Hours of seclusion use,0.0,0.0,6015.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),79.0,458.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,42.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,42.0,nan,Tobacco use treatment provided or offered,93.0,14.0,nan,93.0,14.0,nan,Tobacco use treatment provided or offered at discharge,0.0,14.0,nan,0.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,477.0,nan,Timely transmission of transition record (TR2),0.0,477.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,281.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),43.0,129.0,nan,2017-10-01,2018-03-31
14016,"SANCTUARY AT THE WOODLANDS, THE","1910 CHEROKEE AVENUE, SW",CULLMAN,AL,35055,CULLMAN,Hours of physical-restraint use,0.0,0.0,6824.0,nan,Hours of seclusion use,0.0,0.0,6824.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,61.0,nan,Screening for metabolic disorders (SMD),90.0,418.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,511.0,nan,Alcohol use brief intervention provided or offered,72.0,57.0,nan,46.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,57.0,nan,23.0,57.0,nan,Tobacco use screening,98.0,511.0,nan,Tobacco use treatment provided or offered,89.0,195.0,nan,82.0,195.0,nan,Tobacco use treatment provided or offered at discharge,58.0,195.0,nan,49.0,195.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,511.0,nan,Timely transmission of transition record (TR2),78.0,511.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.1,102.0,nan,18.6,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,470.0,18.7,15.5,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),58.0,245.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,288.0,nan,2017-10-01,2018-03-31
14017,EASTPOINTE HOSPITAL,7400 ROPER LANE,DAPHNE,AL,36526,BALDWIN,Hours of physical-restraint use,0.03,7.65,11738.0,nan,Hours of seclusion use,3.8,1069.41,11738.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,422.0,nan,Screening for metabolic disorders (SMD),71.0,422.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1342.0,nan,Alcohol use brief intervention provided or offered,100.0,197.0,nan,100.0,197.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,197.0,nan,11.0,197.0,nan,Tobacco use screening,0.0,1329.0,nan,Tobacco use treatment provided or offered,0.0,1329.0,nan,0.0,1329.0,nan,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1342.0,nan,Timely transmission of transition record (TR2),99.0,1342.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.1,117.0,nan,39.3,117.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,296.0,17.6,14.2,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,615.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,294.0,nan,2017-10-01,2018-03-31
14018,UNITY PSYCHIATRIC CARE - HUNTSVILLE,"5315 MILLENIUM DRIVE, NW",HUNTSVILLE,AL,35806,MADISON,Hours of physical-restraint use,0.01,0.5,3503.0,nan,Hours of seclusion use,0.0,0.0,3503.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),23.0,179.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,215.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,212.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,220.0,nan,Timely transmission of transition record (TR2),88.0,220.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,328.0,21.7,17.5,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),52.0,84.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,55.0,nan,2017-10-01,2018-03-31
20008,BARTLETT REGIONAL HOSPITAL,3260 HOSPITAL DR,JUNEAU,AK,99801,JUNEAU,Hours of physical-restraint use,0.12,9.46,3168.0,nan,Hours of seclusion use,0.07,5.33,3168.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),71.0,161.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,317.0,nan,Alcohol use brief intervention provided or offered,79.0,92.0,nan,64.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,138.0,nan,54.0,138.0,nan,Tobacco use screening,93.0,319.0,nan,Tobacco use treatment provided or offered,80.0,163.0,nan,50.0,163.0,nan,Tobacco use treatment provided or offered at discharge,85.0,155.0,nan,17.0,155.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),41.0,484.0,nan,Timely transmission of transition record (TR2),15.0,484.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.0,71.0,nan,12.7,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,157.0,18.3,14.3,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,771.0,nan,2017-10-01,2018-03-31
24001,NORTH STAR HOSPITAL,2530 DEBARR RD,ANCHORAGE,AK,99508,ANCHORAGE,Hours of physical-restraint use,0.08,61.56,31823.0,nan,Hours of seclusion use,0.72,550.0,31823.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,293.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,129.0,nan,Alcohol use brief intervention provided or offered,99.0,83.0,nan,99.0,83.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,83.0,nan,100.0,83.0,nan,Tobacco use screening,100.0,129.0,nan,Tobacco use treatment provided or offered,100.0,84.0,nan,56.0,84.0,nan,Tobacco use treatment provided or offered at discharge,77.0,73.0,nan,1.0,73.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,672.0,nan,Timely transmission of transition record (TR2),91.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,345.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,476.0,nan,2017-10-01,2018-03-31
24002,ALASKA PSYCHIATRIC INSTITUTE,3700 PIPER STREET,ANCHORAGE,AK,99508,ANCHORAGE,Hours of physical-restraint use,0.2,129.37,26490.0,nan,Hours of seclusion use,0.63,397.83,26490.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,28.0,61.0,nan,Screening for metabolic disorders (SMD),0.0,764.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,1020.0,nan,Alcohol use brief intervention provided or offered,0.0,81.0,nan,0.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,477.0,nan,0.0,477.0,nan,Tobacco use screening,71.0,1094.0,nan,Tobacco use treatment provided or offered,47.0,450.0,nan,6.0,450.0,nan,Tobacco use treatment provided or offered at discharge,0.0,392.0,nan,0.0,392.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1168.0,nan,Timely transmission of transition record (TR2),0.0,1168.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.9,169.0,nan,22.5,169.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,411.0,18.7,15.7,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),47.0,423.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,474.0,nan,2017-10-01,2018-03-31
30002,BANNER - UNIVERSITY MEDICAL CENTER PHOENIX,1111 EAST MCDOWELL ROAD,PHOENIX,AZ,85006,MARICOPA,Hours of physical-restraint use,0.01,1.37,8588.0,nan,Hours of seclusion use,0.0,1.03,8588.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,28.0,nan,Screening for metabolic disorders (SMD),65.0,365.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,310.0,nan,Alcohol use brief intervention provided or offered,94.0,81.0,nan,89.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,130.0,nan,42.0,130.0,nan,Tobacco use screening,96.0,344.0,nan,Tobacco use treatment provided or offered,80.0,131.0,nan,60.0,131.0,nan,Tobacco use treatment provided or offered at discharge,35.0,120.0,nan,28.0,120.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),55.0,638.0,nan,Timely transmission of transition record (TR2),47.0,638.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.7,39.0,nan,33.3,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,69.0,19.7,15.4,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,82.0,nan,2017-10-01,2018-03-31
30006,TUCSON MEDICAL CENTER,5301 EAST GRANT ROAD,TUCSON,AZ,85712,PIMA,Hours of physical-restraint use,0.0,0.0,3850.0,nan,Hours of seclusion use,0.0,0.0,3850.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),20.0,164.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,296.0,nan,Alcohol use brief intervention provided or offered,85.0,13.0,nan,77.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,18.0,nan,44.0,18.0,nan,Tobacco use screening,100.0,304.0,nan,Tobacco use treatment provided or offered,57.0,21.0,nan,24.0,21.0,nan,Tobacco use treatment provided or offered at discharge,50.0,16.0,nan,6.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),87.0,356.0,nan,Timely transmission of transition record (TR2),78.0,356.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.9,72.0,nan,52.8,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,267.0,21.8,17.3,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,176.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,47.0,nan,2017-10-01,2018-03-31
30007,VERDE VALLEY MEDICAL CENTER,269 SOUTH CANDY LANE,COTTONWOOD,AZ,86326,YAVAPAI,Hours of physical-restraint use,0.0,0.0,1791.0,nan,Hours of seclusion use,0.0,0.0,1791.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),55.0,84.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,171.0,nan,Alcohol use brief intervention provided or offered,75.0,53.0,nan,75.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,69.0,nan,43.0,69.0,nan,Tobacco use screening,97.0,172.0,nan,Tobacco use treatment provided or offered,86.0,88.0,nan,16.0,88.0,nan,Tobacco use treatment provided or offered at discharge,54.0,68.0,nan,10.0,68.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),6.0,180.0,nan,Timely transmission of transition record (TR2),5.0,180.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,15.0,nan,60.0,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,48.0,18.2,13.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,88.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,27.0,nan,2017-10-01,2018-03-31
30010,ST. MARY'S HOSPITAL,1601 WEST ST MARY'S ROAD,TUCSON,AZ,85745,PIMA,Hours of physical-restraint use,0.0,0.0,10432.0,nan,Hours of seclusion use,0.0,0.0,10432.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),19.0,242.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,591.0,nan,Alcohol use brief intervention provided or offered,98.0,158.0,nan,98.0,158.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,227.0,nan,33.0,227.0,nan,Tobacco use screening,97.0,588.0,nan,Tobacco use treatment provided or offered,76.0,237.0,nan,53.0,237.0,nan,Tobacco use treatment provided or offered at discharge,44.0,196.0,nan,21.0,196.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,602.0,nan,Timely transmission of transition record (TR2),2.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.4,28.0,nan,28.6,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,178.0,20.5,16.2,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,275.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,178.0,nan,2017-10-01,2018-03-31
30011,ST JOSEPH'S HOSPITAL,350 NORTH WILMOT ROAD,TUCSON,AZ,85711,PIMA,Hours of physical-restraint use,0.0,0.03,7044.0,nan,Hours of seclusion use,0.0,0.0,7044.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,255.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,580.0,nan,Alcohol use brief intervention provided or offered,97.0,243.0,nan,97.0,243.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,366.0,nan,92.0,366.0,nan,Tobacco use screening,95.0,572.0,nan,Tobacco use treatment provided or offered,90.0,343.0,nan,79.0,343.0,nan,Tobacco use treatment provided or offered at discharge,57.0,301.0,nan,35.0,301.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,616.0,nan,Timely transmission of transition record (TR2),6.0,616.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,18.0,nan,33.3,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,68.0,20.7,16.0,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,113.0,nan,2017-10-01,2018-03-31
30022,MARICOPA MEDICAL CENTER,2601 EAST ROOSEVELT STREET,PHOENIX,AZ,85008,MARICOPA,Hours of physical-restraint use,2.99,5284.17,73710.0,nan,Hours of seclusion use,1.02,1810.44,73710.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,94.0,nan,Screening for metabolic disorders (SMD),97.0,549.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,614.0,nan,Alcohol use brief intervention provided or offered,91.0,93.0,nan,82.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,311.0,nan,77.0,311.0,nan,Tobacco use screening,93.0,611.0,nan,Tobacco use treatment provided or offered,83.0,230.0,nan,69.0,230.0,nan,Tobacco use treatment provided or offered at discharge,52.0,213.0,nan,7.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),24.0,728.0,nan,Timely transmission of transition record (TR2),24.0,728.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,273.0,nan,42.9,273.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,546.0,15.4,13.0,18.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,342.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,923.0,nan,2017-10-01,2018-03-31
30023,FLAGSTAFF MEDICAL CENTER,1200 NORTH BEAVER STREET,FLAGSTAFF,AZ,86001,COCONINO,Hours of physical-restraint use,0.1,14.82,5934.0,nan,Hours of seclusion use,0.0,0.5,5934.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),74.0,185.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,490.0,nan,Alcohol use brief intervention provided or offered,98.0,170.0,nan,98.0,170.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,218.0,nan,39.0,218.0,nan,Tobacco use screening,96.0,489.0,nan,Tobacco use treatment provided or offered,87.0,195.0,nan,43.0,195.0,nan,Tobacco use treatment provided or offered at discharge,61.0,166.0,nan,5.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),33.0,653.0,nan,Timely transmission of transition record (TR2),31.0,653.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.2,38.0,nan,39.5,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,101.0,18.7,14.1,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,95.0,nan,2017-10-01,2018-03-31
30037,ST LUKE'S MEDICAL CENTER,1800 EAST VAN BUREN STREET,PHOENIX,AZ,85006,MARICOPA,Hours of physical-restraint use,0.0,0.43,16372.0,nan,Hours of seclusion use,0.0,0.0,16372.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,20.0,nan,Screening for metabolic disorders (SMD),75.0,352.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,603.0,nan,Alcohol use brief intervention provided or offered,46.0,26.0,nan,46.0,26.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,113.0,nan,26.0,113.0,nan,Tobacco use screening,94.0,603.0,nan,Tobacco use treatment provided or offered,72.0,172.0,nan,17.0,172.0,nan,Tobacco use treatment provided or offered at discharge,53.0,162.0,nan,52.0,162.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,594.0,nan,Timely transmission of transition record (TR2),51.0,594.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.6,124.0,nan,27.4,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,411.0,19.1,15.8,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),69.0,285.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,745.0,nan,2017-10-01,2018-03-31
30043,CANYON VISTA MEDICAL CENTER,5700 EAST HIGHWAY 90,SIERRA VISTA,AZ,85635,COCHISE,Hours of physical-restraint use,0.26,32.58,5165.0,nan,Hours of seclusion use,0.04,4.95,5165.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,26.0,nan,Screening for metabolic disorders (SMD),40.0,351.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,676.0,nan,Alcohol use brief intervention provided or offered,99.0,92.0,nan,98.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,197.0,nan,63.0,197.0,nan,Tobacco use screening,100.0,665.0,nan,Tobacco use treatment provided or offered,99.0,310.0,nan,54.0,310.0,nan,Tobacco use treatment provided or offered at discharge,45.0,267.0,nan,38.0,267.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),12.0,656.0,nan,Timely transmission of transition record (TR2),11.0,656.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.3,61.0,nan,24.6,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,111.0,16.9,12.8,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,137.0,nan,2017-10-01,2018-03-31
30089,BANNER THUNDERBIRD MEDICAL CENTER,5555 WEST THUNDERBIRD ROAD,GLENDALE,AZ,85306,MARICOPA,Hours of physical-restraint use,0.06,26.67,18993.0,nan,Hours of seclusion use,0.01,5.08,18993.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,27.0,nan,Screening for metabolic disorders (SMD),65.0,310.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,124.0,nan,Alcohol use brief intervention provided or offered,97.0,34.0,nan,91.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,63.0,nan,75.0,63.0,nan,Tobacco use screening,90.0,285.0,nan,Tobacco use treatment provided or offered,82.0,153.0,nan,66.0,153.0,nan,Tobacco use treatment provided or offered at discharge,29.0,133.0,nan,23.0,133.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,591.0,nan,Timely transmission of transition record (TR2),7.0,591.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.7,63.0,nan,46.0,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,155.0,20.5,16.4,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,105.0,nan,2017-10-01,2018-03-31
30093,BANNER DEL E. WEBB MEDICAL CENTER,14502 WEST MEEKER BOULEVARD,SUN CITY WEST,AZ,85375,MARICOPA,Hours of physical-restraint use,0.01,7.1,20488.0,nan,Hours of seclusion use,0.0,0.0,20488.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,14.0,nan,Screening for metabolic disorders (SMD),59.0,391.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,188.0,nan,Alcohol use brief intervention provided or offered,55.0,47.0,nan,45.0,47.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,93.0,nan,43.0,93.0,nan,Tobacco use screening,100.0,444.0,nan,Tobacco use treatment provided or offered,82.0,165.0,nan,41.0,165.0,nan,Tobacco use treatment provided or offered at discharge,28.0,151.0,nan,10.0,151.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),13.0,657.0,nan,Timely transmission of transition record (TR2),12.0,657.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.9,126.0,nan,35.7,126.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,544.0,17.4,14.5,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,82.0,nan,2017-10-01,2018-03-31
30111,BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS,2800 EAST AJO WAY,TUCSON,AZ,85713,PIMA,Hours of physical-restraint use,0.0,0.12,2113.0,nan,Hours of seclusion use,0.0,0.0,2113.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),26.0,53.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,35.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,35.0,nan,Tobacco use treatment provided or offered,79.0,14.0,nan,7.0,14.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,106.0,nan,Timely transmission of transition record (TR2),0.0,106.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.5,43.0,nan,18.6,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,169.0,16.2,12.3,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,45.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,462.0,nan,2017-10-01,2018-03-31
30114,ORO VALLEY HOSPITAL,1551 EAST TANGERINE ROAD,ORO VALLEY,AZ,85755,PIMA,Hours of physical-restraint use,0.0,0.0,3947.0,nan,Hours of seclusion use,0.0,0.0,3947.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,12.0,33.0,nan,Screening for metabolic disorders (SMD),67.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,420.0,nan,Alcohol use brief intervention provided or offered,75.0,129.0,nan,73.0,129.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,151.0,nan,77.0,151.0,nan,Tobacco use screening,99.0,419.0,nan,Tobacco use treatment provided or offered,90.0,156.0,nan,44.0,156.0,nan,Tobacco use treatment provided or offered at discharge,58.0,136.0,nan,5.0,136.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),30.0,417.0,nan,Timely transmission of transition record (TR2),29.0,417.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.9,63.0,nan,15.9,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,156.0,20.7,16.0,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,171.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,56.0,nan,2017-10-01,2018-03-31
30121,"MOUNTAIN VISTA MEDICAL CENTER, LP",1301 SOUTH CRISMON ROAD,MESA,AZ,85209,MARICOPA,Hours of physical-restraint use,0.0,0.32,5537.0,nan,Hours of seclusion use,0.0,0.0,5537.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,6.0,18.0,nan,Screening for metabolic disorders (SMD),62.0,215.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,339.0,nan,Alcohol use brief intervention provided or offered,100.0,12.0,nan,100.0,12.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,25.0,28.0,nan,18.0,28.0,nan,Tobacco use screening,99.0,339.0,nan,Tobacco use treatment provided or offered,74.0,46.0,nan,22.0,46.0,nan,Tobacco use treatment provided or offered at discharge,39.0,38.0,nan,29.0,38.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),24.0,340.0,nan,Timely transmission of transition record (TR2),21.0,340.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,79.0,nan,30.4,79.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,242.0,19.2,15.4,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,164.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,33.0,nan,2017-10-01,2018-03-31
34004,BANNER BEHAVIORAL HEALTH HOSPITAL,7575 EAST EARLL DRIVE,SCOTTSDALE,AZ,85251,MARICOPA,Hours of physical-restraint use,0.05,27.42,24933.0,nan,Hours of seclusion use,0.04,21.87,24933.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,22.0,nan,Screening for metabolic disorders (SMD),53.0,399.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,428.0,nan,Alcohol use brief intervention provided or offered,53.0,116.0,nan,53.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,216.0,nan,32.0,216.0,nan,Tobacco use screening,95.0,306.0,nan,Tobacco use treatment provided or offered,61.0,136.0,nan,57.0,136.0,nan,Tobacco use treatment provided or offered at discharge,45.0,132.0,nan,6.0,132.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),19.0,786.0,nan,Timely transmission of transition record (TR2),13.0,786.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.1,71.0,nan,29.6,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,19.8,16.0,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,549.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,374.0,nan,2017-10-01,2018-03-31
34013,"ST. LUKE'S BEHAVIORAL HOSPITAL, LP",1800 EAST VAN BUREN,PHOENIX,AZ,85006,MARICOPA,Hours of physical-restraint use,0.02,19.29,45646.0,nan,Hours of seclusion use,0.06,64.88,45646.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,60.0,82.0,nan,Screening for metabolic disorders (SMD),63.0,582.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,920.0,nan,Alcohol use brief intervention provided or offered,44.0,272.0,nan,43.0,272.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,618.0,nan,56.0,618.0,nan,Tobacco use screening,98.0,921.0,nan,Tobacco use treatment provided or offered,67.0,456.0,nan,1.0,456.0,nan,Tobacco use treatment provided or offered at discharge,24.0,425.0,nan,22.0,425.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),46.0,1056.0,nan,Timely transmission of transition record (TR2),39.0,1056.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.1,171.0,nan,42.1,171.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,457.0,20.5,17.6,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),69.0,568.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,476.0,nan,2017-10-01,2018-03-31
34020,HAVEN BEHAVIORAL HOSPITAL OF PHOENIX,"1201 SOUTH 7TH AVENUE, SUITE 200",PHOENIX,AZ,85007,MARICOPA,Hours of physical-restraint use,0.0,0.33,14140.0,nan,Hours of seclusion use,0.0,0.0,14140.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,24.0,nan,Screening for metabolic disorders (SMD),67.0,337.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,594.0,nan,Alcohol use brief intervention provided or offered,65.0,48.0,nan,56.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,88.0,nan,0.0,88.0,nan,Tobacco use screening,98.0,595.0,nan,Tobacco use treatment provided or offered,52.0,122.0,nan,22.0,122.0,nan,Tobacco use treatment provided or offered at discharge,3.0,115.0,nan,0.0,115.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,590.0,nan,Timely transmission of transition record (TR2),1.0,590.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.2,109.0,nan,15.6,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,636.0,15.9,13.2,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),43.0,284.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,102.0,nan,2017-10-01,2018-03-31
34021,ARIZONA STATE HOSPITAL,2500 EAST VAN BUREN STREET,PHOENIX,AZ,85008,MARICOPA,Hours of physical-restraint use,0.59,335.03,23704.0,nan,Hours of seclusion use,0.25,140.5,23704.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,15.0,nan,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),4.0,25.0,nan,Timely transmission of transition record (TR2),4.0,25.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),54.0,862.0,nan,2017-10-01,2018-03-31
34022,SONORA BEHAVIORAL HEALTH HOSPITAL,6050 NORTH CORONA ROAD,TUCSON,AZ,85704,PIMA,Hours of physical-restraint use,0.04,29.27,29053.0,nan,Hours of seclusion use,0.02,10.98,29053.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,24.0,nan,Screening for metabolic disorders (SMD),57.0,359.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,424.0,nan,Alcohol use brief intervention provided or offered,93.0,71.0,nan,85.0,71.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,215.0,nan,15.0,215.0,nan,Tobacco use screening,98.0,544.0,nan,Tobacco use treatment provided or offered,93.0,206.0,nan,35.0,206.0,nan,Tobacco use treatment provided or offered at discharge,78.0,180.0,nan,1.0,180.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,732.0,nan,Timely transmission of transition record (TR2),78.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,132.0,nan,37.9,132.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,303.0,28.5,24.8,32.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,379.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,319.0,nan,2017-10-01,2018-03-31
34023,"GUIDANCE CENTER, THE",2187 NORTH VICKEY STREET,FLAGSTAFF,AZ,86004,COCONINO,Hours of physical-restraint use,0.01,0.45,3388.0,nan,Hours of seclusion use,0.59,47.66,3388.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,50.0,nan,Screening for metabolic disorders (SMD),0.0,50.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,665.0,nan,Alcohol use brief intervention provided or offered,100.0,28.0,nan,100.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,197.0,nan,14.0,197.0,nan,Tobacco use screening,100.0,665.0,nan,Tobacco use treatment provided or offered,0.0,239.0,nan,0.0,239.0,nan,Tobacco use treatment provided or offered at discharge,33.0,239.0,nan,0.0,239.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,665.0,nan,Timely transmission of transition record (TR2),100.0,665.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.9,42.0,nan,47.6,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,107.0,21.6,16.8,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,321.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
34024,AURORA BEHAVIORAL HEALTH SYSTEM,6015 WEST PEORIA  AVENUE,GLENDALE,AZ,85302,MARICOPA,Hours of physical-restraint use,0.01,7.6,30714.0,nan,Hours of seclusion use,0.0,0.0,30714.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,48.0,nan,Screening for metabolic disorders (SMD),85.0,590.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,468.0,nan,Alcohol use brief intervention provided or offered,98.0,146.0,nan,83.0,146.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,541.0,nan,62.0,541.0,nan,Tobacco use screening,100.0,818.0,nan,Tobacco use treatment provided or offered,100.0,632.0,nan,6.0,632.0,nan,Tobacco use treatment provided or offered at discharge,99.0,601.0,nan,1.0,601.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),63.0,924.0,nan,Timely transmission of transition record (TR2),52.0,924.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,132.0,nan,31.1,132.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,17.6,14.7,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,457.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),28.0,403.0,nan,2017-10-01,2018-03-31
34025,WINDHAVEN PSYCHIATRIC HOSPITAL,3347 NORTH WINDSONG DRIVE,PRESCOTT VALLEY,AZ,86314,YAVAPAI,Hours of physical-restraint use,0.06,7.2,5038.0,nan,Hours of seclusion use,0.0,0.6,5038.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,14.0,nan,Screening for metabolic disorders (SMD),83.0,333.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,611.0,nan,Alcohol use brief intervention provided or offered,91.0,233.0,nan,74.0,233.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,184.0,nan,46.0,184.0,nan,Tobacco use screening,97.0,620.0,nan,Tobacco use treatment provided or offered,92.0,358.0,nan,63.0,358.0,nan,Tobacco use treatment provided or offered at discharge,79.0,343.0,nan,11.0,343.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,630.0,nan,Timely transmission of transition record (TR2),66.0,630.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.7,41.0,nan,41.5,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,125.0,23.9,19.0,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,40.0,nan,2017-10-01,2018-03-31
34026,VALLEY HOSPITAL,3550 EAST PINCHOT AVENUE,PHOENIX,AZ,85018,MARICOPA,Hours of physical-restraint use,0.0,3.85,39056.0,nan,Hours of seclusion use,0.0,0.0,39056.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,25.0,nan,Screening for metabolic disorders (SMD),98.0,412.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,817.0,nan,Alcohol use brief intervention provided or offered,100.0,334.0,nan,100.0,334.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,477.0,nan,95.0,477.0,nan,Tobacco use screening,100.0,817.0,nan,Tobacco use treatment provided or offered,100.0,525.0,nan,21.0,525.0,nan,Tobacco use treatment provided or offered at discharge,100.0,396.0,nan,1.0,396.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,814.0,nan,Timely transmission of transition record (TR2),73.0,814.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.0,166.0,nan,45.8,166.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,648.0,20.5,18.0,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,401.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,529.0,nan,2017-10-01,2018-03-31
34027,CHANGEPOINT PSYCHIATRIC HOSPITAL,1920 WEST COMMERCE DRIVE,LAKESIDE,AZ,85929,NAVAJO,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.4,44.0,nan,40.9,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,120.0,19.8,15.4,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),57.0,65.0,nan,2017-10-01,2018-03-31
34028,AURORA BEHAVIORAL HEALTHCARE-TEMPE,6350 SOUTH MAPLE AVENUE,TEMPE,AZ,85283,MARICOPA,Hours of physical-restraint use,0.03,45.04,65902.0,nan,Hours of seclusion use,0.0,0.0,65902.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,86.0,nan,Screening for metabolic disorders (SMD),87.0,1096.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1566.0,nan,Alcohol use brief intervention provided or offered,97.0,344.0,nan,78.0,344.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,957.0,nan,73.0,957.0,nan,Tobacco use screening,99.0,1560.0,nan,Tobacco use treatment provided or offered,99.0,978.0,nan,14.0,978.0,nan,Tobacco use treatment provided or offered at discharge,89.0,913.0,nan,2.0,913.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,1774.0,nan,Timely transmission of transition record (TR2),54.0,1774.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.7,106.0,nan,40.6,106.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,189.0,18.2,14.5,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,916.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,490.0,nan,2017-10-01,2018-03-31
34029,OASIS BEHAVIORAL HEALTH HOSPITAL,2190 NORTH GRACE BOULEVARD,CHANDLER,AZ,85225,MARICOPA,Hours of physical-restraint use,0.01,11.01,36122.0,nan,Hours of seclusion use,0.09,75.36,36122.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),25.0,244.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,69.0,318.0,nan,Alcohol use brief intervention provided or offered,79.0,62.0,nan,74.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,134.0,nan,49.0,134.0,nan,Tobacco use screening,54.0,319.0,nan,Tobacco use treatment provided or offered,86.0,57.0,nan,37.0,57.0,nan,Tobacco use treatment provided or offered at discharge,86.0,56.0,nan,4.0,56.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),51.0,637.0,nan,Timely transmission of transition record (TR2),51.0,637.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,19.0,nan,36.8,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,67.0,21.9,17.2,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),21.0,427.0,nan,2017-10-01,2018-03-31
34030,PALO VERDE BEHAVIORAL HEALTH,2695 NORTH CRAYCROFT ROAD,TUCSON,AZ,85712,PIMA,Hours of physical-restraint use,0.07,36.61,21509.0,nan,Hours of seclusion use,0.01,3.4,21509.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,11.0,nan,Screening for metabolic disorders (SMD),83.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,486.0,nan,Alcohol use brief intervention provided or offered,94.0,108.0,nan,81.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,217.0,nan,29.0,217.0,nan,Tobacco use screening,100.0,487.0,nan,Tobacco use treatment provided or offered,95.0,237.0,nan,60.0,237.0,nan,Tobacco use treatment provided or offered at discharge,79.0,230.0,nan,8.0,230.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,777.0,nan,Timely transmission of transition record (TR2),73.0,777.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.8,121.0,nan,32.2,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,269.0,20.8,17.6,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),43.0,370.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,326.0,nan,2017-10-01,2018-03-31
34031,QUAIL RUN BEHAVIORAL HEALTH,2545 WEST QUAIL AVENUE,PHOENIX,AZ,85027,MARICOPA,Hours of physical-restraint use,0.04,30.61,32026.0,nan,Hours of seclusion use,0.04,29.01,32026.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,752.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,480.0,nan,Alcohol use brief intervention provided or offered,93.0,109.0,nan,87.0,109.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,202.0,nan,47.0,202.0,nan,Tobacco use screening,100.0,480.0,nan,Tobacco use treatment provided or offered,100.0,180.0,nan,69.0,180.0,nan,Tobacco use treatment provided or offered at discharge,67.0,153.0,nan,31.0,153.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,885.0,nan,Timely transmission of transition record (TR2),98.0,885.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,212.0,nan,42.9,212.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,576.0,18.4,15.8,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,444.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,205.0,nan,2017-10-01,2018-03-31
34032,"COPPER SPRINGS HOSPITAL, LLC",10550 WEST MCDOWELL ROAD,AVONDALE,AZ,85392,MARICOPA,Hours of physical-restraint use,0.0,0.07,24549.0,nan,Hours of seclusion use,0.0,0.23,24549.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,11.0,nan,Screening for metabolic disorders (SMD),93.0,261.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,664.0,nan,Alcohol use brief intervention provided or offered,94.0,197.0,nan,89.0,197.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,531.0,nan,73.0,531.0,nan,Tobacco use screening,100.0,664.0,nan,Tobacco use treatment provided or offered,71.0,443.0,nan,7.0,443.0,nan,Tobacco use treatment provided or offered at discharge,58.0,432.0,nan,4.0,432.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),65.0,668.0,nan,Timely transmission of transition record (TR2),60.0,668.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.7,75.0,nan,37.3,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,107.0,23.3,18.4,29.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,368.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,253.0,nan,2017-10-01,2018-03-31
34033,CORNERSTONE BEHAVIORAL HEALTH EL DORADO,1400 NORTH WILMOT ROAD,TUCSON,AZ,85712,PIMA,Hours of physical-restraint use,0.0,0.0,1184.0,nan,Hours of seclusion use,0.0,0.0,1184.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,24.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,140.0,nan,Alcohol use brief intervention provided or offered,97.0,39.0,nan,97.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,68.0,nan,82.0,68.0,nan,Tobacco use screening,99.0,140.0,nan,Tobacco use treatment provided or offered,89.0,72.0,nan,76.0,72.0,nan,Tobacco use treatment provided or offered at discharge,56.0,64.0,nan,3.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,142.0,nan,Timely transmission of transition record (TR2),1.0,142.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,254.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
40002,JOHNSON REGIONAL MEDICAL CENTER,1100 EAST POPLAR STREET,CLARKSVILLE,AR,72830,JOHNSON,Hours of physical-restraint use,0.0,0.0,5347.0,nan,Hours of seclusion use,0.15,19.23,5347.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,301.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,385.0,nan,Alcohol use brief intervention provided or offered,93.0,15.0,nan,93.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,17.0,nan,59.0,17.0,nan,Tobacco use screening,100.0,385.0,nan,Tobacco use treatment provided or offered,100.0,90.0,nan,28.0,90.0,nan,Tobacco use treatment provided or offered at discharge,98.0,45.0,nan,20.0,45.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,391.0,nan,Timely transmission of transition record (TR2),90.0,391.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,40.0,nan,65.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,415.0,22.7,18.9,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,181.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,50.0,nan,2017-10-01,2018-03-31
40014,WHITE COUNTY MEDICAL CENTER,3214 EAST RACE AVENUE,SEARCY,AR,72143,WHITE,Hours of physical-restraint use,0.01,0.8,5785.0,nan,Hours of seclusion use,0.03,3.5,5785.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,14.0,nan,Screening for metabolic disorders (SMD),94.0,233.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,310.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,390.0,nan,Tobacco use treatment provided or offered,89.0,74.0,nan,62.0,74.0,nan,Tobacco use treatment provided or offered at discharge,30.0,23.0,nan,0.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),57.0,390.0,nan,Timely transmission of transition record (TR2),56.0,390.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.1,38.0,nan,23.7,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,737.0,22.4,19.6,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,169.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,322.0,nan,2017-10-01,2018-03-31
40015,MENA REGIONAL HEALTH SYSTEM,311 NORTH MORROW STREET,MENA,AR,71953,POLK,Hours of physical-restraint use,0.22,11.05,2055.0,nan,Hours of seclusion use,1.84,90.66,2055.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),42.0,80.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,152.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,152.0,nan,Tobacco use treatment provided or offered,80.0,41.0,nan,7.0,41.0,nan,Tobacco use treatment provided or offered at discharge,36.0,11.0,nan,0.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,152.0,nan,Timely transmission of transition record (TR2),99.0,152.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.3,19.0,nan,5.3,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,22.3,17.7,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,71.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,44.0,nan,2017-10-01,2018-03-31
40017,NORTH ARKANSAS REGIONAL MEDICAL CENTER,620 NORTH MAIN STREET,HARRISON,AR,72601,BOONE,Hours of physical-restraint use,0.0,0.0,2916.0,nan,Hours of seclusion use,0.0,0.0,2916.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),14.0,109.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,242.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,12.0,nan,8.0,12.0,nan,Tobacco use screening,100.0,240.0,nan,Tobacco use treatment provided or offered,100.0,64.0,nan,5.0,64.0,nan,Tobacco use treatment provided or offered at discharge,97.0,36.0,nan,0.0,36.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),81.0,269.0,nan,Timely transmission of transition record (TR2),80.0,269.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.2,24.0,nan,33.3,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,260.0,22.3,18.4,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,106.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,154.0,nan,2017-10-01,2018-03-31
40019,FORREST CITY MEDICAL CENTER,1601 NEWCASTLE ROAD,FORREST CITY,AR,72335,ST. FRANCIS,Hours of physical-restraint use,0.0,0.0,1274.0,nan,Hours of seclusion use,0.0,0.0,1274.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),79.0,113.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,167.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,167.0,nan,Tobacco use treatment provided or offered,100.0,26.0,nan,65.0,26.0,nan,Tobacco use treatment provided or offered at discharge,100.0,14.0,nan,57.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,173.0,nan,Timely transmission of transition record (TR2),83.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,21.4,14.0,nan,7.1,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,216.0,20.5,16.3,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,63.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,22.0,nan,2017-10-01,2018-03-31
40020,ST BERNARDS MEDICAL CENTER,225 E JACKSON,JONESBORO,AR,72401,CRAIGHEAD,Hours of physical-restraint use,0.0,0.0,3130.0,nan,Hours of seclusion use,0.0,0.0,3130.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,251.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,32.0,nan,22.0,32.0,nan,Tobacco use screening,100.0,241.0,nan,Tobacco use treatment provided or offered,94.0,67.0,nan,22.0,67.0,nan,Tobacco use treatment provided or offered at discharge,95.0,64.0,nan,0.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),74.0,356.0,nan,Timely transmission of transition record (TR2),73.0,356.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,47.0,nan,12.8,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,379.0,26.0,21.9,30.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,171.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,349.0,nan,2017-10-01,2018-03-31
40027,BAXTER REGIONAL MEDICAL CENTER,624 HOSPITAL DRIVE,MOUNTAIN HOME,AR,72653,BAXTER,Hours of physical-restraint use,0.12,11.43,4035.0,nan,Hours of seclusion use,0.0,0.0,4035.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),42.0,245.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,88.0,nan,Alcohol use brief intervention provided or offered,100.0,11.0,nan,45.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,20.0,nan,35.0,20.0,nan,Tobacco use screening,100.0,85.0,nan,Tobacco use treatment provided or offered,64.0,28.0,nan,25.0,28.0,nan,Tobacco use treatment provided or offered at discharge,36.0,22.0,nan,5.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,403.0,nan,Timely transmission of transition record (TR2),0.0,403.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.3,38.0,nan,15.8,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,418.0,20.7,17.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,182.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,49.0,nan,2017-10-01,2018-03-31
40029,CONWAY REGIONAL HEALTH SYSTEM,2302 COLLEGE AVENUE,CONWAY,AR,72034,FAULKNER,Hours of physical-restraint use,0.0,0.0,3554.0,nan,Hours of seclusion use,0.0,0.0,3554.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),13.0,150.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,203.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,182.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,198.0,nan,Timely transmission of transition record (TR2),49.0,198.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,383.0,18.3,15.0,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,103.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,35.0,nan,2017-10-01,2018-03-31
40047,FIVE RIVERS MEDICAL CENTER,2801 MEDICAL CENTER DRIVE,POCAHONTAS,AR,72455,RANDOLPH,Hours of physical-restraint use,0.0,0.0,3097.0,nan,Hours of seclusion use,0.2,14.66,3097.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),43.0,128.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,262.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,262.0,nan,Tobacco use treatment provided or offered,88.0,33.0,nan,12.0,33.0,nan,Tobacco use treatment provided or offered at discharge,0.0,33.0,nan,0.0,33.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,262.0,nan,Timely transmission of transition record (TR2),0.0,262.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,12.0,nan,8.3,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,249.0,22.9,18.2,28.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,131.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,32.0,nan,2017-10-01,2018-03-31
40055,SPARKS MEDICAL CENTER - FORT SMITH,1001 TOWSON AVENUE,FORT SMITH,AR,72901,SEBASTIAN,Hours of physical-restraint use,0.0,0.33,5843.0,nan,Hours of seclusion use,0.03,3.78,5843.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,20.0,nan,Screening for metabolic disorders (SMD),40.0,374.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,514.0,nan,Alcohol use brief intervention provided or offered,100.0,14.0,nan,71.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,35.0,nan,11.0,35.0,nan,Tobacco use screening,100.0,513.0,nan,Tobacco use treatment provided or offered,100.0,64.0,nan,2.0,64.0,nan,Tobacco use treatment provided or offered at discharge,100.0,64.0,nan,2.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,533.0,nan,Timely transmission of transition record (TR2),98.0,533.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,42.0,nan,14.3,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,471.0,20.1,16.9,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,259.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),27.0,49.0,nan,2017-10-01,2018-03-31
40071,JEFFERSON REGIONAL MEDICAL CENTER,1600 WEST 40TH AVENUE,PINE BLUFF,AR,71603,JEFFERSON,Hours of physical-restraint use,0.0,0.0,3168.0,nan,Hours of seclusion use,0.0,0.0,3168.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,16.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,417.0,nan,Alcohol use brief intervention provided or offered,100.0,118.0,nan,0.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,417.0,nan,Tobacco use treatment provided or offered,82.0,295.0,nan,1.0,295.0,nan,Tobacco use treatment provided or offered at discharge,84.0,295.0,nan,1.0,295.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,417.0,nan,Timely transmission of transition record (TR2),94.0,417.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,35.0,nan,25.7,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,122.0,19.4,15.1,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,218.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,31.0,nan,2017-10-01,2018-03-31
40074,NORTH METRO MEDICAL CENTER,1400 BRADEN STREET,JACKSONVILLE,AR,72076,PULASKI,Hours of physical-restraint use,0.0,0.0,7875.0,nan,Hours of seclusion use,0.0,0.0,7875.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,427.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,446.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,449.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,456.0,nan,Timely transmission of transition record (TR2),100.0,456.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,96.9,32.0,nan,96.9,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,587.0,25.2,21.7,28.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,177.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,110.0,nan,2017-10-01,2018-03-31
40078,NATIONAL PARK MEDICAL CENTER,1910 MALVERN AVENUE,HOT SPRINGS,AR,71901,GARLAND,Hours of physical-restraint use,0.0,0.0,3258.0,nan,Hours of seclusion use,0.0,0.0,3258.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,254.0,nan,Alcohol use brief intervention provided or offered,100.0,16.0,nan,6.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,93.0,253.0,nan,Tobacco use treatment provided or offered,97.0,33.0,nan,82.0,33.0,nan,Tobacco use treatment provided or offered at discharge,57.0,14.0,nan,21.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,262.0,nan,Timely transmission of transition record (TR2),99.0,262.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.8,17.0,nan,23.5,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,332.0,21.3,17.1,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,126.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,26.0,nan,2017-10-01,2018-03-31
40084,SALINE MEMORIAL HOSPITAL,#1 MEDICAL PARK DRIVE,BENTON,AR,72015,SALINE,Hours of physical-restraint use,0.0,0.0,3268.0,nan,Hours of seclusion use,0.0,0.0,3268.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,82.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,100.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,100.0,nan,Tobacco use treatment provided or offered,64.0,11.0,nan,9.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,197.0,nan,Timely transmission of transition record (TR2),33.0,197.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,15.4,26.0,nan,3.8,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,311.0,24.8,20.3,30.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,90.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,45.0,nan,2017-10-01,2018-03-31
40114,BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK,9601 INTERSTATE,LITTLE ROCK,AR,72205,PULASKI,Hours of physical-restraint use,0.0,0.0,4691.0,nan,Hours of seclusion use,0.0,0.0,4691.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),86.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,2.0,403.0,nan,Alcohol use brief intervention provided or offered,14.0,21.0,nan,14.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,22.0,nan,5.0,22.0,nan,Tobacco use screening,88.0,391.0,nan,Tobacco use treatment provided or offered,45.0,66.0,nan,3.0,66.0,nan,Tobacco use treatment provided or offered at discharge,13.0,39.0,nan,0.0,39.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),45.0,423.0,nan,Timely transmission of transition record (TR2),45.0,423.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,49.0,nan,10.2,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,455.0,20.9,17.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,174.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,24.0,nan,2017-10-01,2018-03-31
40119,WHITE RIVER MEDICAL CENTER,1710 HARRISON STREET,BATESVILLE,AR,72503,INDEPENDENCE,Hours of physical-restraint use,0.07,4.75,2797.0,nan,Hours of seclusion use,0.11,7.05,2797.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,303.0,nan,Alcohol use brief intervention provided or offered,100.0,13.0,nan,100.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,21.0,nan,81.0,21.0,nan,Tobacco use screening,100.0,293.0,nan,Tobacco use treatment provided or offered,100.0,66.0,nan,74.0,66.0,nan,Tobacco use treatment provided or offered at discharge,100.0,39.0,nan,23.0,39.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,378.0,nan,Timely transmission of transition record (TR2),100.0,378.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.7,31.0,nan,3.2,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,498.0,26.9,23.1,31.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,173.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,63.0,nan,2017-10-01,2018-03-31
40132,LEVI HOSPITAL,300 PROSPECT AVE,HOT SPRINGS,AR,71901,GARLAND,Hours of physical-restraint use,0.33,45.08,5665.0,nan,Hours of seclusion use,0.11,15.27,5665.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,67.0,nan,Screening for metabolic disorders (SMD),100.0,612.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1427.0,nan,Alcohol use brief intervention provided or offered,100.0,97.0,nan,100.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,1427.0,nan,Tobacco use treatment provided or offered,96.0,448.0,nan,44.0,448.0,nan,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,612.0,nan,Timely transmission of transition record (TR2),100.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.2,154.0,nan,22.7,154.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,409.0,18.2,15.5,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,49.0,nan,2017-10-01,2018-03-31
40153,WADLEY REGIONAL MEDICAL CENTER AT HOPE,2001 SOUTH MAIN,HOPE,AR,71801,HEMPSTEAD,Hours of physical-restraint use,0.0,0.0,1851.0,nan,Hours of seclusion use,0.0,0.0,1851.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,81.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,138.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,138.0,nan,Tobacco use treatment provided or offered,100.0,38.0,nan,100.0,38.0,nan,Tobacco use treatment provided or offered at discharge,100.0,12.0,nan,100.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,140.0,nan,Timely transmission of transition record (TR2),100.0,140.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,151.0,18.4,14.3,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,89.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,18.0,nan,2017-10-01,2018-03-31
41302,RIVER VALLEY MEDICAL CENTER,200 NORTH THIRD STREET,DARDANELLE,AR,72834,YELL,Hours of physical-restraint use,0.0,0.0,2730.0,nan,Hours of seclusion use,0.0,0.0,2730.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),86.0,199.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,198.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,196.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,198.0,nan,Timely transmission of transition record (TR2),86.0,199.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,18.0,nan,61.1,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,288.0,22.3,18.0,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),63.0,198.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,102.0,nan,2017-10-01,2018-03-31
41323,ASHLEY COUNTY MEDICAL CENTER,1015 UNITY ROAD,CROSSETT,AR,71635,ASHLEY,Hours of physical-restraint use,0.0,0.0,2111.0,nan,Hours of seclusion use,0.0,0.0,2111.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,22.0,nan,Screening for metabolic disorders (SMD),10.0,94.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,76.0,116.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,99.0,116.0,nan,Tobacco use treatment provided or offered,100.0,11.0,nan,82.0,11.0,nan,Tobacco use treatment provided or offered at discharge,100.0,11.0,nan,55.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),46.0,116.0,nan,Timely transmission of transition record (TR2),89.0,116.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,91.2,34.0,nan,50.0,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,166.0,16.3,12.1,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,22.0,nan,2017-10-01,2018-03-31
41327,BRADLEY COUNTY MEDICAL CENTER,404 SOUTH BRADLEY STREET,WARREN,AR,71671,BRADLEY,Hours of physical-restraint use,0.0,0.0,193.0,nan,Hours of seclusion use,0.0,0.0,193.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),4.0,183.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,193.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,193.0,nan,Tobacco use treatment provided or offered,100.0,15.0,nan,40.0,15.0,nan,Tobacco use treatment provided or offered at discharge,100.0,15.0,nan,40.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,193.0,nan,Timely transmission of transition record (TR2),100.0,193.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.9,36.0,nan,30.6,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,275.0,16.2,12.7,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,98.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,26.0,nan,2017-10-01,2018-03-31
44004,VANTAGE POINT OF NORTHWEST ARKANSAS,4253 CROSSOVER ROAD,FAYETTEVILLE,AR,72703,WASHINGTON,Hours of physical-restraint use,0.12,109.57,38691.0,nan,Hours of seclusion use,0.38,354.02,38691.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,331.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,372.0,nan,Alcohol use brief intervention provided or offered,95.0,82.0,nan,93.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,160.0,nan,39.0,160.0,nan,Tobacco use screening,97.0,331.0,nan,Tobacco use treatment provided or offered,82.0,72.0,nan,4.0,72.0,nan,Tobacco use treatment provided or offered at discharge,61.0,62.0,nan,2.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,623.0,nan,Timely transmission of transition record (TR2),42.0,623.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.1,145.0,nan,23.4,145.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,865.0,21.9,19.3,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,413.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,455.0,nan,2017-10-01,2018-03-31
44005,"BRIDGEWAY INC, THE",21 BRIDGEWAY ROAD,NORTH LITTLE ROCK,AR,72113,PULASKI,Hours of physical-restraint use,0.03,22.35,29691.0,nan,Hours of seclusion use,0.11,80.88,29691.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,88.0,nan,Screening for metabolic disorders (SMD),95.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,511.0,nan,Alcohol use brief intervention provided or offered,99.0,98.0,nan,82.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,241.0,nan,71.0,241.0,nan,Tobacco use screening,100.0,509.0,nan,Tobacco use treatment provided or offered,99.0,347.0,nan,27.0,347.0,nan,Tobacco use treatment provided or offered at discharge,93.0,298.0,nan,20.0,298.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,981.0,nan,Timely transmission of transition record (TR2),98.0,981.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.3,446.0,nan,24.7,446.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1293.0,20.9,18.9,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,409.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,355.0,nan,2017-10-01,2018-03-31
44006,VALLEY BEHAVIORAL HEALTH SYSTEM,10301 MAYO DRIVE,BARLING,AR,72923,SEBASTIAN,Hours of physical-restraint use,0.17,113.03,27736.0,nan,Hours of seclusion use,0.95,631.94,27736.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,25.0,nan,Screening for metabolic disorders (SMD),73.0,237.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,298.0,nan,Alcohol use brief intervention provided or offered,88.0,17.0,nan,41.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,60.0,nan,18.0,60.0,nan,Tobacco use screening,91.0,296.0,nan,Tobacco use treatment provided or offered,88.0,143.0,nan,21.0,143.0,nan,Tobacco use treatment provided or offered at discharge,15.0,137.0,nan,0.0,137.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,614.0,nan,Timely transmission of transition record (TR2),60.0,614.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.4,196.0,nan,25.5,196.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,503.0,22.4,19.4,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,469.0,nan,2017-10-01,2018-03-31
44007,RIVENDELL BEHAVIORAL HEALTH SERVICES OF ARKANSAS,100 RIVENDELL DRIVE,BENTON,AR,72019,SALINE,Hours of physical-restraint use,0.04,19.8,23378.0,nan,Hours of seclusion use,0.0,1.93,23378.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,384.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,274.0,nan,Alcohol use brief intervention provided or offered,79.0,38.0,nan,55.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,187.0,nan,82.0,187.0,nan,Tobacco use screening,99.0,274.0,nan,Tobacco use treatment provided or offered,96.0,150.0,nan,29.0,150.0,nan,Tobacco use treatment provided or offered at discharge,73.0,147.0,nan,22.0,147.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,782.0,nan,Timely transmission of transition record (TR2),55.0,782.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.4,239.0,nan,25.9,239.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,537.0,20.4,17.8,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,389.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,348.0,nan,2017-10-01,2018-03-31
44011,ARKANSAS STATE HOSPITAL,305 S PALM STREET,LITTLE ROCK,AR,72205,PULASKI,Hours of physical-restraint use,0.16,256.22,66579.0,nan,Hours of seclusion use,0.25,392.37,66579.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,68.0,nan,Screening for metabolic disorders (SMD),99.0,295.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,314.0,nan,Alcohol use brief intervention provided or offered,100.0,129.0,nan,100.0,129.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,106.0,nan,8.0,106.0,nan,Tobacco use screening,100.0,313.0,nan,Tobacco use treatment provided or offered,91.0,183.0,nan,88.0,183.0,nan,Tobacco use treatment provided or offered at discharge,0.0,146.0,nan,0.0,146.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),35.0,470.0,nan,Timely transmission of transition record (TR2),33.0,470.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,21.0,nan,19.0,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,101.0,15.1,11.3,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),71.0,130.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,727.0,nan,2017-10-01,2018-03-31
44017,UNITED METHODIST BEHAVIORAL HOSPITAL,1601 MURPHY DRIVE,MAUMELLE,AR,72113,PULASKI,Hours of physical-restraint use,0.1,34.22,14997.0,nan,Hours of seclusion use,0.05,18.02,14997.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,20.0,nan,Screening for metabolic disorders (SMD),100.0,705.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,1271.0,nan,Timely transmission of transition record (TR2),94.0,1271.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),46.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,175.0,nan,2017-10-01,2018-03-31
44019,SPRINGWOODS BEHAVIORAL HEALTH SERVICES,1955 WEST TRUCKER'S DRIVE,FAYETTEVILLE,AR,72704,WASHINGTON,Hours of physical-restraint use,0.05,21.7,17122.0,nan,Hours of seclusion use,0.03,11.96,17122.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,226.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,447.0,nan,Alcohol use brief intervention provided or offered,82.0,133.0,nan,82.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,157.0,nan,65.0,157.0,nan,Tobacco use screening,100.0,447.0,nan,Tobacco use treatment provided or offered,94.0,214.0,nan,79.0,214.0,nan,Tobacco use treatment provided or offered at discharge,67.0,177.0,nan,19.0,177.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,714.0,nan,Timely transmission of transition record (TR2),82.0,714.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,134.0,nan,32.8,134.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,581.0,19.6,16.7,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,294.0,nan,2017-10-01,2018-03-31
44020,RIVERVIEW BEHAVIORAL HEALTH,701 ARKANSAS BOULEVARD SUITE 300,TEXARKANA,AR,71854,MILLER,Hours of physical-restraint use,0.14,43.32,13102.0,nan,Hours of seclusion use,0.33,104.02,13102.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,22.0,27.0,nan,Screening for metabolic disorders (SMD),86.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,287.0,nan,Alcohol use brief intervention provided or offered,92.0,37.0,nan,89.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,66.0,nan,15.0,66.0,nan,Tobacco use screening,100.0,288.0,nan,Tobacco use treatment provided or offered,95.0,116.0,nan,3.0,116.0,nan,Tobacco use treatment provided or offered at discharge,98.0,107.0,nan,0.0,107.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,622.0,nan,Timely transmission of transition record (TR2),43.0,622.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.2,87.0,nan,16.1,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,186.0,20.4,16.3,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,237.0,nan,2017-10-01,2018-03-31
44021,WOODRIDGE BEHAVIORAL CENTER,600 NORTH 7TH STREET,WEST MEMPHIS,AR,72301,CRITTENDEN,Hours of physical-restraint use,0.3,39.95,5466.0,nan,Hours of seclusion use,0.01,0.68,5466.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,207.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,37.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,37.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,505.0,nan,Timely transmission of transition record (TR2),77.0,505.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.7,14.0,nan,21.4,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,85.0,23.1,17.4,30.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,179.0,nan,2017-10-01,2018-03-31
44022,CONWAY BEHAVIORAL HEALTH,2255 STURGIS ROAD,CONWAY,AR,72034,FAULKNER,Hours of physical-restraint use,0.01,0.73,5430.0,nan,Hours of seclusion use,0.0,0.41,5430.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),100.0,100.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
50007,MILLS-PENINSULA MEDICAL CENTER,1501 TROUSDALE DRIVE,BURLINGAME,CA,94010,SAN MATEO,Hours of physical-restraint use,0.13,40.38,13348.0,nan,Hours of seclusion use,0.0,0.0,13348.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,22.0,nan,Screening for metabolic disorders (SMD),36.0,11.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,45.0,1264.0,nan,Alcohol use brief intervention provided or offered,38.0,547.0,nan,26.0,547.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,547.0,nan,14.0,547.0,nan,Tobacco use screening,97.0,1264.0,nan,Tobacco use treatment provided or offered,87.0,307.0,nan,87.0,307.0,nan,Tobacco use treatment provided or offered at discharge,87.0,307.0,nan,87.0,307.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1577.0,nan,Timely transmission of transition record (TR2),100.0,1577.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.7,78.0,nan,39.7,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,312.0,18.1,14.7,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,160.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,155.0,nan,2017-10-01,2018-03-31
50013,ADVENTIST HEALTH ST HELENA,10 WOODLAND ROAD,SAINT HELENA,CA,94574,NAPA,Hours of physical-restraint use,0.0,0.0,3478.0,nan,Hours of seclusion use,0.0,0.0,3478.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),33.0,127.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,242.0,nan,Alcohol use brief intervention provided or offered,55.0,38.0,nan,50.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,44.0,nan,9.0,44.0,nan,Tobacco use screening,98.0,242.0,nan,Tobacco use treatment provided or offered,27.0,60.0,nan,22.0,60.0,nan,Tobacco use treatment provided or offered at discharge,2.0,51.0,nan,0.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,226.0,nan,Timely transmission of transition record (TR2),0.0,226.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.3,117.0,nan,21.4,117.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,219.0,18.6,14.4,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),54.0,97.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,37.0,nan,2017-10-01,2018-03-31
50024,PARADISE VALLEY HOSPITAL,2400 EAST 4TH ST,NATIONAL CITY,CA,91950,SAN DIEGO,Hours of physical-restraint use,0.15,94.53,26264.0,nan,Hours of seclusion use,0.03,19.38,26264.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,23.0,nan,Screening for metabolic disorders (SMD),94.0,694.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,280.0,nan,Alcohol use brief intervention provided or offered,100.0,41.0,nan,100.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,158.0,nan,90.0,158.0,nan,Tobacco use screening,100.0,280.0,nan,Tobacco use treatment provided or offered,99.0,113.0,nan,97.0,113.0,nan,Tobacco use treatment provided or offered at discharge,94.0,111.0,nan,46.0,111.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,1263.0,nan,Timely transmission of transition record (TR2),84.0,1263.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.1,277.0,nan,54.9,277.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,687.0,26.9,24.4,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,359.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,1502.0,nan,2017-10-01,2018-03-31
50025,UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR,200 WEST ARBOR DRIVE,SAN DIEGO,CA,92103,SAN DIEGO,Hours of physical-restraint use,0.04,10.42,9812.0,nan,Hours of seclusion use,0.11,25.81,9812.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),77.0,490.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,549.0,nan,Alcohol use brief intervention provided or offered,69.0,59.0,nan,49.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,225.0,nan,23.0,225.0,nan,Tobacco use screening,99.0,557.0,nan,Tobacco use treatment provided or offered,87.0,193.0,nan,67.0,193.0,nan,Tobacco use treatment provided or offered at discharge,12.0,158.0,nan,6.0,158.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),41.0,858.0,nan,Timely transmission of transition record (TR2),35.0,858.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.8,96.0,nan,26.0,96.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,345.0,17.0,13.9,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,280.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,69.0,nan,2017-10-01,2018-03-31
50026,GROSSMONT HOSPITAL,5555 GROSSMONT CENTER DRIVE BOX 58,LA MESA,CA,91942,SAN DIEGO,Hours of physical-restraint use,0.02,7.39,15867.0,nan,Hours of seclusion use,0.01,3.33,15867.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,87.0,nan,Screening for metabolic disorders (SMD),72.0,383.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,571.0,nan,Alcohol use brief intervention provided or offered,60.0,63.0,nan,59.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,22.0,240.0,nan,14.0,240.0,nan,Tobacco use screening,96.0,556.0,nan,Tobacco use treatment provided or offered,82.0,235.0,nan,69.0,235.0,nan,Tobacco use treatment provided or offered at discharge,37.0,199.0,nan,7.0,199.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),29.0,612.0,nan,Timely transmission of transition record (TR2),23.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.4,144.0,nan,47.9,144.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,448.0,17.8,15.0,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,125.0,nan,2017-10-01,2018-03-31
50038,SANTA CLARA VALLEY MEDICAL CENTER,751 SOUTH BASCOM AVENUE,SAN JOSE,CA,95128,SANTA CLARA,Hours of physical-restraint use,0.56,189.76,14192.0,nan,Hours of seclusion use,0.03,9.0,14192.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),48.0,447.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,577.0,nan,Alcohol use brief intervention provided or offered,100.0,24.0,nan,100.0,24.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,6.0,150.0,nan,5.0,150.0,nan,Tobacco use screening,92.0,577.0,nan,Tobacco use treatment provided or offered,30.0,188.0,nan,28.0,188.0,nan,Tobacco use treatment provided or offered at discharge,1.0,100.0,nan,0.0,100.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,672.0,nan,Timely transmission of transition record (TR2),0.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.7,41.0,nan,12.2,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,180.0,18.1,14.2,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),63.0,186.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,576.0,nan,2017-10-01,2018-03-31
50040,LAC/OLIVE VIEW-UCLA MEDICAL CENTER,14445 OLIVE VIEW DRIVE,SYLMAR,CA,91342,LOS ANGELES,Hours of physical-restraint use,2.25,628.03,11615.0,nan,Hours of seclusion use,0.36,100.8,11615.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),63.0,468.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,564.0,nan,Alcohol use brief intervention provided or offered,94.0,113.0,nan,85.0,113.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,225.0,nan,60.0,225.0,nan,Tobacco use screening,99.0,572.0,nan,Tobacco use treatment provided or offered,97.0,348.0,nan,69.0,348.0,nan,Tobacco use treatment provided or offered at discharge,55.0,256.0,nan,50.0,256.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,667.0,nan,Timely transmission of transition record (TR2),43.0,667.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,24.0,nan,20.8,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,45.0,19.4,14.4,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,277.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,463.0,nan,2017-10-01,2018-03-31
50047,CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS,1101 VAN NESS AVENUE,SAN FRANCISCO,CA,94109,SAN FRANCISCO,Hours of physical-restraint use,0.02,1.83,5028.0,nan,Hours of seclusion use,0.0,0.0,5028.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,34.0,nan,Screening for metabolic disorders (SMD),78.0,258.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,71.0,275.0,nan,Alcohol use brief intervention provided or offered,41.0,61.0,nan,39.0,61.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,130.0,nan,41.0,130.0,nan,Tobacco use screening,98.0,266.0,nan,Tobacco use treatment provided or offered,37.0,101.0,nan,31.0,101.0,nan,Tobacco use treatment provided or offered at discharge,30.0,86.0,nan,30.0,86.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,403.0,nan,Timely transmission of transition record (TR2),100.0,403.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.7,51.0,nan,37.3,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,173.0,19.3,15.4,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,199.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,82.0,nan,2017-10-01,2018-03-31
50057,KAWEAH DELTA MEDICAL CENTER,400 W MINERAL KING AVE,VISALIA,CA,93291,TULARE,Hours of physical-restraint use,0.12,48.01,17081.0,nan,Hours of seclusion use,0.28,114.07,17081.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,14.0,nan,Screening for metabolic disorders (SMD),95.0,393.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,621.0,nan,Alcohol use brief intervention provided or offered,56.0,84.0,nan,33.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,333.0,nan,44.0,333.0,nan,Tobacco use screening,97.0,624.0,nan,Tobacco use treatment provided or offered,45.0,321.0,nan,45.0,321.0,nan,Tobacco use treatment provided or offered at discharge,53.0,306.0,nan,10.0,306.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,644.0,nan,Timely transmission of transition record (TR2),64.0,644.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.5,200.0,nan,17.5,200.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,542.0,23.1,20.0,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,4749.0,nan,2017-10-01,2018-03-31
50069,ST JOSEPH HOSPITAL,1100 WEST STEWART DR,ORANGE,CA,92868,ORANGE,Hours of physical-restraint use,0.64,150.96,9886.0,nan,Hours of seclusion use,0.09,21.13,9886.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,27.0,nan,Screening for metabolic disorders (SMD),19.0,90.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,2.0,535.0,nan,Alcohol use brief intervention provided or offered,85.0,131.0,nan,66.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,235.0,nan,30.0,235.0,nan,Tobacco use screening,98.0,545.0,nan,Tobacco use treatment provided or offered,88.0,138.0,nan,23.0,138.0,nan,Tobacco use treatment provided or offered at discharge,63.0,122.0,nan,1.0,122.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),3.0,618.0,nan,Timely transmission of transition record (TR2),0.0,618.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,130.0,nan,36.2,130.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,396.0,22.5,19.4,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,79.0,nan,2017-10-01,2018-03-31
50077,SCRIPPS MERCY HOSPITAL,4077 5TH AVE,SAN DIEGO,CA,92103,SAN DIEGO,Hours of physical-restraint use,0.0,0.0,16679.0,nan,Hours of seclusion use,0.0,0.0,16679.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,35.0,nan,Screening for metabolic disorders (SMD),99.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,606.0,nan,Alcohol use brief intervention provided or offered,94.0,139.0,nan,92.0,139.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,341.0,nan,78.0,341.0,nan,Tobacco use screening,100.0,599.0,nan,Tobacco use treatment provided or offered,91.0,208.0,nan,56.0,208.0,nan,Tobacco use treatment provided or offered at discharge,84.0,199.0,nan,55.0,199.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,633.0,nan,Timely transmission of transition record (TR2),75.0,643.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.8,118.0,nan,33.1,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,333.0,19.2,16.2,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,101.0,nan,2017-10-01,2018-03-31
50078,PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO,1300 W 7TH ST,SAN PEDRO,CA,90732,LOS ANGELES,Hours of physical-restraint use,0.51,85.15,7002.0,nan,Hours of seclusion use,0.02,2.9,7002.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,22.0,32.0,nan,Screening for metabolic disorders (SMD),81.0,381.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,454.0,nan,Alcohol use brief intervention provided or offered,94.0,118.0,nan,93.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,188.0,nan,62.0,188.0,nan,Tobacco use screening,93.0,458.0,nan,Tobacco use treatment provided or offered,95.0,193.0,nan,67.0,193.0,nan,Tobacco use treatment provided or offered at discharge,76.0,166.0,nan,4.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),34.0,584.0,nan,Timely transmission of transition record (TR2),33.0,584.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.7,52.0,nan,44.2,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,206.0,21.0,17.0,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,55.0,nan,2017-10-01,2018-03-31
50089,COMMUNITY HOSPITAL OF SAN BERNARDINO,1805 MEDICAL CENTER DRIVE,SAN BERNARDINO,CA,92411,SAN BERNARDINO,Hours of physical-restraint use,0.31,133.28,17734.0,nan,Hours of seclusion use,0.0,0.05,17734.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,47.0,nan,Screening for metabolic disorders (SMD),79.0,285.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,721.0,nan,Alcohol use brief intervention provided or offered,71.0,185.0,nan,66.0,185.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,465.0,nan,7.0,465.0,nan,Tobacco use screening,96.0,723.0,nan,Tobacco use treatment provided or offered,29.0,452.0,nan,17.0,452.0,nan,Tobacco use treatment provided or offered at discharge,9.0,439.0,nan,2.0,439.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),35.0,792.0,nan,Timely transmission of transition record (TR2),18.0,792.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.9,181.0,nan,17.7,181.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,442.0,26.9,23.7,30.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,409.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,226.0,nan,2017-10-01,2018-03-31
50113,SAN MATEO MEDICAL CENTER,222 W 39TH AVE,SAN MATEO,CA,94403,SAN MATEO,Hours of physical-restraint use,0.18,43.43,10286.0,nan,Hours of seclusion use,0.66,162.42,10286.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,38.0,nan,Screening for metabolic disorders (SMD),80.0,263.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,344.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,101.0,nan,62.0,101.0,nan,Tobacco use screening,99.0,332.0,nan,Tobacco use treatment provided or offered,91.0,118.0,nan,16.0,118.0,nan,Tobacco use treatment provided or offered at discharge,75.0,57.0,nan,5.0,57.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,348.0,nan,Timely transmission of transition record (TR2),93.0,348.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.8,18.0,nan,5.6,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,66.0,16.8,12.5,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,147.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,96.0,nan,2017-10-01,2018-03-31
50115,PALOMAR HEALTH DOWNTOWN CAMPUS,555 EAST VALLEY PARKWAY,ESCONDIDO,CA,92025,SAN DIEGO,Hours of physical-restraint use,0.47,83.89,7403.0,nan,Hours of seclusion use,0.1,18.47,7403.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,15.0,nan,Screening for metabolic disorders (SMD),30.0,214.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,553.0,nan,Alcohol use brief intervention provided or offered,68.0,107.0,nan,56.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,22.0,203.0,nan,11.0,203.0,nan,Tobacco use screening,100.0,554.0,nan,Tobacco use treatment provided or offered,69.0,200.0,nan,24.0,200.0,nan,Tobacco use treatment provided or offered at discharge,31.0,157.0,nan,0.0,157.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.9,49.0,nan,22.4,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,136.0,20.8,16.1,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,276.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,94.0,nan,2017-10-01,2018-03-31
50116,NORTHRIDGE HOSPITAL MEDICAL CENTER,18300 ROSCOE BLVD,NORTHRIDGE,CA,91325,LOS ANGELES,Hours of physical-restraint use,0.5,101.89,8498.0,nan,Hours of seclusion use,0.02,4.0,8498.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,11.0,nan,Screening for metabolic disorders (SMD),49.0,270.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,366.0,nan,Alcohol use brief intervention provided or offered,2.0,92.0,nan,1.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,143.0,nan,8.0,143.0,nan,Tobacco use screening,100.0,364.0,nan,Tobacco use treatment provided or offered,38.0,117.0,nan,32.0,117.0,nan,Tobacco use treatment provided or offered at discharge,10.0,108.0,nan,0.0,108.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,608.0,nan,Timely transmission of transition record (TR2),0.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.2,84.0,nan,34.5,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,226.0,25.7,21.4,30.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,86.0,nan,2017-10-01,2018-03-31
50124,USC VERDUGO HILLS HOSPITAL,1812 VERDUGO BLVD,GLENDALE,CA,91209,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,8286.0,nan,Hours of seclusion use,0.0,0.0,8286.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,44.0,18.0,nan,Screening for metabolic disorders (SMD),20.0,314.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,553.0,nan,Alcohol use brief intervention provided or offered,40.0,30.0,nan,40.0,30.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,12.0,nan,25.0,12.0,nan,Tobacco use screening,99.0,554.0,nan,Tobacco use treatment provided or offered,41.0,59.0,nan,5.0,59.0,nan,Tobacco use treatment provided or offered at discharge,14.0,21.0,nan,0.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,563.0,nan,Timely transmission of transition record (TR2),10.0,563.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.5,42.0,nan,16.7,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,623.0,17.9,15.0,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,251.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,73.0,nan,2017-10-01,2018-03-31
50127,WOODLAND MEMORIAL HOSPITAL,1325 COTTONWOOD STREET,WOODLAND,CA,95695,YOLO,Hours of physical-restraint use,0.09,23.87,11255.0,nan,Hours of seclusion use,1.02,276.28,11255.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,22.0,50.0,nan,Screening for metabolic disorders (SMD),12.0,398.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,72.0,625.0,nan,Alcohol use brief intervention provided or offered,71.0,101.0,nan,71.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,8.0,352.0,nan,7.0,352.0,nan,Tobacco use screening,96.0,627.0,nan,Tobacco use treatment provided or offered,47.0,320.0,nan,36.0,320.0,nan,Tobacco use treatment provided or offered at discharge,43.0,293.0,nan,1.0,293.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,625.0,nan,Timely transmission of transition record (TR2),0.0,625.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.3,161.0,nan,12.4,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,407.0,18.0,15.3,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,87.0,nan,2017-10-01,2018-03-31
50128,TRI-CITY MEDICAL CENTER,4002 VISTA WAY,OCEANSIDE,CA,92056,SAN DIEGO,Hours of physical-restraint use,0.14,19.03,5793.0,nan,Hours of seclusion use,0.04,5.45,5793.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,57.0,nan,Screening for metabolic disorders (SMD),27.0,313.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,482.0,nan,Alcohol use brief intervention provided or offered,89.0,57.0,nan,61.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,227.0,nan,30.0,227.0,nan,Tobacco use screening,99.0,432.0,nan,Tobacco use treatment provided or offered,72.0,217.0,nan,39.0,217.0,nan,Tobacco use treatment provided or offered at discharge,5.0,187.0,nan,0.0,187.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,587.0,nan,Timely transmission of transition record (TR2),0.0,587.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.2,49.0,nan,42.9,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,177.0,20.2,16.2,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,292.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,89.0,nan,2017-10-01,2018-03-31
50132,SAN GABRIEL VALLEY MEDICAL CENTER,438 W LAS TUNAS DRIVE,SAN GABRIEL,CA,91776,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,11009.0,nan,Hours of seclusion use,0.0,0.0,11009.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,18.0,nan,Screening for metabolic disorders (SMD),74.0,365.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,12.0,584.0,nan,Alcohol use brief intervention provided or offered,19.0,16.0,nan,19.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,20.0,nan,30.0,20.0,nan,Tobacco use screening,100.0,586.0,nan,Tobacco use treatment provided or offered,24.0,21.0,nan,19.0,21.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,632.0,nan,Timely transmission of transition record (TR2),95.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.3,61.0,nan,21.3,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,538.0,22.0,18.8,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,283.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,673.0,nan,2017-10-01,2018-03-31
50135,SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD,6245 DE LONGPRE AVE,HOLLYWOOD,CA,90028,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,75711.0,nan,Hours of seclusion use,0.0,0.0,75711.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,72.0,nan,Screening for metabolic disorders (SMD),4.0,367.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,2.0,317.0,nan,Alcohol use brief intervention provided or offered,3.0,93.0,nan,3.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,7.0,136.0,nan,6.0,136.0,nan,Tobacco use screening,86.0,312.0,nan,Tobacco use treatment provided or offered,3.0,173.0,nan,0.0,173.0,nan,Tobacco use treatment provided or offered at discharge,0.0,155.0,nan,0.0,155.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,617.0,nan,Timely transmission of transition record (TR2),0.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.4,119.0,nan,23.5,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1231.0,25.6,23.5,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,277.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,185.0,nan,2017-10-01,2018-03-31
50145,COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA,23625 W R HOLMAN HIGHWAY,MONTEREY,CA,93940,MONTEREY,Hours of physical-restraint use,0.03,4.0,5837.0,nan,Hours of seclusion use,0.0,0.0,5837.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,19.0,nan,Screening for metabolic disorders (SMD),43.0,256.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,617.0,nan,Alcohol use brief intervention provided or offered,59.0,124.0,nan,54.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,312.0,nan,85.0,312.0,nan,Tobacco use screening,100.0,617.0,nan,Tobacco use treatment provided or offered,61.0,255.0,nan,38.0,255.0,nan,Tobacco use treatment provided or offered at discharge,26.0,241.0,nan,2.0,241.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,607.0,nan,Timely transmission of transition record (TR2),0.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.9,133.0,nan,43.6,133.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,336.0,17.1,14.0,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,351.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,245.0,nan,2017-10-01,2018-03-31
50152,SAINT FRANCIS MEMORIAL HOSPITAL,900 HYDE ST,SAN FRANCISCO,CA,94109,SAN FRANCISCO,Hours of physical-restraint use,0.02,3.3,7833.0,nan,Hours of seclusion use,0.0,0.8,7833.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,65.0,nan,Screening for metabolic disorders (SMD),65.0,291.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,353.0,nan,Alcohol use brief intervention provided or offered,84.0,79.0,nan,82.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,159.0,nan,39.0,159.0,nan,Tobacco use screening,98.0,358.0,nan,Tobacco use treatment provided or offered,94.0,164.0,nan,79.0,164.0,nan,Tobacco use treatment provided or offered at discharge,59.0,122.0,nan,35.0,122.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,583.0,nan,Timely transmission of transition record (TR2),1.0,583.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.5,80.0,nan,38.8,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,273.0,21.9,18.6,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,234.0,nan,2017-10-01,2018-03-31
50158,ENCINO HOSPITAL MEDICAL CENTER,16237 VENTURA BLVD,ENCINO,CA,91436,LOS ANGELES,Hours of physical-restraint use,0.01,1.0,3935.0,nan,Hours of seclusion use,0.0,0.0,3935.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,334.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,104.0,nan,Alcohol use brief intervention provided or offered,100.0,16.0,nan,100.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,15.0,nan,100.0,15.0,nan,Tobacco use screening,100.0,100.0,nan,Tobacco use treatment provided or offered,100.0,22.0,nan,100.0,22.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,472.0,nan,Timely transmission of transition record (TR2),100.0,472.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.6,106.0,nan,22.6,106.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,634.0,20.9,18.0,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,228.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,53.0,nan,2017-10-01,2018-03-31
50205,GLENDORA COMMUNITY HOSPITAL,150 WEST ROUTE 66,GLENDORA,CA,91740,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,7606.0,nan,Hours of seclusion use,0.0,0.0,7606.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,33.0,nan,Screening for metabolic disorders (SMD),83.0,392.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,120.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,162.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,539.0,nan,Timely transmission of transition record (TR2),88.0,539.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.0,25.0,nan,36.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,770.0,18.0,15.5,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,243.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,61.0,nan,2017-10-01,2018-03-31
50228,ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR,1001 POTRERO AVENUE,SAN FRANCISCO,CA,94110,SAN FRANCISCO,Hours of physical-restraint use,0.53,216.83,17172.0,nan,Hours of seclusion use,3.21,1322.74,17172.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,16.0,nan,Screening for metabolic disorders (SMD),62.0,661.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,536.0,nan,Alcohol use brief intervention provided or offered,73.0,139.0,nan,72.0,139.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,195.0,nan,82.0,195.0,nan,Tobacco use screening,99.0,540.0,nan,Tobacco use treatment provided or offered,92.0,164.0,nan,12.0,164.0,nan,Tobacco use treatment provided or offered at discharge,100.0,125.0,nan,6.0,125.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),63.0,1070.0,nan,Timely transmission of transition record (TR2),27.0,1070.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.3,79.0,nan,30.4,79.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,269.0,21.1,17.4,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,270.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,183.0,nan,2017-10-01,2018-03-31
50239,GLENDALE ADVENTIST MEDICAL CENTER,1509 E WILSON TERRACE,GLENDALE,CA,91206,LOS ANGELES,Hours of physical-restraint use,0.14,52.93,15831.0,nan,Hours of seclusion use,0.07,27.9,15831.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,86.0,nan,Screening for metabolic disorders (SMD),76.0,380.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,142.0,nan,Alcohol use brief intervention provided or offered,100.0,35.0,nan,91.0,35.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,36.0,nan,86.0,36.0,nan,Tobacco use screening,98.0,142.0,nan,Tobacco use treatment provided or offered,90.0,62.0,nan,77.0,62.0,nan,Tobacco use treatment provided or offered at discharge,81.0,36.0,nan,42.0,36.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,564.0,nan,Timely transmission of transition record (TR2),68.0,564.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.5,159.0,nan,29.6,159.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,755.0,21.3,19.1,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,260.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,135.0,nan,2017-10-01,2018-03-31
50245,ARROWHEAD REGIONAL MEDICAL CENTER,400 NORTH PEPPER AVENUE,COLTON,CA,92324,SAN BERNARDINO,Hours of physical-restraint use,5.24,2468.0,19627.0,nan,Hours of seclusion use,0.0,0.0,19627.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),74.0,234.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,14.0,271.0,nan,Alcohol use brief intervention provided or offered,10.0,31.0,nan,10.0,31.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,10.0,31.0,nan,10.0,31.0,nan,Tobacco use screening,98.0,553.0,nan,Tobacco use treatment provided or offered,86.0,320.0,nan,58.0,320.0,nan,Tobacco use treatment provided or offered at discharge,0.0,284.0,nan,0.0,284.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),60.0,267.0,nan,Timely transmission of transition record (TR2),98.0,267.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.5,200.0,nan,7.0,200.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,489.0,29.9,26.6,33.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,373.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,394.0,nan,2017-10-01,2018-03-31
50257,GOOD SAMARITAN HOSPITAL,901 OLIVE DRIVE,BAKERSFIELD,CA,93308,KERN,Hours of physical-restraint use,0.0,0.0,3265.0,nan,Hours of seclusion use,0.0,0.0,3265.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,123.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,289.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,128.0,nan,65.0,128.0,nan,Tobacco use screening,100.0,289.0,nan,Tobacco use treatment provided or offered,99.0,83.0,nan,61.0,83.0,nan,Tobacco use treatment provided or offered at discharge,99.0,69.0,nan,3.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.6,57.0,nan,31.6,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,142.0,24.9,19.7,31.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,133.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,355.0,nan,2017-10-01,2018-03-31
50272,REDLANDS COMMUNITY HOSPITAL,350 TERRACINA BLVD,REDLANDS,CA,92373,SAN BERNARDINO,Hours of physical-restraint use,0.71,52.38,3089.0,nan,Hours of seclusion use,0.0,0.0,3089.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,574.0,nan,Alcohol use brief intervention provided or offered,100.0,101.0,nan,100.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,337.0,nan,53.0,337.0,nan,Tobacco use screening,100.0,574.0,nan,Tobacco use treatment provided or offered,100.0,273.0,nan,62.0,273.0,nan,Tobacco use treatment provided or offered at discharge,98.0,271.0,nan,13.0,271.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,610.0,nan,Timely transmission of transition record (TR2),23.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.5,33.0,nan,24.2,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,98.0,25.9,20.8,32.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,40.0,nan,2017-10-01,2018-03-31
50276,CONTRA COSTA REGIONAL MEDICAL CENTER,2500 ALHAMBRA AVENUE,MARTINEZ,CA,94553,CONTRA COSTA,Hours of physical-restraint use,0.53,79.25,6180.0,nan,Hours of seclusion use,0.62,91.98,6180.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,87.0,60.0,nan,Screening for metabolic disorders (SMD),91.0,479.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,757.0,nan,Alcohol use brief intervention provided or offered,89.0,126.0,nan,89.0,126.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,25.0,364.0,nan,11.0,364.0,nan,Tobacco use screening,95.0,763.0,nan,Tobacco use treatment provided or offered,72.0,340.0,nan,61.0,340.0,nan,Tobacco use treatment provided or offered at discharge,21.0,280.0,nan,12.0,280.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,802.0,nan,Timely transmission of transition record (TR2),0.0,802.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.6,81.0,nan,18.5,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,246.0,20.3,16.7,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,368.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,66.0,nan,2017-10-01,2018-03-31
50305,ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP,2450 ASHBY AVENUE,BERKELEY,CA,94705,ALAMEDA,Hours of physical-restraint use,2.81,1320.49,19608.0,nan,Hours of seclusion use,5.51,2593.58,19608.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,152.0,nan,Screening for metabolic disorders (SMD),62.0,244.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,417.0,nan,Alcohol use brief intervention provided or offered,100.0,64.0,nan,95.0,64.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,188.0,nan,79.0,188.0,nan,Tobacco use screening,100.0,421.0,nan,Tobacco use treatment provided or offered,30.0,167.0,nan,25.0,167.0,nan,Tobacco use treatment provided or offered at discharge,59.0,136.0,nan,51.0,136.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,653.0,nan,Timely transmission of transition record (TR2),92.0,653.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,86.4,220.0,nan,84.5,220.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,665.0,20.0,17.5,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,4192.0,nan,2017-10-01,2018-03-31
50308,EL CAMINO HOSPITAL,2500 GRANT ROAD,MOUNTAIN VIEW,CA,94040,SANTA CLARA,Hours of physical-restraint use,0.14,22.63,6735.0,nan,Hours of seclusion use,0.12,19.24,6735.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,116.0,nan,Screening for metabolic disorders (SMD),91.0,403.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,512.0,nan,Alcohol use brief intervention provided or offered,99.0,71.0,nan,99.0,71.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,179.0,nan,82.0,179.0,nan,Tobacco use screening,98.0,515.0,nan,Tobacco use treatment provided or offered,84.0,109.0,nan,70.0,109.0,nan,Tobacco use treatment provided or offered at discharge,54.0,97.0,nan,39.0,97.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),18.0,684.0,nan,Timely transmission of transition record (TR2),13.0,684.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.2,65.0,nan,49.2,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,135.0,18.3,13.7,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,373.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,37.0,nan,2017-10-01,2018-03-31
50320,HIGHLAND HOSPITAL,1411 E 31ST STREET,OAKLAND,CA,94602,ALAMEDA,Hours of physical-restraint use,0.19,114.23,25149.0,nan,Hours of seclusion use,0.15,88.93,25149.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,30.0,nan,Screening for metabolic disorders (SMD),77.0,414.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,221.0,nan,Alcohol use brief intervention provided or offered,74.0,19.0,nan,68.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,86.0,nan,19.0,86.0,nan,Tobacco use screening,100.0,217.0,nan,Tobacco use treatment provided or offered,74.0,50.0,nan,12.0,50.0,nan,Tobacco use treatment provided or offered at discharge,82.0,39.0,nan,3.0,39.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),52.0,674.0,nan,Timely transmission of transition record (TR2),29.0,674.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.5,306.0,nan,11.4,306.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1167.0,21.0,19.0,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,341.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,419.0,nan,2017-10-01,2018-03-31
50329,CORONA REGIONAL MEDICAL CENTER,800 SOUTH MAIN STREET,CORONA,CA,92882,RIVERSIDE,Hours of physical-restraint use,0.01,1.42,11352.0,nan,Hours of seclusion use,0.0,1.1,11352.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,97.0,nan,Screening for metabolic disorders (SMD),95.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,616.0,nan,Alcohol use brief intervention provided or offered,51.0,174.0,nan,36.0,174.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,354.0,nan,46.0,354.0,nan,Tobacco use screening,100.0,617.0,nan,Tobacco use treatment provided or offered,79.0,266.0,nan,33.0,266.0,nan,Tobacco use treatment provided or offered at discharge,73.0,259.0,nan,37.0,259.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,636.0,nan,Timely transmission of transition record (TR2),16.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.2,137.0,nan,46.0,137.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,307.0,23.0,19.5,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,129.0,nan,2017-10-01,2018-03-31
50348,UNIVERSITY OF CALIFORNIA IRVINE MED CENTER,101 CITY DRIVE SOUTH,ORANGE,CA,92868,ORANGE,Hours of physical-restraint use,2.27,738.98,13577.0,nan,Hours of seclusion use,0.31,102.11,13577.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),52.0,324.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,129.0,nan,Alcohol use brief intervention provided or offered,96.0,27.0,nan,78.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,74.0,nan,45.0,74.0,nan,Tobacco use screening,89.0,125.0,nan,Tobacco use treatment provided or offered,86.0,51.0,nan,27.0,51.0,nan,Tobacco use treatment provided or offered at discharge,81.0,42.0,nan,5.0,42.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,599.0,nan,Timely transmission of transition record (TR2),5.0,599.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.2,23.0,nan,43.5,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,82.0,20.5,15.8,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,528.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,294.0,nan,2017-10-01,2018-03-31
50360,MARIN GENERAL HOSPITAL,"250 BON AIR ROAD, PO BOX 8010",GREENBRAE,CA,94904,MARIN,Hours of physical-restraint use,0.08,20.46,10178.0,nan,Hours of seclusion use,0.19,46.03,10178.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,106.0,nan,Screening for metabolic disorders (SMD),83.0,422.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,649.0,nan,Alcohol use brief intervention provided or offered,95.0,188.0,nan,94.0,188.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,263.0,nan,36.0,263.0,nan,Tobacco use screening,95.0,643.0,nan,Tobacco use treatment provided or offered,69.0,246.0,nan,43.0,246.0,nan,Tobacco use treatment provided or offered at discharge,36.0,215.0,nan,9.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,710.0,nan,Timely transmission of transition record (TR2),0.0,710.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.7,79.0,nan,36.7,79.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,246.0,19.2,15.5,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,324.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,63.0,nan,2017-10-01,2018-03-31
50373,LAC+USC MEDICAL CENTER,"1200 N STATE ST, ROOM C2K100",LOS ANGELES,CA,90033,LOS ANGELES,Hours of physical-restraint use,0.37,4499.44,509640.0,nan,Hours of seclusion use,0.08,940.37,509640.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),69.0,501.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,371.0,nan,Alcohol use brief intervention provided or offered,71.0,56.0,nan,30.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,84.0,nan,21.0,84.0,nan,Tobacco use screening,97.0,384.0,nan,Tobacco use treatment provided or offered,95.0,128.0,nan,35.0,128.0,nan,Tobacco use treatment provided or offered at discharge,38.0,48.0,nan,0.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),37.0,765.0,nan,Timely transmission of transition record (TR2),32.0,765.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,14.0,nan,7.1,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,43.0,19.1,14.1,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),50.0,277.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,958.0,nan,2017-10-01,2018-03-31
50376,LAC/HARBOR-UCLA MED CENTER,1000 W CARSON ST,TORRANCE,CA,90502,LOS ANGELES,Hours of physical-restraint use,2.01,625.83,12946.0,nan,Hours of seclusion use,0.63,195.9,12946.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,481.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,544.0,nan,Alcohol use brief intervention provided or offered,83.0,41.0,nan,27.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,110.0,nan,3.0,110.0,nan,Tobacco use screening,95.0,541.0,nan,Tobacco use treatment provided or offered,91.0,113.0,nan,30.0,113.0,nan,Tobacco use treatment provided or offered at discharge,74.0,70.0,nan,0.0,70.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),10.0,574.0,nan,Timely transmission of transition record (TR2),10.0,574.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.5,16.0,nan,18.8,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,64.0,19.9,15.3,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,280.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,204.0,nan,2017-10-01,2018-03-31
50380,GOOD SAMARITAN HOSPITAL,2425 SAMARITAN DRIVE,SAN JOSE,CA,95124,SANTA CLARA,Hours of physical-restraint use,0.0,0.0,5951.0,nan,Hours of seclusion use,0.0,0.0,5951.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),74.0,125.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,489.0,nan,Alcohol use brief intervention provided or offered,97.0,136.0,nan,97.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,211.0,nan,45.0,211.0,nan,Tobacco use screening,97.0,487.0,nan,Tobacco use treatment provided or offered,96.0,136.0,nan,78.0,136.0,nan,Tobacco use treatment provided or offered at discharge,93.0,123.0,nan,11.0,123.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),41.0,266.0,nan,Timely transmission of transition record (TR2),38.0,266.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.0,50.0,nan,40.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,149.0,19.9,15.9,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,44.0,nan,2017-10-01,2018-03-31
50426,WEST ANAHEIM MEDICAL CENTER,3033 W ORANGE AVENUE,ANAHEIM,CA,92804,ORANGE,Hours of physical-restraint use,0.0,0.0,9150.0,nan,Hours of seclusion use,0.0,0.0,9150.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,77.0,nan,Screening for metabolic disorders (SMD),72.0,149.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,163.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,174.0,nan,Tobacco use treatment provided or offered,100.0,70.0,nan,96.0,70.0,nan,Tobacco use treatment provided or offered at discharge,100.0,16.0,nan,69.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,341.0,nan,Timely transmission of transition record (TR2),89.0,341.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.5,33.0,nan,36.4,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,443.0,18.6,15.8,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,146.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,110.0,nan,2017-10-01,2018-03-31
50438,HUNTINGTON MEMORIAL HOSPITAL,100 W  CALIFORNIA BLVD,PASADENA,CA,91109,LOS ANGELES,Hours of physical-restraint use,0.79,119.27,6261.0,nan,Hours of seclusion use,0.24,35.32,6261.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,16.0,31.0,nan,Screening for metabolic disorders (SMD),22.0,304.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,474.0,nan,Alcohol use brief intervention provided or offered,81.0,105.0,nan,63.0,105.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,239.0,nan,62.0,239.0,nan,Tobacco use screening,97.0,484.0,nan,Tobacco use treatment provided or offered,63.0,218.0,nan,39.0,218.0,nan,Tobacco use treatment provided or offered at discharge,37.0,201.0,nan,9.0,201.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,683.0,nan,Timely transmission of transition record (TR2),0.0,683.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.8,79.0,nan,29.1,79.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,196.0,21.4,17.5,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,119.0,nan,2017-10-01,2018-03-31
50441,STANFORD HEALTH CARE,300 PASTEUR DRIVE,STANFORD,CA,94305,SANTA CLARA,Hours of physical-restraint use,0.11,46.62,17766.0,nan,Hours of seclusion use,0.08,34.22,17766.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,47.0,nan,Screening for metabolic disorders (SMD),93.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,611.0,nan,Alcohol use brief intervention provided or offered,91.0,90.0,nan,76.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,220.0,nan,75.0,220.0,nan,Tobacco use screening,98.0,613.0,nan,Tobacco use treatment provided or offered,93.0,193.0,nan,24.0,193.0,nan,Tobacco use treatment provided or offered at discharge,90.0,165.0,nan,3.0,165.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,628.0,nan,Timely transmission of transition record (TR2),47.0,628.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.1,93.0,nan,54.8,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,226.0,14.6,11.4,18.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,350.0,nan,2017-10-01,2018-03-31
50464,DOCTORS MEDICAL CENTER,1441 FLORIDA AVENUE,MODESTO,CA,95350,STANISLAUS,Hours of physical-restraint use,0.03,387.6,498432.0,nan,Hours of seclusion use,0.02,196.7,498432.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,36.0,nan,Screening for metabolic disorders (SMD),71.0,356.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,497.0,nan,Alcohol use brief intervention provided or offered,97.0,160.0,nan,92.0,160.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,283.0,nan,80.0,283.0,nan,Tobacco use screening,100.0,496.0,nan,Tobacco use treatment provided or offered,100.0,274.0,nan,69.0,274.0,nan,Tobacco use treatment provided or offered at discharge,81.0,265.0,nan,0.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,775.0,nan,Timely transmission of transition record (TR2),69.0,775.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.3,438.0,nan,15.8,438.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1154.0,25.3,23.2,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,375.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,3377.0,nan,2017-10-01,2018-03-31
50526,HUNTINGTON BEACH HOSPITAL,17772 BEACH BLVD,HUNTINGTON BEACH,CA,92647,ORANGE,Hours of physical-restraint use,0.0,0.0,11206.0,nan,Hours of seclusion use,0.0,0.0,11206.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,61.0,nan,Screening for metabolic disorders (SMD),57.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,110.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,12.0,nan,83.0,12.0,nan,Tobacco use screening,100.0,111.0,nan,Tobacco use treatment provided or offered,97.0,39.0,nan,95.0,39.0,nan,Tobacco use treatment provided or offered at discharge,93.0,28.0,nan,79.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,340.0,nan,Timely transmission of transition record (TR2),78.0,340.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.6,70.0,nan,34.3,70.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,344.0,19.5,16.7,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,169.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,267.0,nan,2017-10-01,2018-03-31
50567,MISSION HOSPITAL REGIONAL MED CENTER,27700 MEDICAL CENTER RD,MISSION VIEJO,CA,92691,ORANGE,Hours of physical-restraint use,0.4,46.63,4820.0,nan,Hours of seclusion use,0.01,1.22,4820.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,27.0,nan,Screening for metabolic disorders (SMD),0.0,233.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,283.0,nan,Alcohol use brief intervention provided or offered,22.0,69.0,nan,13.0,69.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,118.0,nan,53.0,118.0,nan,Tobacco use screening,96.0,282.0,nan,Tobacco use treatment provided or offered,85.0,110.0,nan,10.0,110.0,nan,Tobacco use treatment provided or offered at discharge,27.0,82.0,nan,1.0,82.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,503.0,nan,Timely transmission of transition record (TR2),0.0,503.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,69.0,nan,33.3,69.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,199.0,21.8,17.8,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,242.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,574.0,nan,2017-10-01,2018-03-31
50580,LA PALMA INTERCOMMUNITY HOSPITAL,7901 WALKER STREET,LA PALMA,CA,90623,ORANGE,Hours of physical-restraint use,0.0,0.0,3928.0,nan,Hours of seclusion use,0.0,0.0,3928.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,30.0,nan,Screening for metabolic disorders (SMD),89.0,94.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,83.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,84.0,nan,Tobacco use treatment provided or offered,100.0,44.0,nan,100.0,44.0,nan,Tobacco use treatment provided or offered at discharge,100.0,11.0,nan,100.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,193.0,nan,Timely transmission of transition record (TR2),88.0,193.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.1,19.0,nan,21.1,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,248.0,21.3,17.9,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,88.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,42.0,nan,2017-10-01,2018-03-31
50624,HENRY MAYO NEWHALL  HOSPITAL,23845  MCBEAN PKWY,VALENCIA,CA,91355,LOS ANGELES,Hours of physical-restraint use,0.6,15.11,1043.0,nan,Hours of seclusion use,0.8,20.06,1043.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),27.0,153.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,219.0,nan,Alcohol use brief intervention provided or offered,22.0,118.0,nan,19.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,302.0,nan,29.0,302.0,nan,Tobacco use screening,99.0,556.0,nan,Tobacco use treatment provided or offered,92.0,219.0,nan,9.0,219.0,nan,Tobacco use treatment provided or offered at discharge,43.0,215.0,nan,4.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,604.0,nan,Timely transmission of transition record (TR2),0.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.9,58.0,nan,37.9,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,135.0,22.6,18.3,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,71.0,nan,2017-10-01,2018-03-31
50636,POMERADO HOSPITAL,15615 POMERADO ROAD,POWAY,CA,92064,SAN DIEGO,Hours of physical-restraint use,0.38,19.28,2101.0,nan,Hours of seclusion use,0.0,0.0,2101.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),61.0,104.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,115.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,127.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),20.0,137.0,nan,Timely transmission of transition record (TR2),16.0,137.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,97.0,17.7,13.0,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,58.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,68.0,nan,2017-10-01,2018-03-31
50727,COMMUNITY HOSPITAL OF LONG BEACH,1720 TERMINO AVENUE,LONG BEACH,CA,90804,LOS ANGELES,Hours of physical-restraint use,0.43,90.44,8723.0,nan,Hours of seclusion use,0.9,187.94,8723.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),69.0,150.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,217.0,nan,Alcohol use brief intervention provided or offered,52.0,42.0,nan,52.0,42.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,96.0,nan,8.0,96.0,nan,Tobacco use screening,98.0,217.0,nan,Tobacco use treatment provided or offered,67.0,101.0,nan,63.0,101.0,nan,Tobacco use treatment provided or offered at discharge,39.0,95.0,nan,39.0,95.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,635.0,nan,Timely transmission of transition record (TR2),0.0,635.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.9,123.0,nan,26.8,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,319.0,25.8,22.4,29.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,96.0,nan,2017-10-01,2018-03-31
50744,ANAHEIM GLOBAL MEDICAL CENTER,1025 S ANAHEIM BLVD,ANAHEIM,CA,92805,ORANGE,Hours of physical-restraint use,0.0,0.0,7112.0,nan,Hours of seclusion use,0.0,0.0,7112.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,227.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,295.0,nan,Alcohol use brief intervention provided or offered,19.0,26.0,nan,19.0,26.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,100.0,nan,9.0,100.0,nan,Tobacco use screening,100.0,304.0,nan,Tobacco use treatment provided or offered,95.0,84.0,nan,21.0,84.0,nan,Tobacco use treatment provided or offered at discharge,5.0,76.0,nan,0.0,76.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,350.0,nan,Timely transmission of transition record (TR2),90.0,350.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.3,102.0,nan,24.5,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,294.0,20.9,17.5,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,146.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,185.0,nan,2017-10-01,2018-03-31
50745,CHAPMAN GLOBAL MEDICAL CENTER,2601 E CHAPMAN AVE,ORANGE,CA,92869,ORANGE,Hours of physical-restraint use,0.0,0.0,3649.0,nan,Hours of seclusion use,0.0,0.0,3649.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),48.0,154.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,265.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,14.0,nan,14.0,14.0,nan,Tobacco use screening,100.0,272.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,273.0,nan,Timely transmission of transition record (TR2),79.0,273.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.6,53.0,nan,41.5,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,259.0,18.6,14.7,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,124.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,360.0,nan,2017-10-01,2018-03-31
50747,SOUTH COAST GLOBAL MEDICAL CENTER,2701 S BRISTOL ST,SANTA ANA,CA,92704,ORANGE,Hours of physical-restraint use,0.0,0.0,6067.0,nan,Hours of seclusion use,0.0,0.0,6067.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,32.0,nan,Screening for metabolic disorders (SMD),9.0,164.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,278.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,279.0,nan,Timely transmission of transition record (TR2),97.0,279.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.3,16.0,nan,43.8,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,480.0,17.8,14.9,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,136.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,48.0,nan,2017-10-01,2018-03-31
50755,SHERMAN OAKS HOSPITAL,4929 VAN NUYS BLVD,SHERMAN OAKS,CA,91403,LOS ANGELES,Hours of physical-restraint use,0.01,0.92,5648.0,nan,Hours of seclusion use,0.0,0.0,5648.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,24.0,nan,Screening for metabolic disorders (SMD),96.0,486.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,94.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,23.0,nan,100.0,23.0,nan,Tobacco use screening,100.0,92.0,nan,Tobacco use treatment provided or offered,100.0,21.0,nan,100.0,21.0,nan,Tobacco use treatment provided or offered at discharge,100.0,13.0,nan,100.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,673.0,nan,Timely transmission of transition record (TR2),100.0,673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.8,162.0,nan,16.7,162.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,855.0,22.1,19.5,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,289.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,75.0,nan,2017-10-01,2018-03-31
50764,SHASTA REGIONAL MEDICAL CENTER,1100 BUTTE ST,REDDING,CA,96001,SHASTA,Hours of physical-restraint use,0.03,2.0,2820.0,nan,Hours of seclusion use,0.0,0.0,2820.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),42.0,98.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,187.0,nan,Alcohol use brief intervention provided or offered,100.0,20.0,nan,100.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,65.0,nan,77.0,65.0,nan,Tobacco use screening,100.0,187.0,nan,Tobacco use treatment provided or offered,97.0,76.0,nan,96.0,76.0,nan,Tobacco use treatment provided or offered at discharge,89.0,71.0,nan,83.0,71.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,253.0,nan,Timely transmission of transition record (TR2),80.0,253.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.9,116.0,nan,27.6,116.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,198.0,17.3,13.7,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,135.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,40.0,nan,2017-10-01,2018-03-31
54009,RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA,150 MEDICAL PLAZA,LOS ANGELES,CA,90095,LOS ANGELES,Hours of physical-restraint use,0.09,75.03,35162.0,nan,Hours of seclusion use,0.16,133.2,35162.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,32.0,nan,Screening for metabolic disorders (SMD),50.0,904.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1151.0,nan,Alcohol use brief intervention provided or offered,59.0,51.0,nan,59.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,67.0,nan,81.0,67.0,nan,Tobacco use screening,99.0,1151.0,nan,Tobacco use treatment provided or offered,63.0,164.0,nan,53.0,164.0,nan,Tobacco use treatment provided or offered at discharge,53.0,137.0,nan,18.0,137.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,1661.0,nan,Timely transmission of transition record (TR2),100.0,1661.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.0,174.0,nan,51.1,174.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,467.0,15.6,12.8,18.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,878.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,505.0,nan,2017-10-01,2018-03-31
54028,GATEWAYS HOSP  MENTAL HEALTH CTR,1891 EFFIE ST,LOS ANGELES,CA,90026,LOS ANGELES,Hours of physical-restraint use,0.27,73.5,11430.0,nan,Hours of seclusion use,0.14,39.0,11430.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,18.0,nan,Screening for metabolic disorders (SMD),99.0,288.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,76.0,249.0,nan,Alcohol use brief intervention provided or offered,100.0,43.0,nan,93.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,76.0,nan,63.0,76.0,nan,Tobacco use screening,78.0,253.0,nan,Tobacco use treatment provided or offered,39.0,116.0,nan,22.0,116.0,nan,Tobacco use treatment provided or offered at discharge,0.0,116.0,nan,0.0,116.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,785.0,nan,Timely transmission of transition record (TR2),12.0,785.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),30.0,417.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),24.0,206.0,nan,2017-10-01,2018-03-31
54032,BHC ALHAMBRA HOSP,4619 N ROSEMEAD BLVD,ROSEMEAD,CA,91770,LOS ANGELES,Hours of physical-restraint use,0.03,21.21,32037.0,nan,Hours of seclusion use,0.0,0.52,32037.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),97.0,452.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,509.0,nan,Alcohol use brief intervention provided or offered,99.0,77.0,nan,96.0,77.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,217.0,nan,70.0,217.0,nan,Tobacco use screening,100.0,509.0,nan,Tobacco use treatment provided or offered,100.0,194.0,nan,30.0,194.0,nan,Tobacco use treatment provided or offered at discharge,56.0,193.0,nan,4.0,193.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,1081.0,nan,Timely transmission of transition record (TR2),69.0,1081.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.3,194.0,nan,23.2,194.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,401.0,25.6,22.3,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,551.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,407.0,nan,2017-10-01,2018-03-31
54053,DEL AMO HOSPITAL,23700 CAMINO DEL SOL,TORRANCE,CA,90505,LOS ANGELES,Hours of physical-restraint use,0.06,70.75,46383.0,nan,Hours of seclusion use,0.01,15.85,46383.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,41.0,nan,Screening for metabolic disorders (SMD),94.0,491.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,517.0,nan,Alcohol use brief intervention provided or offered,99.0,97.0,nan,93.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,187.0,nan,22.0,187.0,nan,Tobacco use screening,100.0,517.0,nan,Tobacco use treatment provided or offered,95.0,182.0,nan,64.0,182.0,nan,Tobacco use treatment provided or offered at discharge,60.0,131.0,nan,6.0,131.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,1349.0,nan,Timely transmission of transition record (TR2),74.0,1349.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.9,381.0,nan,32.8,381.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1070.0,26.9,24.7,29.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,615.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,495.0,nan,2017-10-01,2018-03-31
54055,COLLEGE HOSPITAL,10802 COLLEGE PL,CERRITOS,CA,90703,LOS ANGELES,Hours of physical-restraint use,1.03,1570.77,63677.0,nan,Hours of seclusion use,0.94,1443.1,63667.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,60.0,nan,Screening for metabolic disorders (SMD),100.0,463.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,9.0,826.0,nan,Alcohol use brief intervention provided or offered,65.0,82.0,nan,62.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,821.0,nan,Tobacco use treatment provided or offered,96.0,204.0,nan,31.0,204.0,nan,Tobacco use treatment provided or offered at discharge,46.0,82.0,nan,0.0,82.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,1049.0,nan,Timely transmission of transition record (TR2),43.0,1049.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.6,405.0,nan,34.6,405.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1174.0,25.4,23.2,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),52.0,431.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,976.0,nan,2017-10-01,2018-03-31
54069,AURORA CHARTER OAK,1161 E COVINA BLVD,COVINA,CA,91724,LOS ANGELES,Hours of physical-restraint use,0.28,307.06,46024.0,nan,Hours of seclusion use,0.0,0.0,46024.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,48.0,nan,Screening for metabolic disorders (SMD),85.0,603.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,951.0,nan,Alcohol use brief intervention provided or offered,97.0,207.0,nan,96.0,207.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,529.0,nan,54.0,529.0,nan,Tobacco use screening,99.0,950.0,nan,Tobacco use treatment provided or offered,98.0,445.0,nan,1.0,445.0,nan,Tobacco use treatment provided or offered at discharge,83.0,362.0,nan,2.0,362.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,1145.0,nan,Timely transmission of transition record (TR2),89.0,1145.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.5,550.0,nan,34.9,550.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1194.0,21.8,19.8,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,655.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,529.0,nan,2017-10-01,2018-03-31
54074,ADVENTIST HEALTH VALLEJO,525 OREGON ST,VALLEJO,CA,94590,SOLANO,Hours of physical-restraint use,0.2,94.7,20131.0,nan,Hours of seclusion use,0.36,173.45,20131.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,88.0,nan,Screening for metabolic disorders (SMD),79.0,348.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,409.0,nan,Alcohol use brief intervention provided or offered,73.0,73.0,nan,70.0,73.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,167.0,nan,42.0,167.0,nan,Tobacco use screening,99.0,411.0,nan,Tobacco use treatment provided or offered,79.0,164.0,nan,62.0,164.0,nan,Tobacco use treatment provided or offered at discharge,27.0,159.0,nan,8.0,159.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,604.0,nan,Timely transmission of transition record (TR2),0.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.1,307.0,nan,18.6,307.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,801.0,17.1,15.0,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),34.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,279.0,nan,2017-10-01,2018-03-31
54075,ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTE,7050 PARKWAY DRIVE,LA MESA,CA,91942,SAN DIEGO,Hours of physical-restraint use,0.34,163.23,19902.0,nan,Hours of seclusion use,0.31,147.2,19902.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,123.0,nan,Screening for metabolic disorders (SMD),83.0,382.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,580.0,nan,Alcohol use brief intervention provided or offered,99.0,127.0,nan,88.0,127.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,209.0,nan,76.0,209.0,nan,Tobacco use screening,100.0,582.0,nan,Tobacco use treatment provided or offered,59.0,322.0,nan,15.0,322.0,nan,Tobacco use treatment provided or offered at discharge,40.0,211.0,nan,20.0,211.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),54.0,609.0,nan,Timely transmission of transition record (TR2),53.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.1,450.0,nan,44.4,450.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1354.0,22.1,20.3,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,276.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,522.0,nan,2017-10-01,2018-03-31
54077,AURORA VISTA DEL MAR HOSPITAL,801 SENECA ST,VENTURA,CA,93001,VENTURA,Hours of physical-restraint use,0.06,34.12,23110.0,nan,Hours of seclusion use,0.49,269.08,23110.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,14.0,nan,Screening for metabolic disorders (SMD),2.0,180.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,462.0,nan,Alcohol use brief intervention provided or offered,60.0,117.0,nan,48.0,117.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,178.0,nan,18.0,178.0,nan,Tobacco use screening,100.0,463.0,nan,Tobacco use treatment provided or offered,90.0,90.0,nan,87.0,90.0,nan,Tobacco use treatment provided or offered at discharge,17.0,66.0,nan,3.0,66.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,607.0,nan,Timely transmission of transition record (TR2),34.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.9,242.0,nan,19.0,242.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,759.0,22.9,20.3,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),48.0,69.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,262.0,nan,2017-10-01,2018-03-31
54078,AURORA LAS ENCINAS HOSPITAL,2900 E DEL MAR BLVD,PASADENA,CA,91107,LOS ANGELES,Hours of physical-restraint use,0.06,39.03,28526.0,nan,Hours of seclusion use,0.0,0.0,28526.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,34.0,nan,Screening for metabolic disorders (SMD),92.0,440.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,83.0,1107.0,nan,Alcohol use brief intervention provided or offered,88.0,297.0,nan,75.0,297.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,562.0,nan,51.0,562.0,nan,Tobacco use screening,99.0,1129.0,nan,Tobacco use treatment provided or offered,94.0,432.0,nan,50.0,432.0,nan,Tobacco use treatment provided or offered at discharge,58.0,341.0,nan,0.0,341.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,1084.0,nan,Timely transmission of transition record (TR2),4.0,1084.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.9,327.0,nan,24.2,327.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1117.0,26.0,23.8,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,582.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,478.0,nan,2017-10-01,2018-03-31
54087,"SIERRA VISTA HOSPITAL, INC",8001 BRUCEVILLE ROAD,SACRAMENTO,CA,95823,SACRAMENTO,Hours of physical-restraint use,0.01,15.76,50537.0,nan,Hours of seclusion use,0.05,62.86,50537.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,95.0,nan,Screening for metabolic disorders (SMD),54.0,623.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,816.0,nan,Alcohol use brief intervention provided or offered,83.0,132.0,nan,83.0,132.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,13.0,462.0,nan,13.0,462.0,nan,Tobacco use screening,96.0,816.0,nan,Tobacco use treatment provided or offered,76.0,398.0,nan,33.0,398.0,nan,Tobacco use treatment provided or offered at discharge,45.0,388.0,nan,1.0,388.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),81.0,1095.0,nan,Timely transmission of transition record (TR2),80.0,1095.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.3,388.0,nan,31.2,388.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,779.0,20.3,18.1,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,527.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,541.0,nan,2017-10-01,2018-03-31
54089,JEWISH HOME,302  SILVER AVE,SAN FRANCISCO,CA,94112,SAN FRANCISCO,Hours of physical-restraint use,0.02,2.1,3778.0,nan,Hours of seclusion use,0.03,2.4,3778.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,133.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,186.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,186.0,nan,Tobacco use treatment provided or offered,100.0,26.0,nan,31.0,26.0,nan,Tobacco use treatment provided or offered at discharge,62.0,26.0,nan,31.0,26.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,185.0,nan,Timely transmission of transition record (TR2),92.0,185.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.1,55.0,nan,21.8,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,230.0,16.4,12.5,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),5.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,57.0,nan,2017-10-01,2018-03-31
54093,LOMA LINDA UNIVERSITY BEHAVIORAL MED CTR,1710 BARTON ROAD,REDLANDS,CA,92373,SAN BERNARDINO,Hours of physical-restraint use,0.05,26.33,21982.0,nan,Hours of seclusion use,0.04,23.33,21982.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,42.0,nan,Screening for metabolic disorders (SMD),69.0,338.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,276.0,nan,Alcohol use brief intervention provided or offered,92.0,59.0,nan,90.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,124.0,nan,24.0,124.0,nan,Tobacco use screening,99.0,277.0,nan,Tobacco use treatment provided or offered,86.0,122.0,nan,57.0,122.0,nan,Tobacco use treatment provided or offered at discharge,53.0,118.0,nan,37.0,118.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,741.0,nan,Timely transmission of transition record (TR2),52.0,741.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.5,85.0,nan,43.5,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,305.0,20.7,17.0,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,364.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,663.0,nan,2017-10-01,2018-03-31
54095,AURORA SAN DIEGO,11878 AVENUE OF INDUSTRY,SAN DIEGO,CA,92128,SAN DIEGO,Hours of physical-restraint use,0.04,26.57,27239.0,nan,Hours of seclusion use,0.13,85.48,27239.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,42.0,nan,Screening for metabolic disorders (SMD),14.0,283.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,444.0,nan,Alcohol use brief intervention provided or offered,100.0,180.0,nan,99.0,180.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,267.0,nan,95.0,267.0,nan,Tobacco use screening,98.0,439.0,nan,Tobacco use treatment provided or offered,95.0,138.0,nan,14.0,138.0,nan,Tobacco use treatment provided or offered at discharge,86.0,132.0,nan,5.0,132.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,725.0,nan,Timely transmission of transition record (TR2),89.0,725.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.8,121.0,nan,42.1,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,359.0,18.1,15.1,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,355.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,427.0,nan,2017-10-01,2018-03-31
54096,SUTTER CENTER FOR PSYCHIATRY,7700 FOLSOM BLVD,SACRAMENTO,CA,95826,SACRAMENTO,Hours of physical-restraint use,0.04,17.87,20117.0,nan,Hours of seclusion use,0.02,8.14,20117.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,17.0,nan,Screening for metabolic disorders (SMD),9.0,278.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,422.0,nan,Alcohol use brief intervention provided or offered,93.0,84.0,nan,93.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,222.0,nan,50.0,222.0,nan,Tobacco use screening,95.0,425.0,nan,Tobacco use treatment provided or offered,82.0,180.0,nan,72.0,180.0,nan,Tobacco use treatment provided or offered at discharge,59.0,169.0,nan,33.0,169.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,603.0,nan,Timely transmission of transition record (TR2),0.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,254.0,nan,43.3,254.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,550.0,18.6,15.9,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,452.0,nan,2017-10-01,2018-03-31
54104,HERITAGE OAKS HOSPITAL,4250 AUBURN BLVD,SACRAMENTO,CA,95841,SACRAMENTO,Hours of physical-restraint use,0.02,17.88,40386.0,nan,Hours of seclusion use,0.04,37.81,40386.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,33.0,nan,Screening for metabolic disorders (SMD),79.0,491.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,602.0,nan,Alcohol use brief intervention provided or offered,100.0,99.0,nan,84.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,302.0,nan,4.0,302.0,nan,Tobacco use screening,100.0,602.0,nan,Tobacco use treatment provided or offered,99.0,320.0,nan,16.0,320.0,nan,Tobacco use treatment provided or offered at discharge,93.0,275.0,nan,0.0,275.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,824.0,nan,Timely transmission of transition record (TR2),95.0,824.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,468.0,nan,26.1,468.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1122.0,19.8,17.8,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,405.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,409.0,nan,2017-10-01,2018-03-31
54110,FREMONT HOSPITAL,39001 SUNDALE DRIVE,FREMONT,CA,94538,ALAMEDA,Hours of physical-restraint use,0.02,19.91,34701.0,nan,Hours of seclusion use,0.04,30.63,34701.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,99.0,89.0,nan,Screening for metabolic disorders (SMD),96.0,452.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,383.0,nan,Alcohol use brief intervention provided or offered,58.0,26.0,nan,54.0,26.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,94.0,nan,15.0,94.0,nan,Tobacco use screening,100.0,383.0,nan,Tobacco use treatment provided or offered,82.0,102.0,nan,82.0,102.0,nan,Tobacco use treatment provided or offered at discharge,1.0,73.0,nan,1.0,73.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),19.0,1067.0,nan,Timely transmission of transition record (TR2),89.0,1067.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.6,314.0,nan,21.7,314.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,977.0,22.3,20.1,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,543.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,577.0,nan,2017-10-01,2018-03-31
54111,CANYON RIDGE HOSPITAL,5353 G STREET,CHINO,CA,91710,SAN BERNARDINO,Hours of physical-restraint use,0.04,34.68,34905.0,nan,Hours of seclusion use,0.12,98.18,34905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,52.0,nan,Screening for metabolic disorders (SMD),94.0,425.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,753.0,nan,Alcohol use brief intervention provided or offered,70.0,115.0,nan,69.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,299.0,nan,35.0,299.0,nan,Tobacco use screening,100.0,753.0,nan,Tobacco use treatment provided or offered,98.0,267.0,nan,19.0,267.0,nan,Tobacco use treatment provided or offered at discharge,70.0,243.0,nan,0.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,1122.0,nan,Timely transmission of transition record (TR2),90.0,1122.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.0,291.0,nan,30.6,291.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,645.0,23.0,20.3,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,536.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,622.0,nan,2017-10-01,2018-03-31
54122,DEPT OF STATE HOSPITALS - NAPA,2100 NAPA-VALLEJO HIGHWAY,NAPA,CA,94558,NAPA,Hours of physical-restraint use,0.83,308.67,15520.0,nan,Hours of seclusion use,0.15,55.83,15520.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,1.0,Timely transmission of transition record (TR2),,,1.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),59.0,2393.0,nan,2017-10-01,2018-03-31
54123,ST JOSEPH'S BEHAVIORAL HEALTH CENTER,2510 N  CALIFORNIA ST,STOCKTON,CA,95204,SAN JOAQUIN,Hours of physical-restraint use,0.0,0.05,12046.0,nan,Hours of seclusion use,0.0,0.03,12046.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,32.0,nan,Screening for metabolic disorders (SMD),78.0,306.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,612.0,nan,Alcohol use brief intervention provided or offered,78.0,89.0,nan,71.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,236.0,nan,66.0,236.0,nan,Tobacco use screening,99.0,612.0,nan,Tobacco use treatment provided or offered,83.0,218.0,nan,53.0,218.0,nan,Tobacco use treatment provided or offered at discharge,54.0,200.0,nan,3.0,200.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,616.0,nan,Timely transmission of transition record (TR2),1.0,616.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.1,365.0,nan,12.1,365.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1090.0,24.1,21.8,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,174.0,nan,2017-10-01,2018-03-31
54124,SEMPERVIRENS,720 WOOD ST,EUREKA,CA,95501,HUMBOLDT,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.9,93.0,nan,10.8,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,274.0,24.2,20.0,28.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
54125,SANTA BARBARA COUNTY PSYCHIATRIC HEALTH FACILITY,315 CAMINO DEL REMEDIO,SANTA BARBARA,CA,93110,SANTA BARBARA,Hours of physical-restraint use,0.06,13.7,9141.0,nan,Hours of seclusion use,0.15,32.92,9141.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,53.0,nan,Screening for metabolic disorders (SMD),93.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,374.0,nan,Alcohol use brief intervention provided or offered,100.0,80.0,nan,96.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,374.0,nan,Tobacco use treatment provided or offered,78.0,127.0,nan,55.0,127.0,nan,Tobacco use treatment provided or offered at discharge,10.0,111.0,nan,0.0,111.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,372.0,nan,Timely transmission of transition record (TR2),0.0,372.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.8,13.0,nan,15.4,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,52.0,20.6,15.2,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,178.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,85.0,nan,2017-10-01,2018-03-31
54130,PACIFIC GROVE HOSPITAL,5900 BROCKTON AVE,RIVERSIDE,CA,92506,RIVERSIDE,Hours of physical-restraint use,0.04,14.23,13654.0,nan,Hours of seclusion use,0.01,3.7,13654.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,21.0,nan,Screening for metabolic disorders (SMD),91.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,430.0,nan,Alcohol use brief intervention provided or offered,73.0,71.0,nan,61.0,71.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,162.0,nan,7.0,162.0,nan,Tobacco use screening,91.0,589.0,nan,Tobacco use treatment provided or offered,86.0,226.0,nan,13.0,226.0,nan,Tobacco use treatment provided or offered at discharge,41.0,183.0,nan,2.0,183.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),26.0,618.0,nan,Timely transmission of transition record (TR2),26.0,618.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.7,221.0,nan,16.3,221.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,482.0,22.1,19.1,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,265.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,242.0,nan,2017-10-01,2018-03-31
54131,JOHN MUIR BEHAVIORAL HEALTH CENTER,2740 GRANT STREET,CONCORD,CA,94524,CONTRA COSTA,Hours of physical-restraint use,0.08,33.25,17179.0,nan,Hours of seclusion use,0.27,112.22,17179.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,53.0,nan,Screening for metabolic disorders (SMD),84.0,1156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1136.0,nan,Alcohol use brief intervention provided or offered,96.0,199.0,nan,27.0,199.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,141.0,nan,39.0,141.0,nan,Tobacco use screening,100.0,1136.0,nan,Tobacco use treatment provided or offered,95.0,361.0,nan,7.0,361.0,nan,Tobacco use treatment provided or offered at discharge,60.0,319.0,nan,5.0,319.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),80.0,2528.0,nan,Timely transmission of transition record (TR2),73.0,2528.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.8,144.0,nan,56.9,144.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,487.0,16.5,13.7,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,1215.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,556.0,nan,2017-10-01,2018-03-31
54133,DEPT OF STATE HOSPITALS - METROPOLITAN - PSY,11401 S NORWALK BLVD,NORWALK,CA,90650,LOS ANGELES,Hours of physical-restraint use,2.32,899.92,16172.0,nan,Hours of seclusion use,0.06,24.92,16172.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,25.0,nan,Timely transmission of transition record (TR2),0.0,25.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),65.0,1624.0,nan,2017-10-01,2018-03-31
54135,NEWPORT BAY HOSPITAL,1501 E 16TH ST,NEWPORT BEACH,CA,92663,ORANGE,Hours of physical-restraint use,0.0,1.25,11618.0,nan,Hours of seclusion use,0.01,2.25,11618.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,83.0,nan,Screening for metabolic disorders (SMD),100.0,856.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,939.0,nan,Alcohol use brief intervention provided or offered,100.0,11.0,nan,100.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,11.0,nan,0.0,11.0,nan,Tobacco use screening,100.0,939.0,nan,Tobacco use treatment provided or offered,100.0,212.0,nan,33.0,212.0,nan,Tobacco use treatment provided or offered at discharge,33.0,212.0,nan,33.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,856.0,nan,Timely transmission of transition record (TR2),100.0,856.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,86.0,nan,41.9,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1191.0,21.7,19.3,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,483.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,52.0,nan,2017-10-01,2018-03-31
54144,LANGLEY PORTER PSYCHIATRIC INSTITUTE,401 PARNASSUS AVENUE,SAN FRANCISCO,CA,94143,SAN FRANCISCO,Hours of physical-restraint use,0.33,47.38,6026.0,nan,Hours of seclusion use,0.73,105.0,6026.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,35.0,nan,Screening for metabolic disorders (SMD),86.0,340.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,586.0,nan,Alcohol use brief intervention provided or offered,82.0,102.0,nan,79.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,134.0,nan,63.0,134.0,nan,Tobacco use screening,99.0,585.0,nan,Tobacco use treatment provided or offered,86.0,182.0,nan,47.0,182.0,nan,Tobacco use treatment provided or offered at discharge,28.0,161.0,nan,2.0,161.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),42.0,601.0,nan,Timely transmission of transition record (TR2),42.0,601.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.2,91.0,nan,34.1,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,277.0,21.8,18.1,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,282.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,293.0,nan,2017-10-01,2018-03-31
54145,SHARP MESA VISTA HOSPITAL,7850 VISTA HILL AVENUE,SAN DIEGO,CA,92123,SAN DIEGO,Hours of physical-restraint use,0.04,42.22,42925.0,nan,Hours of seclusion use,0.01,5.42,42925.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,66.0,65.0,nan,Screening for metabolic disorders (SMD),87.0,365.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,740.0,nan,Alcohol use brief intervention provided or offered,97.0,263.0,nan,97.0,263.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,433.0,nan,78.0,433.0,nan,Tobacco use screening,100.0,734.0,nan,Tobacco use treatment provided or offered,90.0,315.0,nan,87.0,315.0,nan,Tobacco use treatment provided or offered at discharge,49.0,265.0,nan,9.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),33.0,908.0,nan,Timely transmission of transition record (TR2),32.0,908.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.3,239.0,nan,53.6,239.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,902.0,18.7,16.4,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,448.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,923.0,nan,2017-10-01,2018-03-31
54146,TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY,"2633 E 27TH STREET, BUILDING B",OAKLAND,CA,94601,ALAMEDA,Hours of physical-restraint use,0.03,4.8,7455.0,nan,Hours of seclusion use,0.28,49.8,7455.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,178.0,nan,Screening for metabolic disorders (SMD),6.0,626.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,59.0,1253.0,nan,Alcohol use brief intervention provided or offered,100.0,432.0,nan,100.0,432.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,101.0,nan,13.0,101.0,nan,Tobacco use screening,46.0,1253.0,nan,Tobacco use treatment provided or offered,51.0,207.0,nan,51.0,207.0,nan,Tobacco use treatment provided or offered at discharge,12.0,136.0,nan,12.0,136.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),73.0,1247.0,nan,Timely transmission of transition record (TR2),73.0,1247.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),21.0,648.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,56.0,nan,2017-10-01,2018-03-31
54147,JOYCE EISENBERG KEEFER MEDICAL CENTER,7150 TAMPA AVENUE,RESEDA,CA,91335,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,3246.0,nan,Hours of seclusion use,0.0,0.0,3246.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,102.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,139.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,0.0,139.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,139.0,nan,Timely transmission of transition record (TR2),88.0,139.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,41.0,19.4,13.8,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,68.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,118.0,nan,2017-10-01,2018-03-31
54148,TARZANA TREATMENT CENTER,18646 OXNARD STREET,TARZANA,CA,91356,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,14132.0,nan,Hours of seclusion use,0.0,0.0,14132.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),0.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,2148.0,nan,Alcohol use brief intervention provided or offered,55.0,2148.0,nan,55.0,2148.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,2148.0,nan,100.0,2148.0,nan,Tobacco use screening,100.0,2148.0,nan,Tobacco use treatment provided or offered,0.0,1417.0,nan,0.0,1417.0,nan,Tobacco use treatment provided or offered at discharge,0.0,1417.0,nan,0.0,1417.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),69.0,2148.0,nan,Timely transmission of transition record (TR2),69.0,2148.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,24.0,nan,4.2,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,219.0,21.4,17.5,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),3.0,1282.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,116.0,nan,2017-10-01,2018-03-31
54149,WILLOW ROCK CENTER,2050 FAIRMONT DRIVE,SAN LEANDRO,CA,94578,ALAMEDA,Hours of physical-restraint use,0.1,9.0,3702.0,nan,Hours of seclusion use,0.54,48.05,3702.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,48.0,nan,Screening for metabolic disorders (SMD),1.0,211.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,535.0,nan,Timely transmission of transition record (TR2),51.0,535.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),38.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
54150,KAISER PERMANENTE PSYCHIATRIC HEALTH FACILITY-SANT,3840 HOMESTEAD ROAD,SANTA CLARA,CA,95051,SANTA CLARA,Hours of physical-restraint use,0.24,22.9,3981.0,nan,Hours of seclusion use,0.16,15.62,3981.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,126.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,245.0,nan,Alcohol use brief intervention provided or offered,93.0,15.0,nan,93.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,103.0,nan,57.0,103.0,nan,Tobacco use screening,100.0,245.0,nan,Tobacco use treatment provided or offered,87.0,61.0,nan,72.0,61.0,nan,Tobacco use treatment provided or offered at discharge,76.0,58.0,nan,29.0,58.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,259.0,nan,Timely transmission of transition record (TR2),84.0,259.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,155.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,97.0,nan,2017-10-01,2018-03-31
54151,"AURORA BEHAVIORAL HEALTHCARE-SANTA ROSA, LLC",1287 FULTON ROAD,SANTA ROSA,CA,95401,SONOMA,Hours of physical-restraint use,0.08,42.91,22800.0,nan,Hours of seclusion use,0.03,18.68,22800.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,52.0,44.0,nan,Screening for metabolic disorders (SMD),15.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,373.0,nan,Alcohol use brief intervention provided or offered,95.0,40.0,nan,95.0,40.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,152.0,nan,53.0,152.0,nan,Tobacco use screening,100.0,385.0,nan,Tobacco use treatment provided or offered,79.0,139.0,nan,37.0,139.0,nan,Tobacco use treatment provided or offered at discharge,1.0,125.0,nan,0.0,125.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,730.0,nan,Timely transmission of transition record (TR2),20.0,730.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.8,451.0,nan,15.3,451.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1004.0,19.5,17.3,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,356.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,251.0,nan,2017-10-01,2018-03-31
54152,SANTA CRUZ COUNTY PSYCHIATRIC HEALTH FACILITY,"2250 SOQUEL AVENUE, SUITE 150",SANTA CRUZ,CA,95062,SANTA CRUZ,Hours of physical-restraint use,0.14,18.0,5408.0,nan,Hours of seclusion use,0.43,56.32,5408.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,76.0,nan,Screening for metabolic disorders (SMD),14.0,277.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,449.0,nan,Alcohol use brief intervention provided or offered,97.0,160.0,nan,95.0,160.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,17.0,18.0,nan,17.0,18.0,nan,Tobacco use screening,62.0,449.0,nan,Tobacco use treatment provided or offered,63.0,138.0,nan,63.0,138.0,nan,Tobacco use treatment provided or offered at discharge,0.0,63.0,nan,0.0,63.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),57.0,443.0,nan,Timely transmission of transition record (TR2),58.0,443.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.4,35.0,nan,54.3,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,185.0,19.7,15.7,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),44.0,287.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,162.0,nan,2017-10-01,2018-03-31
54153,OCEAN VIEW PSYCHIATRIC HEALTH FACILITY,"2600 REDONDO AVENUE, SUITE 500",LONG BEACH,CA,90806,LOS ANGELES,Hours of physical-restraint use,0.0,0.0,5852.0,nan,Hours of seclusion use,0.0,0.0,5852.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,63.0,nan,Screening for metabolic disorders (SMD),100.0,470.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,655.0,nan,Alcohol use brief intervention provided or offered,100.0,93.0,nan,56.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,655.0,nan,Tobacco use treatment provided or offered,100.0,403.0,nan,1.0,403.0,nan,Tobacco use treatment provided or offered at discharge,99.0,318.0,nan,0.0,318.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,657.0,nan,Timely transmission of transition record (TR2),97.0,657.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.5,181.0,nan,30.9,181.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,278.0,26.6,22.7,31.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,346.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,106.0,nan,2017-10-01,2018-03-31
54154,SAN JOSE BEHAVIORAL HEALTH,455 SILICON VALLEY BOULEVARD,SAN JOSE,CA,95138,SANTA CLARA,Hours of physical-restraint use,0.1,50.23,21885.0,nan,Hours of seclusion use,0.29,154.63,21885.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,21.0,42.0,nan,Screening for metabolic disorders (SMD),20.0,322.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,433.0,nan,Alcohol use brief intervention provided or offered,39.0,64.0,nan,34.0,64.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,123.0,nan,12.0,123.0,nan,Tobacco use screening,96.0,441.0,nan,Tobacco use treatment provided or offered,84.0,101.0,nan,11.0,101.0,nan,Tobacco use treatment provided or offered at discharge,38.0,76.0,nan,0.0,76.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,624.0,nan,Timely transmission of transition record (TR2),3.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.9,176.0,nan,17.0,176.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,205.0,18.5,14.8,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),24.0,279.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,276.0,nan,2017-10-01,2018-03-31
54155,"BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL, LLC",5201 WHITE LANE,BAKERSFIELD,CA,93309,KERN,Hours of physical-restraint use,0.04,18.38,17906.0,nan,Hours of seclusion use,0.31,134.97,17906.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,39.0,nan,Screening for metabolic disorders (SMD),70.0,387.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,394.0,nan,Alcohol use brief intervention provided or offered,49.0,88.0,nan,44.0,88.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,260.0,nan,70.0,260.0,nan,Tobacco use screening,94.0,399.0,nan,Tobacco use treatment provided or offered,80.0,221.0,nan,15.0,221.0,nan,Tobacco use treatment provided or offered at discharge,12.0,206.0,nan,4.0,206.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,732.0,nan,Timely transmission of transition record (TR2),1.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.8,142.0,nan,17.6,142.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,176.0,21.4,17.7,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,367.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,396.0,nan,2017-10-01,2018-03-31
60009,LUTHERAN MEDICAL CENTER,8300 W 38TH AVE,WHEAT RIDGE,CO,80033,JEFFERSON,Hours of physical-restraint use,0.29,130.2,18680.0,nan,Hours of seclusion use,1.57,702.45,18680.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,523.0,nan,Alcohol use brief intervention provided or offered,100.0,294.0,nan,96.0,294.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,316.0,nan,97.0,316.0,nan,Tobacco use screening,92.0,519.0,nan,Tobacco use treatment provided or offered,77.0,248.0,nan,65.0,248.0,nan,Tobacco use treatment provided or offered at discharge,8.0,213.0,nan,1.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),76.0,600.0,nan,Timely transmission of transition record (TR2),18.0,600.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,184.0,nan,23.9,184.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,572.0,18.0,15.2,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),37.0,270.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,175.0,nan,2017-10-01,2018-03-31
60010,POUDRE VALLEY HOSPITAL,1024 S LEMAY AVE,FORT COLLINS,CO,80524,LARIMER,Hours of physical-restraint use,0.22,41.64,7748.0,nan,Hours of seclusion use,1.01,187.19,7748.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),64.0,147.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,462.0,nan,Alcohol use brief intervention provided or offered,81.0,165.0,nan,81.0,165.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,281.0,nan,43.0,281.0,nan,Tobacco use screening,98.0,469.0,nan,Tobacco use treatment provided or offered,76.0,247.0,nan,11.0,247.0,nan,Tobacco use treatment provided or offered at discharge,22.0,237.0,nan,2.0,237.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),10.0,636.0,nan,Timely transmission of transition record (TR2),5.0,634.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.1,141.0,nan,29.8,141.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,350.0,20.3,17.0,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,179.0,nan,2017-10-01,2018-03-31
60011,DENVER HEALTH MEDICAL CENTER,777 BANNOCK ST,DENVER,CO,80204,DENVER,Hours of physical-restraint use,0.47,220.22,19333.0,nan,Hours of seclusion use,0.42,194.9,19333.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,17.0,nan,Screening for metabolic disorders (SMD),46.0,275.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,384.0,nan,Alcohol use brief intervention provided or offered,65.0,104.0,nan,61.0,104.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,189.0,nan,20.0,189.0,nan,Tobacco use screening,100.0,385.0,nan,Tobacco use treatment provided or offered,96.0,182.0,nan,34.0,182.0,nan,Tobacco use treatment provided or offered at discharge,45.0,119.0,nan,45.0,119.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,612.0,nan,Timely transmission of transition record (TR2),85.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.9,106.0,nan,18.9,106.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,275.0,18.3,15.0,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,144.0,nan,2017-10-01,2018-03-31
60020,"PARKVIEW MEDICAL CENTER, INC",400 W 16TH ST,PUEBLO,CO,81003,PUEBLO,Hours of physical-restraint use,0.2,22.22,4538.0,nan,Hours of seclusion use,0.18,19.67,4538.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,13.0,nan,Screening for metabolic disorders (SMD),100.0,300.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,553.0,nan,Alcohol use brief intervention provided or offered,100.0,55.0,nan,60.0,55.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,227.0,nan,26.0,227.0,nan,Tobacco use screening,99.0,553.0,nan,Tobacco use treatment provided or offered,95.0,231.0,nan,95.0,231.0,nan,Tobacco use treatment provided or offered at discharge,76.0,193.0,nan,59.0,193.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,575.0,nan,Timely transmission of transition record (TR2),52.0,575.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.9,105.0,nan,34.3,105.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,371.0,16.8,13.7,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,275.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,85.0,nan,2017-10-01,2018-03-31
60027,FOOTHILLS HOSPITAL,4747 ARAPAHOE AVENUE,BOULDER,CO,80303,BOULDER,Hours of physical-restraint use,0.13,10.48,3472.0,nan,Hours of seclusion use,2.5,208.4,3472.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,70.0,37.0,nan,Screening for metabolic disorders (SMD),20.0,207.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,371.0,nan,Alcohol use brief intervention provided or offered,32.0,97.0,nan,31.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,159.0,nan,23.0,159.0,nan,Tobacco use screening,100.0,373.0,nan,Tobacco use treatment provided or offered,88.0,147.0,nan,10.0,147.0,nan,Tobacco use treatment provided or offered at discharge,23.0,125.0,nan,3.0,125.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,411.0,nan,Timely transmission of transition record (TR2),23.0,411.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.3,55.0,nan,41.8,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,181.0,20.4,16.3,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,219.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,51.0,nan,2017-10-01,2018-03-31
60044,COLORADO PLAINS MEDICAL CENTER,1000 LINCOLN STREET,FORT MORGAN,CO,80701,MORGAN,Hours of physical-restraint use,0.0,0.0,3659.0,nan,Hours of seclusion use,0.0,0.0,3659.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,128.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,148.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,148.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,151.0,nan,Timely transmission of transition record (TR2),82.0,151.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,291.0,13.8,10.6,17.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,70.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,53.0,nan,2017-10-01,2018-03-31
60064,CENTURA HEALTH-PORTER ADVENTIST HOSPITAL,2525 S DOWNING ST,DENVER,CO,80210,DENVER,Hours of physical-restraint use,0.21,105.37,20672.0,nan,Hours of seclusion use,0.09,43.8,20672.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,26.0,nan,Screening for metabolic disorders (SMD),64.0,239.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,616.0,nan,Alcohol use brief intervention provided or offered,60.0,184.0,nan,60.0,184.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,318.0,nan,47.0,318.0,nan,Tobacco use screening,98.0,617.0,nan,Tobacco use treatment provided or offered,69.0,255.0,nan,56.0,255.0,nan,Tobacco use treatment provided or offered at discharge,78.0,246.0,nan,78.0,246.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),38.0,657.0,nan,Timely transmission of transition record (TR2),31.0,657.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,92.1,164.0,nan,88.4,164.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,412.0,16.1,13.1,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,170.0,nan,2017-10-01,2018-03-31
60100,"MEDICAL CENTER OF AURORA, THE",1501 S POTOMAC ST,AURORA,CO,80012,ARAPAHOE,Hours of physical-restraint use,0.0,0.37,6982.0,nan,Hours of seclusion use,0.04,5.88,6982.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,37.0,19.0,nan,Screening for metabolic disorders (SMD),74.0,185.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,150.0,nan,Alcohol use brief intervention provided or offered,55.0,22.0,nan,55.0,22.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,45.0,nan,13.0,45.0,nan,Tobacco use screening,97.0,151.0,nan,Tobacco use treatment provided or offered,72.0,43.0,nan,30.0,43.0,nan,Tobacco use treatment provided or offered at discharge,24.0,38.0,nan,16.0,38.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),8.0,307.0,nan,Timely transmission of transition record (TR2),7.0,307.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,80.0,nan,26.3,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,249.0,18.4,14.7,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,145.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,83.0,nan,2017-10-01,2018-03-31
64001,COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH,1600 WEST 24TH ST,PUEBLO,CO,81003,PUEBLO,Hours of physical-restraint use,2.13,6846.1,133945.0,nan,Hours of seclusion use,0.17,536.18,133945.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,56.0,nan,Screening for metabolic disorders (SMD),87.0,365.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,412.0,nan,Alcohol use brief intervention provided or offered,95.0,103.0,nan,95.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,3.0,281.0,nan,3.0,281.0,nan,Tobacco use screening,100.0,412.0,nan,Tobacco use treatment provided or offered,92.0,52.0,nan,75.0,52.0,nan,Tobacco use treatment provided or offered at discharge,60.0,35.0,nan,3.0,35.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,608.0,nan,Timely transmission of transition record (TR2),0.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,5.4,37.0,nan,2.7,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,82.0,14.6,10.9,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,163.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,1544.0,nan,2017-10-01,2018-03-31
64003,COLORADO MENTAL HEALTH INSTITUTE AT FT LOGAN,3520 WEST OXFORD AVENUE,DENVER,CO,80236,DENVER,Hours of physical-restraint use,0.06,50.55,33281.0,nan,Hours of seclusion use,0.09,69.27,33281.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,100.0,nan,Screening for metabolic disorders (SMD),100.0,176.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,136.0,nan,Alcohol use brief intervention provided or offered,100.0,16.0,nan,100.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,32.0,nan,9.0,32.0,nan,Tobacco use screening,99.0,136.0,nan,Tobacco use treatment provided or offered,74.0,73.0,nan,55.0,73.0,nan,Tobacco use treatment provided or offered at discharge,89.0,35.0,nan,9.0,35.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,263.0,nan,Timely transmission of transition record (TR2),0.0,263.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,29.0,17.7,12.8,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,88.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,522.0,nan,2017-10-01,2018-03-31
64007,CENTENNIAL PEAKS HOSPITAL,2255 S 88TH ST,LOUISVILLE,CO,80027,BOULDER,Hours of physical-restraint use,0.07,44.98,25499.0,nan,Hours of seclusion use,0.15,91.13,25499.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,16.0,nan,Screening for metabolic disorders (SMD),78.0,339.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,518.0,nan,Alcohol use brief intervention provided or offered,86.0,246.0,nan,85.0,246.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,328.0,nan,91.0,328.0,nan,Tobacco use screening,97.0,518.0,nan,Tobacco use treatment provided or offered,73.0,252.0,nan,47.0,252.0,nan,Tobacco use treatment provided or offered at discharge,69.0,219.0,nan,7.0,219.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,791.0,nan,Timely transmission of transition record (TR2),72.0,791.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,140.0,nan,39.3,140.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,435.0,16.1,13.4,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),56.0,373.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,385.0,nan,2017-10-01,2018-03-31
64009,CEDAR SPRINGS BEHAVIORAL HEALTH SYSTEM,2135 SOUTHGATE ROAD,COLORADO SPRINGS,CO,80906,EL PASO,Hours of physical-restraint use,0.24,119.2,20781.0,nan,Hours of seclusion use,0.2,97.51,20781.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,57.0,nan,Screening for metabolic disorders (SMD),70.0,376.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,311.0,nan,Alcohol use brief intervention provided or offered,68.0,90.0,nan,62.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,7.0,122.0,nan,7.0,122.0,nan,Tobacco use screening,96.0,310.0,nan,Tobacco use treatment provided or offered,77.0,170.0,nan,27.0,170.0,nan,Tobacco use treatment provided or offered at discharge,11.0,143.0,nan,0.0,143.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),32.0,701.0,nan,Timely transmission of transition record (TR2),31.0,701.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.8,201.0,nan,18.9,201.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,524.0,17.4,14.8,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,337.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,363.0,nan,2017-10-01,2018-03-31
64023,WEST SPRINGS HOSPITAL,515 28 3/4 ROAD,GRAND JUNCTION,CO,81501,MESA,Hours of physical-restraint use,0.05,17.0,15330.0,nan,Hours of seclusion use,0.34,125.0,15330.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,54.0,nan,Screening for metabolic disorders (SMD),5.0,733.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,1361.0,nan,Alcohol use brief intervention provided or offered,58.0,372.0,nan,52.0,372.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,772.0,nan,33.0,772.0,nan,Tobacco use screening,99.0,1858.0,nan,Tobacco use treatment provided or offered,57.0,904.0,nan,52.0,904.0,nan,Tobacco use treatment provided or offered at discharge,16.0,904.0,nan,0.0,904.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),20.0,2492.0,nan,Timely transmission of transition record (TR2),20.0,2492.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.5,105.0,nan,23.8,105.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,271.0,19.2,15.9,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,1239.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,201.0,nan,2017-10-01,2018-03-31
64024,HIGHLANDS BEHAVIORAL HEALTH SYSTEM,8565 S POPLAR WAY,LITTLETON,CO,80130,DOUGLAS,Hours of physical-restraint use,0.05,25.81,22769.0,nan,Hours of seclusion use,0.09,50.78,22769.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,16.0,nan,Screening for metabolic disorders (SMD),79.0,281.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,406.0,nan,Alcohol use brief intervention provided or offered,87.0,62.0,nan,71.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,147.0,nan,18.0,147.0,nan,Tobacco use screening,100.0,406.0,nan,Tobacco use treatment provided or offered,99.0,185.0,nan,79.0,185.0,nan,Tobacco use treatment provided or offered at discharge,73.0,171.0,nan,7.0,171.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,807.0,nan,Timely transmission of transition record (TR2),63.0,807.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.6,163.0,nan,28.8,163.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,369.0,20.4,17.2,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,356.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,221.0,nan,2017-10-01,2018-03-31
64026,PEAK VIEW BEHAVIORAL HEALTH,7353 SISTERS GROVE,COLORADO SPRINGS,CO,80923,EL PASO,Hours of physical-restraint use,1.2,118.0,4095.0,nan,Hours of seclusion use,0.63,62.0,4095.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,2.0,53.0,nan,Screening for metabolic disorders (SMD),94.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,539.0,nan,Alcohol use brief intervention provided or offered,100.0,53.0,nan,94.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,230.0,nan,92.0,230.0,nan,Tobacco use screening,100.0,546.0,nan,Tobacco use treatment provided or offered,99.0,208.0,nan,8.0,208.0,nan,Tobacco use treatment provided or offered at discharge,87.0,189.0,nan,6.0,189.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1293.0,nan,Timely transmission of transition record (TR2),99.0,1296.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.9,423.0,nan,28.1,423.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1156.0,22.2,19.9,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,376.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,401.0,nan,2017-10-01,2018-03-31
64027,CLEAR VIEW BEHAVIORAL HEALTH,4770 LARIMER PKWY,JOHNSTOWN,CO,80534,WELD,Hours of physical-restraint use,0.32,47.0,6175.0,nan,Hours of seclusion use,0.38,57.0,6175.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,18.0,nan,Screening for metabolic disorders (SMD),1.0,296.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,414.0,nan,Alcohol use brief intervention provided or offered,90.0,152.0,nan,89.0,152.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,241.0,nan,20.0,241.0,nan,Tobacco use screening,99.0,433.0,nan,Tobacco use treatment provided or offered,67.0,254.0,nan,41.0,254.0,nan,Tobacco use treatment provided or offered at discharge,18.0,238.0,nan,0.0,238.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,884.0,nan,Timely transmission of transition record (TR2),65.0,883.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.3,201.0,nan,21.9,201.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,325.0,18.3,15.0,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,236.0,nan,2017-10-01,2018-03-31
70002,ST FRANCIS HOSPITAL & MEDICAL CENTER,114 WOODLAND STREET,HARTFORD,CT,06105,HARTFORD,Hours of physical-restraint use,0.41,156.9,15796.0,nan,Hours of seclusion use,0.21,81.16,15796.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),91.0,408.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,534.0,nan,Alcohol use brief intervention provided or offered,98.0,167.0,nan,98.0,167.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,320.0,nan,85.0,320.0,nan,Tobacco use screening,99.0,532.0,nan,Tobacco use treatment provided or offered,97.0,330.0,nan,91.0,330.0,nan,Tobacco use treatment provided or offered at discharge,95.0,291.0,nan,94.0,291.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),67.0,732.0,nan,Timely transmission of transition record (TR2),68.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.1,167.0,nan,26.9,167.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,557.0,19.5,16.9,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,344.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,202.0,nan,2017-10-01,2018-03-31
70004,SHARON HOSPITAL,50 HOSPITAL HILL ROAD,SHARON,CT,06069,LITCHFIELD,Hours of physical-restraint use,0.01,0.99,3492.0,nan,Hours of seclusion use,0.0,0.02,3492.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,240.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,282.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,294.0,nan,Tobacco use treatment provided or offered,96.0,23.0,nan,61.0,23.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,299.0,nan,Timely transmission of transition record (TR2),100.0,299.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.6,23.0,nan,39.1,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,347.0,18.8,15.2,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,137.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,48.0,nan,2017-10-01,2018-03-31
70005,WATERBURY HOSPITAL,64 ROBBINS ST,WATERBURY,CT,06721,NEW HAVEN,Hours of physical-restraint use,0.39,82.25,8899.0,nan,Hours of seclusion use,0.16,34.57,8899.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,22.0,nan,Screening for metabolic disorders (SMD),74.0,380.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,470.0,nan,Alcohol use brief intervention provided or offered,85.0,102.0,nan,85.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,208.0,nan,95.0,208.0,nan,Tobacco use screening,97.0,420.0,nan,Tobacco use treatment provided or offered,72.0,124.0,nan,54.0,124.0,nan,Tobacco use treatment provided or offered at discharge,46.0,114.0,nan,38.0,114.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,619.0,nan,Timely transmission of transition record (TR2),94.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.3,80.0,nan,40.0,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,205.0,18.8,15.0,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,286.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,107.0,nan,2017-10-01,2018-03-31
70008,JOHNSON MEMORIAL HOSPITAL,201 CHESTNUT HILL ROAD,STAFFORD SPRINGS,CT,06076,TOLLAND,Hours of physical-restraint use,0.08,9.92,5210.0,nan,Hours of seclusion use,0.0,0.5,5210.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),75.0,303.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,635.0,nan,Alcohol use brief intervention provided or offered,93.0,261.0,nan,91.0,261.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,382.0,nan,55.0,382.0,nan,Tobacco use screening,94.0,622.0,nan,Tobacco use treatment provided or offered,82.0,339.0,nan,68.0,339.0,nan,Tobacco use treatment provided or offered at discharge,68.0,310.0,nan,65.0,310.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),59.0,650.0,nan,Timely transmission of transition record (TR2),56.0,650.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.7,93.0,nan,37.6,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,215.0,18.1,14.6,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,41.0,nan,2017-10-01,2018-03-31
70010,BRIDGEPORT HOSPITAL,267 GRANT STREET,BRIDGEPORT,CT,06610,FAIRFIELD,Hours of physical-restraint use,3.89,1146.38,12267.0,nan,Hours of seclusion use,1.74,511.0,12267.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,33.0,nan,Screening for metabolic disorders (SMD),54.0,472.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,227.0,nan,Alcohol use brief intervention provided or offered,4.0,45.0,nan,4.0,45.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,99.0,nan,63.0,99.0,nan,Tobacco use screening,91.0,227.0,nan,Tobacco use treatment provided or offered,0.0,110.0,nan,0.0,110.0,nan,Tobacco use treatment provided or offered at discharge,1.0,108.0,nan,1.0,108.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,603.0,nan,Timely transmission of transition record (TR2),2.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.4,107.0,nan,39.3,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,367.0,19.1,15.6,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,81.0,nan,2017-10-01,2018-03-31
70011,CHARLOTTE HUNGERFORD HOSPITAL,540 LITCHFIELD ST,TORRINGTON,CT,06790,LITCHFIELD,Hours of physical-restraint use,0.27,19.45,2989.0,nan,Hours of seclusion use,0.14,10.33,2989.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,28.0,nan,Screening for metabolic disorders (SMD),85.0,193.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,537.0,nan,Alcohol use brief intervention provided or offered,15.0,279.0,nan,15.0,279.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,328.0,nan,68.0,328.0,nan,Tobacco use screening,99.0,530.0,nan,Tobacco use treatment provided or offered,80.0,347.0,nan,79.0,347.0,nan,Tobacco use treatment provided or offered at discharge,7.0,303.0,nan,0.0,303.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,535.0,nan,Timely transmission of transition record (TR2),84.0,535.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,83.1,77.0,nan,58.4,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,218.0,19.6,15.8,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,37.0,nan,2017-10-01,2018-03-31
70016,SAINT MARY'S HOSPITAL,56 FRANKLIN STEET,WATERBURY,CT,06706,NEW HAVEN,Hours of physical-restraint use,0.29,28.87,4096.0,nan,Hours of seclusion use,0.0,0.0,4096.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),30.0,332.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,451.0,nan,Alcohol use brief intervention provided or offered,76.0,109.0,nan,75.0,109.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,260.0,nan,70.0,260.0,nan,Tobacco use screening,99.0,442.0,nan,Tobacco use treatment provided or offered,60.0,266.0,nan,42.0,266.0,nan,Tobacco use treatment provided or offered at discharge,3.0,264.0,nan,1.0,264.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,556.0,nan,Timely transmission of transition record (TR2),0.0,556.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.2,41.0,nan,36.6,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,114.0,21.5,16.9,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,238.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,30.0,nan,2017-10-01,2018-03-31
70020,MIDDLESEX HOSPITAL,28 CRESCENT ST,MIDDLETOWN,CT,06457,MIDDLESEX,Hours of physical-restraint use,0.02,3.3,6922.0,nan,Hours of seclusion use,0.03,5.08,6922.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,29.0,nan,Screening for metabolic disorders (SMD),96.0,389.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,675.0,nan,Alcohol use brief intervention provided or offered,90.0,190.0,nan,90.0,190.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,309.0,nan,100.0,309.0,nan,Tobacco use screening,99.0,672.0,nan,Tobacco use treatment provided or offered,93.0,322.0,nan,84.0,322.0,nan,Tobacco use treatment provided or offered at discharge,48.0,291.0,nan,9.0,291.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),73.0,684.0,nan,Timely transmission of transition record (TR2),51.0,684.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.7,161.0,nan,52.8,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,408.0,18.4,15.5,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,45.0,nan,2017-10-01,2018-03-31
70022,YALE-NEW HAVEN HOSPITAL,20 YORK ST,NEW HAVEN,CT,06504,NEW HAVEN,Hours of physical-restraint use,0.29,283.26,40833.0,nan,Hours of seclusion use,0.0,0.0,40833.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,60.0,20.0,nan,Screening for metabolic disorders (SMD),71.0,480.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,268.0,nan,Alcohol use brief intervention provided or offered,65.0,68.0,nan,62.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,113.0,nan,62.0,113.0,nan,Tobacco use screening,90.0,268.0,nan,Tobacco use treatment provided or offered,40.0,130.0,nan,18.0,130.0,nan,Tobacco use treatment provided or offered at discharge,16.0,102.0,nan,0.0,102.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),13.0,691.0,nan,Timely transmission of transition record (TR2),10.0,691.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.9,406.0,nan,46.3,406.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1157.0,21.7,19.5,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,342.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,165.0,nan,2017-10-01,2018-03-31
70024,WILLIAM W BACKUS HOSPITAL,326 WASHINGTON ST,NORWICH,CT,06360,NEW LONDON,Hours of physical-restraint use,0.04,5.68,5814.0,nan,Hours of seclusion use,0.04,6.18,5814.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,92.0,nan,Screening for metabolic disorders (SMD),73.0,405.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,657.0,nan,Alcohol use brief intervention provided or offered,98.0,220.0,nan,95.0,220.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,296.0,nan,45.0,296.0,nan,Tobacco use screening,99.0,657.0,nan,Tobacco use treatment provided or offered,95.0,344.0,nan,17.0,344.0,nan,Tobacco use treatment provided or offered at discharge,88.0,317.0,nan,8.0,317.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,663.0,nan,Timely transmission of transition record (TR2),65.0,663.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,120.0,nan,40.0,120.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,282.0,20.7,17.4,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,51.0,nan,2017-10-01,2018-03-31
70025,HARTFORD HOSPITAL,80 SEYMOUR STREET,HARTFORD,CT,06102,HARTFORD,Hours of physical-restraint use,0.83,770.45,38635.0,nan,Hours of seclusion use,0.72,670.43,38635.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,43.0,nan,Screening for metabolic disorders (SMD),77.0,450.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,655.0,nan,Alcohol use brief intervention provided or offered,74.0,116.0,nan,47.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,271.0,nan,43.0,271.0,nan,Tobacco use screening,95.0,654.0,nan,Tobacco use treatment provided or offered,67.0,291.0,nan,20.0,291.0,nan,Tobacco use treatment provided or offered at discharge,56.0,251.0,nan,1.0,251.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),27.0,669.0,nan,Timely transmission of transition record (TR2),25.0,669.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.1,383.0,nan,47.8,383.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,958.0,18.2,15.9,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,427.0,nan,2017-10-01,2018-03-31
70027,MANCHESTER MEMORIAL HOSPITAL,71 HAYNES ST,MANCHESTER,CT,06040,HARTFORD,Hours of physical-restraint use,0.3,66.25,9137.0,nan,Hours of seclusion use,0.52,114.75,9137.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),41.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,65.0,483.0,nan,Alcohol use brief intervention provided or offered,78.0,142.0,nan,77.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,174.0,nan,97.0,174.0,nan,Tobacco use screening,93.0,481.0,nan,Tobacco use treatment provided or offered,91.0,202.0,nan,54.0,202.0,nan,Tobacco use treatment provided or offered at discharge,1.0,164.0,nan,0.0,164.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.8,118.0,nan,44.9,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,374.0,20.9,17.5,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,288.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,238.0,nan,2017-10-01,2018-03-31
70028,ST VINCENT'S MEDICAL CENTER,2800 MAIN ST,BRIDGEPORT,CT,06606,FAIRFIELD,Hours of physical-restraint use,0.09,52.15,25286.0,nan,Hours of seclusion use,0.0,0.0,25286.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,15.0,26.0,nan,Screening for metabolic disorders (SMD),13.0,329.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,499.0,nan,Alcohol use brief intervention provided or offered,87.0,145.0,nan,83.0,145.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,306.0,nan,57.0,306.0,nan,Tobacco use screening,99.0,503.0,nan,Tobacco use treatment provided or offered,78.0,289.0,nan,31.0,289.0,nan,Tobacco use treatment provided or offered at discharge,82.0,281.0,nan,5.0,281.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),22.0,611.0,nan,Timely transmission of transition record (TR2),22.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.6,240.0,nan,43.8,240.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,747.0,20.6,18.1,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,550.0,nan,2017-10-01,2018-03-31
70029,BRISTOL HOSPITAL,BREWSTER RD,BRISTOL,CT,06010,HARTFORD,Hours of physical-restraint use,0.19,23.0,4961.0,nan,Hours of seclusion use,0.0,0.0,4961.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,299.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,610.0,nan,Alcohol use brief intervention provided or offered,100.0,231.0,nan,100.0,231.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,303.0,nan,95.0,303.0,nan,Tobacco use screening,92.0,610.0,nan,Tobacco use treatment provided or offered,94.0,321.0,nan,89.0,321.0,nan,Tobacco use treatment provided or offered at discharge,74.0,283.0,nan,15.0,283.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,665.0,nan,Timely transmission of transition record (TR2),50.0,665.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.8,90.0,nan,52.2,90.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,243.0,21.1,17.3,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,262.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,71.0,nan,2017-10-01,2018-03-31
70031,GRIFFIN HOSPITAL,130 DIVISION ST,DERBY,CT,06418,NEW HAVEN,Hours of physical-restraint use,1.93,222.08,4800.0,nan,Hours of seclusion use,0.0,0.0,4800.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),65.0,361.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,583.0,nan,Alcohol use brief intervention provided or offered,95.0,174.0,nan,93.0,174.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,287.0,nan,68.0,287.0,nan,Tobacco use screening,98.0,582.0,nan,Tobacco use treatment provided or offered,96.0,361.0,nan,77.0,361.0,nan,Tobacco use treatment provided or offered at discharge,93.0,356.0,nan,57.0,356.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,588.0,nan,Timely transmission of transition record (TR2),52.0,588.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,84.9,86.0,nan,66.3,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,195.0,22.7,18.3,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,268.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,83.0,nan,2017-10-01,2018-03-31
70033,DANBURY HOSPITAL,24 HOSPITAL AVE,DANBURY,CT,06810,FAIRFIELD,Hours of physical-restraint use,1.14,180.15,6561.0,nan,Hours of seclusion use,0.0,0.0,6561.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,11.0,nan,Screening for metabolic disorders (SMD),48.0,336.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,463.0,nan,Alcohol use brief intervention provided or offered,65.0,60.0,nan,65.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,168.0,nan,45.0,168.0,nan,Tobacco use screening,100.0,481.0,nan,Tobacco use treatment provided or offered,76.0,173.0,nan,32.0,173.0,nan,Tobacco use treatment provided or offered at discharge,12.0,167.0,nan,12.0,167.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,555.0,nan,Timely transmission of transition record (TR2),75.0,555.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,85.7,91.0,nan,69.2,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,239.0,18.1,14.3,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,280.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,63.0,nan,2017-10-01,2018-03-31
70034,NORWALK HOSPITAL ASSOCIATION,24 STEVENS STREET,NORWALK,CT,06856,FAIRFIELD,Hours of physical-restraint use,0.0,0.0,3919.0,nan,Hours of seclusion use,0.0,0.0,3919.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,16.0,nan,Screening for metabolic disorders (SMD),16.0,230.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,426.0,nan,Alcohol use brief intervention provided or offered,0.0,78.0,nan,0.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,164.0,nan,37.0,164.0,nan,Tobacco use screening,100.0,417.0,nan,Tobacco use treatment provided or offered,58.0,154.0,nan,21.0,154.0,nan,Tobacco use treatment provided or offered at discharge,1.0,139.0,nan,1.0,139.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,532.0,nan,Timely transmission of transition record (TR2),95.0,532.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.7,61.0,nan,34.4,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,24.0,19.5,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,249.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,29.0,nan,2017-10-01,2018-03-31
70035,"HOSPITAL OF CENTRAL CONNECTICUT, THE",100 GRAND STREET,NEW BRITAIN,CT,06050,HARTFORD,Hours of physical-restraint use,0.63,154.65,10304.0,nan,Hours of seclusion use,1.25,310.07,10304.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,21.0,nan,Screening for metabolic disorders (SMD),65.0,384.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,641.0,nan,Alcohol use brief intervention provided or offered,90.0,153.0,nan,78.0,153.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,274.0,nan,35.0,274.0,nan,Tobacco use screening,97.0,638.0,nan,Tobacco use treatment provided or offered,63.0,273.0,nan,47.0,273.0,nan,Tobacco use treatment provided or offered at discharge,43.0,246.0,nan,2.0,246.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),56.0,642.0,nan,Timely transmission of transition record (TR2),56.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.7,123.0,nan,42.3,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,18.6,15.2,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,319.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,108.0,nan,2017-10-01,2018-03-31
70036,JOHN DEMPSEY HOSPITAL,263 FARMINGTON AVE,FARMINGTON,CT,06032,HARTFORD,Hours of physical-restraint use,1.15,157.28,5711.0,nan,Hours of seclusion use,0.46,63.47,5711.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),7.0,360.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,546.0,nan,Alcohol use brief intervention provided or offered,0.0,111.0,nan,0.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,111.0,nan,89.0,111.0,nan,Tobacco use screening,95.0,595.0,nan,Tobacco use treatment provided or offered,76.0,240.0,nan,66.0,240.0,nan,Tobacco use treatment provided or offered at discharge,29.0,228.0,nan,12.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,774.0,nan,Timely transmission of transition record (TR2),0.0,774.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.1,81.0,nan,48.1,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,20.1,16.5,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,154.0,nan,2017-10-01,2018-03-31
70039,MASONICARE HEALTH CENTER,22 MASONIC AVE,WALLINGFORD,CT,06492,NEW HAVEN,Hours of physical-restraint use,1.25,301.67,10092.0,nan,Hours of seclusion use,0.59,143.35,10092.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,17.0,nan,Screening for metabolic disorders (SMD),74.0,233.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,312.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,312.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),58.0,312.0,nan,Timely transmission of transition record (TR2),58.0,312.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.7,82.0,nan,36.6,82.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1055.0,20.7,18.2,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),41.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1060.0,nan,2017-10-01,2018-03-31
70040,HEBREW HOME AND HOSPITAL INC,1 ABRAHMS BOULEVARD,WEST HARTFORD,CT,06117,HARTFORD,Hours of physical-restraint use,0.23,40.1,7134.0,nan,Hours of seclusion use,0.02,2.75,7134.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,11.0,nan,Screening for metabolic disorders (SMD),88.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,278.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,290.0,nan,Tobacco use treatment provided or offered,86.0,22.0,nan,14.0,22.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,319.0,nan,Timely transmission of transition record (TR2),74.0,319.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.9,29.0,nan,27.6,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,396.0,19.0,15.6,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,132.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,113.0,nan,2017-10-01,2018-03-31
74003,CONNECTICUT VALLEY HOSP,SILVER ST,MIDDLETOWN,CT,06457,MIDDLESEX,Hours of physical-restraint use,0.2,726.52,154269.0,nan,Hours of seclusion use,0.1,365.67,154269.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,162.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,612.0,nan,Alcohol use brief intervention provided or offered,100.0,311.0,nan,100.0,311.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,549.0,nan,93.0,549.0,nan,Tobacco use screening,98.0,611.0,nan,Tobacco use treatment provided or offered,97.0,439.0,nan,84.0,439.0,nan,Tobacco use treatment provided or offered at discharge,24.0,414.0,nan,1.0,414.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,582.0,nan,Timely transmission of transition record (TR2),7.0,582.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,373.0,17.6,14.5,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),29.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,1937.0,nan,2017-10-01,2018-03-31
74008,NATCHAUG HOSPITAL,189 STORRS RD,MANSFIELD CENTER,CT,06250,TOLLAND,Hours of physical-restraint use,0.02,8.67,20791.0,nan,Hours of seclusion use,0.37,182.73,20791.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,83.0,nan,Screening for metabolic disorders (SMD),73.0,1093.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,1198.0,nan,Alcohol use brief intervention provided or offered,87.0,403.0,nan,86.0,403.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,645.0,nan,67.0,645.0,nan,Tobacco use screening,48.0,1197.0,nan,Tobacco use treatment provided or offered,73.0,556.0,nan,45.0,556.0,nan,Tobacco use treatment provided or offered at discharge,64.0,505.0,nan,1.0,505.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),22.0,1919.0,nan,Timely transmission of transition record (TR2),10.0,1919.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.3,127.0,nan,47.2,127.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,451.0,19.5,16.5,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),68.0,962.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,561.0,nan,2017-10-01,2018-03-31
74011,CONNECTICUT MENTAL HEALTH CENTER,34 PARK STREET,NEW HAVEN,CT,06508,NEW HAVEN,Hours of physical-restraint use,0.06,11.18,8436.0,nan,Hours of seclusion use,0.01,2.08,8436.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,45.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,46.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,45.0,nan,Tobacco use treatment provided or offered,100.0,14.0,nan,64.0,14.0,nan,Tobacco use treatment provided or offered at discharge,77.0,13.0,nan,8.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),73.0,70.0,nan,Timely transmission of transition record (TR2),94.0,70.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),27.0,22.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,94.0,nan,2017-10-01,2018-03-31
74012,SOUTHWEST CONNECTICUT MENTAL HEALTH,1635 CENTRAL AVE,BRIDGEPORT,CT,06610,FAIRFIELD,Hours of physical-restraint use,0.46,243.55,22249.0,nan,Hours of seclusion use,0.02,12.3,22249.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,31.0,nan,Screening for metabolic disorders (SMD),79.0,42.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),77.0,62.0,nan,Timely transmission of transition record (TR2),71.0,62.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),53.0,136.0,nan,2017-10-01,2018-03-31
74014,SILVER HILL HOSPITAL INC,208 VALLEY ROAD,NEW CANAAN,CT,06840,FAIRFIELD,Hours of physical-restraint use,0.05,14.95,11910.0,nan,Hours of seclusion use,0.02,4.93,11910.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,327.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,460.0,nan,Alcohol use brief intervention provided or offered,95.0,209.0,nan,94.0,209.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,150.0,nan,98.0,150.0,nan,Tobacco use screening,100.0,460.0,nan,Tobacco use treatment provided or offered,98.0,188.0,nan,5.0,188.0,nan,Tobacco use treatment provided or offered at discharge,90.0,105.0,nan,1.0,105.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,677.0,nan,Timely transmission of transition record (TR2),91.0,677.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.3,55.0,nan,56.4,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,220.0,13.4,10.2,17.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,651.0,nan,2017-10-01,2018-03-31
74015,ALBERT J SOLNIT CHILDREN'S CENTER - SOUTH CAMPUS,915 RIVER ROAD,MIDDLETOWN,CT,06457,MIDDLESEX,Hours of physical-restraint use,0.16,83.47,22222.0,nan,Hours of seclusion use,0.38,200.32,22222.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,67.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,125.0,nan,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
80001,"CHRISTIANA CARE HEALTH SERVICES, INC.",4755 OGLETOWN-STANTON ROAD,NEWARK,DE,19718,NEW CASTLE,Hours of physical-restraint use,0.69,110.63,6663.0,nan,Hours of seclusion use,0.89,142.72,6663.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,12.0,42.0,nan,Screening for metabolic disorders (SMD),16.0,487.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,597.0,nan,Alcohol use brief intervention provided or offered,86.0,99.0,nan,80.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,241.0,nan,90.0,241.0,nan,Tobacco use screening,99.0,589.0,nan,Tobacco use treatment provided or offered,53.0,268.0,nan,3.0,268.0,nan,Tobacco use treatment provided or offered at discharge,19.0,237.0,nan,0.0,237.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),5.0,1023.0,nan,Timely transmission of transition record (TR2),5.0,1023.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.1,121.0,nan,33.9,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,367.0,18.8,15.6,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,889.0,nan,2017-10-01,2018-03-31
84001,DELAWARE PSYCHIATRIC CENTER,1901 N DUPONT HIGHWAY,NEW CASTLE,DE,19720,NEW CASTLE,Hours of physical-restraint use,0.01,6.48,18438.0,nan,Hours of seclusion use,0.0,1.0,18438.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,67.0,nan,Screening for metabolic disorders (SMD),99.0,149.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,160.0,nan,Alcohol use brief intervention provided or offered,53.0,19.0,nan,42.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,75.0,nan,49.0,75.0,nan,Tobacco use screening,96.0,161.0,nan,Tobacco use treatment provided or offered,94.0,90.0,nan,51.0,90.0,nan,Tobacco use treatment provided or offered at discharge,69.0,88.0,nan,10.0,88.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,205.0,nan,Timely transmission of transition record (TR2),87.0,205.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,56.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),37.0,417.0,nan,2017-10-01,2018-03-31
84002,ROCKFORD CENTER,100 ROCKFORD DRIVE,NEWARK,DE,19713,NEW CASTLE,Hours of physical-restraint use,0.03,36.53,46427.0,nan,Hours of seclusion use,0.03,33.78,46427.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,137.0,nan,Screening for metabolic disorders (SMD),89.0,633.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,500.0,nan,Alcohol use brief intervention provided or offered,64.0,102.0,nan,64.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,251.0,nan,57.0,251.0,nan,Tobacco use screening,99.0,500.0,nan,Tobacco use treatment provided or offered,66.0,330.0,nan,30.0,330.0,nan,Tobacco use treatment provided or offered at discharge,24.0,275.0,nan,0.0,275.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),70.0,1061.0,nan,Timely transmission of transition record (TR2),30.0,1061.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.2,306.0,nan,26.8,306.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,940.0,21.0,18.6,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,455.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),41.0,410.0,nan,2017-10-01,2018-03-31
84003,MEADOWWOOD BEHAVIORAL HEALTH SYSTEM,575 SOUTH DUPONT HIGHWAY,NEW CASTLE,DE,19720,NEW CASTLE,Hours of physical-restraint use,0.03,25.7,31998.0,nan,Hours of seclusion use,0.0,0.0,31998.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,13.0,nan,Screening for metabolic disorders (SMD),100.0,407.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,767.0,nan,Alcohol use brief intervention provided or offered,100.0,150.0,nan,98.0,150.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,472.0,nan,90.0,472.0,nan,Tobacco use screening,100.0,772.0,nan,Tobacco use treatment provided or offered,99.0,71.0,nan,25.0,71.0,nan,Tobacco use treatment provided or offered at discharge,94.0,66.0,nan,6.0,66.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,797.0,nan,Timely transmission of transition record (TR2),100.0,797.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.7,361.0,nan,23.5,361.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1278.0,20.8,18.7,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,437.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,347.0,nan,2017-10-01,2018-03-31
84004,DOVER BEHAVIORAL HEALTH SYSTEM,725 HORSEPOND ROAD,DOVER,DE,19901,KENT,Hours of physical-restraint use,0.05,39.25,31627.0,nan,Hours of seclusion use,0.04,31.88,31627.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,44.0,nan,Screening for metabolic disorders (SMD),80.0,353.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,512.0,nan,Alcohol use brief intervention provided or offered,73.0,96.0,nan,58.0,96.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,259.0,nan,58.0,259.0,nan,Tobacco use screening,91.0,512.0,nan,Tobacco use treatment provided or offered,88.0,276.0,nan,64.0,276.0,nan,Tobacco use treatment provided or offered at discharge,76.0,274.0,nan,0.0,274.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,844.0,nan,Timely transmission of transition record (TR2),59.0,844.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.5,314.0,nan,33.4,314.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,754.0,19.3,16.8,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,370.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,584.0,nan,2017-10-01,2018-03-31
90001,GEORGE WASHINGTON UNIV HOSPITAL,900 23RD ST NW,WASHINGTON,DC,20037,THE DISTRICT,Hours of physical-restraint use,0.03,3.22,5188.0,nan,Hours of seclusion use,0.05,6.25,5188.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),81.0,254.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,294.0,nan,Alcohol use brief intervention provided or offered,95.0,79.0,nan,56.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,154.0,nan,84.0,154.0,nan,Tobacco use screening,100.0,288.0,nan,Tobacco use treatment provided or offered,95.0,147.0,nan,41.0,147.0,nan,Tobacco use treatment provided or offered at discharge,49.0,137.0,nan,12.0,137.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,614.0,nan,Timely transmission of transition record (TR2),36.0,614.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.9,69.0,nan,18.8,69.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,223.0,22.9,19.1,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,1931.0,nan,2017-10-01,2018-03-31
90004,MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL,3800 RESERVOIR RD,WASHINGTON,DC,20007,THE DISTRICT,Hours of physical-restraint use,0.0,0.0,2755.0,nan,Hours of seclusion use,0.08,5.25,2755.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),37.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,73.0,352.0,nan,Alcohol use brief intervention provided or offered,14.0,57.0,nan,14.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,123.0,nan,29.0,123.0,nan,Tobacco use screening,84.0,339.0,nan,Tobacco use treatment provided or offered,7.0,76.0,nan,1.0,76.0,nan,Tobacco use treatment provided or offered at discharge,0.0,62.0,nan,0.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,353.0,nan,Timely transmission of transition record (TR2),0.0,353.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,40.0,nan,35.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,95.0,19.9,15.8,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,164.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,61.0,nan,2017-10-01,2018-03-31
90005,SIBLEY MEMORIAL HOSPITAL,5255 LOUGHBORO RD NW,WASHINGTON,DC,20016,THE DISTRICT,Hours of physical-restraint use,0.61,85.55,5836.0,nan,Hours of seclusion use,0.02,3.25,5836.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,41.0,nan,Screening for metabolic disorders (SMD),93.0,305.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,563.0,nan,Alcohol use brief intervention provided or offered,86.0,189.0,nan,72.0,189.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,201.0,nan,99.0,201.0,nan,Tobacco use screening,99.0,563.0,nan,Tobacco use treatment provided or offered,93.0,178.0,nan,20.0,178.0,nan,Tobacco use treatment provided or offered at discharge,70.0,160.0,nan,56.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),24.0,558.0,nan,Timely transmission of transition record (TR2),19.0,558.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,65.0,nan,43.1,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,266.0,23.5,19.7,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,85.0,nan,2017-10-01,2018-03-31
90011,MEDSTAR WASHINGTON HOSPITAL CENTER,110 IRVING ST NW,WASHINGTON,DC,20010,THE DISTRICT,Hours of physical-restraint use,0.19,54.47,11734.0,nan,Hours of seclusion use,0.07,19.62,11734.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),40.0,395.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,405.0,nan,Alcohol use brief intervention provided or offered,46.0,82.0,nan,46.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,212.0,nan,31.0,212.0,nan,Tobacco use screening,100.0,398.0,nan,Tobacco use treatment provided or offered,8.0,201.0,nan,7.0,201.0,nan,Tobacco use treatment provided or offered at discharge,0.0,187.0,nan,0.0,187.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),17.0,713.0,nan,Timely transmission of transition record (TR2),9.0,713.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,24.9,209.0,nan,15.3,209.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,552.0,25.1,22.2,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,17.0,nan,2017-10-01,2018-03-31
94001,ST ELIZABETHS HOSPITAL,"1100 ALABAMA AVENUE, SE",WASHINGTON,DC,20032,THE DISTRICT,Hours of physical-restraint use,0.21,488.0,96845.0,nan,Hours of seclusion use,0.19,453.0,96845.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,116.0,nan,Screening for metabolic disorders (SMD),91.0,389.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,451.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,0.0,451.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,435.0,nan,Timely transmission of transition record (TR2),0.0,423.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),19.0,228.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,772.0,nan,2017-10-01,2018-03-31
94004,PSYCHIATRIC INSTITUTE OF WASHINGTON DC,"4228 WISCONSIN AVENUE, NW",WASHINGTON,DC,20016,THE DISTRICT,Hours of physical-restraint use,0.06,39.36,29703.0,nan,Hours of seclusion use,0.05,35.56,29703.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,30.0,nan,Screening for metabolic disorders (SMD),23.0,420.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,554.0,nan,Alcohol use brief intervention provided or offered,85.0,243.0,nan,82.0,243.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,282.0,nan,44.0,282.0,nan,Tobacco use screening,100.0,554.0,nan,Tobacco use treatment provided or offered,75.0,373.0,nan,49.0,373.0,nan,Tobacco use treatment provided or offered at discharge,64.0,234.0,nan,0.0,234.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,841.0,nan,Timely transmission of transition record (TR2),1.0,841.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.9,197.0,nan,14.2,197.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,681.0,19.2,17.0,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),38.0,433.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),39.0,276.0,nan,2017-10-01,2018-03-31
100006,ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER,52 W UNDERWOOD ST,ORLANDO,FL,32806,ORANGE,Hours of physical-restraint use,2.61,1479.68,23659.0,nan,Hours of seclusion use,0.0,0.0,23659.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,11.0,nan,Screening for metabolic disorders (SMD),51.0,333.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,833.0,nan,Alcohol use brief intervention provided or offered,99.0,209.0,nan,98.0,209.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,453.0,nan,30.0,453.0,nan,Tobacco use screening,96.0,840.0,nan,Tobacco use treatment provided or offered,100.0,421.0,nan,80.0,421.0,nan,Tobacco use treatment provided or offered at discharge,91.0,410.0,nan,16.0,410.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1214.0,nan,Timely transmission of transition record (TR2),0.0,1214.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.7,264.0,nan,11.4,264.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,796.0,32.5,29.6,35.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,518.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,609.0,nan,2017-10-01,2018-03-31
100007,ADVENTHEALTH ORLANDO,601 E ROLLINS ST,ORLANDO,FL,32803,ORANGE,Hours of physical-restraint use,0.27,59.43,9300.0,nan,Hours of seclusion use,0.0,0.0,9300.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,614.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,553.0,nan,Alcohol use brief intervention provided or offered,99.0,110.0,nan,95.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,282.0,nan,90.0,282.0,nan,Tobacco use screening,95.0,552.0,nan,Tobacco use treatment provided or offered,99.0,287.0,nan,63.0,287.0,nan,Tobacco use treatment provided or offered at discharge,95.0,273.0,nan,65.0,273.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),76.0,1353.0,nan,Timely transmission of transition record (TR2),76.0,1353.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.5,177.0,nan,10.7,177.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,640.0,28.1,25.2,31.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,675.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,130.0,nan,2017-10-01,2018-03-31
100017,HALIFAX HEALTH MEDICAL CENTER,303 N CLYDE MORRIS BLVD,DAYTONA BEACH,FL,32114,VOLUSIA,Hours of physical-restraint use,0.14,40.68,12548.0,nan,Hours of seclusion use,0.12,36.05,12548.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,52.0,nan,Screening for metabolic disorders (SMD),88.0,324.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,514.0,nan,Alcohol use brief intervention provided or offered,70.0,79.0,nan,70.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,186.0,nan,85.0,186.0,nan,Tobacco use screening,99.0,510.0,nan,Tobacco use treatment provided or offered,80.0,232.0,nan,43.0,232.0,nan,Tobacco use treatment provided or offered at discharge,1.0,215.0,nan,0.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),16.0,517.0,nan,Timely transmission of transition record (TR2),9.0,517.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.7,186.0,nan,22.6,186.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,671.0,20.3,17.6,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,286.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,112.0,nan,2017-10-01,2018-03-31
100018,NAPLES COMMUNITY HOSPITAL,350 7TH ST N,NAPLES,FL,34102,COLLIER,Hours of physical-restraint use,0.0,0.0,2688.0,nan,Hours of seclusion use,0.0,0.0,2688.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,172.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,613.0,nan,Alcohol use brief intervention provided or offered,98.0,364.0,nan,97.0,364.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,364.0,nan,52.0,364.0,nan,Tobacco use screening,100.0,619.0,nan,Tobacco use treatment provided or offered,86.0,348.0,nan,35.0,348.0,nan,Tobacco use treatment provided or offered at discharge,13.0,252.0,nan,0.0,252.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),10.0,500.0,nan,Timely transmission of transition record (TR2),10.0,500.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.7,15.0,nan,33.3,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,133.0,21.4,16.9,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,38.0,nan,2017-10-01,2018-03-31
100022,JACKSON MEMORIAL HOSPITAL,1611 NW 12TH AVE,MIAMI,FL,33136,MIAMI-DADE,Hours of physical-restraint use,0.12,140.54,48388.0,nan,Hours of seclusion use,0.06,72.22,48388.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,55.0,nan,Screening for metabolic disorders (SMD),78.0,877.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,1099.0,nan,Alcohol use brief intervention provided or offered,84.0,231.0,nan,77.0,231.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,459.0,nan,65.0,459.0,nan,Tobacco use screening,96.0,1035.0,nan,Tobacco use treatment provided or offered,88.0,536.0,nan,63.0,536.0,nan,Tobacco use treatment provided or offered at discharge,50.0,496.0,nan,49.0,496.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),53.0,2076.0,nan,Timely transmission of transition record (TR2),48.0,2077.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.2,267.0,nan,15.0,267.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,991.0,32.6,30.2,35.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,1021.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,483.0,nan,2017-10-01,2018-03-31
100034,MOUNT SINAI MEDICAL CENTER,4300 ALTON RD,MIAMI BEACH,FL,33140,MIAMI-DADE,Hours of physical-restraint use,0.01,2.9,13378.0,nan,Hours of seclusion use,0.0,0.0,13378.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,90.0,48.0,nan,Screening for metabolic disorders (SMD),77.0,412.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,400.0,nan,Alcohol use brief intervention provided or offered,97.0,76.0,nan,92.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,145.0,nan,26.0,145.0,nan,Tobacco use screening,100.0,399.0,nan,Tobacco use treatment provided or offered,100.0,50.0,nan,70.0,50.0,nan,Tobacco use treatment provided or offered at discharge,96.0,213.0,nan,55.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,626.0,nan,Timely transmission of transition record (TR2),38.0,626.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.4,214.0,nan,16.8,214.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,940.0,26.4,24.4,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,92.0,nan,2017-10-01,2018-03-31
100038,MEMORIAL REGIONAL HOSPITAL,3501 JOHNSON ST,HOLLYWOOD,FL,33021,BROWARD,Hours of physical-restraint use,1.85,143.07,3231.0,nan,Hours of seclusion use,1.61,124.92,3231.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,54.0,nan,Screening for metabolic disorders (SMD),98.0,334.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,583.0,nan,Alcohol use brief intervention provided or offered,99.0,77.0,nan,99.0,77.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,175.0,nan,82.0,175.0,nan,Tobacco use screening,99.0,583.0,nan,Tobacco use treatment provided or offered,98.0,244.0,nan,25.0,244.0,nan,Tobacco use treatment provided or offered at discharge,97.0,229.0,nan,4.0,229.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,598.0,nan,Timely transmission of transition record (TR2),91.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.5,228.0,nan,28.9,228.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,610.0,25.6,22.7,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,177.0,nan,2017-10-01,2018-03-31
100039,BROWARD HEALTH MEDICAL CENTER,1600 S ANDREWS AVE,FORT LAUDERDALE,FL,33316,BROWARD,Hours of physical-restraint use,0.05,21.14,17081.0,nan,Hours of seclusion use,0.0,0.0,17081.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,171.0,nan,Screening for metabolic disorders (SMD),100.0,906.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,605.0,nan,Alcohol use brief intervention provided or offered,100.0,15.0,nan,100.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,317.0,nan,100.0,317.0,nan,Tobacco use screening,100.0,605.0,nan,Tobacco use treatment provided or offered,100.0,345.0,nan,51.0,345.0,nan,Tobacco use treatment provided or offered at discharge,100.0,333.0,nan,49.0,333.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,1244.0,nan,Timely transmission of transition record (TR2),97.0,1244.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.9,218.0,nan,18.3,218.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,801.0,25.0,22.6,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,102.0,nan,2017-10-01,2018-03-31
100045,ADVENTHEALTH DELAND,701 W PLYMOUTH AVE,DELAND,FL,32720,VOLUSIA,Hours of physical-restraint use,0.0,0.0,2010.0,nan,Hours of seclusion use,0.0,0.0,2010.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,70.0,20.0,nan,Screening for metabolic disorders (SMD),98.0,180.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,491.0,nan,Alcohol use brief intervention provided or offered,99.0,199.0,nan,98.0,199.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,239.0,nan,74.0,239.0,nan,Tobacco use screening,100.0,490.0,nan,Tobacco use treatment provided or offered,98.0,296.0,nan,80.0,296.0,nan,Tobacco use treatment provided or offered at discharge,92.0,268.0,nan,92.0,268.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),45.0,519.0,nan,Timely transmission of transition record (TR2),54.0,519.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.3,49.0,nan,24.5,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,157.0,22.6,17.9,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,246.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,25.0,nan,2017-10-01,2018-03-31
100047,BAYFRONT HEALTH PUNTA GORDA,809 E MARION AVE,PUNTA GORDA,FL,33950,CHARLOTTE,Hours of physical-restraint use,0.1,38.68,15764.0,nan,Hours of seclusion use,0.0,1.5,15764.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,72.0,nan,Screening for metabolic disorders (SMD),67.0,372.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,607.0,nan,Alcohol use brief intervention provided or offered,94.0,154.0,nan,62.0,154.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,223.0,nan,35.0,223.0,nan,Tobacco use screening,98.0,607.0,nan,Tobacco use treatment provided or offered,84.0,314.0,nan,13.0,314.0,nan,Tobacco use treatment provided or offered at discharge,84.0,300.0,nan,14.0,300.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),31.0,667.0,nan,Timely transmission of transition record (TR2),30.0,667.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.0,339.0,nan,22.4,339.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,962.0,21.3,19.1,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,331.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,80.0,nan,2017-10-01,2018-03-31
100067,ST ANTHONYS HOSPITAL,1200 SEVENTH AVE N,SAINT PETERSBURG,FL,33705,PINELLAS,Hours of physical-restraint use,0.21,115.37,22779.0,nan,Hours of seclusion use,0.08,43.86,22779.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,22.0,nan,Screening for metabolic disorders (SMD),77.0,345.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,806.0,nan,Alcohol use brief intervention provided or offered,71.0,154.0,nan,60.0,154.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,366.0,nan,63.0,366.0,nan,Tobacco use screening,99.0,792.0,nan,Tobacco use treatment provided or offered,84.0,424.0,nan,5.0,424.0,nan,Tobacco use treatment provided or offered at discharge,5.0,393.0,nan,3.0,393.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),51.0,1057.0,nan,Timely transmission of transition record (TR2),48.0,1057.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.2,155.0,nan,23.2,155.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,502.0,24.1,21.0,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,501.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,175.0,nan,2017-10-01,2018-03-31
100080,JFK MEDICAL CENTER,5301 S CONGRESS AVE,ATLANTIS,FL,33462,PALM BEACH,Hours of physical-restraint use,0.15,136.95,37428.0,nan,Hours of seclusion use,0.0,3.25,37428.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,35.0,nan,Screening for metabolic disorders (SMD),47.0,419.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,974.0,nan,Alcohol use brief intervention provided or offered,41.0,266.0,nan,39.0,266.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,460.0,nan,13.0,460.0,nan,Tobacco use screening,93.0,987.0,nan,Tobacco use treatment provided or offered,39.0,409.0,nan,27.0,409.0,nan,Tobacco use treatment provided or offered at discharge,56.0,362.0,nan,1.0,362.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,990.0,nan,Timely transmission of transition record (TR2),0.0,990.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.2,417.0,nan,29.0,417.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,925.0,24.5,21.9,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,624.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,274.0,nan,2017-10-01,2018-03-31
100087,SARASOTA MEMORIAL HOSPITAL,1700 S TAMIAMI TRL,SARASOTA,FL,34239,SARASOTA,Hours of physical-restraint use,0.09,22.86,11035.0,nan,Hours of seclusion use,0.09,23.85,11035.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),63.0,174.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,183.0,nan,Alcohol use brief intervention provided or offered,92.0,64.0,nan,91.0,64.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,96.0,nan,55.0,96.0,nan,Tobacco use screening,100.0,184.0,nan,Tobacco use treatment provided or offered,84.0,95.0,nan,82.0,95.0,nan,Tobacco use treatment provided or offered at discharge,78.0,89.0,nan,16.0,89.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,610.0,nan,Timely transmission of transition record (TR2),0.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.5,283.0,nan,30.4,283.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1037.0,24.0,21.6,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,376.0,nan,2017-10-01,2018-03-31
100088,BAPTIST MEDICAL CENTER JACKSONVILLE,800 PRUDENTIAL DR,JACKSONVILLE,FL,32207,DUVAL,Hours of physical-restraint use,0.06,13.82,10036.0,nan,Hours of seclusion use,0.08,20.32,10036.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,15.0,nan,Screening for metabolic disorders (SMD),43.0,244.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,602.0,nan,Alcohol use brief intervention provided or offered,97.0,192.0,nan,95.0,192.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,307.0,nan,73.0,307.0,nan,Tobacco use screening,100.0,595.0,nan,Tobacco use treatment provided or offered,98.0,330.0,nan,86.0,330.0,nan,Tobacco use treatment provided or offered at discharge,64.0,328.0,nan,63.0,328.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),51.0,731.0,nan,Timely transmission of transition record (TR2),35.0,731.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.5,114.0,nan,40.4,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,354.0,20.6,17.4,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,363.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,293.0,nan,2017-10-01,2018-03-31
100092,STEWARD ROCKLEDGE HOSPITAL,110 LONGWOOD AVE,ROCKLEDGE,FL,32955,BREVARD,Hours of physical-restraint use,0.05,9.28,7164.0,nan,Hours of seclusion use,0.65,112.52,7164.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,21.0,nan,Screening for metabolic disorders (SMD),94.0,204.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,432.0,nan,Alcohol use brief intervention provided or offered,100.0,60.0,nan,63.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,221.0,nan,95.0,221.0,nan,Tobacco use screening,95.0,429.0,nan,Tobacco use treatment provided or offered,99.0,232.0,nan,69.0,232.0,nan,Tobacco use treatment provided or offered at discharge,97.0,207.0,nan,1.0,207.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,659.0,nan,Timely transmission of transition record (TR2),84.0,659.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.1,192.0,nan,21.4,192.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,423.0,20.0,16.8,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,324.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,62.0,nan,2017-10-01,2018-03-31
100093,BAPTIST HOSPITAL,1000 W MORENO ST,PENSACOLA,FL,32501,ESCAMBIA,Hours of physical-restraint use,0.19,114.52,24715.0,nan,Hours of seclusion use,1.13,667.61,24715.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,18.0,nan,Screening for metabolic disorders (SMD),51.0,306.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,407.0,nan,Alcohol use brief intervention provided or offered,86.0,151.0,nan,86.0,151.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,253.0,nan,67.0,253.0,nan,Tobacco use screening,99.0,408.0,nan,Tobacco use treatment provided or offered,82.0,251.0,nan,66.0,251.0,nan,Tobacco use treatment provided or offered at discharge,60.0,240.0,nan,28.0,240.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),84.0,976.0,nan,Timely transmission of transition record (TR2),81.0,976.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,238.0,nan,23.9,238.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,861.0,23.3,20.8,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,444.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,318.0,nan,2017-10-01,2018-03-31
100099,LAKE WALES MEDICAL CENTER,410 S 11TH ST,LAKE WALES,FL,33853,POLK,Hours of physical-restraint use,0.08,8.0,4155.0,nan,Hours of seclusion use,0.0,0.0,4155.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,189.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,282.0,nan,Alcohol use brief intervention provided or offered,100.0,28.0,nan,96.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,37.0,nan,89.0,37.0,nan,Tobacco use screening,100.0,268.0,nan,Tobacco use treatment provided or offered,100.0,38.0,nan,100.0,38.0,nan,Tobacco use treatment provided or offered at discharge,68.0,38.0,nan,53.0,38.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,303.0,nan,Timely transmission of transition record (TR2),100.0,303.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,44.0,nan,15.9,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,244.0,22.2,17.8,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,140.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),33.0,40.0,nan,2017-10-01,2018-03-31
100105,CLEVELAND CLINIC INDIAN RIVER HOSPITAL,1000 36TH ST,VERO BEACH,FL,32960,INDIAN RIVER,Hours of physical-restraint use,0.25,46.0,7793.0,nan,Hours of seclusion use,0.18,33.0,7793.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),59.0,178.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,78.0,412.0,nan,Alcohol use brief intervention provided or offered,85.0,89.0,nan,85.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,161.0,nan,68.0,161.0,nan,Tobacco use screening,91.0,412.0,nan,Tobacco use treatment provided or offered,58.0,231.0,nan,49.0,231.0,nan,Tobacco use treatment provided or offered at discharge,12.0,215.0,nan,6.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,653.0,nan,Timely transmission of transition record (TR2),0.0,653.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.0,124.0,nan,18.5,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,361.0,20.9,17.5,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,83.0,nan,2017-10-01,2018-03-31
100110,OSCEOLA REGIONAL MEDICAL CENTER,700 WEST OAK STREET,KISSIMMEE,FL,34741,OSCEOLA,Hours of physical-restraint use,0.1,24.07,9744.0,nan,Hours of seclusion use,0.04,9.37,9744.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,175.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,647.0,nan,Alcohol use brief intervention provided or offered,98.0,142.0,nan,97.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,288.0,nan,96.0,288.0,nan,Tobacco use screening,100.0,649.0,nan,Tobacco use treatment provided or offered,98.0,299.0,nan,84.0,299.0,nan,Tobacco use treatment provided or offered at discharge,97.0,289.0,nan,96.0,289.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),86.0,458.0,nan,Timely transmission of transition record (TR2),86.0,458.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.6,89.0,nan,25.8,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,246.0,22.5,18.6,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,91.0,nan,2017-10-01,2018-03-31
100113,UF HEALTH SHANDS HOSPITAL,1600 SW ARCHER RD,GAINESVILLE,FL,32610,ALACHUA,Hours of physical-restraint use,0.1,50.27,21937.0,nan,Hours of seclusion use,0.64,335.03,21937.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,222.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,530.0,nan,Alcohol use brief intervention provided or offered,99.0,176.0,nan,82.0,176.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,311.0,nan,48.0,311.0,nan,Tobacco use screening,100.0,524.0,nan,Tobacco use treatment provided or offered,92.0,226.0,nan,74.0,226.0,nan,Tobacco use treatment provided or offered at discharge,71.0,211.0,nan,2.0,211.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),62.0,785.0,nan,Timely transmission of transition record (TR2),51.0,785.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.8,194.0,nan,26.3,194.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1169.0,20.4,18.4,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,394.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,14913.0,nan,2017-10-01,2018-03-31
100131,AVENTURA HOSPITAL AND MEDICAL CENTER,20900 BISCAYNE BLVD,AVENTURA,FL,33180,MIAMI-DADE,Hours of physical-restraint use,0.0,0.42,19508.0,nan,Hours of seclusion use,0.18,82.12,19508.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,345.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,675.0,nan,Alcohol use brief intervention provided or offered,100.0,94.0,nan,99.0,94.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,301.0,nan,61.0,301.0,nan,Tobacco use screening,100.0,672.0,nan,Tobacco use treatment provided or offered,89.0,319.0,nan,80.0,319.0,nan,Tobacco use treatment provided or offered at discharge,86.0,307.0,nan,84.0,307.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),90.0,837.0,nan,Timely transmission of transition record (TR2),90.0,837.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.8,207.0,nan,40.1,207.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,738.0,26.5,24.1,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,383.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,133.0,nan,2017-10-01,2018-03-31
100135,TALLAHASSEE MEMORIAL HOSPITAL,1300 MICCOSUKEE RD,TALLAHASSEE,FL,32308,LEON,Hours of physical-restraint use,0.44,41.92,3967.0,nan,Hours of seclusion use,0.0,0.0,3967.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,13.0,nan,Screening for metabolic disorders (SMD),34.0,188.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,474.0,nan,Alcohol use brief intervention provided or offered,73.0,99.0,nan,73.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,40.0,178.0,nan,30.0,178.0,nan,Tobacco use screening,100.0,485.0,nan,Tobacco use treatment provided or offered,67.0,216.0,nan,32.0,216.0,nan,Tobacco use treatment provided or offered at discharge,0.0,209.0,nan,0.0,209.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,648.0,nan,Timely transmission of transition record (TR2),0.0,648.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.0,75.0,nan,30.7,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,289.0,21.4,17.5,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,365.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,175.0,nan,2017-10-01,2018-03-31
100150,LOWER KEYS MEDICAL CENTER,5900 COLLEGE ROAD,KEY WEST,FL,33040,MONROE,Hours of physical-restraint use,1.33,116.23,3639.0,nan,Hours of seclusion use,0.06,5.08,3639.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,24.0,21.0,nan,Screening for metabolic disorders (SMD),71.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,74.0,330.0,nan,Alcohol use brief intervention provided or offered,100.0,110.0,nan,100.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,219.0,nan,9.0,219.0,nan,Tobacco use screening,96.0,331.0,nan,Tobacco use treatment provided or offered,88.0,209.0,nan,20.0,209.0,nan,Tobacco use treatment provided or offered at discharge,77.0,188.0,nan,1.0,188.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),60.0,387.0,nan,Timely transmission of transition record (TR2),60.0,387.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.2,59.0,nan,27.1,59.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,143.0,21.1,17.0,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,258.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,49.0,nan,2017-10-01,2018-03-31
100157,LAKELAND REGIONAL MEDICAL CENTER,1324 LAKELAND HILLS BLVD,LAKELAND,FL,33805,POLK,Hours of physical-restraint use,20.92,7480.0,14901.0,nan,Hours of seclusion use,0.32,113.0,14901.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,12.0,nan,Screening for metabolic disorders (SMD),27.0,143.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,331.0,nan,Alcohol use brief intervention provided or offered,92.0,76.0,nan,50.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,161.0,nan,91.0,161.0,nan,Tobacco use screening,96.0,333.0,nan,Tobacco use treatment provided or offered,91.0,162.0,nan,48.0,162.0,nan,Tobacco use treatment provided or offered at discharge,74.0,152.0,nan,70.0,152.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,672.0,nan,Timely transmission of transition record (TR2),91.0,634.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.7,127.0,nan,17.3,127.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,511.0,21.3,18.3,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,332.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,72.0,nan,2017-10-01,2018-03-31
100166,DOCTORS HOSPITAL OF SARASOTA,5731 BEE RIDGE RD,SARASOTA,FL,34233,SARASOTA,Hours of physical-restraint use,0.0,0.0,6303.0,nan,Hours of seclusion use,0.0,0.0,6303.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,223.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,514.0,nan,Alcohol use brief intervention provided or offered,99.0,154.0,nan,99.0,154.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,169.0,nan,95.0,169.0,nan,Tobacco use screening,100.0,514.0,nan,Tobacco use treatment provided or offered,99.0,153.0,nan,89.0,153.0,nan,Tobacco use treatment provided or offered at discharge,99.0,138.0,nan,97.0,138.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,522.0,nan,Timely transmission of transition record (TR2),99.0,522.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.9,184.0,nan,47.8,184.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,510.0,24.3,20.6,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,238.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,39.0,nan,2017-10-01,2018-03-31
100167,PLANTATION GENERAL HOSPITAL,401 NW 42ND AVE,PLANTATION,FL,33317,BROWARD,Hours of physical-restraint use,0.01,4.8,20388.0,nan,Hours of seclusion use,0.0,0.0,20388.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,19.0,nan,Screening for metabolic disorders (SMD),74.0,411.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,935.0,nan,Alcohol use brief intervention provided or offered,97.0,141.0,nan,97.0,141.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,370.0,nan,77.0,370.0,nan,Tobacco use screening,100.0,943.0,nan,Tobacco use treatment provided or offered,73.0,405.0,nan,57.0,405.0,nan,Tobacco use treatment provided or offered at discharge,60.0,394.0,nan,57.0,394.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,910.0,nan,Timely transmission of transition record (TR2),74.0,910.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,234.0,nan,25.6,234.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,783.0,27.5,25.0,30.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,504.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,103.0,nan,2017-10-01,2018-03-31
100179,MEMORIAL HOSPITAL JACKSONVILLE,3625 UNIVERSITY BLVD S,JACKSONVILLE,FL,32216,DUVAL,Hours of physical-restraint use,0.1,35.47,15279.0,nan,Hours of seclusion use,0.03,11.42,15279.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),89.0,257.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,979.0,nan,Alcohol use brief intervention provided or offered,99.0,316.0,nan,99.0,316.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,542.0,nan,81.0,542.0,nan,Tobacco use screening,100.0,983.0,nan,Tobacco use treatment provided or offered,99.0,590.0,nan,82.0,590.0,nan,Tobacco use treatment provided or offered at discharge,92.0,556.0,nan,92.0,556.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,660.0,nan,Timely transmission of transition record (TR2),75.0,660.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.5,135.0,nan,20.7,135.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,501.0,23.7,20.6,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,507.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,205.0,nan,2017-10-01,2018-03-31
100191,MEDICAL CENTER OF TRINITY,"9330 SR 54, STE 401",TRINITY,FL,34655,PASCO,Hours of physical-restraint use,0.11,46.28,17594.0,nan,Hours of seclusion use,0.0,0.0,17594.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,250.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,631.0,nan,Alcohol use brief intervention provided or offered,94.0,175.0,nan,91.0,175.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,328.0,nan,35.0,328.0,nan,Tobacco use screening,93.0,630.0,nan,Tobacco use treatment provided or offered,91.0,366.0,nan,72.0,366.0,nan,Tobacco use treatment provided or offered at discharge,74.0,359.0,nan,34.0,359.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),46.0,795.0,nan,Timely transmission of transition record (TR2),46.0,795.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.2,165.0,nan,19.4,165.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,638.0,25.5,22.6,28.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,350.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,2708.0,nan,2017-10-01,2018-03-31
100200,BROWARD HEALTH IMPERIAL POINT,6401 N FEDERAL HWY,FORT LAUDERDALE,FL,33308,BROWARD,Hours of physical-restraint use,0.02,8.78,16125.0,nan,Hours of seclusion use,0.05,17.6,16125.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,30.0,nan,Screening for metabolic disorders (SMD),86.0,549.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,630.0,nan,Alcohol use brief intervention provided or offered,96.0,115.0,nan,96.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,261.0,nan,84.0,261.0,nan,Tobacco use screening,100.0,629.0,nan,Tobacco use treatment provided or offered,88.0,339.0,nan,62.0,339.0,nan,Tobacco use treatment provided or offered at discharge,77.0,329.0,nan,8.0,329.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,672.0,nan,Timely transmission of transition record (TR2),94.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.3,237.0,nan,31.6,237.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,665.0,26.7,23.9,29.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,282.0,nan,2017-10-01,2018-03-31
100204,NORTH FLORIDA REGIONAL MEDICAL CENTER,6500 NEWBERRY RD,GAINESVILLE,FL,32605,ALACHUA,Hours of physical-restraint use,0.04,11.03,12899.0,nan,Hours of seclusion use,0.24,72.77,12899.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),61.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,379.0,nan,Alcohol use brief intervention provided or offered,50.0,111.0,nan,50.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,178.0,nan,58.0,178.0,nan,Tobacco use screening,94.0,380.0,nan,Tobacco use treatment provided or offered,69.0,184.0,nan,51.0,184.0,nan,Tobacco use treatment provided or offered at discharge,59.0,171.0,nan,53.0,171.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),43.0,530.0,nan,Timely transmission of transition record (TR2),33.0,530.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.1,192.0,nan,19.3,192.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,515.0,22.2,19.4,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,335.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,93.0,nan,2017-10-01,2018-03-31
100206,MEMORIAL HOSPITAL OF TAMPA,2901 W SWANN AVE,TAMPA,FL,33609,HILLSBOROUGH,Hours of physical-restraint use,0.01,2.25,12721.0,nan,Hours of seclusion use,0.0,0.98,12721.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,41.0,nan,Screening for metabolic disorders (SMD),93.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,661.0,nan,Alcohol use brief intervention provided or offered,69.0,130.0,nan,69.0,130.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,252.0,nan,79.0,252.0,nan,Tobacco use screening,99.0,663.0,nan,Tobacco use treatment provided or offered,88.0,336.0,nan,58.0,336.0,nan,Tobacco use treatment provided or offered at discharge,88.0,310.0,nan,88.0,310.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,525.0,nan,Timely transmission of transition record (TR2),47.0,525.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.9,193.0,nan,20.7,193.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,692.0,26.3,23.6,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,329.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,88.0,nan,2017-10-01,2018-03-31
100209,KENDALL REGIONAL MEDICAL CENTER,11750 BIRD RD,MIAMI,FL,33175,MIAMI-DADE,Hours of physical-restraint use,0.05,12.3,10258.0,nan,Hours of seclusion use,0.02,4.67,10258.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,13.0,nan,Screening for metabolic disorders (SMD),93.0,249.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,650.0,nan,Alcohol use brief intervention provided or offered,98.0,234.0,nan,97.0,234.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,285.0,nan,76.0,285.0,nan,Tobacco use screening,100.0,648.0,nan,Tobacco use treatment provided or offered,90.0,246.0,nan,89.0,246.0,nan,Tobacco use treatment provided or offered at discharge,73.0,239.0,nan,68.0,239.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),63.0,534.0,nan,Timely transmission of transition record (TR2),63.0,534.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.7,89.0,nan,21.3,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,330.0,27.9,24.2,32.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,339.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,67.0,nan,2017-10-01,2018-03-31
100223,FORT WALTON BEACH MEDICAL CENTER,1000 MAR-WALT DR,FORT WALTON BEACH,FL,32547,OKALOOSA,Hours of physical-restraint use,0.08,30.52,16507.0,nan,Hours of seclusion use,0.81,322.05,16507.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),71.0,231.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,627.0,nan,Alcohol use brief intervention provided or offered,67.0,169.0,nan,67.0,169.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,373.0,nan,12.0,373.0,nan,Tobacco use screening,100.0,628.0,nan,Tobacco use treatment provided or offered,83.0,311.0,nan,63.0,311.0,nan,Tobacco use treatment provided or offered at discharge,48.0,301.0,nan,4.0,301.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),60.0,621.0,nan,Timely transmission of transition record (TR2),59.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,195.0,nan,23.6,195.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,531.0,19.4,16.4,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,73.0,nan,2017-10-01,2018-03-31
100224,UNIVERSITY HOSPITAL AND MEDICAL CENTER,7201 N UNIVERSITY DR,TAMARAC,FL,33321,BROWARD,Hours of physical-restraint use,0.04,20.1,23425.0,nan,Hours of seclusion use,0.01,5.25,23425.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,38.0,nan,Screening for metabolic disorders (SMD),54.0,377.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,622.0,nan,Alcohol use brief intervention provided or offered,62.0,136.0,nan,60.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,279.0,nan,19.0,279.0,nan,Tobacco use screening,97.0,630.0,nan,Tobacco use treatment provided or offered,79.0,282.0,nan,44.0,282.0,nan,Tobacco use treatment provided or offered at discharge,6.0,274.0,nan,1.0,274.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),32.0,1193.0,nan,Timely transmission of transition record (TR2),25.0,1193.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.4,191.0,nan,33.0,191.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,544.0,22.7,19.9,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,428.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,163.0,nan,2017-10-01,2018-03-31
100226,ORANGE PARK MEDICAL CENTER,2001 KINGSLEY AVE,ORANGE PARK,FL,32073,CLAY,Hours of physical-restraint use,0.29,71.33,10173.0,nan,Hours of seclusion use,0.1,25.05,10173.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,188.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,973.0,nan,Alcohol use brief intervention provided or offered,91.0,232.0,nan,89.0,232.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,480.0,nan,92.0,480.0,nan,Tobacco use screening,99.0,983.0,nan,Tobacco use treatment provided or offered,98.0,545.0,nan,79.0,545.0,nan,Tobacco use treatment provided or offered at discharge,94.0,535.0,nan,90.0,535.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,449.0,nan,Timely transmission of transition record (TR2),74.0,449.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.4,115.0,nan,28.7,115.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,325.0,20.2,16.8,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,559.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,41.0,nan,2017-10-01,2018-03-31
100231,WEST FLORIDA HOSPITAL,8383 N DAVIS HWY,PENSACOLA,FL,32514,ESCAMBIA,Hours of physical-restraint use,0.0,0.63,20171.0,nan,Hours of seclusion use,0.02,11.92,20171.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),71.0,319.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,580.0,nan,Alcohol use brief intervention provided or offered,44.0,164.0,nan,43.0,164.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,287.0,nan,20.0,287.0,nan,Tobacco use screening,98.0,583.0,nan,Tobacco use treatment provided or offered,69.0,299.0,nan,62.0,299.0,nan,Tobacco use treatment provided or offered at discharge,78.0,285.0,nan,6.0,285.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,821.0,nan,Timely transmission of transition record (TR2),52.0,821.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.2,303.0,nan,21.1,303.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1004.0,24.6,22.2,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,96.0,nan,2017-10-01,2018-03-31
100243,BRANDON REGIONAL HOSPITAL,119 OAKFIELD DR,BRANDON,FL,33511,HILLSBOROUGH,Hours of physical-restraint use,0.0,0.25,9628.0,nan,Hours of seclusion use,0.0,0.0,9628.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,160.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1003.0,nan,Alcohol use brief intervention provided or offered,99.0,213.0,nan,99.0,213.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,408.0,nan,99.0,408.0,nan,Tobacco use screening,100.0,1002.0,nan,Tobacco use treatment provided or offered,98.0,506.0,nan,83.0,506.0,nan,Tobacco use treatment provided or offered at discharge,95.0,485.0,nan,95.0,485.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,509.0,nan,Timely transmission of transition record (TR2),99.0,509.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,157.0,nan,23.6,157.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,434.0,24.4,21.1,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,538.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,70.0,nan,2017-10-01,2018-03-31
100246,LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE,1700 S 23RD ST,FORT PIERCE,FL,34950,ST. LUCIE,Hours of physical-restraint use,0.06,13.47,9388.0,nan,Hours of seclusion use,0.0,0.0,9388.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,34.0,nan,Screening for metabolic disorders (SMD),99.0,346.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,943.0,nan,Alcohol use brief intervention provided or offered,100.0,267.0,nan,100.0,267.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,553.0,nan,100.0,553.0,nan,Tobacco use screening,100.0,943.0,nan,Tobacco use treatment provided or offered,100.0,586.0,nan,74.0,586.0,nan,Tobacco use treatment provided or offered at discharge,100.0,531.0,nan,89.0,531.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,735.0,nan,Timely transmission of transition record (TR2),99.0,735.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.2,125.0,nan,10.4,125.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,425.0,21.5,18.4,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,498.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,75.0,nan,2017-10-01,2018-03-31
100248,LARGO MEDICAL CENTER,201 14TH ST SW,LARGO,FL,33770,PINELLAS,Hours of physical-restraint use,0.01,8.7,28709.0,nan,Hours of seclusion use,0.08,56.47,28709.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,37.0,nan,Screening for metabolic disorders (SMD),94.0,413.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,704.0,nan,Alcohol use brief intervention provided or offered,94.0,215.0,nan,93.0,215.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,407.0,nan,81.0,407.0,nan,Tobacco use screening,98.0,699.0,nan,Tobacco use treatment provided or offered,99.0,429.0,nan,55.0,429.0,nan,Tobacco use treatment provided or offered at discharge,97.0,405.0,nan,84.0,405.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,871.0,nan,Timely transmission of transition record (TR2),77.0,871.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.6,320.0,nan,22.5,320.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1192.0,23.9,21.9,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,507.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,778.0,nan,2017-10-01,2018-03-31
100254,CAPITAL REGIONAL MEDICAL CENTER,2626 CAPITAL MEDICAL BLVD,TALLAHASSEE,FL,32308,LEON,Hours of physical-restraint use,0.01,1.75,8379.0,nan,Hours of seclusion use,0.0,0.37,8379.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,162.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,625.0,nan,Alcohol use brief intervention provided or offered,96.0,166.0,nan,95.0,166.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,274.0,nan,81.0,274.0,nan,Tobacco use screening,100.0,635.0,nan,Tobacco use treatment provided or offered,98.0,338.0,nan,81.0,338.0,nan,Tobacco use treatment provided or offered at discharge,93.0,330.0,nan,92.0,330.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),64.0,412.0,nan,Timely transmission of transition record (TR2),64.0,412.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.8,113.0,nan,21.2,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,256.0,22.9,18.9,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,366.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,62.0,nan,2017-10-01,2018-03-31
100255,TAMPA COMMUNITY HOSPITAL,6001 WEBB RD,TAMPA,FL,33615,HILLSBOROUGH,Hours of physical-restraint use,0.03,5.42,7561.0,nan,Hours of seclusion use,0.01,1.0,7561.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,37.0,nan,Screening for metabolic disorders (SMD),88.0,280.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,316.0,nan,Alcohol use brief intervention provided or offered,100.0,48.0,nan,100.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,111.0,nan,66.0,111.0,nan,Tobacco use screening,97.0,315.0,nan,Tobacco use treatment provided or offered,98.0,168.0,nan,55.0,168.0,nan,Tobacco use treatment provided or offered at discharge,90.0,155.0,nan,87.0,155.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),94.0,561.0,nan,Timely transmission of transition record (TR2),89.0,561.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.9,144.0,nan,18.8,144.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,463.0,22.8,19.8,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,335.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,738.0,nan,2017-10-01,2018-03-31
100258,DELRAY MEDICAL CENTER,5352 LINTON BLVD,DELRAY BEACH,FL,33484,PALM BEACH,Hours of physical-restraint use,0.02,5.3,13696.0,nan,Hours of seclusion use,0.06,19.9,13696.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,22.0,nan,Screening for metabolic disorders (SMD),95.0,301.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,650.0,nan,Alcohol use brief intervention provided or offered,99.0,139.0,nan,99.0,139.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,305.0,nan,76.0,305.0,nan,Tobacco use screening,100.0,653.0,nan,Tobacco use treatment provided or offered,90.0,316.0,nan,81.0,316.0,nan,Tobacco use treatment provided or offered at discharge,91.0,310.0,nan,90.0,310.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,732.0,nan,Timely transmission of transition record (TR2),85.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.5,255.0,nan,46.3,255.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,777.0,21.6,18.8,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,356.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,105.0,nan,2017-10-01,2018-03-31
100260,ST LUCIE MEDICAL CENTER,1800 SE TIFFANY AVE,PORT SAINT LUCIE,FL,34952,ST. LUCIE,Hours of physical-restraint use,0.02,3.88,7959.0,nan,Hours of seclusion use,0.02,3.88,7959.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,672.0,nan,Alcohol use brief intervention provided or offered,100.0,231.0,nan,100.0,231.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,358.0,nan,75.0,358.0,nan,Tobacco use screening,100.0,672.0,nan,Tobacco use treatment provided or offered,99.0,372.0,nan,99.0,372.0,nan,Tobacco use treatment provided or offered at discharge,98.0,330.0,nan,50.0,330.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,427.0,nan,Timely transmission of transition record (TR2),51.0,427.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.4,115.0,nan,11.3,115.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,363.0,20.8,17.5,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,456.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,70.0,nan,2017-10-01,2018-03-31
100288,ST MARY'S MEDICAL CENTER,901 45TH ST,WEST PALM BEACH,FL,33407,PALM BEACH,Hours of physical-restraint use,0.14,32.02,9859.0,nan,Hours of seclusion use,0.0,0.5,9859.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,28.0,nan,Screening for metabolic disorders (SMD),17.0,293.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,665.0,nan,Alcohol use brief intervention provided or offered,79.0,179.0,nan,77.0,179.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,327.0,nan,79.0,327.0,nan,Tobacco use screening,97.0,671.0,nan,Tobacco use treatment provided or offered,98.0,415.0,nan,73.0,415.0,nan,Tobacco use treatment provided or offered at discharge,66.0,377.0,nan,1.0,377.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,714.0,nan,Timely transmission of transition record (TR2),71.0,714.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.9,139.0,nan,24.5,139.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,435.0,29.0,25.8,32.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,349.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,45.0,nan,2017-10-01,2018-03-31
104008,"THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH, IN",1041 45TH ST,WEST PALM BEACH,FL,33407,PALM BEACH,Hours of physical-restraint use,0.02,6.47,11699.0,nan,Hours of seclusion use,0.0,0.0,11699.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,49.0,57.0,nan,Screening for metabolic disorders (SMD),88.0,281.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,551.0,nan,Alcohol use brief intervention provided or offered,61.0,175.0,nan,55.0,175.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,13.0,269.0,nan,13.0,269.0,nan,Tobacco use screening,99.0,564.0,nan,Tobacco use treatment provided or offered,0.0,243.0,nan,0.0,243.0,nan,Tobacco use treatment provided or offered at discharge,0.0,243.0,nan,0.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,619.0,nan,Timely transmission of transition record (TR2),0.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.5,86.0,nan,22.1,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,214.0,22.6,18.3,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),7.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,523.0,nan,2017-10-01,2018-03-31
104016,RIVER POINT BEHAVIORAL HEALTH,6300 BEACH BLVD,JACKSONVILLE,FL,32216,DUVAL,Hours of physical-restraint use,0.34,103.8,12694.0,nan,Hours of seclusion use,0.02,5.17,12694.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),60.0,176.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,230.0,nan,Alcohol use brief intervention provided or offered,100.0,66.0,nan,65.0,66.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,157.0,nan,36.0,157.0,nan,Tobacco use screening,100.0,230.0,nan,Tobacco use treatment provided or offered,100.0,141.0,nan,0.0,141.0,nan,Tobacco use treatment provided or offered at discharge,99.0,134.0,nan,0.0,134.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,764.0,nan,Timely transmission of transition record (TR2),50.0,764.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.5,24.0,nan,25.0,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,148.0,19.7,15.9,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,348.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,177.0,nan,2017-10-01,2018-03-31
104017,WINDMOOR HEALTHCARE OF CLEARWATER,11300 US 19 N,CLEARWATER,FL,33764,PINELLAS,Hours of physical-restraint use,0.07,56.25,33656.0,nan,Hours of seclusion use,0.0,0.0,33656.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,75.0,nan,Screening for metabolic disorders (SMD),63.0,393.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,885.0,nan,Alcohol use brief intervention provided or offered,76.0,344.0,nan,75.0,344.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,498.0,nan,65.0,498.0,nan,Tobacco use screening,98.0,884.0,nan,Tobacco use treatment provided or offered,89.0,662.0,nan,3.0,662.0,nan,Tobacco use treatment provided or offered at discharge,83.0,535.0,nan,1.0,535.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,864.0,nan,Timely transmission of transition record (TR2),44.0,864.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.8,420.0,nan,43.8,420.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1570.0,19.4,17.8,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,404.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,347.0,nan,2017-10-01,2018-03-31
104018,LIFESTREAM BEHAVIORAL CENTER,2020 TALLY RD,LEESBURG,FL,34748,LAKE,Hours of physical-restraint use,0.31,78.0,10544.0,nan,Hours of seclusion use,0.0,0.0,10544.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,264.0,nan,Screening for metabolic disorders (SMD),7.0,473.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,1.0,2818.0,nan,Alcohol use brief intervention provided or offered,100.0,24.0,nan,100.0,24.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,75.0,nan,19.0,75.0,nan,Tobacco use screening,88.0,3122.0,nan,Tobacco use treatment provided or offered,45.0,860.0,nan,0.0,860.0,nan,Tobacco use treatment provided or offered at discharge,36.0,860.0,nan,36.0,860.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,2886.0,nan,Timely transmission of transition record (TR2),0.0,2886.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.5,239.0,nan,10.0,239.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,713.0,25.2,22.1,28.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,2886.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),23.0,116.0,nan,2017-10-01,2018-03-31
104024,"CIRCLES OF CARE, INC",400 E SHERIDAN RD,MELBOURNE,FL,32901,BREVARD,Hours of physical-restraint use,0.15,25.17,7040.0,nan,Hours of seclusion use,0.0,0.0,7040.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,24.0,37.0,nan,Screening for metabolic disorders (SMD),13.0,255.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,720.0,nan,Alcohol use brief intervention provided or offered,94.0,196.0,nan,57.0,196.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,268.0,nan,0.0,268.0,nan,Tobacco use screening,100.0,713.0,nan,Tobacco use treatment provided or offered,71.0,381.0,nan,4.0,381.0,nan,Tobacco use treatment provided or offered at discharge,93.0,366.0,nan,6.0,366.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,835.0,nan,Timely transmission of transition record (TR2),0.0,835.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.3,311.0,nan,22.2,311.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,773.0,24.0,21.1,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,774.0,nan,2017-10-01,2018-03-31
104026,FORT LAUDERDALE BEHAVIORAL HEALTH CENTER,5757 N DIXIE HWY,OAKLAND PARK,FL,33334,BROWARD,Hours of physical-restraint use,0.03,20.5,30497.0,nan,Hours of seclusion use,0.02,11.08,30497.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,15.0,nan,Screening for metabolic disorders (SMD),82.0,422.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,705.0,nan,Alcohol use brief intervention provided or offered,74.0,373.0,nan,62.0,373.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,406.0,nan,76.0,406.0,nan,Tobacco use screening,98.0,705.0,nan,Tobacco use treatment provided or offered,95.0,508.0,nan,53.0,508.0,nan,Tobacco use treatment provided or offered at discharge,83.0,343.0,nan,19.0,343.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,1105.0,nan,Timely transmission of transition record (TR2),54.0,1105.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.9,64.0,nan,21.9,64.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,853.0,24.2,21.9,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),41.0,504.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,316.0,nan,2017-10-01,2018-03-31
104027,WEST FLORIDA COMMUNITY CARE CENTER,5500 STEWART ST,MILTON,FL,32570,SANTA ROSA,Hours of physical-restraint use,0.04,25.47,27364.0,nan,Hours of seclusion use,0.06,40.68,27364.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,87.0,nan,Screening for metabolic disorders (SMD),100.0,134.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,28.0,134.0,nan,Alcohol use brief intervention provided or offered,100.0,38.0,nan,100.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,38.0,nan,26.0,38.0,nan,Tobacco use screening,100.0,134.0,nan,Tobacco use treatment provided or offered,100.0,100.0,nan,100.0,100.0,nan,Tobacco use treatment provided or offered at discharge,80.0,100.0,nan,20.0,100.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,134.0,nan,Timely transmission of transition record (TR2),100.0,134.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,6.1,33.0,nan,3.0,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,49.0,15.0,10.8,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,52.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),33.0,135.0,nan,2017-10-01,2018-03-31
104040,CENTERSTONE OF FLORIDA,2020 26TH AVE E,BRADENTON,FL,34208,MANATEE,Hours of physical-restraint use,0.05,14.08,11479.0,nan,Hours of seclusion use,0.1,27.08,11479.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,62.0,nan,Screening for metabolic disorders (SMD),25.0,1292.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1330.0,nan,Alcohol use brief intervention provided or offered,100.0,516.0,nan,94.0,516.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,662.0,nan,97.0,662.0,nan,Tobacco use screening,100.0,1330.0,nan,Tobacco use treatment provided or offered,85.0,831.0,nan,67.0,831.0,nan,Tobacco use treatment provided or offered at discharge,100.0,831.0,nan,98.0,831.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),81.0,1642.0,nan,Timely transmission of transition record (TR2),84.0,1545.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.8,109.0,nan,29.4,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,406.0,24.3,20.3,28.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),48.0,557.0,nan,2017-10-01,2018-03-31
104049,SOUTHERN WINDS,4225 W 20TH AVE,HIALEAH,FL,33012,MIAMI-DADE,Hours of physical-restraint use,0.05,14.21,12596.0,nan,Hours of seclusion use,0.0,0.0,12596.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,65.0,nan,Screening for metabolic disorders (SMD),85.0,65.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,1885.0,nan,Alcohol use brief intervention provided or offered,100.0,176.0,nan,100.0,176.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,176.0,nan,72.0,176.0,nan,Tobacco use screening,100.0,1885.0,nan,Tobacco use treatment provided or offered,100.0,551.0,nan,89.0,551.0,nan,Tobacco use treatment provided or offered at discharge,89.0,551.0,nan,74.0,551.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1885.0,nan,Timely transmission of transition record (TR2),100.0,1885.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.0,277.0,nan,13.4,277.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1021.0,35.8,33.1,38.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),12.0,1204.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,219.0,nan,2017-10-01,2018-03-31
104057,SPRINGBROOK HOSPITAL,7007 GROVE RD,BROOKSVILLE,FL,34609,HERNANDO,Hours of physical-restraint use,0.17,27.0,6758.0,nan,Hours of seclusion use,0.0,0.0,6758.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),37.0,75.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,163.0,nan,Alcohol use brief intervention provided or offered,63.0,49.0,nan,57.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,80.0,nan,81.0,80.0,nan,Tobacco use screening,100.0,163.0,nan,Tobacco use treatment provided or offered,55.0,102.0,nan,4.0,102.0,nan,Tobacco use treatment provided or offered at discharge,0.0,97.0,nan,0.0,97.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,172.0,nan,Timely transmission of transition record (TR2),0.0,172.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.3,412.0,nan,32.0,412.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1188.0,23.9,21.8,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
104059,EASTSIDE PSYCHIATRIC HOSPITAL,"2634B CAPITAL CIRCLE NE, 2ND FLR",TALLAHASSEE,FL,32308,LEON,Hours of physical-restraint use,0.0,0.0,4890.0,nan,Hours of seclusion use,0.23,27.48,4890.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,58.0,nan,Screening for metabolic disorders (SMD),90.0,373.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,607.0,nan,Alcohol use brief intervention provided or offered,73.0,104.0,nan,62.0,104.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,104.0,nan,21.0,104.0,nan,Tobacco use screening,97.0,607.0,nan,Tobacco use treatment provided or offered,100.0,272.0,nan,100.0,272.0,nan,Tobacco use treatment provided or offered at discharge,11.0,272.0,nan,4.0,272.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),27.0,609.0,nan,Timely transmission of transition record (TR2),25.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.6,101.0,nan,8.9,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,317.0,23.1,19.4,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,537.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,42.0,nan,2017-10-01,2018-03-31
104063,"WILLOUGH AT NAPLES, THE",9001 TAMIAMI TRAIL EAST,NAPLES,FL,34113,COLLIER,Hours of physical-restraint use,0.0,0.0,23442.0,nan,Hours of seclusion use,0.0,0.0,23442.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,220.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,635.0,nan,Alcohol use brief intervention provided or offered,99.0,433.0,nan,99.0,433.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,526.0,nan,79.0,526.0,nan,Tobacco use screening,100.0,635.0,nan,Tobacco use treatment provided or offered,99.0,514.0,nan,10.0,514.0,nan,Tobacco use treatment provided or offered at discharge,3.0,434.0,nan,1.0,434.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,605.0,nan,Timely transmission of transition record (TR2),34.0,605.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.6,593.0,nan,23.8,593.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1296.0,17.4,15.6,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),35.0,215.0,nan,2017-10-01,2018-03-31
104067,ASPIRE HEALTH PARTNERS,1800 MERCY DR,ORLANDO,FL,32808,ORANGE,Hours of physical-restraint use,0.29,150.3,21915.0,nan,Hours of seclusion use,0.0,0.99,21915.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,19.0,nan,Screening for metabolic disorders (SMD),49.0,152.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,3.0,144.0,nan,Alcohol use brief intervention provided or offered,43.0,28.0,nan,43.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,3.0,144.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,670.0,nan,Timely transmission of transition record (TR2),99.0,674.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,23.2,241.0,nan,5.4,241.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,657.0,30.0,26.7,33.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,82.0,nan,2017-10-01,2018-03-31
104068,"CENTERS INC, THE",5664 SW 60TH AVE,OCALA,FL,34474,MARION,Hours of physical-restraint use,0.01,0.5,3874.0,nan,Hours of seclusion use,0.75,69.7,3874.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,34.0,nan,Screening for metabolic disorders (SMD),94.0,34.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,13.0,850.0,nan,Alcohol use brief intervention provided or offered,100.0,113.0,nan,100.0,113.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,113.0,nan,100.0,113.0,nan,Tobacco use screening,100.0,850.0,nan,Tobacco use treatment provided or offered,0.0,251.0,nan,0.0,251.0,nan,Tobacco use treatment provided or offered at discharge,0.0,251.0,nan,0.0,251.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,839.0,nan,Timely transmission of transition record (TR2),98.0,839.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.3,164.0,nan,13.4,164.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,417.0,21.5,17.9,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,374.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
104069,WEKIVA SPRINGS,3947 SALISBURY RD,JACKSONVILLE,FL,32216,DUVAL,Hours of physical-restraint use,0.02,14.46,25227.0,nan,Hours of seclusion use,0.0,0.0,25227.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,17.0,nan,Screening for metabolic disorders (SMD),59.0,256.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,731.0,nan,Alcohol use brief intervention provided or offered,99.0,334.0,nan,95.0,334.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,513.0,nan,70.0,513.0,nan,Tobacco use screening,99.0,731.0,nan,Tobacco use treatment provided or offered,92.0,449.0,nan,10.0,449.0,nan,Tobacco use treatment provided or offered at discharge,95.0,435.0,nan,1.0,435.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,750.0,nan,Timely transmission of transition record (TR2),46.0,750.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.8,272.0,nan,30.9,272.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1016.0,20.9,18.7,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,284.0,nan,2017-10-01,2018-03-31
104070,PORT ST LUCIE HOSPITAL,2550 SE WALTON RD,PORT SAINT LUCIE,FL,34952,ST. LUCIE,Hours of physical-restraint use,0.04,20.53,21177.0,nan,Hours of seclusion use,0.01,5.83,21177.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,18.0,nan,Screening for metabolic disorders (SMD),0.0,233.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,687.0,nan,Alcohol use brief intervention provided or offered,89.0,333.0,nan,87.0,333.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,474.0,nan,64.0,474.0,nan,Tobacco use screening,100.0,688.0,nan,Tobacco use treatment provided or offered,2.0,466.0,nan,0.0,466.0,nan,Tobacco use treatment provided or offered at discharge,8.0,398.0,nan,0.0,398.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,653.0,nan,Timely transmission of transition record (TR2),0.0,653.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.2,179.0,nan,21.8,179.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1369.0,22.5,20.5,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),45.0,287.0,nan,2017-10-01,2018-03-31
104071,THE VINES HOSPITAL,3130 SW 27TH AVE,OCALA,FL,34474,MARION,Hours of physical-restraint use,0.03,15.25,18219.0,nan,Hours of seclusion use,0.11,47.06,18219.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),66.0,291.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,734.0,nan,Alcohol use brief intervention provided or offered,48.0,224.0,nan,47.0,224.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,438.0,nan,12.0,438.0,nan,Tobacco use screening,99.0,734.0,nan,Tobacco use treatment provided or offered,100.0,406.0,nan,4.0,406.0,nan,Tobacco use treatment provided or offered at discharge,99.0,393.0,nan,0.0,393.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,795.0,nan,Timely transmission of transition record (TR2),78.0,795.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.5,363.0,nan,30.0,363.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,823.0,21.2,18.9,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,390.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),25.0,210.0,nan,2017-10-01,2018-03-31
104072,CENTRAL FLORIDA BEHAVIORAL HOSPITAL,6601 CENTRAL FLORIDA PARKWAY,ORLANDO,FL,32821,ORANGE,Hours of physical-restraint use,0.03,29.16,40590.0,nan,Hours of seclusion use,0.14,140.8,40590.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,44.0,57.0,nan,Screening for metabolic disorders (SMD),58.0,648.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,815.0,nan,Alcohol use brief intervention provided or offered,59.0,199.0,nan,42.0,199.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,239.0,nan,46.0,239.0,nan,Tobacco use screening,99.0,815.0,nan,Tobacco use treatment provided or offered,74.0,388.0,nan,62.0,388.0,nan,Tobacco use treatment provided or offered at discharge,49.0,345.0,nan,1.0,345.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,1459.0,nan,Timely transmission of transition record (TR2),51.0,1459.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.6,322.0,nan,29.2,322.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,931.0,27.2,24.7,30.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,737.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,487.0,nan,2017-10-01,2018-03-31
104073,EMERALD COAST BEHAVIORAL HOSPITAL,1940 HARRISON AVE,PANAMA CITY,FL,32405,BAY,Hours of physical-restraint use,0.02,10.8,25249.0,nan,Hours of seclusion use,0.08,49.61,25249.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,18.0,nan,Screening for metabolic disorders (SMD),66.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,336.0,nan,Alcohol use brief intervention provided or offered,83.0,77.0,nan,81.0,77.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,167.0,nan,58.0,167.0,nan,Tobacco use screening,87.0,336.0,nan,Tobacco use treatment provided or offered,80.0,161.0,nan,10.0,161.0,nan,Tobacco use treatment provided or offered at discharge,81.0,149.0,nan,1.0,149.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,701.0,nan,Timely transmission of transition record (TR2),62.0,701.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.3,167.0,nan,19.2,167.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,563.0,18.0,15.3,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,340.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,294.0,nan,2017-10-01,2018-03-31
104074,PARK ROYAL HOSPITAL,9241 PARK ROYAL DR,FORT MYERS,FL,33908,LEE,Hours of physical-restraint use,0.04,30.0,29318.0,nan,Hours of seclusion use,0.07,49.0,29318.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,21.0,nan,Screening for metabolic disorders (SMD),14.0,337.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,740.0,nan,Alcohol use brief intervention provided or offered,28.0,218.0,nan,22.0,218.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,15.0,341.0,nan,13.0,341.0,nan,Tobacco use screening,96.0,760.0,nan,Tobacco use treatment provided or offered,79.0,283.0,nan,47.0,283.0,nan,Tobacco use treatment provided or offered at discharge,41.0,269.0,nan,0.0,269.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,780.0,nan,Timely transmission of transition record (TR2),1.0,780.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,677.0,nan,29.4,677.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,2307.0,19.7,18.1,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,373.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,287.0,nan,2017-10-01,2018-03-31
104075,NORTH TAMPA BEHAVIORAL HEALTH,29910 SR 56,WESLEY CHAPEL,FL,33543,PASCO,Hours of physical-restraint use,0.02,15.75,26344.0,nan,Hours of seclusion use,0.41,262.08,26344.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,11.0,nan,Screening for metabolic disorders (SMD),24.0,334.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,606.0,nan,Alcohol use brief intervention provided or offered,71.0,154.0,nan,60.0,154.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,367.0,nan,11.0,367.0,nan,Tobacco use screening,94.0,603.0,nan,Tobacco use treatment provided or offered,99.0,285.0,nan,10.0,285.0,nan,Tobacco use treatment provided or offered at discharge,85.0,277.0,nan,0.0,277.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,623.0,nan,Timely transmission of transition record (TR2),74.0,623.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.5,301.0,nan,28.6,301.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,898.0,23.3,20.9,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),38.0,229.0,nan,2017-10-01,2018-03-31
104076,UNIVERSITY BEHAVIORAL CENTER,2500 DISCOVERY DRIVE,ORLANDO,FL,32826,ORANGE,Hours of physical-restraint use,0.09,56.45,24911.0,nan,Hours of seclusion use,0.31,182.4,24911.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,2.0,41.0,nan,Screening for metabolic disorders (SMD),47.0,333.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,518.0,nan,Alcohol use brief intervention provided or offered,66.0,170.0,nan,56.0,170.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,235.0,nan,18.0,235.0,nan,Tobacco use screening,98.0,518.0,nan,Tobacco use treatment provided or offered,46.0,211.0,nan,23.0,211.0,nan,Tobacco use treatment provided or offered at discharge,3.0,190.0,nan,0.0,190.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,1023.0,nan,Timely transmission of transition record (TR2),5.0,1023.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.6,143.0,nan,18.9,143.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,386.0,25.0,21.4,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,452.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,295.0,nan,2017-10-01,2018-03-31
104078,SUNCOAST BEHAVIORAL HEALTH CENTER,4480 51ST ST W,BRADENTON,FL,34210,MANATEE,Hours of physical-restraint use,0.06,16.28,12233.0,nan,Hours of seclusion use,0.08,24.73,12233.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,32.0,nan,Screening for metabolic disorders (SMD),44.0,336.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,307.0,nan,Alcohol use brief intervention provided or offered,87.0,67.0,nan,76.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,99.0,nan,31.0,99.0,nan,Tobacco use screening,100.0,307.0,nan,Tobacco use treatment provided or offered,89.0,151.0,nan,56.0,151.0,nan,Tobacco use treatment provided or offered at discharge,62.0,131.0,nan,1.0,131.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,751.0,nan,Timely transmission of transition record (TR2),95.0,751.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.1,108.0,nan,30.6,108.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,339.0,23.3,19.7,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,384.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,106.0,nan,2017-10-01,2018-03-31
104079,LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS,1201 N 37TH AVE,HOLLYWOOD,FL,33021,BROWARD,Hours of physical-restraint use,0.0,0.0,6877.0,nan,Hours of seclusion use,0.0,0.0,6877.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),55.0,265.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,508.0,nan,Alcohol use brief intervention provided or offered,98.0,53.0,nan,94.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,506.0,nan,Tobacco use treatment provided or offered,96.0,245.0,nan,6.0,245.0,nan,Tobacco use treatment provided or offered at discharge,91.0,243.0,nan,1.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,728.0,nan,Timely transmission of transition record (TR2),84.0,728.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,47.0,nan,25.5,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,153.0,26.3,21.6,31.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,554.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),43.0,83.0,nan,2017-10-01,2018-03-31
104080,CORAL SHORES BEHAVIORAL HEALTH,5995 SE COMMUNITY DRIVE,STUART,FL,34997,MARTIN,Hours of physical-restraint use,0.03,1.85,2412.0,nan,Hours of seclusion use,0.24,14.01,2412.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),11.0,111.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,302.0,nan,Alcohol use brief intervention provided or offered,75.0,100.0,nan,71.0,100.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,154.0,nan,29.0,154.0,nan,Tobacco use screening,99.0,311.0,nan,Tobacco use treatment provided or offered,46.0,137.0,nan,32.0,137.0,nan,Tobacco use treatment provided or offered at discharge,50.0,134.0,nan,4.0,134.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,360.0,nan,Timely transmission of transition record (TR2),62.0,360.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,400.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,130.0,nan,2017-10-01,2018-03-31
110001,HAMILTON MEDICAL CENTER,1200 MEMORIAL DRIVE,DALTON,GA,30720,WHITFIELD,Hours of physical-restraint use,0.0,0.13,3628.0,nan,Hours of seclusion use,0.0,0.0,3628.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,18.0,nan,Screening for metabolic disorders (SMD),26.0,262.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,464.0,nan,Alcohol use brief intervention provided or offered,99.0,127.0,nan,99.0,127.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,232.0,nan,87.0,232.0,nan,Tobacco use screening,97.0,459.0,nan,Tobacco use treatment provided or offered,94.0,237.0,nan,31.0,237.0,nan,Tobacco use treatment provided or offered at discharge,88.0,224.0,nan,0.0,224.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),30.0,593.0,nan,Timely transmission of transition record (TR2),29.0,593.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.3,118.0,nan,22.9,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,279.0,15.9,12.8,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,282.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,18.0,nan,2017-10-01,2018-03-31
110002,UPSON REGIONAL MEDICAL CENTER,801 W GORDON STREET,THOMASTON,GA,30286,UPSON,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,20.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
110003,MEMORIAL SATILLA HEALTH,1900 TEBEAU STREET,WAYCROSS,GA,31501,WARE,Hours of physical-restraint use,0.0,0.0,2130.0,nan,Hours of seclusion use,0.0,0.0,2130.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),60.0,82.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,172.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,96.0,171.0,nan,Tobacco use treatment provided or offered,67.0,30.0,nan,53.0,30.0,nan,Tobacco use treatment provided or offered at discharge,28.0,18.0,nan,17.0,18.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,173.0,nan,Timely transmission of transition record (TR2),39.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,26.0,nan,23.1,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,313.0,18.5,14.9,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,62.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,25.0,nan,2017-10-01,2018-03-31
110007,PHOEBE PUTNEY MEMORIAL HOSPITAL,417 THIRD AVENUE,ALBANY,GA,31703,DOUGHERTY,Hours of physical-restraint use,0.01,0.08,606.0,nan,Hours of seclusion use,0.0,0.0,606.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),59.0,63.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,109.0,nan,Alcohol use brief intervention provided or offered,85.0,13.0,nan,85.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,44.0,nan,14.0,44.0,nan,Tobacco use screening,100.0,109.0,nan,Tobacco use treatment provided or offered,43.0,54.0,nan,9.0,54.0,nan,Tobacco use treatment provided or offered at discharge,12.0,51.0,nan,4.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,122.0,nan,Timely transmission of transition record (TR2),0.0,122.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.7,60.0,nan,20.0,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,372.0,19.9,16.6,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,12.0,nan,2017-10-01,2018-03-31
110010,EMORY UNIVERSITY HOSPITAL,"1364 CLIFTON ROAD, NE",ATLANTA,GA,30322,DE KALB,Hours of physical-restraint use,0.08,11.15,5650.0,nan,Hours of seclusion use,0.32,43.79,5650.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,276.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,453.0,nan,Alcohol use brief intervention provided or offered,68.0,77.0,nan,42.0,77.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,130.0,nan,76.0,130.0,nan,Tobacco use screening,94.0,450.0,nan,Tobacco use treatment provided or offered,99.0,104.0,nan,53.0,104.0,nan,Tobacco use treatment provided or offered at discharge,88.0,99.0,nan,8.0,99.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),90.0,611.0,nan,Timely transmission of transition record (TR2),87.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.9,156.0,nan,43.6,156.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,410.0,17.0,13.9,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,503.0,nan,2017-10-01,2018-03-31
110015,TANNER MEDICAL CENTER VILLA RICA,601 DALLAS HIGHWAY,VILLA RICA,GA,30180,CARROLL,Hours of physical-restraint use,0.03,23.0,27584.0,nan,Hours of seclusion use,0.0,1.3,27584.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,35.0,nan,Screening for metabolic disorders (SMD),86.0,427.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,766.0,nan,Alcohol use brief intervention provided or offered,80.0,103.0,nan,80.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,441.0,nan,73.0,441.0,nan,Tobacco use screening,97.0,767.0,nan,Tobacco use treatment provided or offered,89.0,481.0,nan,59.0,481.0,nan,Tobacco use treatment provided or offered at discharge,80.0,479.0,nan,80.0,479.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,944.0,nan,Timely transmission of transition record (TR2),92.0,944.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,268.0,nan,22.8,268.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,620.0,21.5,18.8,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,231.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,1350.0,nan,2017-10-01,2018-03-31
110029,"NORTHEAST GEORGIA MEDICAL CENTER, INC",743 SPRING STREET,GAINESVILLE,GA,30501,HALL,Hours of physical-restraint use,0.05,13.62,12373.0,nan,Hours of seclusion use,0.36,10.97,1273.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,38.0,nan,Screening for metabolic disorders (SMD),97.0,282.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,524.0,nan,Alcohol use brief intervention provided or offered,83.0,120.0,nan,82.0,120.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,302.0,nan,96.0,302.0,nan,Tobacco use screening,99.0,530.0,nan,Tobacco use treatment provided or offered,93.0,334.0,nan,78.0,334.0,nan,Tobacco use treatment provided or offered at discharge,85.0,331.0,nan,1.0,331.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,835.0,nan,Timely transmission of transition record (TR2),36.0,835.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.2,193.0,nan,25.9,193.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,538.0,19.1,16.4,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,407.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,214.0,nan,2017-10-01,2018-03-31
110036,MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER,4700 WATERS AVENUE,SAVANNAH,GA,31404,CHATHAM,Hours of physical-restraint use,0.04,2.45,2501.0,nan,Hours of seclusion use,0.0,0.0,2501.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),52.0,140.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,226.0,nan,Alcohol use brief intervention provided or offered,95.0,44.0,nan,95.0,44.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,76.0,nan,92.0,76.0,nan,Tobacco use screening,93.0,287.0,nan,Tobacco use treatment provided or offered,50.0,106.0,nan,42.0,106.0,nan,Tobacco use treatment provided or offered at discharge,37.0,103.0,nan,10.0,103.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),9.0,300.0,nan,Timely transmission of transition record (TR2),7.0,300.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.0,50.0,nan,10.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,153.0,17.9,13.8,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,82.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,11.0,nan,2017-10-01,2018-03-31
110038,JOHN D ARCHBOLD MEMORIAL HOSPITAL,915 GORDON AVENUE & MIMOSA DRIVE,THOMASVILLE,GA,31792,THOMAS,Hours of physical-restraint use,0.0,0.0,6164.0,nan,Hours of seclusion use,0.0,0.0,6164.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,22.0,nan,Screening for metabolic disorders (SMD),77.0,424.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,704.0,nan,Alcohol use brief intervention provided or offered,100.0,162.0,nan,100.0,162.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,291.0,nan,95.0,291.0,nan,Tobacco use screening,100.0,704.0,nan,Tobacco use treatment provided or offered,80.0,415.0,nan,73.0,415.0,nan,Tobacco use treatment provided or offered at discharge,49.0,355.0,nan,14.0,355.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,714.0,nan,Timely transmission of transition record (TR2),92.0,714.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,118.0,22.1,17.2,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,60.0,nan,2017-10-01,2018-03-31
110040,NORTHRIDGE MEDICAL CENTER,70 MEDICAL CENTER DRIVE,COMMERCE,GA,30529,JACKSON,Hours of physical-restraint use,0.49,37.0,3143.0,nan,Hours of seclusion use,0.34,26.0,3143.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,66.0,nan,Screening for metabolic disorders (SMD),69.0,404.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,50.0,404.0,nan,Alcohol use brief intervention provided or offered,100.0,26.0,nan,54.0,26.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,41.0,nan,66.0,41.0,nan,Tobacco use screening,66.0,404.0,nan,Tobacco use treatment provided or offered,41.0,162.0,nan,36.0,162.0,nan,Tobacco use treatment provided or offered at discharge,43.0,162.0,nan,16.0,162.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,404.0,nan,Timely transmission of transition record (TR2),68.0,404.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,72.0,nan,18.1,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,430.0,26.1,22.0,30.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,205.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,303.0,nan,2017-10-01,2018-03-31
110054,FLOYD MEDICAL CENTER,304 TURNER MCCALL BLVD P O BOX 233,ROME,GA,30162,FLOYD,Hours of physical-restraint use,0.0,0.0,5162.0,nan,Hours of seclusion use,0.0,0.0,5162.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,49.0,nan,Screening for metabolic disorders (SMD),57.0,360.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,664.0,nan,Alcohol use brief intervention provided or offered,93.0,143.0,nan,78.0,143.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,349.0,nan,20.0,349.0,nan,Tobacco use screening,100.0,685.0,nan,Tobacco use treatment provided or offered,80.0,404.0,nan,51.0,404.0,nan,Tobacco use treatment provided or offered at discharge,81.0,391.0,nan,3.0,391.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,710.0,nan,Timely transmission of transition record (TR2),11.0,710.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.7,170.0,nan,22.4,170.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,709.0,19.2,16.7,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,352.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),47.0,205.0,nan,2017-10-01,2018-03-31
110071,APPLING HOSPITAL,163 E TOLLISON STREET,BAXLEY,GA,31513,APPLING,Hours of physical-restraint use,0.0,0.0,10950.0,nan,Hours of seclusion use,0.01,3.83,10950.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,325.0,nan,Screening for metabolic disorders (SMD),100.0,696.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,712.0,nan,Alcohol use brief intervention provided or offered,71.0,35.0,nan,34.0,35.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,712.0,nan,Tobacco use treatment provided or offered,100.0,33.0,nan,9.0,33.0,nan,Tobacco use treatment provided or offered at discharge,100.0,33.0,nan,9.0,33.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,696.0,nan,Timely transmission of transition record (TR2),100.0,696.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.0,25.0,nan,24.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,964.0,20.0,17.6,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,358.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,64.0,nan,2017-10-01,2018-03-31
110079,GRADY MEMORIAL HOSPITAL,"80 JESSE HILL, JR DRIVE SE",ATLANTA,GA,30303,FULTON,Hours of physical-restraint use,0.08,15.8,8267.0,nan,Hours of seclusion use,0.06,11.5,8267.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,11.0,nan,Screening for metabolic disorders (SMD),87.0,586.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,108.0,nan,Alcohol use brief intervention provided or offered,90.0,30.0,nan,90.0,30.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,33.0,nan,0.0,33.0,nan,Tobacco use screening,97.0,109.0,nan,Tobacco use treatment provided or offered,69.0,45.0,nan,40.0,45.0,nan,Tobacco use treatment provided or offered at discharge,14.0,44.0,nan,0.0,44.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1198.0,nan,Timely transmission of transition record (TR2),0.0,1198.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.5,80.0,nan,17.5,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,194.0,19.0,15.2,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,232.0,nan,2017-10-01,2018-03-31
110092,DODGE COUNTY HOSPITAL,901 GRIFFIN AVE,EASTMAN,GA,31023,DODGE,Hours of physical-restraint use,0.0,0.0,2723.0,nan,Hours of seclusion use,0.35,23.1,2723.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,26.0,nan,Screening for metabolic disorders (SMD),5.0,121.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,235.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,236.0,nan,Tobacco use treatment provided or offered,100.0,44.0,nan,43.0,44.0,nan,Tobacco use treatment provided or offered at discharge,65.0,20.0,nan,5.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,239.0,nan,Timely transmission of transition record (TR2),44.0,239.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,18.2,11.0,nan,9.1,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,194.0,17.5,13.4,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,109.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),43.0,335.0,nan,2017-10-01,2018-03-31
110101,COOK  MEDICAL CENTER  A CAMPUS OF TIFT REG MED CTR,706 N PARRISH AVE,ADEL,GA,31620,COOK,Hours of physical-restraint use,0.0,0.0,3162.0,nan,Hours of seclusion use,0.0,0.0,3162.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,161.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,70.0,33.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,33.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,242.0,nan,Timely transmission of transition record (TR2),77.0,242.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.2,22.0,nan,18.2,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,247.0,20.5,16.1,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,114.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
110107,"MEDICAL CENTER, NAVICENT HEALTH (THE)",777 HEMLOCK STREET,MACON,GA,31201,BIBB,Hours of physical-restraint use,5.87,423.63,3009.0,nan,Hours of seclusion use,16.22,1171.15,3009.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,19.0,nan,Screening for metabolic disorders (SMD),76.0,173.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,290.0,nan,Alcohol use brief intervention provided or offered,83.0,65.0,nan,83.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,146.0,nan,92.0,146.0,nan,Tobacco use screening,100.0,295.0,nan,Tobacco use treatment provided or offered,88.0,179.0,nan,74.0,179.0,nan,Tobacco use treatment provided or offered at discharge,81.0,166.0,nan,80.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),38.0,308.0,nan,Timely transmission of transition record (TR2),37.0,308.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.8,37.0,nan,16.2,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,111.0,15.6,11.8,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,114.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,30.0,nan,2017-10-01,2018-03-31
110109,EMANUEL MEDICAL CENTER,117 KITE ROAD,SWAINSBORO,GA,30401,EMANUEL,Hours of physical-restraint use,0.1,8.02,3293.0,nan,Hours of seclusion use,0.1,7.85,3293.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,79.0,nan,Screening for metabolic disorders (SMD),50.0,210.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,277.0,nan,Alcohol use brief intervention provided or offered,6.0,17.0,nan,6.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,277.0,nan,Tobacco use treatment provided or offered,18.0,83.0,nan,14.0,83.0,nan,Tobacco use treatment provided or offered at discharge,6.0,51.0,nan,0.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),42.0,292.0,nan,Timely transmission of transition record (TR2),39.0,292.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.3,28.0,nan,17.9,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,251.0,23.4,19.1,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,142.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,34.0,nan,2017-10-01,2018-03-31
110115,WELLSTAR ATLANTA MEDICAL CENTER,"303 PARKWAY DRIVE, NE",ATLANTA,GA,30312,FULTON,Hours of physical-restraint use,0.12,43.09,14669.0,nan,Hours of seclusion use,0.15,52.97,14669.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,19.0,26.0,nan,Screening for metabolic disorders (SMD),16.0,281.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,435.0,nan,Alcohol use brief intervention provided or offered,82.0,60.0,nan,78.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,208.0,nan,64.0,208.0,nan,Tobacco use screening,93.0,537.0,nan,Tobacco use treatment provided or offered,92.0,306.0,nan,71.0,306.0,nan,Tobacco use treatment provided or offered at discharge,4.0,291.0,nan,2.0,291.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,703.0,nan,Timely transmission of transition record (TR2),0.0,703.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,22.3,184.0,nan,8.2,184.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,546.0,22.4,19.7,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,58.0,nan,2017-10-01,2018-03-31
110129,ST FRANCIS HOSPITAL,2122 MANCHESTER EXPRESSWAY,COLUMBUS,GA,31995,MUSCOGEE,Hours of physical-restraint use,0.02,1.92,3537.0,nan,Hours of seclusion use,0.01,0.92,3537.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,22.0,nan,Screening for metabolic disorders (SMD),79.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,404.0,nan,Alcohol use brief intervention provided or offered,98.0,65.0,nan,97.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,62.0,nan,50.0,62.0,nan,Tobacco use screening,100.0,402.0,nan,Tobacco use treatment provided or offered,94.0,155.0,nan,73.0,155.0,nan,Tobacco use treatment provided or offered at discharge,50.0,153.0,nan,31.0,153.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,352.0,nan,Timely transmission of transition record (TR2),16.0,352.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.7,71.0,nan,28.2,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,234.0,21.9,17.8,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,212.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
110164,COLISEUM MEDICAL CENTERS,350 HOSPITAL DRIVE,MACON,GA,31217,BIBB,Hours of physical-restraint use,0.0,0.0,10811.0,nan,Hours of seclusion use,0.52,135.62,10811.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,218.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,648.0,nan,Alcohol use brief intervention provided or offered,83.0,233.0,nan,82.0,233.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,355.0,nan,83.0,355.0,nan,Tobacco use screening,100.0,650.0,nan,Tobacco use treatment provided or offered,87.0,356.0,nan,69.0,356.0,nan,Tobacco use treatment provided or offered at discharge,83.0,342.0,nan,50.0,342.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,505.0,nan,Timely transmission of transition record (TR2),36.0,505.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.6,140.0,nan,22.1,140.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,503.0,19.4,16.3,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,1856.0,nan,2017-10-01,2018-03-31
110187,CHESTATEE REGIONAL HOSPITAL,227 MOUNTAIN DRIVE,DAHLONEGA,GA,30533,LUMPKIN,Hours of physical-restraint use,0.0,0.0,2584.0,nan,Hours of seclusion use,0.72,44.5,2584.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),75.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,69.0,213.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,77.0,213.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,213.0,nan,Timely transmission of transition record (TR2),98.0,213.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.3,11.0,nan,18.2,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,198.0,26.0,20.5,32.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,106.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,25.0,nan,2017-10-01,2018-03-31
110190,FLINT RIVER COMMUNITY HOSPITAL,"509 SUMTER STREET, BOX 770",MONTEZUMA,GA,31063,DOOLY,Hours of physical-restraint use,0.0,0.72,8656.0,nan,Hours of seclusion use,0.15,31.77,8656.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,62.0,nan,Screening for metabolic disorders (SMD),43.0,375.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,477.0,nan,Alcohol use brief intervention provided or offered,13.0,95.0,nan,13.0,95.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,314.0,nan,35.0,314.0,nan,Tobacco use screening,100.0,477.0,nan,Tobacco use treatment provided or offered,0.0,352.0,nan,0.0,352.0,nan,Tobacco use treatment provided or offered at discharge,7.0,351.0,nan,7.0,351.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,732.0,nan,Timely transmission of transition record (TR2),0.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.0,171.0,nan,28.7,171.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,387.0,21.2,18.0,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),22.0,364.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,117.0,nan,2017-10-01,2018-03-31
110192,EASTSIDE MEDICAL CENTER,1700 MEDICAL WAY,SNELLVILLE,GA,30078,GWINNETT,Hours of physical-restraint use,0.03,16.7,21711.0,nan,Hours of seclusion use,0.02,9.67,21711.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,18.0,nan,Screening for metabolic disorders (SMD),75.0,389.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,257.0,nan,Alcohol use brief intervention provided or offered,55.0,20.0,nan,50.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,50.0,nan,22.0,50.0,nan,Tobacco use screening,95.0,259.0,nan,Tobacco use treatment provided or offered,86.0,74.0,nan,61.0,74.0,nan,Tobacco use treatment provided or offered at discharge,76.0,72.0,nan,3.0,72.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),28.0,514.0,nan,Timely transmission of transition record (TR2),24.0,514.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.3,179.0,nan,22.9,179.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1055.0,18.4,16.3,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,536.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,253.0,nan,2017-10-01,2018-03-31
110194,DONALSONVILLE HOSPITAL INC,102 HOSPITAL CIR,DONALSONVILLE,GA,39845,SEMINOLE,Hours of physical-restraint use,0.0,0.0,1593.0,nan,Hours of seclusion use,0.0,0.0,1593.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,88.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,80.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,13.0,nan,54.0,13.0,nan,Tobacco use screening,100.0,80.0,nan,Tobacco use treatment provided or offered,83.0,23.0,nan,39.0,23.0,nan,Tobacco use treatment provided or offered at discharge,47.0,17.0,nan,24.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,147.0,nan,Timely transmission of transition record (TR2),90.0,147.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),37.0,236.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,87.0,nan,2017-10-01,2018-03-31
110209,TURNING POINT HOSPITAL,3015 VETERANS PARKWAY,MOULTRIE,GA,31788,COLQUITT,Hours of physical-restraint use,0.03,7.22,9276.0,nan,Hours of seclusion use,0.01,1.68,9276.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,35.0,17.0,nan,Screening for metabolic disorders (SMD),75.0,453.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,664.0,nan,Alcohol use brief intervention provided or offered,95.0,340.0,nan,94.0,340.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,588.0,nan,95.0,588.0,nan,Tobacco use screening,99.0,664.0,nan,Tobacco use treatment provided or offered,98.0,442.0,nan,20.0,442.0,nan,Tobacco use treatment provided or offered at discharge,97.0,430.0,nan,3.0,430.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,661.0,nan,Timely transmission of transition record (TR2),76.0,661.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.8,428.0,nan,76.2,428.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,954.0,17.3,15.4,19.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,131.0,nan,2017-10-01,2018-03-31
110234,SGMC BERRIEN CAMPUS,1221 E MCPHERSON AVENUE,NASHVILLE,GA,31639,BERRIEN,Hours of physical-restraint use,0.0,0.0,2479.0,nan,Hours of seclusion use,0.0,0.0,2479.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,134.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,161.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,21.0,nan,24.0,21.0,nan,Tobacco use screening,100.0,161.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,172.0,nan,Timely transmission of transition record (TR2),84.0,172.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.7,15.0,nan,20.0,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,238.0,16.1,12.5,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,22.0,nan,2017-10-01,2018-03-31
111314,LIFEBRITE COMMUNITY HOSPITAL OF EARLY,11740 COLUMBIA STREET,BLAKELY,GA,39823,EARLY,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,50.0,24.9,18.4,33.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
111324,CHATUGE REGIONAL HOSPITAL,110 S MAIN STREET,HIAWASSEE,GA,30546,TOWNS,Hours of physical-restraint use,0.0,0.0,1858.0,nan,Hours of seclusion use,0.0,0.0,1858.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,17.0,12.0,nan,Screening for metabolic disorders (SMD),25.0,72.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,80.0,194.0,nan,Alcohol use brief intervention provided or offered,71.0,14.0,nan,57.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,37.0,nan,27.0,37.0,nan,Tobacco use screening,100.0,193.0,nan,Tobacco use treatment provided or offered,48.0,23.0,nan,26.0,23.0,nan,Tobacco use treatment provided or offered at discharge,21.0,19.0,nan,0.0,19.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,164.0,nan,Timely transmission of transition record (TR2),99.0,164.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.3,35.0,nan,2.9,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,148.0,20.6,15.9,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,70.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,33.0,nan,2017-10-01,2018-03-31
114004,SUMMITRIDGE CENTER- PSYCHIATRY & ADDICTIVE MED,250 SCENIC HIGHWAY,LAWRENCEVILLE,GA,30046,GWINNETT,Hours of physical-restraint use,0.02,14.15,29365.0,nan,Hours of seclusion use,0.0,1.02,29365.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,36.0,nan,Screening for metabolic disorders (SMD),78.0,464.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,522.0,nan,Alcohol use brief intervention provided or offered,89.0,132.0,nan,67.0,132.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,252.0,nan,30.0,252.0,nan,Tobacco use screening,99.0,522.0,nan,Tobacco use treatment provided or offered,92.0,282.0,nan,7.0,282.0,nan,Tobacco use treatment provided or offered at discharge,90.0,268.0,nan,1.0,268.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,881.0,nan,Timely transmission of transition record (TR2),85.0,881.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.6,317.0,nan,24.6,317.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1005.0,19.7,17.4,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,455.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,270.0,nan,2017-10-01,2018-03-31
114008,COASTAL HARBOR TREATMENT CENTER,1150 CORNELL AVE,SAVANNAH,GA,31406,CHATHAM,Hours of physical-restraint use,0.09,37.23,16662.0,nan,Hours of seclusion use,0.36,142.3,16662.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,26.0,nan,Screening for metabolic disorders (SMD),57.0,357.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,83.0,261.0,nan,Alcohol use brief intervention provided or offered,47.0,51.0,nan,47.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,115.0,nan,37.0,115.0,nan,Tobacco use screening,98.0,261.0,nan,Tobacco use treatment provided or offered,63.0,138.0,nan,20.0,138.0,nan,Tobacco use treatment provided or offered at discharge,39.0,128.0,nan,0.0,128.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,760.0,nan,Timely transmission of transition record (TR2),54.0,760.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.8,190.0,nan,21.6,190.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,499.0,20.0,17.2,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,378.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),48.0,638.0,nan,2017-10-01,2018-03-31
114010,PEACHFORD BEHAVIORAL HEALTH SYSTEM OF ATLANTA,2151 PEACHFORD ROAD,ATLANTA,GA,30338,DE KALB,Hours of physical-restraint use,0.02,38.71,77030.0,nan,Hours of seclusion use,0.08,150.1,77030.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,70.0,nan,Screening for metabolic disorders (SMD),70.0,695.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,754.0,nan,Alcohol use brief intervention provided or offered,58.0,225.0,nan,56.0,225.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,381.0,nan,42.0,381.0,nan,Tobacco use screening,91.0,755.0,nan,Tobacco use treatment provided or offered,88.0,374.0,nan,9.0,374.0,nan,Tobacco use treatment provided or offered at discharge,63.0,339.0,nan,2.0,339.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),51.0,1525.0,nan,Timely transmission of transition record (TR2),45.0,1525.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,764.0,nan,25.9,764.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,2176.0,16.4,14.9,17.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,691.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,972.0,nan,2017-10-01,2018-03-31
114012,RIDGEVIEW INSTITUTE,"3995 S COBB DRIVE, SE",SMYRNA,GA,30080,COBB,Hours of physical-restraint use,0.18,158.73,37559.0,nan,Hours of seclusion use,0.07,60.62,37559.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,15.0,46.0,nan,Screening for metabolic disorders (SMD),18.0,538.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,797.0,nan,Alcohol use brief intervention provided or offered,75.0,233.0,nan,75.0,233.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,291.0,nan,79.0,291.0,nan,Tobacco use screening,85.0,797.0,nan,Tobacco use treatment provided or offered,42.0,227.0,nan,7.0,227.0,nan,Tobacco use treatment provided or offered at discharge,41.0,215.0,nan,0.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1102.0,nan,Timely transmission of transition record (TR2),0.0,1102.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.0,252.0,nan,31.7,252.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1000.0,19.8,17.3,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),54.0,332.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),15.0,679.0,nan,2017-10-01,2018-03-31
114013,WEST CENTRAL GEORGIA REGIONAL HOSPITAL,3000 SCHATULGA RD BOX 12435,COLUMBUS,GA,31917,MUSCOGEE,Hours of physical-restraint use,0.13,42.95,14036.0,nan,Hours of seclusion use,0.07,24.23,14036.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,23.0,nan,Screening for metabolic disorders (SMD),0.0,73.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,59.0,nan,Alcohol use brief intervention provided or offered,36.0,14.0,nan,21.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,18.0,nan,0.0,18.0,nan,Tobacco use screening,95.0,59.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,93.0,nan,Timely transmission of transition record (TR2),0.0,93.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),27.0,41.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,780.0,nan,2017-10-01,2018-03-31
114016,ST SIMONS-BY-THE-SEA,2927 DEMERE ROAD,SAINT SIMONS ISLAND,GA,31522,GLYNN,Hours of physical-restraint use,0.05,18.36,16363.0,nan,Hours of seclusion use,0.0,0.0,16363.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,14.0,nan,Screening for metabolic disorders (SMD),57.0,265.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,414.0,nan,Alcohol use brief intervention provided or offered,94.0,142.0,nan,92.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,229.0,nan,56.0,229.0,nan,Tobacco use screening,99.0,414.0,nan,Tobacco use treatment provided or offered,88.0,227.0,nan,39.0,227.0,nan,Tobacco use treatment provided or offered at discharge,65.0,194.0,nan,0.0,194.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,775.0,nan,Timely transmission of transition record (TR2),56.0,775.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.0,198.0,nan,28.8,198.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,815.0,16.1,14.0,18.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,375.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,331.0,nan,2017-10-01,2018-03-31
114019,GEORGIA REGIONAL HOSPITAL ATLANTA,3073 PANTHERSVILLE ROAD,DECATUR,GA,30034,DE KALB,Hours of physical-restraint use,4.0,8093.5,84257.0,nan,Hours of seclusion use,0.08,153.12,84257.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,28.0,236.0,nan,Screening for metabolic disorders (SMD),0.0,1031.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,63.0,1063.0,nan,Alcohol use brief intervention provided or offered,55.0,80.0,nan,48.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,17.0,374.0,nan,5.0,374.0,nan,Tobacco use screening,97.0,1042.0,nan,Tobacco use treatment provided or offered,68.0,442.0,nan,57.0,442.0,nan,Tobacco use treatment provided or offered at discharge,52.0,424.0,nan,9.0,424.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1209.0,nan,Timely transmission of transition record (TR2),0.0,1209.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,32.0,nan,12.5,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,82.0,21.3,16.0,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),18.0,450.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),33.0,1159.0,nan,2017-10-01,2018-03-31
114028,GEORGIA REGIONAL HOSP SAVANNAH,1915 EISENHOWER DRIVE,SAVANNAH,GA,31416,CHATHAM,Hours of physical-restraint use,0.02,13.77,36970.0,nan,Hours of seclusion use,0.01,7.08,36970.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,206.0,nan,Screening for metabolic disorders (SMD),0.0,515.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,749.0,nan,Alcohol use brief intervention provided or offered,26.0,82.0,nan,22.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,381.0,nan,55.0,381.0,nan,Tobacco use screening,97.0,738.0,nan,Tobacco use treatment provided or offered,77.0,439.0,nan,69.0,439.0,nan,Tobacco use treatment provided or offered at discharge,35.0,412.0,nan,9.0,412.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,805.0,nan,Timely transmission of transition record (TR2),0.0,805.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.9,21.0,nan,47.6,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,59.0,20.1,14.6,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),43.0,385.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,649.0,nan,2017-10-01,2018-03-31
114029,EAST CENTRAL REGIONAL HOSPITAL,3405 MIKE PADGETT HWY,AUGUSTA,GA,30906,RICHMOND,Hours of physical-restraint use,0.38,225.73,24852.0,nan,Hours of seclusion use,0.1,60.32,24852.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,49.0,173.0,nan,Screening for metabolic disorders (SMD),0.0,550.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,566.0,nan,Alcohol use brief intervention provided or offered,49.0,37.0,nan,35.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,271.0,nan,2.0,271.0,nan,Tobacco use screening,92.0,546.0,nan,Tobacco use treatment provided or offered,66.0,281.0,nan,58.0,281.0,nan,Tobacco use treatment provided or offered at discharge,73.0,275.0,nan,1.0,275.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,603.0,nan,Timely transmission of transition record (TR2),0.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.7,30.0,nan,16.7,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,69.0,17.0,12.2,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,246.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,1341.0,nan,2017-10-01,2018-03-31
114032,SO CRESCENT BEH HLTH SYS - ANCHOR HOSPITAL CAMPUS,5454 YORKTOWNE DRIVE,COLLEGE PARK,GA,30349,FULTON,Hours of physical-restraint use,0.03,34.76,48287.0,nan,Hours of seclusion use,0.07,76.0,48287.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,16.0,63.0,nan,Screening for metabolic disorders (SMD),41.0,759.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,992.0,nan,Alcohol use brief intervention provided or offered,87.0,232.0,nan,60.0,232.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,445.0,nan,29.0,445.0,nan,Tobacco use screening,94.0,990.0,nan,Tobacco use treatment provided or offered,72.0,559.0,nan,12.0,559.0,nan,Tobacco use treatment provided or offered at discharge,50.0,515.0,nan,3.0,515.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,1666.0,nan,Timely transmission of transition record (TR2),34.0,1666.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.6,457.0,nan,31.1,457.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1359.0,19.5,17.7,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,778.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,506.0,nan,2017-10-01,2018-03-31
114035,RIVERWOODS BEHAVIORAL HEALTH SYSTEM,223 MEDICAL CENTER DRIVE,RIVERDALE,GA,30274,CLAYTON,Hours of physical-restraint use,0.03,36.7,50970.0,nan,Hours of seclusion use,0.06,71.48,50970.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,49.0,nan,Screening for metabolic disorders (SMD),4.0,509.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,879.0,nan,Alcohol use brief intervention provided or offered,72.0,168.0,nan,24.0,168.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,351.0,nan,26.0,351.0,nan,Tobacco use screening,97.0,887.0,nan,Tobacco use treatment provided or offered,90.0,351.0,nan,4.0,351.0,nan,Tobacco use treatment provided or offered at discharge,59.0,342.0,nan,1.0,342.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,1213.0,nan,Timely transmission of transition record (TR2),55.0,1213.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,762.0,nan,24.0,762.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,2044.0,19.5,17.9,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),49.0,601.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),21.0,484.0,nan,2017-10-01,2018-03-31
114036,GREENLEAF CENTER,2209 PINEVIEW DRIVE,VALDOSTA,GA,31602,LOWNDES,Hours of physical-restraint use,0.04,25.25,25519.0,nan,Hours of seclusion use,0.1,59.45,25519.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,52.0,nan,Screening for metabolic disorders (SMD),44.0,274.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,501.0,nan,Alcohol use brief intervention provided or offered,88.0,107.0,nan,80.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,7.0,256.0,nan,7.0,256.0,nan,Tobacco use screening,90.0,494.0,nan,Tobacco use treatment provided or offered,87.0,115.0,nan,6.0,115.0,nan,Tobacco use treatment provided or offered at discharge,84.0,104.0,nan,0.0,104.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,616.0,nan,Timely transmission of transition record (TR2),38.0,616.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.5,390.0,nan,27.2,390.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1183.0,19.3,17.2,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),33.0,211.0,nan,2017-10-01,2018-03-31
114037,RIDGEVIEW INSTITUTE MONROE,709 BREEDLOVE DRIVE,MONROE,GA,30655,WALTON,Hours of physical-restraint use,0.01,1.75,9570.0,nan,Hours of seclusion use,0.01,1.85,9570.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,19.0,nan,Screening for metabolic disorders (SMD),11.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,173.0,nan,Alcohol use brief intervention provided or offered,48.0,61.0,nan,48.0,61.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,43.0,nan,44.0,43.0,nan,Tobacco use screening,100.0,173.0,nan,Tobacco use treatment provided or offered,13.0,54.0,nan,2.0,54.0,nan,Tobacco use treatment provided or offered at discharge,10.0,51.0,nan,2.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),50.0,308.0,nan,Timely transmission of transition record (TR2),52.0,308.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.0,25.0,nan,36.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,35.0,21.1,15.5,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
120004,WAHIAWA GENERAL HOSPITAL,128 LEHUA STREET,WAHIAWA,HI,96786,HONOLULU,Hours of physical-restraint use,0.0,0.0,1104.0,nan,Hours of seclusion use,0.0,0.0,1104.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,18.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,18.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,23.0,nan,Timely transmission of transition record (TR2),96.0,23.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,49.0,20.9,15.1,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
120019,KONA COMMUNITY HOSPITAL,79-1019 HAUKAPILA STREET,KEALAKEKUA,HI,96750,HAWAII,Hours of physical-restraint use,0.06,9.5,6708.0,nan,Hours of seclusion use,0.03,4.57,6708.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,22.0,nan,Screening for metabolic disorders (SMD),70.0,97.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,216.0,nan,Alcohol use brief intervention provided or offered,73.0,62.0,nan,73.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,149.0,nan,72.0,149.0,nan,Tobacco use screening,98.0,218.0,nan,Tobacco use treatment provided or offered,94.0,123.0,nan,85.0,123.0,nan,Tobacco use treatment provided or offered at discharge,66.0,119.0,nan,48.0,119.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),26.0,329.0,nan,Timely transmission of transition record (TR2),25.0,329.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.1,32.0,nan,40.6,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,71.0,17.5,13.1,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,174.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,59.0,nan,2017-10-01,2018-03-31
121306,SAMUEL MAHELONA MEMORIAL HOSPITAL,4800 KAWAIHAU ROAD,KAPAA,HI,96746,KAUAI,Hours of physical-restraint use,0.0,0.0,1499.0,nan,Hours of seclusion use,0.03,1.25,1499.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,11.0,nan,Screening for metabolic disorders (SMD),2.0,50.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,161.0,nan,Alcohol use brief intervention provided or offered,100.0,23.0,nan,96.0,23.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,75.0,nan,81.0,75.0,nan,Tobacco use screening,99.0,164.0,nan,Tobacco use treatment provided or offered,97.0,69.0,nan,75.0,69.0,nan,Tobacco use treatment provided or offered at discharge,56.0,66.0,nan,32.0,66.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,183.0,nan,Timely transmission of transition record (TR2),96.0,183.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.3,15.0,nan,46.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,32.0,18.0,13.1,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,83.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,14.0,nan,2017-10-01,2018-03-31
124001,KAHI MOHALA,91-2301 FORT WEAVER ROAD,EWA BEACH,HI,96706,HONOLULU,Hours of physical-restraint use,0.06,38.98,25156.0,nan,Hours of seclusion use,0.0,2.73,25156.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,143.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,88.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,88.0,nan,Tobacco use treatment provided or offered,83.0,18.0,nan,28.0,18.0,nan,Tobacco use treatment provided or offered at discharge,11.0,18.0,nan,6.0,18.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,445.0,nan,Timely transmission of transition record (TR2),32.0,386.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,135.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,466.0,nan,2017-10-01,2018-03-31
130002,ST LUKE'S MAGIC VALLEY RMC,801 POLE LINE ROAD WEST,TWIN FALLS,ID,83301,TWIN FALLS,Hours of physical-restraint use,0.25,33.2,5637.0,nan,Hours of seclusion use,0.06,8.73,5637.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,192.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,903.0,nan,Alcohol use brief intervention provided or offered,76.0,301.0,nan,76.0,301.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,400.0,nan,53.0,400.0,nan,Tobacco use screening,97.0,904.0,nan,Tobacco use treatment provided or offered,86.0,507.0,nan,70.0,507.0,nan,Tobacco use treatment provided or offered at discharge,57.0,448.0,nan,46.0,448.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,743.0,nan,Timely transmission of transition record (TR2),0.0,743.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.2,94.0,nan,33.0,94.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,204.0,17.3,13.7,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,502.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,3098.0,nan,2017-10-01,2018-03-31
130003,ST JOSEPH REGIONAL MEDICAL CENTER,415 SIXTH STREET,LEWISTON,ID,83501,NEZ PERCE,Hours of physical-restraint use,0.04,2.68,2759.0,nan,Hours of seclusion use,0.24,16.17,2759.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,21.0,nan,Screening for metabolic disorders (SMD),88.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,351.0,nan,Alcohol use brief intervention provided or offered,97.0,70.0,nan,96.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,124.0,nan,65.0,124.0,nan,Tobacco use screening,99.0,369.0,nan,Tobacco use treatment provided or offered,87.0,208.0,nan,71.0,208.0,nan,Tobacco use treatment provided or offered at discharge,80.0,186.0,nan,70.0,186.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),55.0,442.0,nan,Timely transmission of transition record (TR2),54.0,442.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.1,63.0,nan,50.8,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,196.0,18.3,14.3,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,253.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,31.0,nan,2017-10-01,2018-03-31
130018,EASTERN IDAHO REGIONAL MEDICAL CENTER,3100 CHANNING WAY,IDAHO FALLS,ID,83404,BONNEVILLE,Hours of physical-restraint use,0.09,22.82,10347.0,nan,Hours of seclusion use,0.13,31.07,10347.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,11.0,nan,Screening for metabolic disorders (SMD),71.0,155.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,256.0,nan,Alcohol use brief intervention provided or offered,90.0,63.0,nan,90.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,80.0,nan,61.0,80.0,nan,Tobacco use screening,99.0,256.0,nan,Tobacco use treatment provided or offered,100.0,114.0,nan,63.0,114.0,nan,Tobacco use treatment provided or offered at discharge,86.0,104.0,nan,11.0,104.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,483.0,nan,Timely transmission of transition record (TR2),6.0,483.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,87.0,nan,40.2,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,257.0,18.2,14.8,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,145.0,nan,2017-10-01,2018-03-31
130028,PORTNEUF MEDICAL CENTER,777 HOSPITAL WAY,POCATELLO,ID,83201,BANNOCK,Hours of physical-restraint use,0.54,50.59,3882.0,nan,Hours of seclusion use,0.93,87.0,3882.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,29.0,nan,Screening for metabolic disorders (SMD),87.0,330.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,530.0,nan,Alcohol use brief intervention provided or offered,83.0,111.0,nan,80.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,190.0,nan,52.0,190.0,nan,Tobacco use screening,91.0,538.0,nan,Tobacco use treatment provided or offered,79.0,253.0,nan,73.0,253.0,nan,Tobacco use treatment provided or offered at discharge,64.0,223.0,nan,13.0,223.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,621.0,nan,Timely transmission of transition record (TR2),46.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.8,83.0,nan,32.5,83.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,210.0,17.8,14.2,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,392.0,nan,2017-10-01,2018-03-31
134002,INTERMOUNTAIN HOSPITAL,303 NORTH ALLUMBAUGH STREET,BOISE,ID,83704,ADA,Hours of physical-restraint use,0.02,12.35,31746.0,nan,Hours of seclusion use,0.02,17.4,31746.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),12.0,339.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,488.0,nan,Alcohol use brief intervention provided or offered,78.0,222.0,nan,75.0,222.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,303.0,nan,43.0,303.0,nan,Tobacco use screening,98.0,488.0,nan,Tobacco use treatment provided or offered,80.0,263.0,nan,16.0,263.0,nan,Tobacco use treatment provided or offered at discharge,24.0,233.0,nan,2.0,233.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,881.0,nan,Timely transmission of transition record (TR2),71.0,881.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,212.0,nan,37.7,212.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,858.0,15.6,13.4,17.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,383.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,331.0,nan,2017-10-01,2018-03-31
134009,LIFEWAYS HOSPITAL,8050 WEST NORTHVIEW STREET,BOISE,ID,83704,ADA,Hours of physical-restraint use,0.0,0.0,2880.0,nan,Hours of seclusion use,0.0,0.0,2880.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,84.0,nan,Screening for metabolic disorders (SMD),100.0,84.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,576.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,49.0,576.0,nan,Tobacco use treatment provided or offered,22.0,300.0,nan,22.0,300.0,nan,Tobacco use treatment provided or offered at discharge,22.0,300.0,nan,22.0,300.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,576.0,nan,Timely transmission of transition record (TR2),68.0,576.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.3,60.0,nan,26.7,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,131.0,19.0,14.7,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,279.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,61.0,nan,2017-10-01,2018-03-31
134010,STATE HOSPITAL SOUTH,700 EAST ALICE STREET,BLACKFOOT,ID,83221,BINGHAM,Hours of physical-restraint use,0.09,70.35,32163.0,nan,Hours of seclusion use,0.27,207.08,32163.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,138.0,nan,Screening for metabolic disorders (SMD),90.0,608.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,569.0,nan,Alcohol use brief intervention provided or offered,98.0,184.0,nan,98.0,184.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,323.0,nan,38.0,323.0,nan,Tobacco use screening,100.0,569.0,nan,Tobacco use treatment provided or offered,97.0,260.0,nan,18.0,260.0,nan,Tobacco use treatment provided or offered at discharge,62.0,253.0,nan,2.0,253.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,714.0,nan,Timely transmission of transition record (TR2),98.0,714.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.8,77.0,nan,32.5,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,165.0,13.2,10.0,17.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,325.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,655.0,nan,2017-10-01,2018-03-31
140002,ALTON MEMORIAL HOSPITAL,ONE MEMORIAL DRIVE,ALTON,IL,62002,MADISON,Hours of physical-restraint use,0.0,0.0,2718.0,nan,Hours of seclusion use,0.0,0.0,2718.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),2.0,154.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,217.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,219.0,nan,Tobacco use treatment provided or offered,82.0,11.0,nan,73.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,223.0,nan,Timely transmission of transition record (TR2),0.0,204.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.4,54.0,nan,29.6,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,335.0,24.3,19.9,29.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),58.0,113.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,906.0,nan,2017-10-01,2018-03-31
140008,LOYOLA GOTTLIEB MEMORIAL HOSPITAL,701 WEST NORTH AVE,MELROSE PARK,IL,60160,COOK,Hours of physical-restraint use,0.0,0.0,3002.0,nan,Hours of seclusion use,0.0,0.0,3002.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,117.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,198.0,nan,Timely transmission of transition record (TR2),92.0,198.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.2,39.0,nan,15.4,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,283.0,20.1,16.2,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,93.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,1775.0,nan,2017-10-01,2018-03-31
140010,NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSP,2650 RIDGE AVE,EVANSTON,IL,60201,COOK,Hours of physical-restraint use,1.13,255.28,9372.0,nan,Hours of seclusion use,0.0,0.0,9372.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,26.0,nan,Screening for metabolic disorders (SMD),74.0,258.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,430.0,nan,Alcohol use brief intervention provided or offered,92.0,62.0,nan,92.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,135.0,nan,1.0,135.0,nan,Tobacco use screening,99.0,430.0,nan,Tobacco use treatment provided or offered,77.0,121.0,nan,73.0,121.0,nan,Tobacco use treatment provided or offered at discharge,0.0,109.0,nan,0.0,109.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,642.0,nan,Timely transmission of transition record (TR2),0.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.8,149.0,nan,51.7,149.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,392.0,21.7,18.3,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,46.0,nan,2017-10-01,2018-03-31
140012,KATHERINE SHAW BETHEA HOSPITAL,403 E 1ST ST,DIXON,IL,61021,LEE,Hours of physical-restraint use,0.55,31.05,2350.0,nan,Hours of seclusion use,0.0,0.0,2350.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,22.0,nan,Screening for metabolic disorders (SMD),100.0,126.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,646.0,nan,Alcohol use brief intervention provided or offered,26.0,124.0,nan,26.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,124.0,nan,1.0,124.0,nan,Tobacco use screening,99.0,646.0,nan,Tobacco use treatment provided or offered,97.0,371.0,nan,80.0,371.0,nan,Tobacco use treatment provided or offered at discharge,63.0,371.0,nan,63.0,371.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),21.0,691.0,nan,Timely transmission of transition record (TR2),21.0,691.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,103.0,nan,28.2,103.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,241.0,21.8,18.2,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,330.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,34.0,nan,2017-10-01,2018-03-31
140013,PROCTOR HOSPITAL,5409 N KNOXVILLE AVE,PEORIA,IL,61614,PEORIA,Hours of physical-restraint use,0.04,3.85,4240.0,nan,Hours of seclusion use,0.19,18.83,4240.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,12.0,nan,Screening for metabolic disorders (SMD),80.0,219.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,289.0,nan,Alcohol use brief intervention provided or offered,100.0,11.0,nan,100.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,289.0,nan,Tobacco use treatment provided or offered,44.0,25.0,nan,28.0,25.0,nan,Tobacco use treatment provided or offered at discharge,31.0,13.0,nan,8.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,310.0,nan,Timely transmission of transition record (TR2),71.0,310.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.3,38.0,nan,21.1,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,331.0,19.9,16.0,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,123.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,36.0,nan,2017-10-01,2018-03-31
140015,BLESSING HOSPITAL,BROADWAY ST & N 11TH ST,QUINCY,IL,62305,ADAMS,Hours of physical-restraint use,0.11,31.75,11923.0,nan,Hours of seclusion use,0.26,75.73,11923.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,439.0,nan,Alcohol use brief intervention provided or offered,86.0,120.0,nan,86.0,120.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,227.0,nan,17.0,227.0,nan,Tobacco use screening,100.0,439.0,nan,Tobacco use treatment provided or offered,98.0,302.0,nan,67.0,302.0,nan,Tobacco use treatment provided or offered at discharge,93.0,286.0,nan,76.0,286.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),23.0,623.0,nan,Timely transmission of transition record (TR2),23.0,623.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.5,165.0,nan,20.6,165.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,414.0,18.6,15.6,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,99.0,nan,2017-10-01,2018-03-31
140018,MT SINAI HOSPITAL MEDICAL CENTER,15TH STREET AT CALIFORNIA,CHICAGO,IL,60608,COOK,Hours of physical-restraint use,0.99,176.88,7479.0,nan,Hours of seclusion use,0.0,0.0,7479.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,345.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,594.0,nan,Alcohol use brief intervention provided or offered,92.0,116.0,nan,89.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,397.0,nan,56.0,397.0,nan,Tobacco use screening,99.0,595.0,nan,Tobacco use treatment provided or offered,98.0,325.0,nan,62.0,325.0,nan,Tobacco use treatment provided or offered at discharge,98.0,300.0,nan,90.0,300.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,587.0,nan,Timely transmission of transition record (TR2),49.0,587.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,63.0,nan,15.9,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,185.0,25.6,21.3,30.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,171.0,nan,2017-10-01,2018-03-31
140033,LAKE BEHAVIORAL HOSPITAL,2615 W WASHINGTON ST,WAUKEGAN,IL,60085,LAKE,Hours of physical-restraint use,0.0,0.0,5211.0,nan,Hours of seclusion use,0.0,0.0,5211.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,24.0,nan,Screening for metabolic disorders (SMD),94.0,370.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,628.0,nan,Alcohol use brief intervention provided or offered,90.0,144.0,nan,85.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,287.0,nan,92.0,287.0,nan,Tobacco use screening,98.0,628.0,nan,Tobacco use treatment provided or offered,92.0,349.0,nan,49.0,349.0,nan,Tobacco use treatment provided or offered at discharge,79.0,323.0,nan,1.0,323.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,661.0,nan,Timely transmission of transition record (TR2),91.0,661.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.7,69.0,nan,24.6,69.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,199.0,18.4,14.7,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,37.0,nan,2017-10-01,2018-03-31
140034,SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA,400 NORTH PLEASANT AVENUE,CENTRALIA,IL,62801,MARION,Hours of physical-restraint use,0.01,0.76,4773.0,nan,Hours of seclusion use,0.0,0.0,4773.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),74.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,569.0,nan,Alcohol use brief intervention provided or offered,88.0,145.0,nan,88.0,145.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,245.0,nan,53.0,245.0,nan,Tobacco use screening,100.0,569.0,nan,Tobacco use treatment provided or offered,85.0,370.0,nan,70.0,370.0,nan,Tobacco use treatment provided or offered at discharge,91.0,349.0,nan,13.0,349.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,612.0,nan,Timely transmission of transition record (TR2),48.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.4,101.0,nan,26.7,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,242.0,21.1,17.5,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,229.0,nan,2017-10-01,2018-03-31
140040,GALESBURG COTTAGE HOSPITAL,695 N KELLOGG ST,GALESBURG,IL,61401,KNOX,Hours of physical-restraint use,0.0,0.15,4336.0,nan,Hours of seclusion use,0.0,0.0,4336.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,42.0,nan,Screening for metabolic disorders (SMD),100.0,199.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,127.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,127.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,252.0,nan,Timely transmission of transition record (TR2),100.0,252.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,208.0,18.6,14.6,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,102.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,467.0,nan,2017-10-01,2018-03-31
140053,ST JOHNS HOSPITAL,800 E CARPENTER ST,SPRINGFIELD,IL,62769,SANGAMON,Hours of physical-restraint use,0.86,93.33,4519.0,nan,Hours of seclusion use,0.0,0.0,4519.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),59.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,139.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,25.0,16.0,nan,6.0,16.0,nan,Tobacco use screening,82.0,200.0,nan,Tobacco use treatment provided or offered,56.0,34.0,nan,56.0,34.0,nan,Tobacco use treatment provided or offered at discharge,0.0,21.0,nan,0.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),0.0,209.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.5,39.0,nan,25.6,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,274.0,18.1,14.4,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,104.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,31.0,nan,2017-10-01,2018-03-31
140054,MACNEAL  HOSPITAL,3249 SOUTH OAK PARK AVENUE,BERWYN,IL,60402,COOK,Hours of physical-restraint use,0.16,105.5,27384.0,nan,Hours of seclusion use,0.01,8.2,27384.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,19.0,nan,Screening for metabolic disorders (SMD),100.0,302.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,633.0,nan,Alcohol use brief intervention provided or offered,100.0,97.0,nan,100.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,317.0,nan,97.0,317.0,nan,Tobacco use screening,100.0,636.0,nan,Tobacco use treatment provided or offered,92.0,311.0,nan,89.0,311.0,nan,Tobacco use treatment provided or offered at discharge,10.0,290.0,nan,1.0,290.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),84.0,647.0,nan,Timely transmission of transition record (TR2),77.0,647.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.9,167.0,nan,22.8,167.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,492.0,24.7,21.5,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,279.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,199.0,nan,2017-10-01,2018-03-31
140058,PASSAVANT AREA HOSPITAL,1600 W WALNUT ST,JACKSONVILLE,IL,62650,MORGAN,Hours of physical-restraint use,0.12,7.7,2738.0,nan,Hours of seclusion use,0.09,6.17,2738.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,20.0,nan,Screening for metabolic disorders (SMD),66.0,142.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,368.0,nan,Alcohol use brief intervention provided or offered,20.0,89.0,nan,20.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,125.0,nan,86.0,125.0,nan,Tobacco use screening,97.0,371.0,nan,Tobacco use treatment provided or offered,78.0,192.0,nan,0.0,192.0,nan,Tobacco use treatment provided or offered at discharge,67.0,187.0,nan,1.0,187.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,387.0,nan,Timely transmission of transition record (TR2),0.0,387.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,28.0,nan,21.4,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,27.0,18.7,13.4,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,165.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,40.0,nan,2017-10-01,2018-03-31
140062,PALOS COMMUNITY HOSPITAL,12251 SOUTH 80TH AVENUE,PALOS HEIGHTS,IL,60463,COOK,Hours of physical-restraint use,1.17,231.73,8255.0,nan,Hours of seclusion use,0.0,0.0,8255.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,17.0,nan,Screening for metabolic disorders (SMD),92.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,613.0,nan,Alcohol use brief intervention provided or offered,100.0,303.0,nan,100.0,303.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,369.0,nan,90.0,369.0,nan,Tobacco use screening,100.0,613.0,nan,Tobacco use treatment provided or offered,99.0,321.0,nan,88.0,321.0,nan,Tobacco use treatment provided or offered at discharge,99.0,295.0,nan,1.0,295.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,603.0,nan,Timely transmission of transition record (TR2),85.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.6,102.0,nan,41.2,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,428.0,21.9,18.7,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,106.0,nan,2017-10-01,2018-03-31
140082,LOUIS A WEISS MEMORIAL HOSPITAL,4646 N MARINE DRIVE,CHICAGO,IL,60640,COOK,Hours of physical-restraint use,3.32,295.15,3705.0,nan,Hours of seclusion use,0.0,0.0,3705.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,39.0,nan,Screening for metabolic disorders (SMD),50.0,154.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,234.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,91.0,220.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,285.0,nan,Timely transmission of transition record (TR2),51.0,285.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.9,29.0,nan,17.2,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,247.0,18.6,14.8,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,117.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,19.0,nan,2017-10-01,2018-03-31
140089,MC DONOUGH DISTRICT HOSPITAL,525 EAST GRANT STREET,MACOMB,IL,61455,MC DONOUGH,Hours of physical-restraint use,0.04,1.65,1567.0,nan,Hours of seclusion use,0.06,2.27,1567.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),99.0,75.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,108.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,108.0,nan,Tobacco use treatment provided or offered,94.0,18.0,nan,56.0,18.0,nan,Tobacco use treatment provided or offered at discharge,92.0,12.0,nan,8.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,132.0,nan,Timely transmission of transition record (TR2),92.0,132.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.4,26.0,nan,19.2,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,154.0,21.9,16.7,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,78.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,218.0,nan,2017-10-01,2018-03-31
140095,SAINT ANTHONY HOSPITAL,2875 WEST 19TH STREET,CHICAGO,IL,60623,COOK,Hours of physical-restraint use,2.72,613.24,9401.0,nan,Hours of seclusion use,0.47,106.71,9401.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,483.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,609.0,nan,Alcohol use brief intervention provided or offered,83.0,113.0,nan,66.0,113.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,209.0,nan,35.0,209.0,nan,Tobacco use screening,89.0,609.0,nan,Tobacco use treatment provided or offered,73.0,300.0,nan,42.0,300.0,nan,Tobacco use treatment provided or offered at discharge,87.0,243.0,nan,1.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,621.0,nan,Timely transmission of transition record (TR2),48.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.6,53.0,nan,13.2,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,311.0,26.0,22.6,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,99.0,nan,2017-10-01,2018-03-31
140103,ST BERNARD HOSPITAL,326 W 64TH ST,CHICAGO,IL,60621,COOK,Hours of physical-restraint use,2.32,651.05,11673.0,nan,Hours of seclusion use,0.0,0.0,11673.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,533.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,615.0,nan,Alcohol use brief intervention provided or offered,5.0,112.0,nan,5.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,2.0,306.0,nan,2.0,306.0,nan,Tobacco use screening,100.0,625.0,nan,Tobacco use treatment provided or offered,96.0,505.0,nan,39.0,505.0,nan,Tobacco use treatment provided or offered at discharge,0.0,458.0,nan,0.0,458.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,641.0,nan,Timely transmission of transition record (TR2),41.0,641.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.0,100.0,nan,16.0,100.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,294.0,25.2,21.8,28.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,51.0,nan,2017-10-01,2018-03-31
140110,OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER,1100 EAST NORRIS DRIVE,OTTAWA,IL,61350,LA SALLE,Hours of physical-restraint use,0.28,14.07,2080.0,nan,Hours of seclusion use,4.63,231.25,2080.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),39.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,299.0,nan,Alcohol use brief intervention provided or offered,100.0,41.0,nan,100.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,22.0,105.0,nan,19.0,105.0,nan,Tobacco use screening,95.0,294.0,nan,Tobacco use treatment provided or offered,58.0,139.0,nan,46.0,139.0,nan,Tobacco use treatment provided or offered at discharge,3.0,123.0,nan,0.0,123.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),80.0,315.0,nan,Timely transmission of transition record (TR2),50.0,315.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.8,99.0,nan,48.5,99.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,340.0,25.1,21.3,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,164.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,344.0,nan,2017-10-01,2018-03-31
140114,SWEDISH COVENANT HOSPITAL,5145 N CALIFORNIA AVE,CHICAGO,IL,60625,COOK,Hours of physical-restraint use,0.12,17.87,6243.0,nan,Hours of seclusion use,0.0,0.0,6243.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,59.0,nan,Screening for metabolic disorders (SMD),19.0,464.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,828.0,nan,Alcohol use brief intervention provided or offered,54.0,168.0,nan,54.0,168.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,5.0,339.0,nan,4.0,339.0,nan,Tobacco use screening,97.0,824.0,nan,Tobacco use treatment provided or offered,72.0,362.0,nan,72.0,362.0,nan,Tobacco use treatment provided or offered at discharge,1.0,331.0,nan,1.0,331.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),84.0,841.0,nan,Timely transmission of transition record (TR2),35.0,841.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.5,103.0,nan,24.3,103.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,286.0,20.5,17.0,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,457.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,46.0,nan,2017-10-01,2018-03-31
140118,METROSOUTH MEDICAL CENTER,12935 S GREGORY,BLUE ISLAND,IL,60406,COOK,Hours of physical-restraint use,0.16,14.48,3761.0,nan,Hours of seclusion use,0.03,2.6,3761.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,16.0,nan,Screening for metabolic disorders (SMD),77.0,322.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,369.0,nan,Alcohol use brief intervention provided or offered,91.0,23.0,nan,78.0,23.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,33.0,nan,36.0,33.0,nan,Tobacco use screening,99.0,368.0,nan,Tobacco use treatment provided or offered,79.0,58.0,nan,17.0,58.0,nan,Tobacco use treatment provided or offered at discharge,74.0,38.0,nan,8.0,38.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,387.0,nan,Timely transmission of transition record (TR2),74.0,387.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.0,46.0,nan,13.0,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,231.0,23.0,18.4,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,170.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,1293.0,nan,2017-10-01,2018-03-31
140119,RUSH UNIVERSITY MEDICAL CENTER,1653 WEST CONGRESS PARKWAY,CHICAGO,IL,60612,COOK,Hours of physical-restraint use,3.87,1314.5,14159.0,nan,Hours of seclusion use,0.07,23.95,14159.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,16.0,nan,Screening for metabolic disorders (SMD),39.0,643.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,368.0,nan,Alcohol use brief intervention provided or offered,29.0,58.0,nan,28.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,121.0,nan,43.0,121.0,nan,Tobacco use screening,95.0,408.0,nan,Tobacco use treatment provided or offered,9.0,132.0,nan,6.0,132.0,nan,Tobacco use treatment provided or offered at discharge,3.0,119.0,nan,3.0,119.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1127.0,nan,Timely transmission of transition record (TR2),0.0,1127.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.1,149.0,nan,34.2,149.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,609.0,19.6,16.9,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,3651.0,nan,2017-10-01,2018-03-31
140122,ADVENTIST HINSDALE HOSPITAL,120 NORTH OAK ST,HINSDALE,IL,60521,DU PAGE,Hours of physical-restraint use,0.34,28.48,3453.0,nan,Hours of seclusion use,0.0,0.0,3453.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),45.0,177.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,452.0,nan,Alcohol use brief intervention provided or offered,96.0,108.0,nan,89.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,223.0,nan,91.0,223.0,nan,Tobacco use screening,99.0,452.0,nan,Tobacco use treatment provided or offered,86.0,177.0,nan,79.0,177.0,nan,Tobacco use treatment provided or offered at discharge,8.0,168.0,nan,1.0,168.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,672.0,nan,Timely transmission of transition record (TR2),37.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.0,50.0,nan,38.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,144.0,20.9,16.2,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,77.0,nan,2017-10-01,2018-03-31
140125,GATEWAY REGIONAL MEDICAL CENTER,2100 MADISON AVENUE,GRANITE CITY,IL,62040,MADISON,Hours of physical-restraint use,0.0,0.12,1794.0,nan,Hours of seclusion use,3.24,139.33,1794.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,22.0,64.0,nan,Screening for metabolic disorders (SMD),77.0,306.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,508.0,nan,Alcohol use brief intervention provided or offered,92.0,83.0,nan,71.0,83.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,137.0,nan,48.0,137.0,nan,Tobacco use screening,100.0,419.0,nan,Tobacco use treatment provided or offered,92.0,206.0,nan,67.0,206.0,nan,Tobacco use treatment provided or offered at discharge,69.0,180.0,nan,66.0,180.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),32.0,534.0,nan,Timely transmission of transition record (TR2),25.0,534.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.2,94.0,nan,12.8,94.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,424.0,20.4,17.2,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,251.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,135.0,nan,2017-10-01,2018-03-31
140135,DECATUR MEMORIAL HOSPITAL,2300 NORTH EDWARD STREET,DECATUR,IL,62526,MACON,Hours of physical-restraint use,0.0,0.0,4426.0,nan,Hours of seclusion use,0.26,28.0,4426.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,12.0,17.0,nan,Screening for metabolic disorders (SMD),71.0,214.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,310.0,nan,Alcohol use brief intervention provided or offered,90.0,20.0,nan,65.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,313.0,nan,Tobacco use treatment provided or offered,70.0,30.0,nan,27.0,30.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),41.0,137.0,nan,Timely transmission of transition record (TR2),40.0,137.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,24.0,nan,12.5,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,273.0,22.0,17.6,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,153.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,65.0,nan,2017-10-01,2018-03-31
140137,GREENVILLE REGIONAL HOSPITAL,200 HEALTH CARE DR,GREENVILLE,IL,62246,BOND,Hours of physical-restraint use,0.0,0.0,1600.0,nan,Hours of seclusion use,0.0,0.0,1600.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,115.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,166.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,164.0,nan,Tobacco use treatment provided or offered,97.0,33.0,nan,88.0,33.0,nan,Tobacco use treatment provided or offered at discharge,87.0,30.0,nan,47.0,30.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,165.0,nan,Timely transmission of transition record (TR2),99.0,165.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,36.0,nan,41.7,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,268.0,22.1,17.5,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,75.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,66.0,nan,2017-10-01,2018-03-31
140148,MEMORIAL MEDICAL CENTER,701 N FIRST ST,SPRINGFIELD,IL,62702,SANGAMON,Hours of physical-restraint use,0.73,209.43,11884.0,nan,Hours of seclusion use,4.63,1321.5,11884.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,17.0,nan,Screening for metabolic disorders (SMD),30.0,283.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,599.0,nan,Alcohol use brief intervention provided or offered,78.0,105.0,nan,67.0,105.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,232.0,nan,25.0,232.0,nan,Tobacco use screening,98.0,617.0,nan,Tobacco use treatment provided or offered,77.0,332.0,nan,0.0,332.0,nan,Tobacco use treatment provided or offered at discharge,0.0,313.0,nan,0.0,313.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,654.0,nan,Timely transmission of transition record (TR2),0.0,654.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.2,209.0,nan,39.7,209.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,520.0,16.1,13.4,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,326.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,1786.0,nan,2017-10-01,2018-03-31
140150,UNIVERSITY OF ILLINOIS HOSPITAL,1740 WEST TAYLOR ST SUITE 1400,CHICAGO,IL,60612,COOK,Hours of physical-restraint use,2.71,803.05,12332.0,nan,Hours of seclusion use,0.23,68.98,12332.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,39.0,nan,Screening for metabolic disorders (SMD),89.0,350.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,575.0,nan,Alcohol use brief intervention provided or offered,91.0,58.0,nan,90.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,279.0,nan,22.0,279.0,nan,Tobacco use screening,99.0,578.0,nan,Tobacco use treatment provided or offered,90.0,214.0,nan,76.0,214.0,nan,Tobacco use treatment provided or offered at discharge,13.0,197.0,nan,3.0,197.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),65.0,615.0,nan,Timely transmission of transition record (TR2),40.0,615.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.7,63.0,nan,36.5,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,168.0,22.8,18.8,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,324.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,163.0,nan,2017-10-01,2018-03-31
140158,MERCY HOSPITAL AND MEDICAL CENTER,2525 S MICHIGAN AVE,CHICAGO,IL,60616,COOK,Hours of physical-restraint use,0.88,145.15,6873.0,nan,Hours of seclusion use,0.0,0.0,6873.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,16.0,nan,Screening for metabolic disorders (SMD),1.0,346.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,612.0,nan,Alcohol use brief intervention provided or offered,18.0,128.0,nan,16.0,128.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,294.0,nan,25.0,294.0,nan,Tobacco use screening,91.0,610.0,nan,Tobacco use treatment provided or offered,4.0,344.0,nan,1.0,344.0,nan,Tobacco use treatment provided or offered at discharge,1.0,326.0,nan,0.0,326.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,642.0,nan,Timely transmission of transition record (TR2),0.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.2,88.0,nan,12.5,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,214.0,27.6,23.4,32.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,39.0,nan,2017-10-01,2018-03-31
140166,ST MARYS HOSPITAL,1800 E LAKE SHORE DR,DECATUR,IL,62521,MACON,Hours of physical-restraint use,0.0,0.0,4069.0,nan,Hours of seclusion use,0.0,0.0,4069.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,17.0,12.0,nan,Screening for metabolic disorders (SMD),99.0,175.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,253.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,16.0,nan,44.0,16.0,nan,Tobacco use screening,100.0,253.0,nan,Tobacco use treatment provided or offered,59.0,27.0,nan,22.0,27.0,nan,Tobacco use treatment provided or offered at discharge,0.0,18.0,nan,0.0,18.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,233.0,nan,Timely transmission of transition record (TR2),100.0,233.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.3,30.0,nan,43.3,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,302.0,16.8,13.4,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,88.0,nan,2017-10-01,2018-03-31
140174,PRESENCE MERCY MEDICAL CENTER,1325 N HIGHLAND AVENUE,AURORA,IL,60506,KANE,Hours of physical-restraint use,0.09,36.48,16195.0,nan,Hours of seclusion use,0.01,3.78,16195.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,66.0,nan,Screening for metabolic disorders (SMD),40.0,286.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,463.0,nan,Alcohol use brief intervention provided or offered,62.0,101.0,nan,58.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,243.0,nan,13.0,243.0,nan,Tobacco use screening,99.0,473.0,nan,Tobacco use treatment provided or offered,36.0,235.0,nan,3.0,235.0,nan,Tobacco use treatment provided or offered at discharge,11.0,217.0,nan,0.0,217.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,642.0,nan,Timely transmission of transition record (TR2),98.0,652.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.1,133.0,nan,26.3,133.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,557.0,20.8,17.8,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,150.0,nan,2017-10-01,2018-03-31
140179,LITTLE COMPANY OF MARY HOSPITAL,2800 W 95TH ST,EVERGREEN PARK,IL,60805,COOK,Hours of physical-restraint use,22.24,1322.22,2477.0,nan,Hours of seclusion use,0.0,0.0,2477.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,11.0,nan,Screening for metabolic disorders (SMD),94.0,205.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,417.0,nan,Alcohol use brief intervention provided or offered,98.0,118.0,nan,96.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,156.0,nan,87.0,156.0,nan,Tobacco use screening,100.0,415.0,nan,Tobacco use treatment provided or offered,96.0,182.0,nan,54.0,182.0,nan,Tobacco use treatment provided or offered at discharge,87.0,160.0,nan,12.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,435.0,nan,Timely transmission of transition record (TR2),90.0,435.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.2,83.0,nan,25.3,83.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,286.0,24.9,20.9,29.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,206.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,36.0,nan,2017-10-01,2018-03-31
140180,PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER,2233 W DIVISION ST,CHICAGO,IL,60622,COOK,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
140181,SOUTH SHORE HOSPITAL,8012 SOUTH CRANDON AVENUE,CHICAGO,IL,60617,COOK,Hours of physical-restraint use,0.0,0.0,4095.0,nan,Hours of seclusion use,0.0,0.0,4095.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,52.0,nan,Screening for metabolic disorders (SMD),100.0,336.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,383.0,nan,Alcohol use brief intervention provided or offered,100.0,28.0,nan,100.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,68.0,nan,50.0,68.0,nan,Tobacco use screening,100.0,383.0,nan,Tobacco use treatment provided or offered,100.0,187.0,nan,99.0,187.0,nan,Tobacco use treatment provided or offered at discharge,100.0,173.0,nan,77.0,173.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,390.0,nan,Timely transmission of transition record (TR2),99.0,390.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,13.0,nan,15.4,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,156.0,20.6,16.3,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,201.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,37.0,nan,2017-10-01,2018-03-31
140182,ADVOCATE ILLINOIS MASONIC MEDICAL CENTER,836 WEST WELLINGTON AVENUE,CHICAGO,IL,60657,COOK,Hours of physical-restraint use,0.22,40.97,7818.0,nan,Hours of seclusion use,0.0,0.0,7818.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),72.0,347.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,625.0,nan,Alcohol use brief intervention provided or offered,96.0,52.0,nan,87.0,52.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,251.0,nan,22.0,251.0,nan,Tobacco use screening,100.0,620.0,nan,Tobacco use treatment provided or offered,96.0,276.0,nan,61.0,276.0,nan,Tobacco use treatment provided or offered at discharge,87.0,250.0,nan,19.0,250.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,644.0,nan,Timely transmission of transition record (TR2),0.0,644.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.1,115.0,nan,40.0,115.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,287.0,20.6,17.2,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,69.0,nan,2017-10-01,2018-03-31
140186,RIVERSIDE MEDICAL CENTER,350 N WALL ST,KANKAKEE,IL,60901,KANKAKEE,Hours of physical-restraint use,0.09,6.07,2866.0,nan,Hours of seclusion use,0.0,0.0,2866.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),43.0,122.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,120.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,120.0,nan,Tobacco use treatment provided or offered,44.0,18.0,nan,17.0,18.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),36.0,260.0,nan,Timely transmission of transition record (TR2),23.0,260.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.2,23.0,nan,17.4,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,323.0,22.2,18.1,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,130.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,216.0,nan,2017-10-01,2018-03-31
140189,SARAH BUSH LINCOLN HEALTH CENTER,1000 HEALTH CENTER DRIVE P O BOX 372,MATTOON,IL,61938,COLES,Hours of physical-restraint use,0.42,41.18,4076.0,nan,Hours of seclusion use,0.0,0.0,4076.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,24.0,nan,Screening for metabolic disorders (SMD),91.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,563.0,nan,Alcohol use brief intervention provided or offered,77.0,150.0,nan,76.0,150.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,277.0,nan,27.0,277.0,nan,Tobacco use screening,99.0,555.0,nan,Tobacco use treatment provided or offered,45.0,332.0,nan,20.0,332.0,nan,Tobacco use treatment provided or offered at discharge,24.0,321.0,nan,0.0,321.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),58.0,988.0,nan,Timely transmission of transition record (TR2),53.0,984.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.7,91.0,nan,19.8,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,299.0,22.9,19.3,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,27.0,nan,2017-10-01,2018-03-31
140191,INGALLS MEMORIAL HOSPITAL,1 INGALLS DRIVE,HARVEY,IL,60426,COOK,Hours of physical-restraint use,0.04,3.08,3008.0,nan,Hours of seclusion use,0.0,0.0,3008.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),83.0,263.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,93.0,nan,Alcohol use brief intervention provided or offered,93.0,14.0,nan,93.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,27.0,nan,30.0,27.0,nan,Tobacco use screening,99.0,91.0,nan,Tobacco use treatment provided or offered,100.0,36.0,nan,92.0,36.0,nan,Tobacco use treatment provided or offered at discharge,46.0,28.0,nan,0.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,96.0,nan,Timely transmission of transition record (TR2),89.0,96.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.8,58.0,nan,10.3,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,264.0,23.4,19.5,28.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,103.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),51.0,102.0,nan,2017-10-01,2018-03-31
140206,NORWEGIAN-AMERICAN HOSPITAL,1044 N FRANCISCO AVE,CHICAGO,IL,60622,COOK,Hours of physical-restraint use,0.0,0.0,3250.0,nan,Hours of seclusion use,0.0,0.0,3250.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),43.0,364.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,339.0,nan,Alcohol use brief intervention provided or offered,0.0,59.0,nan,0.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,6.0,162.0,nan,4.0,162.0,nan,Tobacco use screening,94.0,339.0,nan,Tobacco use treatment provided or offered,98.0,207.0,nan,47.0,207.0,nan,Tobacco use treatment provided or offered at discharge,27.0,166.0,nan,15.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,497.0,nan,Timely transmission of transition record (TR2),0.0,497.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.2,42.0,nan,9.5,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,184.0,22.4,18.4,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,170.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,77.0,nan,2017-10-01,2018-03-31
140208,ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER,4440 W 95TH STREET,OAK LAWN,IL,60453,COOK,Hours of physical-restraint use,6.4,1479.0,9625.0,nan,Hours of seclusion use,0.0,0.0,9625.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,20.0,nan,Screening for metabolic disorders (SMD),88.0,361.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,591.0,nan,Alcohol use brief intervention provided or offered,97.0,89.0,nan,97.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,173.0,nan,64.0,173.0,nan,Tobacco use screening,94.0,592.0,nan,Tobacco use treatment provided or offered,94.0,227.0,nan,78.0,227.0,nan,Tobacco use treatment provided or offered at discharge,92.0,204.0,nan,92.0,204.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),30.0,648.0,nan,Timely transmission of transition record (TR2),23.0,648.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.2,186.0,nan,23.1,186.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,579.0,21.5,18.7,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,73.0,nan,2017-10-01,2018-03-31
140209,METHODIST MEDICAL CENTER OF ILLINOIS,221 N E GLEN OAK AVE,PEORIA,IL,61636,PEORIA,Hours of physical-restraint use,0.27,137.38,21321.0,nan,Hours of seclusion use,0.35,178.6,21321.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,18.0,nan,Screening for metabolic disorders (SMD),81.0,246.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,422.0,nan,Alcohol use brief intervention provided or offered,98.0,82.0,nan,96.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,220.0,nan,35.0,220.0,nan,Tobacco use screening,99.0,420.0,nan,Tobacco use treatment provided or offered,48.0,202.0,nan,41.0,202.0,nan,Tobacco use treatment provided or offered at discharge,28.0,191.0,nan,5.0,191.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),67.0,655.0,nan,Timely transmission of transition record (TR2),59.0,655.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.4,187.0,nan,31.6,187.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,453.0,17.6,15.0,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,106.0,nan,2017-10-01,2018-03-31
140210,HARRISBURG MEDICAL CENTER,100 DOCTOR WARREN TUTTLE DR,HARRISBURG,IL,62946,SALINE,Hours of physical-restraint use,0.01,30.79,221976.0,nan,Hours of seclusion use,0.03,5.61,9249.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),34.0,381.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,656.0,nan,Alcohol use brief intervention provided or offered,100.0,79.0,nan,100.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,205.0,nan,95.0,205.0,nan,Tobacco use screening,100.0,656.0,nan,Tobacco use treatment provided or offered,100.0,421.0,nan,99.0,421.0,nan,Tobacco use treatment provided or offered at discharge,89.0,401.0,nan,88.0,401.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,620.0,nan,Timely transmission of transition record (TR2),1.0,620.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.5,185.0,nan,30.3,185.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,602.0,23.2,20.4,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,353.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,74.0,nan,2017-10-01,2018-03-31
140213,SILVER CROSS HOSPITAL  AND MEDICAL CENTERS,1900 SILVER CROSS BLVD,NEW LENOX,IL,60451,WILL,Hours of physical-restraint use,0.32,46.07,6035.0,nan,Hours of seclusion use,0.0,0.0,6035.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,13.0,31.0,nan,Screening for metabolic disorders (SMD),1.0,302.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,461.0,nan,Alcohol use brief intervention provided or offered,71.0,104.0,nan,69.0,104.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,190.0,nan,29.0,190.0,nan,Tobacco use screening,99.0,461.0,nan,Tobacco use treatment provided or offered,69.0,240.0,nan,0.0,240.0,nan,Tobacco use treatment provided or offered at discharge,6.0,214.0,nan,0.0,214.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.1,98.0,nan,29.6,98.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,279.0,24.3,20.4,28.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,53.0,nan,2017-10-01,2018-03-31
140223,ADVOCATE LUTHERAN GENERAL HOSPITAL,1775 DEMPSTER ST,PARK RIDGE,IL,60068,COOK,Hours of physical-restraint use,1.73,416.05,10032.0,nan,Hours of seclusion use,0.0,0.0,10032.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),99.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,468.0,nan,Alcohol use brief intervention provided or offered,100.0,62.0,nan,100.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,147.0,nan,94.0,147.0,nan,Tobacco use screening,100.0,467.0,nan,Tobacco use treatment provided or offered,100.0,96.0,nan,83.0,96.0,nan,Tobacco use treatment provided or offered at discharge,99.0,88.0,nan,86.0,88.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,645.0,nan,Timely transmission of transition record (TR2),93.0,645.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.8,106.0,nan,39.6,106.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,431.0,21.7,18.2,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,78.0,nan,2017-10-01,2018-03-31
140228,SWEDISH AMERICAN HOSPITAL,1401 EAST STATE STREET,ROCKFORD,IL,61104,WINNEBAGO,Hours of physical-restraint use,0.0,4.0,178104.0,nan,Hours of seclusion use,0.0,0.0,178104.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,307.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,433.0,nan,Alcohol use brief intervention provided or offered,60.0,120.0,nan,38.0,120.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,207.0,nan,18.0,207.0,nan,Tobacco use screening,100.0,435.0,nan,Tobacco use treatment provided or offered,89.0,250.0,nan,51.0,250.0,nan,Tobacco use treatment provided or offered at discharge,50.0,244.0,nan,18.0,244.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,703.0,nan,Timely transmission of transition record (TR2),0.0,703.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.7,123.0,nan,24.4,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,304.0,24.9,21.0,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,59.0,nan,2017-10-01,2018-03-31
140239,MERCYHEALTH HOSPITAL ROCKTON AVENUE,2400 NORTH ROCKTON AVENUE,ROCKFORD,IL,61103,WINNEBAGO,Hours of physical-restraint use,0.0,0.0,3452.0,nan,Hours of seclusion use,0.2,16.82,3452.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,17.0,nan,Screening for metabolic disorders (SMD),3.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,558.0,nan,Alcohol use brief intervention provided or offered,93.0,137.0,nan,26.0,137.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,219.0,nan,16.0,219.0,nan,Tobacco use screening,99.0,555.0,nan,Tobacco use treatment provided or offered,58.0,318.0,nan,3.0,318.0,nan,Tobacco use treatment provided or offered at discharge,50.0,308.0,nan,0.0,308.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,581.0,nan,Timely transmission of transition record (TR2),0.0,581.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,84.0,nan,13.1,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,212.0,22.2,18.3,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,33.0,nan,2017-10-01,2018-03-31
140240,WESTLAKE HOSPITAL,1225 LAKE ST,MELROSE PARK,IL,60160,COOK,Hours of physical-restraint use,0.94,245.0,10890.0,nan,Hours of seclusion use,0.0,0.0,10890.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,22.0,nan,Screening for metabolic disorders (SMD),70.0,412.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,661.0,nan,Alcohol use brief intervention provided or offered,73.0,86.0,nan,71.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,394.0,nan,44.0,394.0,nan,Tobacco use screening,96.0,663.0,nan,Tobacco use treatment provided or offered,84.0,416.0,nan,62.0,416.0,nan,Tobacco use treatment provided or offered at discharge,81.0,402.0,nan,2.0,402.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,673.0,nan,Timely transmission of transition record (TR2),28.0,673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.9,65.0,nan,15.4,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,212.0,22.2,18.3,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,340.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,224.0,nan,2017-10-01,2018-03-31
140242,CENTRAL DUPAGE HOSPITAL,25 NORTH WINFIELD ROAD,WINFIELD,IL,60190,DU PAGE,Hours of physical-restraint use,0.25,63.77,10651.0,nan,Hours of seclusion use,0.0,0.0,10651.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,13.0,nan,Screening for metabolic disorders (SMD),69.0,273.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,467.0,nan,Alcohol use brief intervention provided or offered,100.0,120.0,nan,100.0,120.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,172.0,nan,94.0,172.0,nan,Tobacco use screening,100.0,469.0,nan,Tobacco use treatment provided or offered,96.0,213.0,nan,80.0,213.0,nan,Tobacco use treatment provided or offered at discharge,66.0,191.0,nan,20.0,191.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),66.0,620.0,nan,Timely transmission of transition record (TR2),59.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.2,84.0,nan,48.8,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,293.0,19.0,15.3,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,113.0,nan,2017-10-01,2018-03-31
140252,NORTHWEST COMMUNITY HOSPITAL 1,800 W CENTRAL ROAD,ARLINGTON HEIGHTS,IL,60005,COOK,Hours of physical-restraint use,0.02,8.58,15512.0,nan,Hours of seclusion use,0.02,8.58,15512.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,11.0,19.0,nan,Screening for metabolic disorders (SMD),65.0,274.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,478.0,nan,Alcohol use brief intervention provided or offered,14.0,140.0,nan,8.0,140.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,172.0,nan,91.0,172.0,nan,Tobacco use screening,96.0,482.0,nan,Tobacco use treatment provided or offered,64.0,207.0,nan,52.0,207.0,nan,Tobacco use treatment provided or offered at discharge,24.0,182.0,nan,23.0,182.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,639.0,nan,Timely transmission of transition record (TR2),0.0,639.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.4,126.0,nan,41.3,126.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,335.0,20.2,16.7,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,232.0,nan,2017-10-01,2018-03-31
140258,ALEXIAN BROTHERS MEDICAL CENTER 1,800 W BIESTERFIELD RD,ELK GROVE VILLAGE,IL,60007,COOK,Hours of physical-restraint use,0.0,0.03,5308.0,nan,Hours of seclusion use,0.0,0.0,5308.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,276.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),38.0,380.0,nan,Timely transmission of transition record (TR2),38.0,380.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,438.0,19.4,16.1,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,116.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,103.0,nan,2017-10-01,2018-03-31
140281,NORTHWESTERN MEMORIAL HOSPITAL,251 E HURON ST,CHICAGO,IL,60611,COOK,Hours of physical-restraint use,0.31,71.42,9661.0,nan,Hours of seclusion use,0.05,12.75,9661.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),85.0,515.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,606.0,nan,Alcohol use brief intervention provided or offered,96.0,25.0,nan,96.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,208.0,nan,90.0,208.0,nan,Tobacco use screening,99.0,611.0,nan,Tobacco use treatment provided or offered,84.0,153.0,nan,51.0,153.0,nan,Tobacco use treatment provided or offered at discharge,68.0,146.0,nan,35.0,146.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,941.0,nan,Timely transmission of transition record (TR2),74.0,941.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.1,127.0,nan,42.5,127.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,325.0,22.0,18.5,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),42.0,176.0,nan,2017-10-01,2018-03-31
140292,ADVENTIST GLENOAKS,701 WINTHROP AVENUE,GLENDALE HEIGHTS,IL,60139,DU PAGE,Hours of physical-restraint use,9.9,3523.67,14828.0,nan,Hours of seclusion use,0.0,0.0,14828.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,10.0,31.0,nan,Screening for metabolic disorders (SMD),87.0,407.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,614.0,nan,Alcohol use brief intervention provided or offered,72.0,98.0,nan,54.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,221.0,nan,70.0,221.0,nan,Tobacco use screening,89.0,611.0,nan,Tobacco use treatment provided or offered,67.0,276.0,nan,45.0,276.0,nan,Tobacco use treatment provided or offered at discharge,0.0,219.0,nan,0.0,219.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,672.0,nan,Timely transmission of transition record (TR2),38.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.4,35.0,nan,28.6,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,359.0,22.0,18.1,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,329.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,112.0,nan,2017-10-01,2018-03-31
140304,ADVENTIST BOLINGBROOK HOSPITAL,500 REMINGTON BOULEVARD,BOLINGBROOK,IL,60440,WILL,Hours of physical-restraint use,2.24,220.32,4096.0,nan,Hours of seclusion use,0.0,0.0,4096.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,14.0,nan,Screening for metabolic disorders (SMD),38.0,250.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,25.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,26.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),30.0,340.0,nan,Timely transmission of transition record (TR2),20.0,340.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,242.0,22.4,17.9,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,184.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,61.0,nan,2017-10-01,2018-03-31
141315,ILLINI COMMUNITY HOSPITAL,640 W WASHINGTON,PITTSFIELD,IL,62363,PIKE,Hours of physical-restraint use,0.14,5.0,1487.0,nan,Hours of seclusion use,0.0,0.0,1487.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,35.0,17.0,nan,Screening for metabolic disorders (SMD),80.0,122.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,202.0,nan,Alcohol use brief intervention provided or offered,77.0,30.0,nan,73.0,30.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,46.0,nan,22.0,46.0,nan,Tobacco use screening,100.0,207.0,nan,Tobacco use treatment provided or offered,89.0,73.0,nan,52.0,73.0,nan,Tobacco use treatment provided or offered at discharge,85.0,62.0,nan,53.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),47.0,213.0,nan,Timely transmission of transition record (TR2),46.0,213.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.5,38.0,nan,18.4,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,155.0,26.2,21.1,31.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,92.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,23.0,nan,2017-10-01,2018-03-31
144005,AURORA CHICAGO LAKESHORE HOSPITAL,4840 N MARINE DR,CHICAGO,IL,60640,COOK,Hours of physical-restraint use,0.12,129.74,44156.0,nan,Hours of seclusion use,0.03,28.99,44156.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,59.0,nan,Screening for metabolic disorders (SMD),69.0,570.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,919.0,nan,Alcohol use brief intervention provided or offered,100.0,224.0,nan,100.0,224.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,559.0,nan,79.0,559.0,nan,Tobacco use screening,100.0,919.0,nan,Tobacco use treatment provided or offered,98.0,576.0,nan,78.0,576.0,nan,Tobacco use treatment provided or offered at discharge,0.0,573.0,nan,0.0,573.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,1173.0,nan,Timely transmission of transition record (TR2),29.0,1173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.1,126.0,nan,19.0,126.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,612.0,23.7,20.8,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),17.0,2564.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),39.0,512.0,nan,2017-10-01,2018-03-31
144009,RIVEREDGE HOSPITAL,8311 WEST ROOSEVELT ROAD,FOREST PARK,IL,60130,COOK,Hours of physical-restraint use,0.08,77.33,40181.0,nan,Hours of seclusion use,0.0,0.13,40181.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,49.0,nan,Screening for metabolic disorders (SMD),92.0,533.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,424.0,nan,Alcohol use brief intervention provided or offered,87.0,79.0,nan,61.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,190.0,nan,16.0,190.0,nan,Tobacco use screening,98.0,424.0,nan,Tobacco use treatment provided or offered,77.0,226.0,nan,25.0,226.0,nan,Tobacco use treatment provided or offered at discharge,84.0,175.0,nan,0.0,175.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,972.0,nan,Timely transmission of transition record (TR2),70.0,972.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.3,207.0,nan,43.0,207.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,754.0,23.6,21.0,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,518.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,448.0,nan,2017-10-01,2018-03-31
144010,CHICAGO-READ MENTAL HEALTH CENTER,4200 N OAK PARK AVE,CHICAGO,IL,60634,COOK,Hours of physical-restraint use,0.15,23.07,6204.0,nan,Hours of seclusion use,0.0,0.0,6204.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),43.0,134.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,229.0,nan,Alcohol use brief intervention provided or offered,71.0,55.0,nan,65.0,55.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,138.0,nan,83.0,138.0,nan,Tobacco use screening,93.0,229.0,nan,Tobacco use treatment provided or offered,74.0,77.0,nan,61.0,77.0,nan,Tobacco use treatment provided or offered at discharge,46.0,69.0,nan,3.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,227.0,nan,Timely transmission of transition record (TR2),77.0,227.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,57.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,295.0,nan,2017-10-01,2018-03-31
144016,ALTON MENTAL HEALTH CENTER,4500 COLLEGE AVENUE,ALTON,IL,62002,MADISON,Hours of physical-restraint use,0.49,65.9,5581.0,nan,Hours of seclusion use,0.08,10.83,5581.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,17.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,18.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,18.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,38.0,nan,Timely transmission of transition record (TR2),84.0,38.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),61.0,302.0,nan,2017-10-01,2018-03-31
144021,ANDREW MCFARLAND MENTAL HLTH CTR,901 SOUTHWIND RD,SPRINGFIELD,IL,62703,SANGAMON,Hours of physical-restraint use,0.12,138.08,49313.0,nan,Hours of seclusion use,0.01,10.98,49313.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,195.0,nan,Alcohol use brief intervention provided or offered,100.0,35.0,nan,74.0,35.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,98.0,nan,8.0,98.0,nan,Tobacco use screening,100.0,194.0,nan,Tobacco use treatment provided or offered,84.0,51.0,nan,35.0,51.0,nan,Tobacco use treatment provided or offered at discharge,20.0,50.0,nan,0.0,50.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,249.0,nan,Timely transmission of transition record (TR2),83.0,249.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.8,18.0,nan,22.2,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,43.0,16.7,12.5,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,89.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,339.0,nan,2017-10-01,2018-03-31
144026,HARTGROVE HOSPITAL,5730 W ROOSEVELT ROAD,CHICAGO,IL,60644,COOK,Hours of physical-restraint use,0.06,71.13,48375.0,nan,Hours of seclusion use,0.09,109.4,48375.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,14.0,nan,Screening for metabolic disorders (SMD),91.0,524.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,346.0,nan,Alcohol use brief intervention provided or offered,94.0,51.0,nan,92.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,192.0,nan,72.0,192.0,nan,Tobacco use screening,99.0,351.0,nan,Tobacco use treatment provided or offered,90.0,158.0,nan,73.0,158.0,nan,Tobacco use treatment provided or offered at discharge,75.0,129.0,nan,29.0,129.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,969.0,nan,Timely transmission of transition record (TR2),71.0,969.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.6,110.0,nan,17.3,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,354.0,22.4,19.2,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,472.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,524.0,nan,2017-10-01,2018-03-31
144028,JOHN J MADDEN MENTAL HEALTH CENTER,1200 S FIRST AVE,HINES,IL,60141,COOK,Hours of physical-restraint use,0.19,31.95,7103.0,nan,Hours of seclusion use,0.03,4.58,7103.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),87.0,250.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,498.0,nan,Alcohol use brief intervention provided or offered,100.0,63.0,nan,71.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,263.0,nan,62.0,263.0,nan,Tobacco use screening,97.0,498.0,nan,Tobacco use treatment provided or offered,95.0,254.0,nan,64.0,254.0,nan,Tobacco use treatment provided or offered at discharge,93.0,243.0,nan,0.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,492.0,nan,Timely transmission of transition record (TR2),75.0,492.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,237.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,346.0,nan,2017-10-01,2018-03-31
144029,"PAVILION FOUNDATION, THE",809 W CHURCH ST,CHAMPAIGN,IL,61820,CHAMPAIGN,Hours of physical-restraint use,0.06,28.0,20622.0,nan,Hours of seclusion use,0.13,65.93,20622.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),72.0,471.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,369.0,nan,Alcohol use brief intervention provided or offered,99.0,102.0,nan,97.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,217.0,nan,24.0,217.0,nan,Tobacco use screening,100.0,369.0,nan,Tobacco use treatment provided or offered,96.0,202.0,nan,84.0,202.0,nan,Tobacco use treatment provided or offered at discharge,94.0,202.0,nan,0.0,202.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,965.0,nan,Timely transmission of transition record (TR2),64.0,965.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.3,124.0,nan,29.0,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,312.0,18.8,15.6,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,438.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,343.0,nan,2017-10-01,2018-03-31
144031,ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP,1650 MOON LAKE BLVD,HOFFMAN ESTATES,IL,60169,COOK,Hours of physical-restraint use,0.1,114.95,45787.0,nan,Hours of seclusion use,0.03,32.13,45787.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,541.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,884.0,nan,Alcohol use brief intervention provided or offered,80.0,262.0,nan,67.0,262.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,379.0,nan,43.0,379.0,nan,Tobacco use screening,100.0,910.0,nan,Tobacco use treatment provided or offered,97.0,381.0,nan,43.0,381.0,nan,Tobacco use treatment provided or offered at discharge,77.0,370.0,nan,4.0,370.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),64.0,1385.0,nan,Timely transmission of transition record (TR2),64.0,1385.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.5,394.0,nan,39.8,394.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1629.0,19.2,17.3,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,562.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,1140.0,nan,2017-10-01,2018-03-31
144034,BHC STREAMWOOD HOSPITAL INC,1400 E IRVING PARK ROAD,STREAMWOOD,IL,60107,COOK,Hours of physical-restraint use,0.08,75.25,41154.0,nan,Hours of seclusion use,0.06,56.65,41154.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,21.0,nan,Screening for metabolic disorders (SMD),97.0,448.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,117.0,nan,Alcohol use brief intervention provided or offered,50.0,34.0,nan,3.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,42.0,nan,24.0,42.0,nan,Tobacco use screening,99.0,117.0,nan,Tobacco use treatment provided or offered,74.0,65.0,nan,12.0,65.0,nan,Tobacco use treatment provided or offered at discharge,67.0,60.0,nan,3.0,60.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,890.0,nan,Timely transmission of transition record (TR2),94.0,890.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,40.0,nan,27.5,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,55.0,20.5,15.3,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,479.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,339.0,nan,2017-10-01,2018-03-31
144035,LINDEN OAKS HOSPITAL,852 S WEST STREET,NAPERVILLE,IL,60540,DU PAGE,Hours of physical-restraint use,0.19,142.15,30654.0,nan,Hours of seclusion use,0.02,17.65,30654.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,33.0,nan,Screening for metabolic disorders (SMD),45.0,1605.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,2207.0,nan,Alcohol use brief intervention provided or offered,97.0,426.0,nan,95.0,426.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,728.0,nan,86.0,728.0,nan,Tobacco use screening,100.0,1862.0,nan,Tobacco use treatment provided or offered,86.0,707.0,nan,79.0,707.0,nan,Tobacco use treatment provided or offered at discharge,52.0,707.0,nan,39.0,707.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,1155.0,nan,Timely transmission of transition record (TR2),74.0,1155.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.7,223.0,nan,47.1,223.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,835.0,21.4,18.9,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,2120.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,827.0,nan,2017-10-01,2018-03-31
144037,ELGIN MENTAL HEALTH CENTER,750 S STATE ST,ELGIN,IL,60123,KANE,Hours of physical-restraint use,0.13,29.3,9102.0,nan,Hours of seclusion use,0.07,15.0,9102.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),12.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,447.0,nan,Alcohol use brief intervention provided or offered,99.0,70.0,nan,99.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,228.0,nan,18.0,228.0,nan,Tobacco use screening,97.0,448.0,nan,Tobacco use treatment provided or offered,98.0,178.0,nan,17.0,178.0,nan,Tobacco use treatment provided or offered at discharge,62.0,169.0,nan,24.0,169.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,449.0,nan,Timely transmission of transition record (TR2),71.0,449.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,216.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,830.0,nan,2017-10-01,2018-03-31
144038,CHOATE MENTAL HEALTH & DEVELOPMENT CTR,1000 N MAIN ST,ANNA,IL,62906,UNION,Hours of physical-restraint use,0.38,139.23,15284.0,nan,Hours of seclusion use,0.0,1.58,15284.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),79.0,38.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,46.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,20.0,nan,60.0,20.0,nan,Tobacco use screening,98.0,46.0,nan,Tobacco use treatment provided or offered,91.0,22.0,nan,32.0,22.0,nan,Tobacco use treatment provided or offered at discharge,86.0,21.0,nan,0.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,67.0,nan,Timely transmission of transition record (TR2),93.0,67.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,25.0,18.7,13.5,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,15.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,370.0,nan,2017-10-01,2018-03-31
144039,GARFIELD PARK HOSPITAL,520 N RIDGEWAY AVE,CHICAGO,IL,60624,COOK,Hours of physical-restraint use,0.28,81.35,12048.0,nan,Hours of seclusion use,0.16,46.6,12048.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,439.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,770.0,nan,Timely transmission of transition record (TR2),92.0,770.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,418.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,267.0,nan,2017-10-01,2018-03-31
144040,CHICAGO BEHAVIORAL HOSPITAL,555 WILSON LANE,DES PLAINES,IL,60016,COOK,Hours of physical-restraint use,0.01,7.43,41285.0,nan,Hours of seclusion use,0.01,14.56,41285.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,86.0,nan,Screening for metabolic disorders (SMD),56.0,513.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,707.0,nan,Alcohol use brief intervention provided or offered,97.0,141.0,nan,97.0,141.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,302.0,nan,36.0,302.0,nan,Tobacco use screening,100.0,707.0,nan,Tobacco use treatment provided or offered,67.0,246.0,nan,62.0,246.0,nan,Tobacco use treatment provided or offered at discharge,13.0,228.0,nan,3.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,881.0,nan,Timely transmission of transition record (TR2),30.0,881.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.8,313.0,nan,20.4,313.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,781.0,23.3,20.9,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,437.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,361.0,nan,2017-10-01,2018-03-31
150002,METHODIST HOSPITALS INC,600 GRANT ST,GARY,IN,46402,LAKE,Hours of physical-restraint use,0.0,0.0,2343.0,nan,Hours of seclusion use,3.59,202.0,2343.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,34.0,nan,Screening for metabolic disorders (SMD),9.0,121.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,6.0,140.0,nan,Alcohol use brief intervention provided or offered,75.0,24.0,nan,29.0,24.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,35.0,nan,20.0,35.0,nan,Tobacco use screening,100.0,140.0,nan,Tobacco use treatment provided or offered,54.0,72.0,nan,31.0,72.0,nan,Tobacco use treatment provided or offered at discharge,5.0,60.0,nan,0.0,60.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,143.0,nan,Timely transmission of transition record (TR2),0.0,144.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,42.0,nan,16.7,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,124.0,17.2,13.1,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,62.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,49.0,nan,2017-10-01,2018-03-31
150004,FRANCISCAN HEALTH HAMMOND,5454 HOHMAN AVE,HAMMOND,IN,46320,LAKE,Hours of physical-restraint use,2.31,563.98,10166.0,nan,Hours of seclusion use,0.02,5.95,10166.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,14.0,nan,Screening for metabolic disorders (SMD),27.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,392.0,nan,Alcohol use brief intervention provided or offered,89.0,122.0,nan,86.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,212.0,nan,47.0,212.0,nan,Tobacco use screening,100.0,407.0,nan,Tobacco use treatment provided or offered,78.0,237.0,nan,70.0,237.0,nan,Tobacco use treatment provided or offered at discharge,7.0,228.0,nan,1.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),31.0,636.0,nan,Timely transmission of transition record (TR2),71.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.2,91.0,nan,41.8,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,291.0,24.2,20.3,28.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,261.0,nan,2017-10-01,2018-03-31
150008,ST CATHERINE HOSPITAL INC,4321 FIR ST,EAST CHICAGO,IN,46312,LAKE,Hours of physical-restraint use,0.3,24.81,3485.0,nan,Hours of seclusion use,0.0,0.0,3485.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,53.0,nan,Screening for metabolic disorders (SMD),66.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,285.0,nan,Alcohol use brief intervention provided or offered,94.0,17.0,nan,94.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,30.0,nan,67.0,30.0,nan,Tobacco use screening,100.0,273.0,nan,Tobacco use treatment provided or offered,88.0,52.0,nan,62.0,52.0,nan,Tobacco use treatment provided or offered at discharge,40.0,45.0,nan,22.0,45.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,338.0,nan,Timely transmission of transition record (TR2),97.0,338.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.0,40.0,nan,45.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,298.0,21.8,17.9,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,155.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),46.0,74.0,nan,2017-10-01,2018-03-31
150009,CLARK MEMORIAL HEALTH,1220 MISSOURI AVE,JEFFERSONVILLE,IN,47130,CLARK,Hours of physical-restraint use,0.0,0.0,3492.0,nan,Hours of seclusion use,0.11,9.4,3492.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,37.0,30.0,nan,Screening for metabolic disorders (SMD),72.0,219.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,309.0,nan,Alcohol use brief intervention provided or offered,95.0,19.0,nan,84.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,22.0,nan,64.0,22.0,nan,Tobacco use screening,98.0,297.0,nan,Tobacco use treatment provided or offered,85.0,55.0,nan,38.0,55.0,nan,Tobacco use treatment provided or offered at discharge,6.0,35.0,nan,0.0,35.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),27.0,288.0,nan,Timely transmission of transition record (TR2),25.0,288.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,25.0,nan,36.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,433.0,22.7,19.2,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,249.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,72.0,nan,2017-10-01,2018-03-31
150015,FRANCISCAN HEALTH MICHIGAN CITY,3500 FRANCISCAN WAY,MICHIGAN CITY,IN,46360,LA PORTE,Hours of physical-restraint use,0.04,3.07,3171.0,nan,Hours of seclusion use,0.0,0.0,3171.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),56.0,182.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,407.0,nan,Alcohol use brief intervention provided or offered,69.0,124.0,nan,67.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,185.0,nan,31.0,185.0,nan,Tobacco use screening,91.0,423.0,nan,Tobacco use treatment provided or offered,84.0,209.0,nan,37.0,209.0,nan,Tobacco use treatment provided or offered at discharge,34.0,204.0,nan,1.0,204.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,460.0,nan,Timely transmission of transition record (TR2),0.0,460.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,50.0,nan,30.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,139.0,20.5,16.0,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,227.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,144.0,nan,2017-10-01,2018-03-31
150018,ELKHART GENERAL HOSPITAL,600 E BLVD,ELKHART,IN,46514,ELKHART,Hours of physical-restraint use,0.1,6.17,2555.0,nan,Hours of seclusion use,0.1,6.08,2555.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,13.0,nan,Screening for metabolic disorders (SMD),100.0,189.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,336.0,nan,Alcohol use brief intervention provided or offered,88.0,92.0,nan,76.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,208.0,nan,62.0,208.0,nan,Tobacco use screening,92.0,341.0,nan,Tobacco use treatment provided or offered,94.0,210.0,nan,42.0,210.0,nan,Tobacco use treatment provided or offered at discharge,76.0,209.0,nan,1.0,209.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),39.0,565.0,nan,Timely transmission of transition record (TR2),33.0,565.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.3,37.0,nan,51.4,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,131.0,20.7,16.2,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,272.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,23.0,nan,2017-10-01,2018-03-31
150021,PARKVIEW REGIONAL MEDICAL CENTER,11109 PARKVIEW PLAZA DRIVE,FORT WAYNE,IN,46845,ALLEN,Hours of physical-restraint use,0.06,17.92,12034.0,nan,Hours of seclusion use,0.07,21.35,12034.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,12.0,nan,Screening for metabolic disorders (SMD),77.0,257.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,486.0,nan,Alcohol use brief intervention provided or offered,87.0,101.0,nan,73.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,209.0,nan,32.0,209.0,nan,Tobacco use screening,99.0,492.0,nan,Tobacco use treatment provided or offered,59.0,239.0,nan,6.0,239.0,nan,Tobacco use treatment provided or offered at discharge,1.0,223.0,nan,0.0,223.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),10.0,718.0,nan,Timely transmission of transition record (TR2),10.0,718.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.5,270.0,nan,21.9,270.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1134.0,20.4,18.3,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,350.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,602.0,nan,2017-10-01,2018-03-31
150022,FRANCISCAN HEALTH CRAWFORDSVILLE,1710 LAFAYETTE RD,CRAWFORDSVILLE,IN,47933,MONTGOMERY,Hours of physical-restraint use,0.43,21.25,2041.0,nan,Hours of seclusion use,0.0,0.0,2041.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,14.0,nan,Screening for metabolic disorders (SMD),23.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,106.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,95.0,87.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,173.0,nan,Timely transmission of transition record (TR2),0.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,209.0,18.2,14.0,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,78.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,15.0,nan,2017-10-01,2018-03-31
150024,ESKENAZI HEALTH,720 ESKENAZI AVENUE,INDIANAPOLIS,IN,46202,MARION,Hours of physical-restraint use,0.37,61.58,6905.0,nan,Hours of seclusion use,0.37,61.33,6905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,11.0,nan,Screening for metabolic disorders (SMD),0.0,869.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,567.0,nan,Alcohol use brief intervention provided or offered,90.0,70.0,nan,90.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,202.0,nan,28.0,202.0,nan,Tobacco use screening,98.0,604.0,nan,Tobacco use treatment provided or offered,62.0,349.0,nan,50.0,349.0,nan,Tobacco use treatment provided or offered at discharge,1.0,325.0,nan,1.0,325.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,869.0,nan,Timely transmission of transition record (TR2),0.0,869.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.0,125.0,nan,43.2,125.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,303.0,20.3,17.0,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),6.0,390.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,55.0,nan,2017-10-01,2018-03-31
150037,HANCOCK REGIONAL HOSPITAL,801 N STATE ST,GREENFIELD,IN,46140,HANCOCK,Hours of physical-restraint use,0.0,0.0,2751.0,nan,Hours of seclusion use,0.0,0.0,2751.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),81.0,140.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,346.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,346.0,nan,Tobacco use treatment provided or offered,77.0,13.0,nan,46.0,13.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,221.0,nan,Timely transmission of transition record (TR2),99.0,221.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,319.0,16.0,12.5,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,160.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,24.0,nan,2017-10-01,2018-03-31
150042,GOOD SAMARITAN HOSPITAL,520 S 7TH ST,VINCENNES,IN,47591,KNOX,Hours of physical-restraint use,0.49,51.08,4368.0,nan,Hours of seclusion use,0.11,11.88,4368.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,23.0,nan,Screening for metabolic disorders (SMD),38.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,78.0,662.0,nan,Alcohol use brief intervention provided or offered,92.0,324.0,nan,92.0,324.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,258.0,nan,26.0,258.0,nan,Tobacco use screening,91.0,669.0,nan,Tobacco use treatment provided or offered,80.0,428.0,nan,73.0,428.0,nan,Tobacco use treatment provided or offered at discharge,81.0,417.0,nan,81.0,417.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,793.0,nan,Timely transmission of transition record (TR2),1.0,793.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.6,107.0,nan,45.8,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,341.0,24.0,20.3,28.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,365.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,515.0,nan,2017-10-01,2018-03-31
150046,TERRE HAUTE REGIONAL HOSPITAL,3901 S SEVENTH ST,TERRE HAUTE,IN,47802,VIGO,Hours of physical-restraint use,0.46,88.97,8071.0,nan,Hours of seclusion use,0.11,22.17,8071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,15.0,nan,Screening for metabolic disorders (SMD),99.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1098.0,nan,Alcohol use brief intervention provided or offered,100.0,363.0,nan,100.0,363.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,699.0,nan,99.0,699.0,nan,Tobacco use screening,100.0,1096.0,nan,Tobacco use treatment provided or offered,100.0,776.0,nan,95.0,776.0,nan,Tobacco use treatment provided or offered at discharge,99.0,765.0,nan,99.0,765.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,317.0,nan,Timely transmission of transition record (TR2),98.0,317.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.0,114.0,nan,29.8,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,320.0,22.5,19.2,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,534.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,435.0,nan,2017-10-01,2018-03-31
150047,ST JOSEPH HOSPITAL,700 BROADWAY,FORT WAYNE,IN,46802,ALLEN,Hours of physical-restraint use,27.79,3425.77,5137.0,nan,Hours of seclusion use,0.23,28.85,5137.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),88.0,298.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,85.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,61.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,390.0,nan,Timely transmission of transition record (TR2),85.0,390.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.2,22.0,nan,36.4,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,402.0,16.6,13.5,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,170.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,221.0,nan,2017-10-01,2018-03-31
150048,REID HEALTH,1100 REID PKWY,RICHMOND,IN,47374,WAYNE,Hours of physical-restraint use,0.5,141.1,11729.0,nan,Hours of seclusion use,0.19,52.7,11729.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,38.0,nan,Screening for metabolic disorders (SMD),25.0,218.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,619.0,nan,Alcohol use brief intervention provided or offered,36.0,83.0,nan,35.0,83.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,137.0,nan,75.0,137.0,nan,Tobacco use screening,100.0,611.0,nan,Tobacco use treatment provided or offered,70.0,152.0,nan,21.0,152.0,nan,Tobacco use treatment provided or offered at discharge,67.0,132.0,nan,1.0,132.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,317.0,nan,Timely transmission of transition record (TR2),55.0,317.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.5,101.0,nan,18.8,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,824.0,20.7,18.2,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,97.0,nan,2017-10-01,2018-03-31
150056,INDIANA UNIVERSITY HEALTH,1701 N SENATE BLVD,INDIANAPOLIS,IN,46202,MARION,Hours of physical-restraint use,2.31,321.82,5799.0,nan,Hours of seclusion use,4.42,615.01,5799.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),72.0,265.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,74.0,356.0,nan,Alcohol use brief intervention provided or offered,97.0,59.0,nan,97.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,140.0,nan,76.0,140.0,nan,Tobacco use screening,100.0,398.0,nan,Tobacco use treatment provided or offered,13.0,180.0,nan,10.0,180.0,nan,Tobacco use treatment provided or offered at discharge,6.0,174.0,nan,0.0,174.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,618.0,nan,Timely transmission of transition record (TR2),1.0,618.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.0,91.0,nan,48.4,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,255.0,18.4,14.7,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,223.0,nan,2017-10-01,2018-03-31
150058,MEMORIAL HOSPITAL OF SOUTH BEND,615 N MICHIGAN ST,SOUTH BEND,IN,46601,ST. JOSEPH,Hours of physical-restraint use,0.0,0.0,3762.0,nan,Hours of seclusion use,0.0,0.0,3762.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,218.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,260.0,nan,Alcohol use brief intervention provided or offered,85.0,20.0,nan,45.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,67.0,nan,97.0,67.0,nan,Tobacco use screening,100.0,259.0,nan,Tobacco use treatment provided or offered,95.0,86.0,nan,27.0,86.0,nan,Tobacco use treatment provided or offered at discharge,54.0,74.0,nan,0.0,74.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),71.0,371.0,nan,Timely transmission of transition record (TR2),70.0,371.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.5,51.0,nan,49.0,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,245.0,18.1,14.0,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,142.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,29.0,nan,2017-10-01,2018-03-31
150061,DAVIESS COMMUNITY HOSPITAL,1314 E WALNUT ST,WASHINGTON,IN,47501,DAVIESS,Hours of physical-restraint use,0.0,0.0,6003.0,nan,Hours of seclusion use,0.0,0.0,6003.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,21.0,nan,Screening for metabolic disorders (SMD),97.0,222.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,21.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,31.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,334.0,nan,Timely transmission of transition record (TR2),96.0,333.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,22.0,nan,22.7,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,534.0,18.6,15.5,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,131.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,65.0,nan,2017-10-01,2018-03-31
150064,FAYETTE REGIONAL HEALTH SYSTEM,1941 VIRGINIA AVE,CONNERSVILLE,IN,47331,FAYETTE,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.8,19.0,nan,10.5,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,197.0,20.7,16.5,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),89.0,464.0,nan,2017-10-01,2018-03-31
150082,DEACONESS HOSPITAL INC,600 MARY ST,EVANSVILLE,IN,47747,VANDERBURGH,Hours of physical-restraint use,1.85,203.43,4570.0,nan,Hours of seclusion use,0.95,104.22,4570.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,39.0,nan,Screening for metabolic disorders (SMD),72.0,269.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,453.0,nan,Alcohol use brief intervention provided or offered,95.0,118.0,nan,94.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,216.0,nan,44.0,216.0,nan,Tobacco use screening,97.0,479.0,nan,Tobacco use treatment provided or offered,98.0,319.0,nan,76.0,319.0,nan,Tobacco use treatment provided or offered at discharge,79.0,270.0,nan,15.0,270.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),29.0,495.0,nan,Timely transmission of transition record (TR2),28.0,495.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.5,101.0,nan,26.7,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,270.0,20.0,16.6,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,250.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,270.0,nan,2017-10-01,2018-03-31
150084,ST VINCENT HOSPITAL & HEALTH SERVICES,2001 W 86TH ST,INDIANAPOLIS,IN,46260,MARION,Hours of physical-restraint use,1.0,353.2,14784.0,nan,Hours of seclusion use,0.76,268.52,14784.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),0.0,233.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,3.0,477.0,nan,Alcohol use brief intervention provided or offered,11.0,103.0,nan,11.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,168.0,nan,35.0,168.0,nan,Tobacco use screening,100.0,478.0,nan,Tobacco use treatment provided or offered,54.0,200.0,nan,30.0,200.0,nan,Tobacco use treatment provided or offered at discharge,26.0,195.0,nan,0.0,195.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,645.0,nan,Timely transmission of transition record (TR2),0.0,645.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.7,163.0,nan,31.9,163.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,483.0,18.3,15.4,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,235.0,nan,2017-10-01,2018-03-31
150100,ST VINCENT EVANSVILLE,3700 WASHINGTON AVE,EVANSVILLE,IN,47750,VANDERBURGH,Hours of physical-restraint use,0.13,12.35,3965.0,nan,Hours of seclusion use,0.0,0.0,3965.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),56.0,288.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,557.0,nan,Alcohol use brief intervention provided or offered,52.0,169.0,nan,50.0,169.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,280.0,nan,98.0,280.0,nan,Tobacco use screening,100.0,559.0,nan,Tobacco use treatment provided or offered,64.0,80.0,nan,41.0,80.0,nan,Tobacco use treatment provided or offered at discharge,39.0,322.0,nan,8.0,322.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,605.0,nan,Timely transmission of transition record (TR2),0.0,605.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.8,76.0,nan,35.5,76.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,18.2,14.5,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,142.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,42.0,nan,2017-10-01,2018-03-31
150104,WITHAM HEALTH SERVICES,2605 N LEBANON ST,LEBANON,IN,46052,BOONE,Hours of physical-restraint use,0.0,0.0,2872.0,nan,Hours of seclusion use,0.0,0.0,2872.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,19.0,nan,Screening for metabolic disorders (SMD),81.0,150.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,229.0,nan,Timely transmission of transition record (TR2),99.0,229.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,300.0,17.8,14.0,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,102.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,37.0,nan,2017-10-01,2018-03-31
150115,MEMORIAL HOSPITAL AND HEALTH CARE CENTER,800 W 9TH ST,JASPER,IN,47546,DUBOIS,Hours of physical-restraint use,4.61,303.57,2745.0,nan,Hours of seclusion use,5.66,372.73,2745.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),29.0,133.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,362.0,nan,Alcohol use brief intervention provided or offered,83.0,65.0,nan,78.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,144.0,nan,79.0,144.0,nan,Tobacco use screening,100.0,402.0,nan,Tobacco use treatment provided or offered,90.0,151.0,nan,14.0,151.0,nan,Tobacco use treatment provided or offered at discharge,28.0,141.0,nan,1.0,141.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),31.0,452.0,nan,Timely transmission of transition record (TR2),31.0,452.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.1,43.0,nan,41.9,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,287.0,22.4,18.1,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,228.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,518.0,nan,2017-10-01,2018-03-31
150169,COMMUNITY HOSPITAL NORTH,7150 CLEARVISTA DR,INDIANAPOLIS,IN,46256,MARION,Hours of physical-restraint use,0.0,0.05,3494.0,nan,Hours of seclusion use,0.07,6.0,3494.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,57.0,21.0,nan,Screening for metabolic disorders (SMD),20.0,281.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,117.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,122.0,nan,Tobacco use treatment provided or offered,19.0,21.0,nan,0.0,21.0,nan,Tobacco use treatment provided or offered at discharge,0.0,15.0,nan,0.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,347.0,nan,Timely transmission of transition record (TR2),0.0,347.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.5,63.0,nan,47.6,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,341.0,18.7,15.0,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,161.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,3742.0,nan,2017-10-01,2018-03-31
151320,IU HEALTH JAY,500 W VOTAW ST,PORTLAND,IN,47371,JAY,Hours of physical-restraint use,0.0,0.0,1069.0,nan,Hours of seclusion use,0.0,0.0,1069.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,90.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,133.0,nan,Alcohol use brief intervention provided or offered,95.0,19.0,nan,95.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,36.0,nan,86.0,36.0,nan,Tobacco use screening,100.0,149.0,nan,Tobacco use treatment provided or offered,94.0,53.0,nan,51.0,53.0,nan,Tobacco use treatment provided or offered at discharge,100.0,46.0,nan,0.0,46.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,146.0,nan,Timely transmission of transition record (TR2),78.0,146.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,23.0,nan,8.7,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,136.0,19.6,15.1,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,68.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,23.0,nan,2017-10-01,2018-03-31
151325,ST VINCENT WARRICK,1116 MILLIS AVE,BOONVILLE,IN,47601,WARRICK,Hours of physical-restraint use,0.03,2.42,3483.0,nan,Hours of seclusion use,0.0,0.0,3483.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,172.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,135.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,136.0,nan,Tobacco use treatment provided or offered,7.0,15.0,nan,7.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,248.0,nan,Timely transmission of transition record (TR2),0.0,248.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,335.0,21.1,17.3,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,96.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,30.0,nan,2017-10-01,2018-03-31
151330,ADAMS MEMORIAL HOSPITAL,1100 MERCER AVE,DECATUR,IN,46733,ADAMS,Hours of physical-restraint use,0.0,0.0,1615.0,nan,Hours of seclusion use,0.0,0.0,1615.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),79.0,52.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,300.0,nan,Alcohol use brief intervention provided or offered,100.0,81.0,nan,99.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,122.0,nan,80.0,122.0,nan,Tobacco use screening,100.0,301.0,nan,Tobacco use treatment provided or offered,88.0,165.0,nan,79.0,165.0,nan,Tobacco use treatment provided or offered at discharge,39.0,155.0,nan,3.0,155.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),8.0,142.0,nan,Timely transmission of transition record (TR2),6.0,142.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,24.0,nan,25.0,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,78.0,21.0,15.5,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,75.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,37.0,nan,2017-10-01,2018-03-31
154005,RIVER BEND HOSPITAL,2900 N RIVER RD,WEST LAFAYETTE,IN,47906,TIPPECANOE,Hours of physical-restraint use,1.0,66.9,2782.0,nan,Hours of seclusion use,0.05,3.6,2782.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,32.0,nan,Screening for metabolic disorders (SMD),98.0,216.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,457.0,nan,Alcohol use brief intervention provided or offered,100.0,31.0,nan,94.0,31.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,61.0,nan,100.0,61.0,nan,Tobacco use screening,100.0,276.0,nan,Tobacco use treatment provided or offered,100.0,39.0,nan,82.0,39.0,nan,Tobacco use treatment provided or offered at discharge,94.0,35.0,nan,91.0,35.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,457.0,nan,Timely transmission of transition record (TR2),95.0,457.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,57.0,nan,35.1,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,138.0,19.9,15.7,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,205.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,177.0,nan,2017-10-01,2018-03-31
154008,NEURODIAGNOSTIC INSTITUTE,5435 E 16TH ST,INDIANAPOLIS,IN,46218,MARION,Hours of physical-restraint use,0.52,429.37,34635.0,nan,Hours of seclusion use,0.01,4.78,34635.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,16.0,nan,Screening for metabolic disorders (SMD),100.0,28.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,46.0,nan,Timely transmission of transition record (TR2),91.0,46.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),64.0,265.0,nan,2017-10-01,2018-03-31
154009,HAMILTON CENTER INC,620 8TH AVE,TERRE HAUTE,IN,47804,VIGO,Hours of physical-restraint use,0.08,9.8,5377.0,nan,Hours of seclusion use,0.0,0.0,5377.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,33.0,nan,Screening for metabolic disorders (SMD),100.0,232.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,4.0,647.0,nan,Alcohol use brief intervention provided or offered,0.0,28.0,nan,0.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,28.0,nan,0.0,28.0,nan,Tobacco use screening,100.0,647.0,nan,Tobacco use treatment provided or offered,0.0,482.0,nan,0.0,482.0,nan,Tobacco use treatment provided or offered at discharge,0.0,482.0,nan,0.0,482.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,670.0,nan,Timely transmission of transition record (TR2),0.0,670.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.3,32.0,nan,9.4,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,57.0,22.9,17.0,29.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),3.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,622.0,nan,2017-10-01,2018-03-31
154011,COMMUNITY MENTAL HEALTH CENTER INC,285 BIELBY RD,LAWRENCEBURG,IN,47025,DEARBORN,Hours of physical-restraint use,0.07,4.48,2787.0,nan,Hours of seclusion use,0.0,0.0,2787.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,25.0,nan,Screening for metabolic disorders (SMD),82.0,114.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,180.0,nan,Alcohol use brief intervention provided or offered,92.0,25.0,nan,92.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,181.0,nan,Tobacco use treatment provided or offered,100.0,116.0,nan,100.0,116.0,nan,Tobacco use treatment provided or offered at discharge,36.0,115.0,nan,1.0,115.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,178.0,nan,Timely transmission of transition record (TR2),99.0,178.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,86.0,50.0,nan,34.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,143.0,20.1,15.3,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,87.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,35.0,nan,2017-10-01,2018-03-31
154014,OTIS R BOWEN CENTER FOR HUMAN SERVICES INC,9 PEQUIGNOT DR,PIERCETON,IN,46562,KOSCIUSKO,Hours of physical-restraint use,0.05,5.13,4393.0,nan,Hours of seclusion use,0.06,5.95,4393.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,14.0,nan,Screening for metabolic disorders (SMD),4.0,159.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,526.0,nan,Alcohol use brief intervention provided or offered,91.0,143.0,nan,57.0,143.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,203.0,nan,79.0,203.0,nan,Tobacco use screening,98.0,526.0,nan,Tobacco use treatment provided or offered,84.0,320.0,nan,5.0,320.0,nan,Tobacco use treatment provided or offered at discharge,67.0,311.0,nan,1.0,311.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,610.0,nan,Timely transmission of transition record (TR2),0.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.3,120.0,nan,50.8,120.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,277.0,22.2,18.5,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),32.0,68.0,nan,2017-10-01,2018-03-31
154018,RICHMOND STATE HOSPITAL,498 NW 18TH ST,RICHMOND,IN,47374,WAYNE,Hours of physical-restraint use,2.53,596.73,9821.0,nan,Hours of seclusion use,0.0,0.0,9821.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,12.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,19.0,nan,Timely transmission of transition record (TR2),0.0,19.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),76.0,382.0,nan,2017-10-01,2018-03-31
154019,MADISON STATE HOSPITAL,711 GREEN RD,MADISON,IN,47250,JEFFERSON,Hours of physical-restraint use,0.23,203.67,37003.0,nan,Hours of seclusion use,0.08,70.88,37003.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,11.0,nan,Screening for metabolic disorders (SMD),93.0,28.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,11.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,11.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),77.0,48.0,nan,Timely transmission of transition record (TR2),81.0,48.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),76.0,428.0,nan,2017-10-01,2018-03-31
154020,REGIONAL MENTAL HEALTH CENTER,8555 TAFT ST,MERRILLVILLE,IN,46410,LAKE,Hours of physical-restraint use,0.23,18.96,3475.0,nan,Hours of seclusion use,0.0,0.0,3475.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,53.0,nan,Screening for metabolic disorders (SMD),100.0,64.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,314.0,nan,Alcohol use brief intervention provided or offered,49.0,37.0,nan,43.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,37.0,nan,46.0,37.0,nan,Tobacco use screening,95.0,318.0,nan,Tobacco use treatment provided or offered,85.0,145.0,nan,40.0,145.0,nan,Tobacco use treatment provided or offered at discharge,52.0,145.0,nan,1.0,145.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,420.0,nan,Timely transmission of transition record (TR2),78.0,420.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.8,66.0,nan,68.2,66.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,189.0,24.2,19.9,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),13.0,95.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,88.0,nan,2017-10-01,2018-03-31
154021,"GRANT-BLACKFORD MENTAL HEALTH, INC",505 WABASH AVE,MARION,IN,46952,GRANT,Hours of physical-restraint use,1.94,17.0,365.0,nan,Hours of seclusion use,1.94,17.0,365.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,18.0,nan,Screening for metabolic disorders (SMD),100.0,18.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,610.0,nan,Alcohol use brief intervention provided or offered,100.0,123.0,nan,100.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,170.0,nan,100.0,170.0,nan,Tobacco use screening,100.0,610.0,nan,Tobacco use treatment provided or offered,100.0,382.0,nan,100.0,382.0,nan,Tobacco use treatment provided or offered at discharge,100.0,382.0,nan,100.0,382.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,721.0,nan,Timely transmission of transition record (TR2),85.0,721.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,55.0,nan,30.9,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,189.0,23.6,19.4,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,335.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
154024,VALLE VISTA HEALTH SYSTEM,898 E MAIN ST,GREENWOOD,IN,46143,JOHNSON,Hours of physical-restraint use,0.08,44.88,23999.0,nan,Hours of seclusion use,0.04,23.3,23999.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,16.0,nan,Screening for metabolic disorders (SMD),49.0,298.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,584.0,nan,Alcohol use brief intervention provided or offered,60.0,230.0,nan,59.0,230.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,531.0,nan,97.0,531.0,nan,Tobacco use screening,99.0,584.0,nan,Tobacco use treatment provided or offered,63.0,511.0,nan,54.0,511.0,nan,Tobacco use treatment provided or offered at discharge,48.0,487.0,nan,33.0,487.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),35.0,1014.0,nan,Timely transmission of transition record (TR2),0.0,1014.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.3,92.0,nan,31.5,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,512.0,16.5,13.8,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,498.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,329.0,nan,2017-10-01,2018-03-31
154031,OAKLAWN PSYCHIATRIC CENTER INC,330 LAKEVIEW DR,GOSHEN,IN,46527,ELKHART,Hours of physical-restraint use,0.02,2.0,4480.0,nan,Hours of seclusion use,0.5,54.0,4480.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,52.0,nan,Screening for metabolic disorders (SMD),41.0,348.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,481.0,nan,Alcohol use brief intervention provided or offered,55.0,83.0,nan,55.0,83.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,83.0,nan,58.0,83.0,nan,Tobacco use screening,99.0,481.0,nan,Tobacco use treatment provided or offered,98.0,264.0,nan,62.0,264.0,nan,Tobacco use treatment provided or offered at discharge,74.0,264.0,nan,45.0,264.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,481.0,nan,Timely transmission of transition record (TR2),100.0,481.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,91.9,74.0,nan,73.0,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,254.0,18.7,15.3,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),49.0,221.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,111.0,nan,2017-10-01,2018-03-31
154035,FOUR COUNTY COUNSELING CENTER,1015 MICHIGAN AVE,LOGANSPORT,IN,46947,CASS,Hours of physical-restraint use,0.04,3.18,3570.0,nan,Hours of seclusion use,0.36,30.9,3570.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),9.0,183.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,539.0,nan,Alcohol use brief intervention provided or offered,9.0,110.0,nan,9.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,292.0,nan,19.0,292.0,nan,Tobacco use screening,97.0,539.0,nan,Tobacco use treatment provided or offered,56.0,361.0,nan,55.0,361.0,nan,Tobacco use treatment provided or offered at discharge,0.0,361.0,nan,0.0,361.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,557.0,nan,Timely transmission of transition record (TR2),40.0,557.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,82.7,75.0,nan,58.7,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,152.0,17.5,13.6,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,240.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),48.0,457.0,nan,2017-10-01,2018-03-31
154041,BLOOMINGTON MEADOWS HOSPITAL,3600 N PROW RD,BLOOMINGTON,IN,47404,MONROE,Hours of physical-restraint use,0.13,51.25,16575.0,nan,Hours of seclusion use,0.0,1.67,16575.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,351.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,309.0,nan,Alcohol use brief intervention provided or offered,77.0,106.0,nan,69.0,106.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,188.0,nan,38.0,188.0,nan,Tobacco use screening,97.0,309.0,nan,Tobacco use treatment provided or offered,100.0,184.0,nan,71.0,184.0,nan,Tobacco use treatment provided or offered at discharge,98.0,174.0,nan,0.0,174.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,794.0,nan,Timely transmission of transition record (TR2),93.0,794.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,69.0,nan,21.7,69.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,201.0,19.9,15.9,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,273.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,189.0,nan,2017-10-01,2018-03-31
154047,MICHIANA BEHAVIORAL HEALTH CENTER,1800 N OAK RD,PLYMOUTH,IN,46563,MARSHALL,Hours of physical-restraint use,0.22,71.85,13437.0,nan,Hours of seclusion use,0.01,4.45,13437.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),57.0,219.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,249.0,nan,Alcohol use brief intervention provided or offered,72.0,81.0,nan,38.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,208.0,nan,89.0,208.0,nan,Tobacco use screening,95.0,249.0,nan,Tobacco use treatment provided or offered,93.0,198.0,nan,14.0,198.0,nan,Tobacco use treatment provided or offered at discharge,76.0,189.0,nan,1.0,189.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,718.0,nan,Timely transmission of transition record (TR2),71.0,718.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.2,23.0,nan,21.7,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,121.0,19.0,14.5,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,363.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,228.0,nan,2017-10-01,2018-03-31
154050,NORTHEASTERN CENTER,1850 WESLEY RD,AUBURN,IN,46706,DE KALB,Hours of physical-restraint use,0.03,2.72,4202.0,nan,Hours of seclusion use,0.18,18.6,4202.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,84.0,nan,Screening for metabolic disorders (SMD),0.0,474.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,663.0,nan,Alcohol use brief intervention provided or offered,90.0,154.0,nan,90.0,154.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,154.0,nan,100.0,154.0,nan,Tobacco use screening,100.0,710.0,nan,Tobacco use treatment provided or offered,71.0,462.0,nan,35.0,462.0,nan,Tobacco use treatment provided or offered at discharge,0.0,462.0,nan,0.0,462.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,683.0,nan,Timely transmission of transition record (TR2),90.0,683.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,79.1,86.0,nan,57.0,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,236.0,21.4,17.5,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,275.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,40.0,nan,2017-10-01,2018-03-31
154051,WELLSTONE REGIONAL HOSPITAL,2700 VISSING PARK RD,JEFFERSONVILLE,IN,47130,CLARK,Hours of physical-restraint use,0.06,41.61,28421.0,nan,Hours of seclusion use,0.09,64.01,28421.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,33.0,nan,Screening for metabolic disorders (SMD),72.0,646.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,338.0,nan,Alcohol use brief intervention provided or offered,100.0,92.0,nan,99.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,186.0,nan,86.0,186.0,nan,Tobacco use screening,100.0,338.0,nan,Tobacco use treatment provided or offered,98.0,247.0,nan,90.0,247.0,nan,Tobacco use treatment provided or offered at discharge,81.0,219.0,nan,79.0,219.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,796.0,nan,Timely transmission of transition record (TR2),90.0,796.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.3,237.0,nan,22.8,237.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1119.0,19.1,17.2,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,372.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,319.0,nan,2017-10-01,2018-03-31
154052,PORTER-STARKE SERVICES INC,701 WALL ST,VALPARAISO,IN,46383,PORTER,Hours of physical-restraint use,0.04,2.25,2138.0,nan,Hours of seclusion use,0.06,3.0,2138.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,44.0,16.0,nan,Screening for metabolic disorders (SMD),0.0,178.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,409.0,nan,Alcohol use brief intervention provided or offered,64.0,75.0,nan,23.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,90.0,450.0,nan,Tobacco use treatment provided or offered,91.0,200.0,nan,38.0,200.0,nan,Tobacco use treatment provided or offered at discharge,1.0,185.0,nan,1.0,185.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,485.0,nan,Timely transmission of transition record (TR2),0.0,485.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.3,60.0,nan,58.3,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,187.0,19.2,15.1,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,151.0,nan,2017-10-01,2018-03-31
154053,MERIDIAN SERVICES CORP,2401 W UNIVERSITY AVE,MUNCIE,IN,47303,DELAWARE,Hours of physical-restraint use,0.05,4.75,3607.0,nan,Hours of seclusion use,0.02,1.5,3607.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),7.0,83.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,353.0,nan,Alcohol use brief intervention provided or offered,89.0,18.0,nan,78.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,18.0,nan,61.0,18.0,nan,Tobacco use screening,80.0,353.0,nan,Tobacco use treatment provided or offered,95.0,83.0,nan,95.0,83.0,nan,Tobacco use treatment provided or offered at discharge,99.0,83.0,nan,47.0,83.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,298.0,nan,Timely transmission of transition record (TR2),96.0,298.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.7,70.0,nan,20.0,70.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,317.0,21.8,17.9,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,163.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,106.0,nan,2017-10-01,2018-03-31
154054,HARSHA BEHAVIORAL CENTER INC,1980 E WOODSMALL DR,TERRE HAUTE,IN,47802,VIGO,Hours of physical-restraint use,0.22,153.11,28982.0,nan,Hours of seclusion use,0.05,37.87,28982.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,32.0,nan,Screening for metabolic disorders (SMD),15.0,1176.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,505.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,504.0,nan,Tobacco use treatment provided or offered,49.0,63.0,nan,41.0,63.0,nan,Tobacco use treatment provided or offered at discharge,28.0,43.0,nan,28.0,43.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),35.0,2078.0,nan,Timely transmission of transition record (TR2),23.0,2078.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.5,33.0,nan,15.2,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,487.0,24.6,20.7,28.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,1087.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,343.0,nan,2017-10-01,2018-03-31
154055,BRENTWOOD SPRINGS,4488 ROSLIN RD,NEWBURGH,IN,47630,WARRICK,Hours of physical-restraint use,0.0,0.87,12328.0,nan,Hours of seclusion use,0.0,0.0,12328.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,255.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,603.0,nan,Alcohol use brief intervention provided or offered,74.0,263.0,nan,72.0,263.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,505.0,nan,75.0,505.0,nan,Tobacco use screening,99.0,603.0,nan,Tobacco use treatment provided or offered,98.0,460.0,nan,7.0,460.0,nan,Tobacco use treatment provided or offered at discharge,84.0,445.0,nan,7.0,445.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),90.0,592.0,nan,Timely transmission of transition record (TR2),78.0,592.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.0,100.0,nan,25.0,100.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,430.0,17.2,14.5,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,161.0,nan,2017-10-01,2018-03-31
154056,EVANSVILLE STATE HOSPITAL,3400 LINCOLN AVENUE,EVANSVILLE,IN,47714,VANDERBURGH,Hours of physical-restraint use,0.21,275.63,54826.0,nan,Hours of seclusion use,0.01,7.63,54826.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,36.0,nan,Screening for metabolic disorders (SMD),100.0,62.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,29.0,nan,Alcohol use brief intervention provided or offered,18.0,11.0,nan,9.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,13.0,15.0,nan,13.0,15.0,nan,Tobacco use screening,100.0,29.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),7.0,110.0,nan,Timely transmission of transition record (TR2),63.0,110.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,11.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,474.0,nan,2017-10-01,2018-03-31
154057,OPTIONS BEHAVIORAL HEALTH SYSTEM,5602 CAITO DRIVE,INDIANAPOLIS,IN,46226,MARION,Hours of physical-restraint use,0.01,7.6,21406.0,nan,Hours of seclusion use,0.0,0.0,21406.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,87.0,38.0,nan,Screening for metabolic disorders (SMD),56.0,420.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,616.0,nan,Alcohol use brief intervention provided or offered,76.0,101.0,nan,68.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,254.0,nan,11.0,254.0,nan,Tobacco use screening,99.0,607.0,nan,Tobacco use treatment provided or offered,96.0,290.0,nan,3.0,290.0,nan,Tobacco use treatment provided or offered at discharge,94.0,284.0,nan,0.0,284.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),54.0,796.0,nan,Timely transmission of transition record (TR2),48.0,796.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.8,185.0,nan,29.2,185.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,647.0,20.6,17.8,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,454.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),42.0,195.0,nan,2017-10-01,2018-03-31
154058,DOCTORS NEUROPSYCHIATRIC HOSPITAL,417 S WHITLOCK ST,BREMEN,IN,46506,MARSHALL,Hours of physical-restraint use,0.01,4.27,15674.0,nan,Hours of seclusion use,0.0,0.75,15674.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,43.0,nan,Screening for metabolic disorders (SMD),72.0,542.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,325.0,nan,Alcohol use brief intervention provided or offered,100.0,18.0,nan,100.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,69.0,nan,94.0,69.0,nan,Tobacco use screening,100.0,579.0,nan,Tobacco use treatment provided or offered,96.0,122.0,nan,75.0,122.0,nan,Tobacco use treatment provided or offered at discharge,82.0,91.0,nan,53.0,91.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,704.0,nan,Timely transmission of transition record (TR2),52.0,704.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,112.0,nan,53.6,112.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,949.0,20.8,18.3,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,388.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,153.0,nan,2017-10-01,2018-03-31
154059,SYCAMORE SPRINGS HOSPITAL LLC,833 PARK EAST BLVD,LAFAYETTE,IN,47905,TIPPECANOE,Hours of physical-restraint use,0.0,1.45,15194.0,nan,Hours of seclusion use,0.0,1.45,15194.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,23.0,nan,Screening for metabolic disorders (SMD),86.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,592.0,nan,Alcohol use brief intervention provided or offered,60.0,198.0,nan,55.0,198.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,393.0,nan,72.0,393.0,nan,Tobacco use screening,100.0,592.0,nan,Tobacco use treatment provided or offered,96.0,400.0,nan,2.0,400.0,nan,Tobacco use treatment provided or offered at discharge,46.0,370.0,nan,1.0,370.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,576.0,nan,Timely transmission of transition record (TR2),44.0,576.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.0,135.0,nan,39.3,135.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,536.0,15.7,13.2,18.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,274.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,164.0,nan,2017-10-01,2018-03-31
154060,"PARK CENTER, INC",1909 CAREW STREET,FORT WAYNE,IN,46805,ALLEN,Hours of physical-restraint use,0.01,0.62,2675.0,nan,Hours of seclusion use,0.18,11.6,2675.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,98.0,nan,Screening for metabolic disorders (SMD),86.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,250.0,nan,Alcohol use brief intervention provided or offered,94.0,36.0,nan,58.0,36.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,76.0,nan,26.0,76.0,nan,Tobacco use screening,97.0,401.0,nan,Tobacco use treatment provided or offered,84.0,160.0,nan,44.0,160.0,nan,Tobacco use treatment provided or offered at discharge,66.0,199.0,nan,2.0,199.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,472.0,nan,Timely transmission of transition record (TR2),32.0,472.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.1,90.0,nan,64.4,90.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,232.0,22.4,18.4,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,43.0,nan,2017-10-01,2018-03-31
154061,MEDICAL BEHAVIORAL HOSPITAL - MISHAWAKA,1625 EAST JEFFERSON BLVD,MISHAWAKA,IN,46545,ST. JOSEPH,Hours of physical-restraint use,0.0,0.0,19872.0,nan,Hours of seclusion use,0.0,0.0,19872.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),79.0,507.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,341.0,nan,Alcohol use brief intervention provided or offered,100.0,17.0,nan,94.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,64.0,nan,9.0,64.0,nan,Tobacco use screening,100.0,562.0,nan,Tobacco use treatment provided or offered,99.0,89.0,nan,29.0,89.0,nan,Tobacco use treatment provided or offered at discharge,8.0,64.0,nan,3.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),81.0,580.0,nan,Timely transmission of transition record (TR2),81.0,580.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.5,110.0,nan,46.4,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,752.0,22.1,19.4,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,286.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,141.0,nan,2017-10-01,2018-03-31
154062,ASSURANCE HEALTH PSYCHIATRIC HOSPITAL,2725 ENTERPRISE DRIVE,ANDERSON,IN,46013,MADISON,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,12.0,nan,41.7,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,664.0,19.0,16.2,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),81.0,78.0,nan,2017-10-01,2018-03-31
154063,"NEUROPSYCHIATRIC HOSPITAL OF INDIANAPOLIS, LLC","6720 PARKDALE PLACE, SUITE 100",INDIANAPOLIS,IN,46254,MARION,Hours of physical-restraint use,0.0,0.0,26862.0,nan,Hours of seclusion use,0.0,0.0,26862.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,47.0,nan,Screening for metabolic disorders (SMD),32.0,487.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,445.0,nan,Alcohol use brief intervention provided or offered,74.0,34.0,nan,74.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,89.0,nan,44.0,89.0,nan,Tobacco use screening,95.0,640.0,nan,Tobacco use treatment provided or offered,72.0,116.0,nan,48.0,116.0,nan,Tobacco use treatment provided or offered at discharge,36.0,64.0,nan,11.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,759.0,nan,Timely transmission of transition record (TR2),44.0,762.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.0,111.0,nan,55.0,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,802.0,20.3,17.7,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,329.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,202.0,nan,2017-10-01,2018-03-31
154064,ASSURANCE HEALTH PSYCHIATRIC HOSPITAL,900 NORTH HIGH SCHOOL ROAD,INDIANAPOLIS,IN,46214,MARION,Hours of physical-restraint use,0.0,0.0,8181.0,nan,Hours of seclusion use,0.0,0.0,8181.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),61.0,307.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,401.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,437.0,nan,Tobacco use treatment provided or offered,88.0,42.0,nan,55.0,42.0,nan,Tobacco use treatment provided or offered at discharge,25.0,12.0,nan,8.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,447.0,nan,Timely transmission of transition record (TR2),77.0,447.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,206.0,20.4,15.9,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),71.0,204.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,152.0,nan,2017-10-01,2018-03-31
160005,ST ANTHONY REGIONAL HOSPITAL & NURSING HOME,311 SOUTH CLARK STREET,CARROLL,IA,51401,CARROLL,Hours of physical-restraint use,0.06,5.0,3682.0,nan,Hours of seclusion use,0.0,0.0,3682.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,254.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,453.0,nan,Alcohol use brief intervention provided or offered,81.0,67.0,nan,79.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,143.0,nan,65.0,143.0,nan,Tobacco use screening,97.0,454.0,nan,Tobacco use treatment provided or offered,66.0,279.0,nan,51.0,279.0,nan,Tobacco use treatment provided or offered at discharge,66.0,143.0,nan,65.0,143.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),3.0,435.0,nan,Timely transmission of transition record (TR2),2.0,435.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.6,98.0,nan,49.0,98.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,215.0,20.7,16.7,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),32.0,203.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,1146.0,nan,2017-10-01,2018-03-31
160024,IOWA LUTHERAN HOSPITAL,700 EAST UNIVERSITY AVENUE,DES MOINES,IA,50316,POLK,Hours of physical-restraint use,1.03,40.0,1620.0,nan,Hours of seclusion use,2.19,85.0,1620.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),50.0,40.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,116.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,18.0,nan,100.0,18.0,nan,Tobacco use screening,100.0,29.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,9800.0,nan,Timely transmission of transition record (TR2),2.0,9800.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.8,32.0,nan,9.4,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,21.0,16.0,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,45.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1911.0,nan,2017-10-01,2018-03-31
160030,MARY GREELEY MEDICAL CENTER,1111 DUFF AVENUE,AMES,IA,50010,STORY,Hours of physical-restraint use,0.07,6.17,3933.0,nan,Hours of seclusion use,2.13,201.48,3933.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,19.0,nan,Screening for metabolic disorders (SMD),92.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,514.0,nan,Alcohol use brief intervention provided or offered,100.0,74.0,nan,100.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,171.0,nan,46.0,171.0,nan,Tobacco use screening,99.0,514.0,nan,Tobacco use treatment provided or offered,98.0,245.0,nan,5.0,245.0,nan,Tobacco use treatment provided or offered at discharge,91.0,230.0,nan,0.0,230.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),25.0,558.0,nan,Timely transmission of transition record (TR2),25.0,558.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.6,56.0,nan,41.1,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,137.0,18.8,14.5,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,120.0,nan,2017-10-01,2018-03-31
160040,MERCYONE CEDAR FALLS MEDICAL CENTER,515 COLLEGE STREET,CEDAR FALLS,IA,50613,BLACK HAWK,Hours of physical-restraint use,0.04,2.92,3282.0,nan,Hours of seclusion use,0.05,3.75,3282.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,23.0,nan,Screening for metabolic disorders (SMD),96.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,293.0,nan,Alcohol use brief intervention provided or offered,97.0,30.0,nan,57.0,30.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,41.0,nan,22.0,41.0,nan,Tobacco use screening,100.0,294.0,nan,Tobacco use treatment provided or offered,85.0,116.0,nan,38.0,116.0,nan,Tobacco use treatment provided or offered at discharge,90.0,101.0,nan,6.0,101.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),83.0,345.0,nan,Timely transmission of transition record (TR2),83.0,345.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.9,74.0,nan,32.4,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,350.0,23.6,19.3,28.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,135.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,113.0,nan,2017-10-01,2018-03-31
160045,ST LUKES HOSPITAL,1026 A AVE NE,CEDAR RAPIDS,IA,52402,LINN,Hours of physical-restraint use,0.1,11.08,4629.0,nan,Hours of seclusion use,0.05,6.0,4629.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,40.0,nan,Screening for metabolic disorders (SMD),4.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,53.0,328.0,nan,Alcohol use brief intervention provided or offered,21.0,42.0,nan,12.0,42.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,66.0,nan,23.0,66.0,nan,Tobacco use screening,95.0,330.0,nan,Tobacco use treatment provided or offered,0.0,136.0,nan,0.0,136.0,nan,Tobacco use treatment provided or offered at discharge,0.0,110.0,nan,0.0,110.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,511.0,nan,Timely transmission of transition record (TR2),0.0,511.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.7,102.0,nan,35.3,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,373.0,20.9,17.2,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),52.0,218.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,58.0,nan,2017-10-01,2018-03-31
160058,UNIVERSITY OF IOWA HOSPITAL & CLINICS,200 HAWKINS DRIVE,IOWA CITY,IA,52242,JOHNSON,Hours of physical-restraint use,1.98,1240.22,26107.0,nan,Hours of seclusion use,4.18,2621.0,26107.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,18.0,nan,Screening for metabolic disorders (SMD),96.0,237.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,296.0,nan,Alcohol use brief intervention provided or offered,33.0,86.0,nan,20.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,105.0,nan,34.0,105.0,nan,Tobacco use screening,96.0,307.0,nan,Tobacco use treatment provided or offered,72.0,153.0,nan,0.0,153.0,nan,Tobacco use treatment provided or offered at discharge,69.0,131.0,nan,0.0,131.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),81.0,607.0,nan,Timely transmission of transition record (TR2),59.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.7,142.0,nan,33.8,142.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,526.0,16.4,13.9,19.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,730.0,nan,2017-10-01,2018-03-31
160079,MERCY MEDICAL CENTER - CEDAR RAPIDS,701 10TH STREET SE,CEDAR RAPIDS,IA,52403,LINN,Hours of physical-restraint use,4.81,705.0,6113.0,nan,Hours of seclusion use,0.35,51.18,6113.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),57.0,162.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,547.0,nan,Alcohol use brief intervention provided or offered,75.0,181.0,nan,75.0,181.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,234.0,nan,77.0,234.0,nan,Tobacco use screening,100.0,550.0,nan,Tobacco use treatment provided or offered,95.0,310.0,nan,58.0,310.0,nan,Tobacco use treatment provided or offered at discharge,81.0,272.0,nan,2.0,272.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,612.0,nan,Timely transmission of transition record (TR2),42.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.9,123.0,nan,33.3,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,396.0,19.0,15.9,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,44.0,nan,2017-10-01,2018-03-31
160083,MERCYONE DES MOINES MEDICAL CENTER,1111 6TH AVE,DES MOINES,IA,50314,POLK,Hours of physical-restraint use,0.12,32.37,11095.0,nan,Hours of seclusion use,0.17,44.77,11095.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),75.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,247.0,nan,Alcohol use brief intervention provided or offered,84.0,63.0,nan,79.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,103.0,nan,61.0,103.0,nan,Tobacco use screening,98.0,246.0,nan,Tobacco use treatment provided or offered,90.0,137.0,nan,58.0,137.0,nan,Tobacco use treatment provided or offered at discharge,68.0,132.0,nan,2.0,132.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),34.0,631.0,nan,Timely transmission of transition record (TR2),23.0,631.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.5,130.0,nan,23.1,130.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,23.1,19.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,76.0,nan,2017-10-01,2018-03-31
160089,OTTUMWA REGIONAL HEALTH CENTER,1001 E PENNSYLVANIA,OTTUMWA,IA,52501,WAPELLO,Hours of physical-restraint use,0.05,4.68,4206.0,nan,Hours of seclusion use,0.0,0.02,4206.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,54.0,nan,Screening for metabolic disorders (SMD),98.0,254.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,581.0,nan,Alcohol use brief intervention provided or offered,99.0,129.0,nan,85.0,129.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,299.0,nan,78.0,299.0,nan,Tobacco use screening,100.0,577.0,nan,Tobacco use treatment provided or offered,93.0,364.0,nan,55.0,364.0,nan,Tobacco use treatment provided or offered at discharge,75.0,347.0,nan,31.0,347.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,550.0,nan,Timely transmission of transition record (TR2),0.0,550.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.7,89.0,nan,37.1,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,273.0,17.9,14.5,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,274.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,88.0,nan,2017-10-01,2018-03-31
160112,SPENCER MUNICIPAL HOSPITAL,1200 1ST AVENUE EAST,SPENCER,IA,51301,CLAY,Hours of physical-restraint use,0.2,8.82,1881.0,nan,Hours of seclusion use,0.25,11.2,1881.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,53.0,nan,Screening for metabolic disorders (SMD),100.0,53.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,397.0,nan,Alcohol use brief intervention provided or offered,90.0,78.0,nan,88.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,78.0,nan,88.0,78.0,nan,Tobacco use screening,100.0,397.0,nan,Tobacco use treatment provided or offered,100.0,210.0,nan,97.0,210.0,nan,Tobacco use treatment provided or offered at discharge,95.0,210.0,nan,95.0,210.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,397.0,nan,Timely transmission of transition record (TR2),78.0,397.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.2,47.0,nan,42.6,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,142.0,18.1,13.9,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,188.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,202.0,nan,2017-10-01,2018-03-31
160117,FINLEY HOSPITAL,350 NORTH GRANDVIEW AVENUE,DUBUQUE,IA,52001,DUBUQUE,Hours of physical-restraint use,0.01,0.78,2720.0,nan,Hours of seclusion use,0.0,0.02,2720.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),66.0,71.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,98.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,91.0,99.0,nan,Tobacco use treatment provided or offered,29.0,17.0,nan,18.0,17.0,nan,Tobacco use treatment provided or offered at discharge,8.0,13.0,nan,8.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,113.0,nan,Timely transmission of transition record (TR2),36.0,113.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,35.0,nan,25.7,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,149.0,18.7,14.1,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,44.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,93.0,nan,2017-10-01,2018-03-31
161375,BUENA VISTA REGIONAL MEDICAL CENTER,1525 WEST 5TH STREET,STORM LAKE,IA,50588,BUENA VISTA,Hours of physical-restraint use,0.0,0.0,2548.0,nan,Hours of seclusion use,0.0,0.0,2548.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),77.0,177.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,202.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,196.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),28.0,202.0,nan,Timely transmission of transition record (TR2),100.0,202.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,329.0,14.9,11.6,19.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,116.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,32.0,nan,2017-10-01,2018-03-31
161376,CASS COUNTY MEMORIAL HOSPITAL,1501 EAST TENTH STREET,ATLANTIC,IA,50022,CASS,Hours of physical-restraint use,0.09,2.13,991.0,nan,Hours of seclusion use,0.38,9.01,991.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,73.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,101.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,17.0,nan,82.0,17.0,nan,Tobacco use screening,100.0,101.0,nan,Tobacco use treatment provided or offered,94.0,48.0,nan,52.0,48.0,nan,Tobacco use treatment provided or offered at discharge,92.0,48.0,nan,10.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),52.0,187.0,nan,Timely transmission of transition record (TR2),52.0,187.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,90.9,11.0,nan,54.5,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,53.0,19.5,14.1,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,92.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,19.0,nan,2017-10-01,2018-03-31
164002,MENTAL HEALTH INSTITUTE,1251 NORTH CEDAR LOOP,CHEROKEE,IA,51012,CHEROKEE,Hours of physical-restraint use,0.44,134.2,12779.0,nan,Hours of seclusion use,0.1,30.83,12779.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,24.0,nan,Screening for metabolic disorders (SMD),76.0,217.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,129.0,nan,Alcohol use brief intervention provided or offered,96.0,23.0,nan,91.0,23.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,30.0,nan,27.0,30.0,nan,Tobacco use screening,94.0,129.0,nan,Tobacco use treatment provided or offered,95.0,66.0,nan,55.0,66.0,nan,Tobacco use treatment provided or offered at discharge,11.0,61.0,nan,2.0,61.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,391.0,nan,Timely transmission of transition record (TR2),66.0,391.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.6,14.0,nan,35.7,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,50.0,18.7,13.7,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),39.0,175.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,244.0,nan,2017-10-01,2018-03-31
164003,MENTAL HEALTH INSTITUTE,2277 IOWA AVENUE,INDEPENDENCE,IA,50644,BUCHANAN,Hours of physical-restraint use,2.5,1187.5,19821.0,nan,Hours of seclusion use,0.49,234.53,19821.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,31.0,nan,Screening for metabolic disorders (SMD),99.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,54.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,11.0,nan,0.0,11.0,nan,Tobacco use screening,98.0,54.0,nan,Tobacco use treatment provided or offered,96.0,25.0,nan,20.0,25.0,nan,Tobacco use treatment provided or offered at discharge,60.0,25.0,nan,0.0,25.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,167.0,nan,Timely transmission of transition record (TR2),98.0,167.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.4,19.0,nan,42.1,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,31.0,18.3,13.7,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),68.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,234.0,nan,2017-10-01,2018-03-31
170009,SAINT JOHN HOSPITAL,3500 SOUTH 4TH STREET,LEAVENWORTH,KS,66048,LEAVENWORTH,Hours of physical-restraint use,0.0,0.0,6960.0,nan,Hours of seclusion use,0.0,0.0,6960.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,134.0,nan,Screening for metabolic disorders (SMD),100.0,329.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,107.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,109.0,nan,Tobacco use treatment provided or offered,100.0,11.0,nan,100.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,410.0,nan,Timely transmission of transition record (TR2),96.0,410.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.6,11.0,nan,54.5,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,577.0,15.6,13.0,18.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,172.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,44.0,nan,2017-10-01,2018-03-31
170012,SALINA REGIONAL HEALTH CENTER,400 SOUTH SANTA FE AVENUE,SALINA,KS,67401,SALINE,Hours of physical-restraint use,0.0,0.0,19592.0,nan,Hours of seclusion use,0.03,14.03,19592.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,30.0,nan,Screening for metabolic disorders (SMD),55.0,361.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,863.0,nan,Alcohol use brief intervention provided or offered,92.0,290.0,nan,91.0,290.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,320.0,nan,12.0,320.0,nan,Tobacco use screening,100.0,868.0,nan,Tobacco use treatment provided or offered,96.0,499.0,nan,3.0,499.0,nan,Tobacco use treatment provided or offered at discharge,0.0,464.0,nan,0.0,464.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,959.0,nan,Timely transmission of transition record (TR2),74.0,959.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.8,137.0,nan,54.0,137.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,359.0,19.2,15.8,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,456.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,42.0,nan,2017-10-01,2018-03-31
170020,HUTCHINSON REGIONAL MEDICAL CENTER INC,1701 E 23RD AVENUE,HUTCHINSON,KS,67502,RENO,Hours of physical-restraint use,0.0,0.27,2548.0,nan,Hours of seclusion use,0.1,5.88,2548.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),42.0,175.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,601.0,nan,Alcohol use brief intervention provided or offered,86.0,140.0,nan,76.0,140.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,303.0,nan,74.0,303.0,nan,Tobacco use screening,98.0,601.0,nan,Tobacco use treatment provided or offered,90.0,383.0,nan,73.0,383.0,nan,Tobacco use treatment provided or offered at discharge,61.0,361.0,nan,14.0,361.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,645.0,nan,Timely transmission of transition record (TR2),0.0,645.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,90.0,nan,34.4,90.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,218.0,17.6,14.2,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,18.0,nan,2017-10-01,2018-03-31
170039,SUMNER COMMUNITY HOSPITAL,1323 NORTH A STREET,WELLINGTON,KS,67152,SUMNER,Hours of physical-restraint use,0.0,0.0,1699.0,nan,Hours of seclusion use,0.0,0.0,1699.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,23.0,nan,Screening for metabolic disorders (SMD),70.0,134.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,134.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,87.0,134.0,nan,Tobacco use treatment provided or offered,70.0,23.0,nan,70.0,23.0,nan,Tobacco use treatment provided or offered at discharge,58.0,19.0,nan,21.0,19.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,89.0,nan,Timely transmission of transition record (TR2),70.0,134.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,223.0,19.1,15.0,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,27.0,nan,2017-10-01,2018-03-31
170040,UNIVERSITY OF KANSAS HOSPITAL,4000 CAMBRIDGE STREET,KANSAS CITY,KS,66160,WYANDOTTE,Hours of physical-restraint use,2.29,202.8,3685.0,nan,Hours of seclusion use,1.11,98.32,3685.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,367.0,nan,Alcohol use brief intervention provided or offered,92.0,111.0,nan,88.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,151.0,nan,14.0,151.0,nan,Tobacco use screening,100.0,369.0,nan,Tobacco use treatment provided or offered,88.0,177.0,nan,75.0,177.0,nan,Tobacco use treatment provided or offered at discharge,78.0,163.0,nan,31.0,163.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,719.0,nan,Timely transmission of transition record (TR2),6.0,719.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.3,83.0,nan,38.6,83.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,286.0,16.3,13.2,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,292.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,53.0,nan,2017-10-01,2018-03-31
170103,NEWTON MEDICAL CENTER,600 MEDICAL CENTER DRIVE,NEWTON,KS,67114,HARVEY,Hours of physical-restraint use,0.07,3.6,2173.0,nan,Hours of seclusion use,0.0,0.0,2173.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,109.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,39.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,42.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),76.0,176.0,nan,Timely transmission of transition record (TR2),74.0,176.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.8,24.0,nan,45.8,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,291.0,15.6,12.3,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,98.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,41.0,nan,2017-10-01,2018-03-31
170104,ADVENTHEALTH SHAWNEE MISSION,9100 W 74TH STREET,SHAWNEE MISSION,KS,66204,JOHNSON,Hours of physical-restraint use,0.63,170.73,11346.0,nan,Hours of seclusion use,0.0,0.0,11346.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,20.0,nan,Screening for metabolic disorders (SMD),44.0,200.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,635.0,nan,Alcohol use brief intervention provided or offered,74.0,273.0,nan,68.0,273.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,375.0,nan,49.0,375.0,nan,Tobacco use screening,97.0,636.0,nan,Tobacco use treatment provided or offered,51.0,277.0,nan,4.0,277.0,nan,Tobacco use treatment provided or offered at discharge,0.0,260.0,nan,0.0,260.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,672.0,nan,Timely transmission of transition record (TR2),0.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.1,172.0,nan,50.6,172.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,579.0,21.6,18.7,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,106.0,nan,2017-10-01,2018-03-31
170122,"ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.",929 NORTH ST FRANCIS STREET,WICHITA,KS,67214,SEDGWICK,Hours of physical-restraint use,0.02,3.0,5790.0,nan,Hours of seclusion use,0.0,0.0,5790.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,11.0,nan,Screening for metabolic disorders (SMD),55.0,165.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,112.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,116.0,nan,Tobacco use treatment provided or offered,33.0,36.0,nan,33.0,36.0,nan,Tobacco use treatment provided or offered at discharge,22.0,18.0,nan,17.0,18.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,285.0,nan,Timely transmission of transition record (TR2),0.0,285.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,80.0,25.0,nan,60.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,308.0,18.3,14.8,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,141.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,150.0,nan,2017-10-01,2018-03-31
170150,SOUTH CENTRAL KS  MED CENTER,6401 PATTERSON PARKWAY,ARKANSAS CITY,KS,67005,COWLEY,Hours of physical-restraint use,0.0,0.0,3191.0,nan,Hours of seclusion use,0.27,20.53,3191.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,105.0,nan,Screening for metabolic disorders (SMD),67.0,187.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,211.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,83.0,211.0,nan,Tobacco use treatment provided or offered,91.0,23.0,nan,74.0,23.0,nan,Tobacco use treatment provided or offered at discharge,61.0,23.0,nan,61.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,203.0,nan,Timely transmission of transition record (TR2),62.0,203.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,13.3,15.0,nan,0.0,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,71.0,19.2,14.2,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,300.0,nan,2017-10-01,2018-03-31
171317,EDWARDS COUNTY HOSPITAL,620 WEST EIGHTH STREET,KINSLEY,KS,67547,EDWARDS,Hours of physical-restraint use,0.0,0.0,2815.0,nan,Hours of seclusion use,0.0,0.0,2815.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,24.0,nan,Screening for metabolic disorders (SMD),2.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,203.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,86.0,203.0,nan,Tobacco use treatment provided or offered,97.0,29.0,nan,48.0,29.0,nan,Tobacco use treatment provided or offered at discharge,75.0,12.0,nan,0.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,204.0,nan,Timely transmission of transition record (TR2),100.0,203.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,18.0,nan,27.8,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,357.0,20.2,16.2,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),54.0,97.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,32.0,nan,2017-10-01,2018-03-31
171374,FREDONIA REGIONAL HOSPITAL,1527 MADISON,FREDONIA,KS,66736,WILSON,Hours of physical-restraint use,0.1,5.77,2430.0,nan,Hours of seclusion use,0.0,0.0,2430.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,57.0,nan,Screening for metabolic disorders (SMD),42.0,140.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,80.0,178.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,96.0,185.0,nan,Tobacco use treatment provided or offered,45.0,40.0,nan,5.0,40.0,nan,Tobacco use treatment provided or offered at discharge,10.0,29.0,nan,7.0,29.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,186.0,nan,Timely transmission of transition record (TR2),99.0,186.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.9,48.0,nan,18.8,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,315.0,24.7,20.2,29.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,55.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,188.0,nan,2017-10-01,2018-03-31
171375,MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS,"400 W 8TH STREET, P O BOX 399",BELOIT,KS,67420,MITCHELL,Hours of physical-restraint use,0.0,0.0,2782.0,nan,Hours of seclusion use,0.0,0.0,2782.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,13.0,nan,Screening for metabolic disorders (SMD),100.0,167.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,200.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,200.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,199.0,nan,Timely transmission of transition record (TR2),100.0,199.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,330.0,22.3,18.2,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,108.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),39.0,23.0,nan,2017-10-01,2018-03-31
171376,GIRARD MEDICAL CENTER,302 NORTH HOSPITAL DRIVE,GIRARD,KS,66743,CRAWFORD,Hours of physical-restraint use,0.0,0.0,2942.0,nan,Hours of seclusion use,0.0,0.0,2942.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,37.0,27.0,nan,Screening for metabolic disorders (SMD),98.0,113.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,216.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,216.0,nan,Tobacco use treatment provided or offered,100.0,29.0,nan,69.0,29.0,nan,Tobacco use treatment provided or offered at discharge,66.0,29.0,nan,66.0,29.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),94.0,216.0,nan,Timely transmission of transition record (TR2),89.0,216.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,12.0,nan,58.3,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,370.0,16.9,13.4,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,66.0,nan,2017-10-01,2018-03-31
171381,MEMORIAL HOSPITAL,511 NE 10TH ST,ABILENE,KS,67410,DICKINSON,Hours of physical-restraint use,4.38,181.0,1721.0,nan,Hours of seclusion use,0.0,0.0,1721.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),100.0,69.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,124.0,nan,Alcohol use brief intervention provided or offered,0.0,124.0,nan,0.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,124.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,124.0,nan,Timely transmission of transition record (TR2),100.0,124.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,17.0,nan,23.5,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,209.0,19.9,15.4,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,58.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,21.0,nan,2017-10-01,2018-03-31
174006,LARNED STATE HOSPITAL,1301 KS HIGHWAY 264,LARNED,KS,67550,PAWNEE,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.5,121.0,nan,38.0,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,299.0,18.2,14.7,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),49.0,845.0,nan,2017-10-01,2018-03-31
174016,PRAIRIE VIEW INC,1901 E FIRST STREET PO BOX 467,NEWTON,KS,67114,HARVEY,Hours of physical-restraint use,0.0,0.07,3913.0,nan,Hours of seclusion use,0.0,0.0,3913.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,46.0,nan,Screening for metabolic disorders (SMD),99.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,607.0,nan,Alcohol use brief intervention provided or offered,98.0,188.0,nan,91.0,188.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,148.0,nan,20.0,148.0,nan,Tobacco use screening,100.0,608.0,nan,Tobacco use treatment provided or offered,93.0,259.0,nan,36.0,259.0,nan,Tobacco use treatment provided or offered at discharge,92.0,241.0,nan,9.0,241.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,622.0,nan,Timely transmission of transition record (TR2),73.0,622.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.4,97.0,nan,58.8,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,275.0,16.1,12.8,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,422.0,nan,2017-10-01,2018-03-31
174020,COTTONWOOD SPRINGS LLC,13351 S ARAPAHO DRIVE,OLATHE,KS,66062,JOHNSON,Hours of physical-restraint use,0.01,5.67,17661.0,nan,Hours of seclusion use,0.02,8.03,17661.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,82.0,nan,Screening for metabolic disorders (SMD),91.0,941.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,2317.0,nan,Alcohol use brief intervention provided or offered,78.0,826.0,nan,76.0,826.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,1245.0,nan,83.0,1245.0,nan,Tobacco use screening,100.0,2317.0,nan,Tobacco use treatment provided or offered,99.0,1316.0,nan,0.0,1316.0,nan,Tobacco use treatment provided or offered at discharge,99.0,1286.0,nan,0.0,1286.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,2379.0,nan,Timely transmission of transition record (TR2),79.0,2379.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.8,284.0,nan,41.2,284.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,629.0,20.9,18.3,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,1252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,182.0,nan,2017-10-01,2018-03-31
174021,"FREEDOM BEHAVIORAL HOSPITAL OF TOPEKA, LLC",1334 SW BUCHANAN STREET,TOPEKA,KS,66604,SHAWNEE,Hours of physical-restraint use,0.0,0.0,3324.0,nan,Hours of seclusion use,0.0,0.0,3324.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,41.0,nan,Screening for metabolic disorders (SMD),12.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,178.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,178.0,nan,Tobacco use treatment provided or offered,19.0,36.0,nan,17.0,36.0,nan,Tobacco use treatment provided or offered at discharge,19.0,21.0,nan,14.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,179.0,nan,Timely transmission of transition record (TR2),61.0,179.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.8,17.0,nan,41.2,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,55.0,19.0,13.6,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,130.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,39.0,nan,2017-10-01,2018-03-31
174022,ADAIR ACUTE CARE AT OSAWATOMIE STATE HOSPITAL,500 STATE HOSPITAL DRIVE,OSAWATOMIE,KS,66064,MIAMI,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
180005,HIGHLANDS REGIONAL MEDICAL CENTER,5000 KENTUCKY ROUTE 321,PRESTONSBURG,KY,41653,FLOYD,Hours of physical-restraint use,0.0,0.0,1531.0,nan,Hours of seclusion use,0.0,0.0,1531.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,152.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,93.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,93.0,nan,Tobacco use treatment provided or offered,100.0,12.0,nan,100.0,12.0,nan,Tobacco use treatment provided or offered at discharge,75.0,12.0,nan,75.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,170.0,nan,Timely transmission of transition record (TR2),45.0,170.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.4,17.0,nan,5.9,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,206.0,25.7,20.8,31.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,104.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,40.0,nan,2017-10-01,2018-03-31
180012,HARDIN MEMORIAL HOSPITAL,913 NORTH DIXIE AVENUE,ELIZABETHTOWN,KY,42701,HARDIN,Hours of physical-restraint use,0.6,33.88,2352.0,nan,Hours of seclusion use,0.39,22.03,2352.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),31.0,159.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,498.0,nan,Alcohol use brief intervention provided or offered,63.0,102.0,nan,33.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,251.0,nan,26.0,251.0,nan,Tobacco use screening,99.0,500.0,nan,Tobacco use treatment provided or offered,86.0,331.0,nan,5.0,331.0,nan,Tobacco use treatment provided or offered at discharge,3.0,299.0,nan,0.0,299.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,619.0,nan,Timely transmission of transition record (TR2),1.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,60.0,nan,28.3,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,147.0,18.4,14.6,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,19.0,nan,2017-10-01,2018-03-31
180013,THE MEDICAL CENTER AT BOWLING GREEN,250 PARK STREET,BOWLING GREEN,KY,42101,WARREN,Hours of physical-restraint use,0.0,0.0,1922.0,nan,Hours of seclusion use,0.0,0.0,1922.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),47.0,94.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,47.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,46.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),32.0,165.0,nan,Timely transmission of transition record (TR2),30.0,165.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.7,17.0,nan,47.1,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,252.0,20.7,16.5,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,1288.0,nan,2017-10-01,2018-03-31
180018,ST CLAIRE REGIONAL MEDICAL CENTER,222 MEDICAL CIRCLE,MOREHEAD,KY,40351,ROWAN,Hours of physical-restraint use,0.91,98.66,4506.0,nan,Hours of seclusion use,0.0,0.52,4506.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),62.0,280.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,586.0,nan,Alcohol use brief intervention provided or offered,89.0,76.0,nan,80.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,179.0,nan,49.0,179.0,nan,Tobacco use screening,92.0,586.0,nan,Tobacco use treatment provided or offered,90.0,304.0,nan,49.0,304.0,nan,Tobacco use treatment provided or offered at discharge,81.0,279.0,nan,0.0,279.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),56.0,607.0,nan,Timely transmission of transition record (TR2),47.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.4,77.0,nan,29.9,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,266.0,22.2,18.5,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,265.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,33.0,nan,2017-10-01,2018-03-31
180021,SOUTHEASTERN KY MEDICAL CENTER,850 RIVERVIEW AVENUE,PINEVILLE,KY,40977,BELL,Hours of physical-restraint use,0.0,0.0,365.0,nan,Hours of seclusion use,0.0,0.0,365.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,108.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,205.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,205.0,nan,Tobacco use treatment provided or offered,0.0,32.0,nan,0.0,32.0,nan,Tobacco use treatment provided or offered at discharge,0.0,38.0,nan,0.0,38.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,58.0,nan,Timely transmission of transition record (TR2),100.0,144.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,20.0,nan,15.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,240.0,21.1,16.8,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,27.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
180024,SPRING VIEW HOSPITAL,320 LORETTO ROAD,LEBANON,KY,40033,MARION,Hours of physical-restraint use,0.0,0.2,1969.0,nan,Hours of seclusion use,0.0,0.0,1969.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),58.0,113.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,143.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,141.0,nan,Tobacco use treatment provided or offered,32.0,34.0,nan,26.0,34.0,nan,Tobacco use treatment provided or offered at discharge,0.0,20.0,nan,0.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,146.0,nan,Timely transmission of transition record (TR2),7.0,146.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,13.0,nan,15.4,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,59.0,20.7,14.8,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,57.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,34.0,nan,2017-10-01,2018-03-31
180027,MURRAY-CALLOWAY COUNTY HOSPITAL,803 POPLAR STREET,MURRAY,KY,42071,CALLOWAY,Hours of physical-restraint use,0.0,0.0,234.0,nan,Hours of seclusion use,1.16,6.5,234.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),33.0,15.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,24.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,88.0,24.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,24.0,nan,Timely transmission of transition record (TR2),0.0,24.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),58.0,52.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
180029,HAZARD ARH REGIONAL MEDICAL CENTER,100 MEDICAL CENTER DRIVE,HAZARD,KY,41701,PERRY,Hours of physical-restraint use,0.02,12.28,20601.0,nan,Hours of seclusion use,0.27,134.86,20601.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,56.0,nan,Screening for metabolic disorders (SMD),59.0,402.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,643.0,nan,Alcohol use brief intervention provided or offered,100.0,25.0,nan,100.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,345.0,nan,88.0,345.0,nan,Tobacco use screening,93.0,646.0,nan,Tobacco use treatment provided or offered,98.0,428.0,nan,89.0,428.0,nan,Tobacco use treatment provided or offered at discharge,89.0,401.0,nan,87.0,401.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),37.0,808.0,nan,Timely transmission of transition record (TR2),86.0,808.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.7,180.0,nan,16.7,180.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,865.0,22.9,20.5,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,149.0,nan,2017-10-01,2018-03-31
180036,OUR LADY OF BELLEFONTE HOSPITAL,1000 SAINT CHRISTOPHER DRIVE,ASHLAND,KY,41101,BOYD,Hours of physical-restraint use,0.0,0.0,3769.0,nan,Hours of seclusion use,0.05,4.53,3769.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,16.0,nan,Screening for metabolic disorders (SMD),87.0,203.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,69.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,20.0,nan,60.0,20.0,nan,Tobacco use screening,94.0,69.0,nan,Tobacco use treatment provided or offered,43.0,23.0,nan,35.0,23.0,nan,Tobacco use treatment provided or offered at discharge,68.0,22.0,nan,0.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,305.0,nan,Timely transmission of transition record (TR2),75.0,305.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.8,48.0,nan,18.8,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,294.0,19.1,15.5,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,153.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,78.0,nan,2017-10-01,2018-03-31
180046,BOURBON COMMUNITY HOSPITAL,9 LINVILLE DRIVE,PARIS,KY,40361,BOURBON,Hours of physical-restraint use,0.0,0.0,10874.0,nan,Hours of seclusion use,0.05,11.83,10874.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,598.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1474.0,nan,Alcohol use brief intervention provided or offered,99.0,459.0,nan,92.0,459.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,1171.0,nan,61.0,1171.0,nan,Tobacco use screening,100.0,1476.0,nan,Tobacco use treatment provided or offered,99.0,1262.0,nan,95.0,1262.0,nan,Tobacco use treatment provided or offered at discharge,98.0,1148.0,nan,6.0,1148.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),75.0,1752.0,nan,Timely transmission of transition record (TR2),61.0,1752.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.5,34.0,nan,14.7,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,126.0,23.6,19.0,29.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,891.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,95.0,nan,2017-10-01,2018-03-31
180048,EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER,217 SOUTH THIRD STREET,DANVILLE,KY,40422,BOYLE,Hours of physical-restraint use,0.0,0.0,1345.0,nan,Hours of seclusion use,0.0,0.0,1345.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),21.0,121.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,132.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,146.0,nan,Tobacco use treatment provided or offered,100.0,11.0,nan,0.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),23.0,146.0,nan,Timely transmission of transition record (TR2),23.0,146.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.0,15.0,nan,6.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,222.0,17.5,13.5,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,71.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
180050,HARLAN ARH HOSPITAL,81 BALL PARK ROAD,HARLAN,KY,40831,HARLAN,Hours of physical-restraint use,0.03,4.18,6806.0,nan,Hours of seclusion use,0.13,21.83,6806.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,403.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,401.0,nan,Alcohol use brief intervention provided or offered,100.0,32.0,nan,100.0,32.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,198.0,nan,90.0,198.0,nan,Tobacco use screening,99.0,415.0,nan,Tobacco use treatment provided or offered,98.0,326.0,nan,95.0,326.0,nan,Tobacco use treatment provided or offered at discharge,89.0,281.0,nan,2.0,281.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,609.0,nan,Timely transmission of transition record (TR2),93.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.4,113.0,nan,16.8,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,312.0,25.8,21.8,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,280.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,38.0,nan,2017-10-01,2018-03-31
180067,UNIVERSITY OF KENTUCKY HOSPITAL,800 ROSE STREET,LEXINGTON,KY,40536,FAYETTE,Hours of physical-restraint use,0.07,8.3,5022.0,nan,Hours of seclusion use,0.04,4.87,5022.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),14.0,118.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,331.0,nan,Alcohol use brief intervention provided or offered,63.0,57.0,nan,53.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,170.0,nan,0.0,170.0,nan,Tobacco use screening,99.0,368.0,nan,Tobacco use treatment provided or offered,87.0,188.0,nan,5.0,188.0,nan,Tobacco use treatment provided or offered at discharge,54.0,170.0,nan,0.0,170.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,603.0,nan,Timely transmission of transition record (TR2),0.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.4,57.0,nan,19.3,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,193.0,21.0,17.1,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,134.0,nan,2017-10-01,2018-03-31
180093,BAPTIST HEALTH MADISONVILLE,900 HOSPITAL DRIVE,MADISONVILLE,KY,42431,HOPKINS,Hours of physical-restraint use,1.2,111.0,3847.0,nan,Hours of seclusion use,0.0,0.0,3847.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,654.0,nan,Alcohol use brief intervention provided or offered,44.0,107.0,nan,44.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,259.0,nan,12.0,259.0,nan,Tobacco use screening,84.0,655.0,nan,Tobacco use treatment provided or offered,55.0,368.0,nan,36.0,368.0,nan,Tobacco use treatment provided or offered at discharge,30.0,349.0,nan,8.0,349.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),18.0,704.0,nan,Timely transmission of transition record (TR2),0.0,704.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.9,74.0,nan,20.3,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,18.5,14.9,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,351.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,68.0,nan,2017-10-01,2018-03-31
180102,LOURDES HOSPITAL,1530 LONE OAK ROAD,PADUCAH,KY,42003,MC CRACKEN,Hours of physical-restraint use,0.03,2.4,2895.0,nan,Hours of seclusion use,0.0,0.0,2895.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,13.0,nan,Screening for metabolic disorders (SMD),68.0,224.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,388.0,nan,Alcohol use brief intervention provided or offered,70.0,76.0,nan,42.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,162.0,nan,36.0,162.0,nan,Tobacco use screening,100.0,401.0,nan,Tobacco use treatment provided or offered,76.0,182.0,nan,11.0,182.0,nan,Tobacco use treatment provided or offered at discharge,62.0,167.0,nan,3.0,167.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),22.0,431.0,nan,Timely transmission of transition record (TR2),19.0,431.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.3,109.0,nan,31.2,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,22.8,18.2,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,180.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,99.0,nan,2017-10-01,2018-03-31
180116,JACKSON PURCHASE MEDICAL CENTER,1099 MEDICAL CENTER CIRCLE,MAYFIELD,KY,42066,GRAVES,Hours of physical-restraint use,0.0,0.0,4381.0,nan,Hours of seclusion use,0.0,0.0,4381.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,66.0,nan,Screening for metabolic disorders (SMD),62.0,247.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,16.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,88.0,16.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,282.0,nan,Timely transmission of transition record (TR2),2.0,282.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.0,59.0,nan,35.6,59.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,470.0,22.5,19.2,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,134.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,180.0,nan,2017-10-01,2018-03-31
180127,FRANKFORT REGIONAL MEDICAL CENTER,299 KINGS DAUGHTERS DRIVE,FRANKFORT,KY,40601,FRANKLIN,Hours of physical-restraint use,0.0,0.07,3432.0,nan,Hours of seclusion use,0.0,0.0,3432.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,178.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,289.0,nan,Alcohol use brief intervention provided or offered,100.0,25.0,nan,100.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,19.0,nan,89.0,19.0,nan,Tobacco use screening,100.0,291.0,nan,Tobacco use treatment provided or offered,100.0,61.0,nan,80.0,61.0,nan,Tobacco use treatment provided or offered at discharge,100.0,48.0,nan,38.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,306.0,nan,Timely transmission of transition record (TR2),91.0,306.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.4,32.0,nan,21.9,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,235.0,20.5,16.1,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,139.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,326.0,nan,2017-10-01,2018-03-31
180128,THREE RIVERS MEDICAL CENTER,2485 HIGHWAY 644,LOUISA,KY,41230,LAWRENCE,Hours of physical-restraint use,0.11,10.18,3985.0,nan,Hours of seclusion use,0.0,0.0,3985.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,25.0,nan,Screening for metabolic disorders (SMD),94.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,579.0,nan,Alcohol use brief intervention provided or offered,95.0,110.0,nan,89.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,193.0,nan,2.0,193.0,nan,Tobacco use screening,100.0,580.0,nan,Tobacco use treatment provided or offered,100.0,403.0,nan,81.0,403.0,nan,Tobacco use treatment provided or offered at discharge,99.0,379.0,nan,0.0,379.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,655.0,nan,Timely transmission of transition record (TR2),95.0,655.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.8,96.0,nan,14.6,96.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,304.0,18.7,15.4,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,41.0,nan,2017-10-01,2018-03-31
180130,BAPTIST HEALTH LOUISVILLE,4000 KRESGE WAY,LOUISVILLE,KY,40207,JEFFERSON,Hours of physical-restraint use,25.13,2089.0,3463.0,nan,Hours of seclusion use,0.61,51.0,3463.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),62.0,207.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,603.0,nan,Alcohol use brief intervention provided or offered,85.0,91.0,nan,75.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,195.0,nan,11.0,195.0,nan,Tobacco use screening,97.0,607.0,nan,Tobacco use treatment provided or offered,59.0,216.0,nan,56.0,216.0,nan,Tobacco use treatment provided or offered at discharge,2.0,205.0,nan,0.0,205.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,642.0,nan,Timely transmission of transition record (TR2),0.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.7,75.0,nan,29.3,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,17.2,13.9,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,77.0,nan,2017-10-01,2018-03-31
180132,LAKE CUMBERLAND REGIONAL HOSPITAL,305 LANGDON STREET,SOMERSET,KY,42503,PULASKI,Hours of physical-restraint use,0.15,8.03,2278.0,nan,Hours of seclusion use,0.02,1.08,2278.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,141.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,32.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,88.0,32.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),15.0,210.0,nan,Timely transmission of transition record (TR2),13.0,210.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.6,57.0,nan,33.3,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,252.0,21.5,17.2,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,93.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,95.0,nan,2017-10-01,2018-03-31
180149,T J HEALTH COLUMBIA,901 WESTLAKE DRIVE,COLUMBIA,KY,42728,ADAIR,Hours of physical-restraint use,0.0,0.0,1805.0,nan,Hours of seclusion use,0.0,0.0,1805.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),15.0,175.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,56.0,331.0,nan,Alcohol use brief intervention provided or offered,2.0,57.0,nan,0.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,81.0,nan,23.0,81.0,nan,Tobacco use screening,100.0,332.0,nan,Tobacco use treatment provided or offered,4.0,213.0,nan,1.0,213.0,nan,Tobacco use treatment provided or offered at discharge,1.0,192.0,nan,0.0,192.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,344.0,nan,Timely transmission of transition record (TR2),0.0,344.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,57.0,nan,21.1,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,88.0,21.9,16.6,28.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,176.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,24.0,nan,2017-10-01,2018-03-31
184002,WESTERN STATE HOSPITAL,2400 RUSSELLVILLE ROAD,HOPKINSVILLE,KY,42240,CHRISTIAN,Hours of physical-restraint use,0.36,323.78,37491.0,nan,Hours of seclusion use,0.03,22.95,37491.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,358.0,nan,Screening for metabolic disorders (SMD),98.0,1538.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1897.0,nan,Alcohol use brief intervention provided or offered,83.0,408.0,nan,77.0,408.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,400.0,nan,96.0,400.0,nan,Tobacco use screening,100.0,1899.0,nan,Tobacco use treatment provided or offered,93.0,890.0,nan,76.0,890.0,nan,Tobacco use treatment provided or offered at discharge,89.0,787.0,nan,1.0,787.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),81.0,1961.0,nan,Timely transmission of transition record (TR2),82.0,1961.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.3,261.0,nan,27.6,261.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,853.0,18.8,16.4,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,987.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,855.0,nan,2017-10-01,2018-03-31
184004,EASTERN STATE HOSPITAL,1350 BULL LEA ROAD,LEXINGTON,KY,40511,FAYETTE,Hours of physical-restraint use,0.1,118.77,47398.0,nan,Hours of seclusion use,0.05,62.18,47398.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,343.0,nan,Screening for metabolic disorders (SMD),45.0,1826.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,2283.0,nan,Alcohol use brief intervention provided or offered,49.0,193.0,nan,29.0,193.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,1136.0,nan,6.0,1136.0,nan,Tobacco use screening,100.0,2316.0,nan,Tobacco use treatment provided or offered,82.0,1423.0,nan,22.0,1423.0,nan,Tobacco use treatment provided or offered at discharge,1.0,1196.0,nan,0.0,1196.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),30.0,2672.0,nan,Timely transmission of transition record (TR2),29.0,2672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.8,216.0,nan,21.8,216.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,883.0,18.5,16.4,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,1225.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,541.0,nan,2017-10-01,2018-03-31
184007,THE BROOK HOSPITAL - DUPONT,1405 BROWNS LANE,LOUISVILLE,KY,40207,JEFFERSON,Hours of physical-restraint use,0.02,8.27,16709.0,nan,Hours of seclusion use,0.05,19.11,16709.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,436.0,nan,Alcohol use brief intervention provided or offered,93.0,136.0,nan,86.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,166.0,nan,1.0,166.0,nan,Tobacco use screening,94.0,435.0,nan,Tobacco use treatment provided or offered,97.0,164.0,nan,8.0,164.0,nan,Tobacco use treatment provided or offered at discharge,85.0,131.0,nan,0.0,131.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,703.0,nan,Timely transmission of transition record (TR2),72.0,703.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.7,161.0,nan,24.8,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,850.0,21.9,19.2,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,366.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,284.0,nan,2017-10-01,2018-03-31
184008,THE BROOK HOSPITAL - KMI,8521 LAGRANGE ROAD,LOUISVILLE,KY,40242,JEFFERSON,Hours of physical-restraint use,0.06,27.88,19066.0,nan,Hours of seclusion use,0.36,164.5,19066.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,175.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,483.0,nan,Alcohol use brief intervention provided or offered,88.0,207.0,nan,81.0,207.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,215.0,nan,1.0,215.0,nan,Tobacco use screening,99.0,483.0,nan,Tobacco use treatment provided or offered,99.0,278.0,nan,8.0,278.0,nan,Tobacco use treatment provided or offered at discharge,81.0,172.0,nan,0.0,172.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,736.0,nan,Timely transmission of transition record (TR2),60.0,736.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.5,64.0,nan,29.7,64.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,311.0,21.2,17.8,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,357.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,360.0,nan,2017-10-01,2018-03-31
184009,THE RIDGE BEHAVIORAL HEALTH SYSTEM,3050 RIO DOSA DRIVE,LEXINGTON,KY,40509,FAYETTE,Hours of physical-restraint use,0.04,20.63,22431.0,nan,Hours of seclusion use,0.03,14.33,22431.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,41.0,17.0,nan,Screening for metabolic disorders (SMD),55.0,295.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,252.0,nan,Alcohol use brief intervention provided or offered,99.0,78.0,nan,99.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,127.0,nan,75.0,127.0,nan,Tobacco use screening,99.0,252.0,nan,Tobacco use treatment provided or offered,90.0,119.0,nan,7.0,119.0,nan,Tobacco use treatment provided or offered at discharge,34.0,114.0,nan,0.0,114.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),72.0,754.0,nan,Timely transmission of transition record (TR2),45.0,754.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.1,124.0,nan,29.0,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,714.0,16.0,13.7,18.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,388.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,395.0,nan,2017-10-01,2018-03-31
184012,LINCOLN TRAIL BEHAVIORAL HEALTH SYSTEM,3909 S WILSON ROAD,RADCLIFF,KY,40160,HARDIN,Hours of physical-restraint use,0.06,44.5,29675.0,nan,Hours of seclusion use,0.02,13.38,29675.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,21.0,14.0,nan,Screening for metabolic disorders (SMD),73.0,382.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,542.0,nan,Alcohol use brief intervention provided or offered,70.0,194.0,nan,70.0,194.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,318.0,nan,73.0,318.0,nan,Tobacco use screening,99.0,542.0,nan,Tobacco use treatment provided or offered,95.0,336.0,nan,23.0,336.0,nan,Tobacco use treatment provided or offered at discharge,81.0,278.0,nan,0.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),21.0,736.0,nan,Timely transmission of transition record (TR2),17.0,736.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.5,101.0,nan,29.7,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1290.0,16.7,14.9,18.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,302.0,nan,2017-10-01,2018-03-31
184014,CUMBERLAND HALL,270 WALTON WAY,HOPKINSVILLE,KY,42240,CHRISTIAN,Hours of physical-restraint use,0.19,104.0,23360.0,nan,Hours of seclusion use,0.07,39.43,23360.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),68.0,167.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,306.0,nan,Alcohol use brief intervention provided or offered,76.0,124.0,nan,70.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,146.0,nan,71.0,146.0,nan,Tobacco use screening,100.0,306.0,nan,Tobacco use treatment provided or offered,90.0,183.0,nan,14.0,183.0,nan,Tobacco use treatment provided or offered at discharge,86.0,162.0,nan,1.0,162.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,716.0,nan,Timely transmission of transition record (TR2),78.0,716.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.8,24.0,nan,20.8,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,108.0,17.3,13.1,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,358.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,236.0,nan,2017-10-01,2018-03-31
184015,CENTRAL STATE HOSPITAL,10510 LAGRANGE ROAD,LOUISVILLE,KY,40223,JEFFERSON,Hours of physical-restraint use,0.1,51.62,22094.0,nan,Hours of seclusion use,0.03,13.97,22094.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,25.0,nan,Screening for metabolic disorders (SMD),96.0,591.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,754.0,nan,Alcohol use brief intervention provided or offered,91.0,92.0,nan,84.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,175.0,nan,26.0,175.0,nan,Tobacco use screening,99.0,768.0,nan,Tobacco use treatment provided or offered,98.0,453.0,nan,63.0,453.0,nan,Tobacco use treatment provided or offered at discharge,92.0,393.0,nan,12.0,393.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,802.0,nan,Timely transmission of transition record (TR2),96.0,802.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,65.0,nan,23.1,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,230.0,19.1,15.5,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,383.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,306.0,nan,2017-10-01,2018-03-31
184017,RIVENDELL BEHAVIORAL HEALTH SERVICES,1035 PORTER PIKE,BOWLING GREEN,KY,42103,WARREN,Hours of physical-restraint use,0.07,56.6,31861.0,nan,Hours of seclusion use,0.0,3.18,31861.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),84.0,268.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,220.0,nan,Alcohol use brief intervention provided or offered,82.0,67.0,nan,75.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,114.0,nan,89.0,114.0,nan,Tobacco use screening,100.0,220.0,nan,Tobacco use treatment provided or offered,88.0,76.0,nan,72.0,76.0,nan,Tobacco use treatment provided or offered at discharge,85.0,71.0,nan,51.0,71.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,772.0,nan,Timely transmission of transition record (TR2),74.0,772.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.4,19.0,nan,21.1,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,355.0,19.6,16.1,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,385.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,385.0,nan,2017-10-01,2018-03-31
190002,LAFAYETTE GENERAL MEDICAL CENTER,1214 COOLIDGE AVENUE,LAFAYETTE,LA,70503,LAFAYETTE,Hours of physical-restraint use,0.09,15.35,7045.0,nan,Hours of seclusion use,0.01,2.33,7045.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),62.0,252.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,643.0,nan,Alcohol use brief intervention provided or offered,97.0,212.0,nan,86.0,212.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,393.0,nan,33.0,393.0,nan,Tobacco use screening,100.0,651.0,nan,Tobacco use treatment provided or offered,99.0,544.0,nan,14.0,544.0,nan,Tobacco use treatment provided or offered at discharge,99.0,461.0,nan,0.0,461.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),50.0,672.0,nan,Timely transmission of transition record (TR2),12.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,39.0,nan,2017-10-01,2018-03-31
190004,THIBODAUX REGIONAL MEDICAL CENTER,602 N ACADIA ROAD,THIBODAUX,LA,70301,LAFOURCHE,Hours of physical-restraint use,0.02,2.0,4131.0,nan,Hours of seclusion use,0.36,35.37,4131.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,93.0,nan,Screening for metabolic disorders (SMD),68.0,289.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,413.0,nan,Alcohol use brief intervention provided or offered,87.0,54.0,nan,83.0,54.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,176.0,nan,33.0,176.0,nan,Tobacco use screening,100.0,412.0,nan,Tobacco use treatment provided or offered,99.0,217.0,nan,12.0,217.0,nan,Tobacco use treatment provided or offered at discharge,98.0,213.0,nan,3.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,423.0,nan,Timely transmission of transition record (TR2),91.0,423.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,45.0,nan,20.0,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,230.0,21.2,17.0,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,191.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,58.0,nan,2017-10-01,2018-03-31
190005,UNIVERSITY MEDICAL CENTER NEW ORLEANS,2000 CANAL STREET,NEW ORLEANS,LA,70112,ORLEANS,Hours of physical-restraint use,0.16,85.67,22349.0,nan,Hours of seclusion use,0.28,151.13,22349.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,32.0,nan,Screening for metabolic disorders (SMD),37.0,410.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,250.0,nan,Alcohol use brief intervention provided or offered,64.0,80.0,nan,62.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,173.0,nan,62.0,173.0,nan,Tobacco use screening,97.0,251.0,nan,Tobacco use treatment provided or offered,73.0,176.0,nan,43.0,176.0,nan,Tobacco use treatment provided or offered at discharge,10.0,166.0,nan,0.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,585.0,nan,Timely transmission of transition record (TR2),0.0,585.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.9,174.0,nan,14.4,174.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,409.0,21.5,18.4,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,308.0,nan,2017-10-01,2018-03-31
190007,NATCHITOCHES REGIONAL MEDICAL CENTER,501 KEYSER AVE,NATCHITOCHES,LA,71457,NATCHITOCHES,Hours of physical-restraint use,0.0,0.0,3434.0,nan,Hours of seclusion use,0.0,0.0,3434.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),81.0,142.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,209.0,nan,Alcohol use brief intervention provided or offered,100.0,19.0,nan,95.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,37.0,nan,43.0,37.0,nan,Tobacco use screening,100.0,214.0,nan,Tobacco use treatment provided or offered,95.0,80.0,nan,64.0,80.0,nan,Tobacco use treatment provided or offered at discharge,94.0,62.0,nan,2.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),72.0,218.0,nan,Timely transmission of transition record (TR2),65.0,218.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.5,39.0,nan,23.1,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,237.0,22.0,17.7,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,107.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,33.0,nan,2017-10-01,2018-03-31
190011,OCHSNER LSU HEALTH MONROE,4864 JACKSON STREET,MONROE,LA,71202,OUACHITA,Hours of physical-restraint use,0.12,24.55,8501.0,nan,Hours of seclusion use,0.39,78.93,8501.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,377.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,504.0,nan,Alcohol use brief intervention provided or offered,74.0,78.0,nan,74.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,244.0,nan,77.0,244.0,nan,Tobacco use screening,99.0,507.0,nan,Tobacco use treatment provided or offered,85.0,336.0,nan,81.0,336.0,nan,Tobacco use treatment provided or offered at discharge,79.0,285.0,nan,77.0,285.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,619.0,nan,Timely transmission of transition record (TR2),0.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.1,83.0,nan,12.0,83.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,184.0,15.9,12.3,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,391.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,64.0,nan,2017-10-01,2018-03-31
190014,TECHE REGIONAL MEDICAL CENTER,1125 MARGUERITE STREET,MORGAN CITY,LA,70380,ST. MARY,Hours of physical-restraint use,4.62,441.63,3984.0,nan,Hours of seclusion use,0.35,33.4,3984.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,48.0,nan,Screening for metabolic disorders (SMD),84.0,346.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,505.0,nan,Alcohol use brief intervention provided or offered,65.0,85.0,nan,59.0,85.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,310.0,nan,69.0,310.0,nan,Tobacco use screening,100.0,510.0,nan,Tobacco use treatment provided or offered,72.0,340.0,nan,2.0,340.0,nan,Tobacco use treatment provided or offered at discharge,60.0,319.0,nan,1.0,319.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,514.0,nan,Timely transmission of transition record (TR2),77.0,514.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.3,70.0,nan,31.4,70.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,275.0,25.0,21.2,29.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,245.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,143.0,nan,2017-10-01,2018-03-31
190017,OPELOUSAS GENERAL HEALTH SYSTEM,539 EAST PRUDHOMME STREET,OPELOUSAS,LA,70570,ST. LANDRY,Hours of physical-restraint use,0.1,20.22,8472.0,nan,Hours of seclusion use,0.1,19.39,8472.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,51.0,nan,Screening for metabolic disorders (SMD),59.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,492.0,nan,Alcohol use brief intervention provided or offered,86.0,76.0,nan,49.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,181.0,nan,17.0,181.0,nan,Tobacco use screening,93.0,500.0,nan,Tobacco use treatment provided or offered,96.0,337.0,nan,6.0,337.0,nan,Tobacco use treatment provided or offered at discharge,99.0,275.0,nan,0.0,275.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),59.0,464.0,nan,Timely transmission of transition record (TR2),71.0,464.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.1,205.0,nan,40.5,205.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,824.0,22.7,20.3,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,287.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,69.0,nan,2017-10-01,2018-03-31
190025,SAVOY MEDICAL CENTER,801 POINCIANA AVENUE,MAMOU,LA,70554,EVANGELINE,Hours of physical-restraint use,0.15,28.46,7863.0,nan,Hours of seclusion use,0.0,0.16,7863.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),62.0,408.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,624.0,nan,Alcohol use brief intervention provided or offered,99.0,234.0,nan,98.0,234.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,334.0,nan,82.0,334.0,nan,Tobacco use screening,99.0,623.0,nan,Tobacco use treatment provided or offered,95.0,514.0,nan,94.0,514.0,nan,Tobacco use treatment provided or offered at discharge,93.0,364.0,nan,93.0,364.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,632.0,nan,Timely transmission of transition record (TR2),91.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,90.0,nan,42.2,90.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,367.0,19.7,16.5,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,124.0,nan,2017-10-01,2018-03-31
190027,CHRISTUS OCHSNER ST PATRICK HOSPITAL,524 DR MICHAEL DEBAKEY STREET,LAKE CHARLES,LA,70601,CALCASIEU,Hours of physical-restraint use,0.04,7.57,7196.0,nan,Hours of seclusion use,0.0,0.0,7196.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,17.0,nan,Screening for metabolic disorders (SMD),96.0,353.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,62.0,607.0,nan,Alcohol use brief intervention provided or offered,86.0,166.0,nan,85.0,166.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,324.0,nan,47.0,324.0,nan,Tobacco use screening,100.0,614.0,nan,Tobacco use treatment provided or offered,90.0,414.0,nan,65.0,414.0,nan,Tobacco use treatment provided or offered at discharge,65.0,369.0,nan,0.0,369.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,643.0,nan,Timely transmission of transition record (TR2),7.0,643.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.2,125.0,nan,31.2,125.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,370.0,19.6,16.3,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,59.0,nan,2017-10-01,2018-03-31
190034,ABBEVILLE GENERAL HOSPITAL,118 N HOSPITAL DR,ABBEVILLE,LA,70510,VERMILION,Hours of physical-restraint use,13.85,1727.54,5199.0,nan,Hours of seclusion use,0.0,0.0,4568.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,308.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,521.0,nan,Alcohol use brief intervention provided or offered,95.0,111.0,nan,95.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,296.0,nan,88.0,296.0,nan,Tobacco use screening,100.0,522.0,nan,Tobacco use treatment provided or offered,94.0,331.0,nan,48.0,331.0,nan,Tobacco use treatment provided or offered at discharge,78.0,280.0,nan,1.0,280.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,446.0,nan,Timely transmission of transition record (TR2),83.0,520.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,45.0,nan,55.6,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,167.0,19.5,15.5,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,127.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,61.0,nan,2017-10-01,2018-03-31
190036,OCHSNER MEDICAL CENTER,1516 JEFFERSON HWY,NEW ORLEANS,LA,70121,JEFFERSON,Hours of physical-restraint use,0.02,1.78,4150.0,nan,Hours of seclusion use,0.01,0.83,4150.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,11.0,nan,Screening for metabolic disorders (SMD),79.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,555.0,nan,Alcohol use brief intervention provided or offered,100.0,98.0,nan,99.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,291.0,nan,45.0,291.0,nan,Tobacco use screening,100.0,555.0,nan,Tobacco use treatment provided or offered,78.0,289.0,nan,64.0,289.0,nan,Tobacco use treatment provided or offered at discharge,78.0,273.0,nan,13.0,273.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,567.0,nan,Timely transmission of transition record (TR2),5.0,567.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.0,42.0,nan,40.5,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,113.0,18.9,14.7,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,266.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,53.0,nan,2017-10-01,2018-03-31
190039,WEST JEFFERSON MEDICAL CENTER,1101 MEDICAL CENTER BLVD,MARRERO,LA,70072,JEFFERSON,Hours of physical-restraint use,0.16,18.77,4905.0,nan,Hours of seclusion use,0.0,0.0,4905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,41.0,nan,Screening for metabolic disorders (SMD),87.0,393.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,611.0,nan,Alcohol use brief intervention provided or offered,100.0,292.0,nan,84.0,292.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,395.0,nan,28.0,395.0,nan,Tobacco use screening,100.0,608.0,nan,Tobacco use treatment provided or offered,94.0,395.0,nan,86.0,395.0,nan,Tobacco use treatment provided or offered at discharge,25.0,380.0,nan,13.0,380.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,624.0,nan,Timely transmission of transition record (TR2),57.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.8,63.0,nan,42.9,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,179.0,19.3,15.7,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,49.0,nan,2017-10-01,2018-03-31
190054,IBERIA MEDICAL CENTER,2315 E MAIN STREET,NEW IBERIA,LA,70562,IBERIA,Hours of physical-restraint use,0.0,0.0,2968.0,nan,Hours of seclusion use,0.0,0.0,2968.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,27.0,nan,Screening for metabolic disorders (SMD),18.0,159.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,269.0,nan,Alcohol use brief intervention provided or offered,100.0,45.0,nan,60.0,45.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,45.0,nan,58.0,45.0,nan,Tobacco use screening,97.0,269.0,nan,Tobacco use treatment provided or offered,82.0,123.0,nan,78.0,123.0,nan,Tobacco use treatment provided or offered at discharge,100.0,123.0,nan,100.0,123.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,269.0,nan,Timely transmission of transition record (TR2),86.0,269.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.1,45.0,nan,28.9,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,88.0,22.1,16.8,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),50.0,135.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,69.0,nan,2017-10-01,2018-03-31
190060,LAKE CHARLES MEMORIAL HOSPITAL,1701 OAK PARK BLVD,LAKE CHARLES,LA,70601,CALCASIEU,Hours of physical-restraint use,0.0,0.03,3706.0,nan,Hours of seclusion use,0.0,0.0,3706.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,20.0,nan,Screening for metabolic disorders (SMD),85.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,298.0,nan,Alcohol use brief intervention provided or offered,100.0,49.0,nan,86.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,76.0,nan,59.0,76.0,nan,Tobacco use screening,100.0,299.0,nan,Tobacco use treatment provided or offered,100.0,108.0,nan,81.0,108.0,nan,Tobacco use treatment provided or offered at discharge,46.0,82.0,nan,16.0,82.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,302.0,nan,Timely transmission of transition record (TR2),100.0,302.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.0,50.0,nan,56.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,258.0,19.9,15.9,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,145.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,225.0,nan,2017-10-01,2018-03-31
190064,OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER,5000 HENNESSY BLVD,BATON ROUGE,LA,70808,E. BATON ROUGE,Hours of physical-restraint use,0.38,170.27,18841.0,nan,Hours of seclusion use,0.01,2.63,18841.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,13.0,30.0,nan,Screening for metabolic disorders (SMD),18.0,271.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,444.0,nan,Alcohol use brief intervention provided or offered,67.0,108.0,nan,67.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,256.0,nan,70.0,256.0,nan,Tobacco use screening,97.0,444.0,nan,Tobacco use treatment provided or offered,0.0,280.0,nan,0.0,280.0,nan,Tobacco use treatment provided or offered at discharge,0.0,231.0,nan,0.0,231.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.9,107.0,nan,42.1,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,393.0,19.3,16.5,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),50.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,345.0,nan,2017-10-01,2018-03-31
190065,BATON ROUGE GENERAL MEDICAL CENTER,3600 FLORIDA BLVD,BATON ROUGE,LA,70806,E. BATON ROUGE,Hours of physical-restraint use,0.12,31.92,11004.0,nan,Hours of seclusion use,0.31,83.08,11004.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,66.0,nan,Screening for metabolic disorders (SMD),1.0,412.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,581.0,nan,Alcohol use brief intervention provided or offered,80.0,70.0,nan,71.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,110.0,nan,59.0,110.0,nan,Tobacco use screening,97.0,600.0,nan,Tobacco use treatment provided or offered,73.0,226.0,nan,29.0,226.0,nan,Tobacco use treatment provided or offered at discharge,64.0,162.0,nan,6.0,162.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,638.0,nan,Timely transmission of transition record (TR2),0.0,638.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.7,149.0,nan,32.9,149.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,749.0,23.1,20.4,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,64.0,nan,2017-10-01,2018-03-31
190079,ST CHARLES PARISH HOSPITAL,1057 PAUL MAILLARD ROAD,LULING,LA,70070,ST. CHARLES,Hours of physical-restraint use,1.47,221.8,6303.0,nan,Hours of seclusion use,0.32,48.35,6303.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,99.0,nan,Screening for metabolic disorders (SMD),72.0,386.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,599.0,nan,Alcohol use brief intervention provided or offered,77.0,166.0,nan,76.0,166.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,376.0,nan,32.0,376.0,nan,Tobacco use screening,100.0,603.0,nan,Tobacco use treatment provided or offered,71.0,436.0,nan,45.0,436.0,nan,Tobacco use treatment provided or offered at discharge,88.0,422.0,nan,0.0,422.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,620.0,nan,Timely transmission of transition record (TR2),0.0,620.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,68.0,nan,25.0,68.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,128.0,18.7,14.8,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,69.0,nan,2017-10-01,2018-03-31
190088,SPRINGHILL MEDICAL CENTER,2001 DOCTORS DRIVE,SPRINGHILL,LA,71075,WEBSTER,Hours of physical-restraint use,0.0,0.0,1569.0,nan,Hours of seclusion use,0.0,0.0,1569.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,52.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,120.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,120.0,nan,Tobacco use treatment provided or offered,68.0,19.0,nan,0.0,19.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),12.0,120.0,nan,Timely transmission of transition record (TR2),12.0,120.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.7,24.0,nan,20.8,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,235.0,18.4,14.3,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,64.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,45.0,nan,2017-10-01,2018-03-31
190098,OCHSNER LSU HEALTH SHREVEPORT,1541 KINGS HIGHWAY,SHREVEPORT,LA,71103,CADDO,Hours of physical-restraint use,0.87,278.01,13379.0,nan,Hours of seclusion use,2.85,916.35,13379.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,19.0,nan,Screening for metabolic disorders (SMD),81.0,742.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,595.0,nan,Alcohol use brief intervention provided or offered,44.0,102.0,nan,44.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,258.0,nan,69.0,258.0,nan,Tobacco use screening,94.0,592.0,nan,Tobacco use treatment provided or offered,77.0,346.0,nan,58.0,346.0,nan,Tobacco use treatment provided or offered at discharge,41.0,316.0,nan,41.0,316.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,979.0,nan,Timely transmission of transition record (TR2),0.0,979.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.3,102.0,nan,17.6,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,272.0,21.6,17.9,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,165.0,nan,2017-10-01,2018-03-31
190111,"WILLIS KNIGHTON MEDICAL CENTER, INC",2600 GREENWOOD ROAD,SHREVEPORT,LA,71103,CADDO,Hours of physical-restraint use,0.0,0.0,8882.0,nan,Hours of seclusion use,0.01,1.5,8882.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),31.0,254.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,583.0,nan,Alcohol use brief intervention provided or offered,0.0,142.0,nan,0.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,288.0,nan,24.0,288.0,nan,Tobacco use screening,93.0,586.0,nan,Tobacco use treatment provided or offered,18.0,290.0,nan,12.0,290.0,nan,Tobacco use treatment provided or offered at discharge,2.0,247.0,nan,0.0,247.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,636.0,nan,Timely transmission of transition record (TR2),0.0,637.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.4,128.0,nan,25.8,128.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,498.0,20.6,17.6,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,73.0,nan,2017-10-01,2018-03-31
190114,CLAIBORNE MEMORIAL MEDICAL CENTER,620 EAST COLLEGE STREET,HOMER,LA,71040,CLAIBORNE,Hours of physical-restraint use,0.0,0.0,1165.0,nan,Hours of seclusion use,0.0,0.0,1165.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,30.0,nan,Screening for metabolic disorders (SMD),100.0,67.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,67.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,67.0,nan,Tobacco use treatment provided or offered,40.0,15.0,nan,40.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,67.0,nan,Timely transmission of transition record (TR2),100.0,67.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,93.0,17.7,13.0,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,34.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,22.0,nan,2017-10-01,2018-03-31
190133,ALLEN PARISH HOSPITAL,108 6TH AVENUE,KINDER,LA,70648,ALLEN,Hours of physical-restraint use,0.14,21.67,6671.0,nan,Hours of seclusion use,0.14,21.67,6671.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,55.0,nan,Screening for metabolic disorders (SMD),100.0,471.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,669.0,nan,Alcohol use brief intervention provided or offered,100.0,96.0,nan,99.0,96.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,96.0,nan,100.0,96.0,nan,Tobacco use screening,100.0,669.0,nan,Tobacco use treatment provided or offered,100.0,436.0,nan,2.0,436.0,nan,Tobacco use treatment provided or offered at discharge,100.0,436.0,nan,1.0,436.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,624.0,nan,Timely transmission of transition record (TR2),84.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.3,55.0,nan,23.6,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,176.0,17.0,13.5,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),19.0,354.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,147.0,nan,2017-10-01,2018-03-31
190144,MINDEN MEDICAL CENTER,NO 1 MEDICAL PLAZA,MINDEN,LA,71055,WEBSTER,Hours of physical-restraint use,0.0,0.0,2663.0,nan,Hours of seclusion use,0.0,0.0,2663.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,121.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,166.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,14.0,nan,57.0,14.0,nan,Tobacco use screening,100.0,167.0,nan,Tobacco use treatment provided or offered,50.0,46.0,nan,50.0,46.0,nan,Tobacco use treatment provided or offered at discharge,66.0,32.0,nan,3.0,32.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,171.0,nan,Timely transmission of transition record (TR2),74.0,171.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.5,48.0,nan,20.8,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,241.0,22.9,18.4,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,74.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,40.0,nan,2017-10-01,2018-03-31
190145,LASALLE GENERAL HOSPITAL,187 NINTH ST/HWY 84 WEST,JENA,LA,71342,LASALLE,Hours of physical-restraint use,0.0,0.0,2303.0,nan,Hours of seclusion use,0.0,0.0,2303.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,17.0,nan,Screening for metabolic disorders (SMD),69.0,176.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,204.0,nan,Alcohol use brief intervention provided or offered,100.0,15.0,nan,100.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,15.0,nan,73.0,15.0,nan,Tobacco use screening,100.0,204.0,nan,Tobacco use treatment provided or offered,84.0,75.0,nan,84.0,75.0,nan,Tobacco use treatment provided or offered at discharge,81.0,75.0,nan,81.0,75.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),78.0,204.0,nan,Timely transmission of transition record (TR2),81.0,204.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,18.2,11.0,nan,0.0,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,62.0,23.1,17.2,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,63.0,nan,2017-10-01,2018-03-31
190146,EAST JEFFERSON GENERAL HOSPITAL,4200 HOUMA BLVD,METAIRIE,LA,70006,JEFFERSON,Hours of physical-restraint use,0.02,1.72,4095.0,nan,Hours of seclusion use,0.14,13.57,4095.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),48.0,203.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,204.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,93.0,211.0,nan,Tobacco use treatment provided or offered,39.0,18.0,nan,28.0,18.0,nan,Tobacco use treatment provided or offered at discharge,9.0,11.0,nan,9.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),26.0,256.0,nan,Timely transmission of transition record (TR2),35.0,256.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,36.0,nan,22.2,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,248.0,19.1,15.2,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,717.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,125.0,nan,2017-10-01,2018-03-31
190160,GLENWOOD REGIONAL MEDICAL CENTER,503 MCMILLAN ROAD,WEST MONROE,LA,71291,OUACHITA,Hours of physical-restraint use,0.0,0.0,4732.0,nan,Hours of seclusion use,0.0,0.0,4732.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,25.0,nan,Screening for metabolic disorders (SMD),58.0,354.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,726.0,nan,Alcohol use brief intervention provided or offered,52.0,110.0,nan,42.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,243.0,nan,68.0,243.0,nan,Tobacco use screening,95.0,725.0,nan,Tobacco use treatment provided or offered,55.0,350.0,nan,21.0,350.0,nan,Tobacco use treatment provided or offered at discharge,72.0,309.0,nan,69.0,309.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,763.0,nan,Timely transmission of transition record (TR2),0.0,763.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.4,94.0,nan,19.1,94.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,684.0,19.5,16.7,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),60.0,348.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),48.0,1496.0,nan,2017-10-01,2018-03-31
190176,TULANE MEDICAL CENTER,1415 TULANE AVE,NEW ORLEANS,LA,70112,ORLEANS,Hours of physical-restraint use,0.0,0.0,5515.0,nan,Hours of seclusion use,0.0,0.0,5515.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,142.0,nan,Alcohol use brief intervention provided or offered,100.0,37.0,nan,100.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,52.0,nan,96.0,52.0,nan,Tobacco use screening,99.0,143.0,nan,Tobacco use treatment provided or offered,100.0,57.0,nan,96.0,57.0,nan,Tobacco use treatment provided or offered at discharge,98.0,50.0,nan,58.0,50.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,308.0,nan,Timely transmission of transition record (TR2),95.0,308.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,131.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,218.0,nan,2017-10-01,2018-03-31
190183,LEONARD J CHABERT MEDICAL CENTER,1978 INDUSTRIAL BLVD,HOUMA,LA,70363,TERREBONNE,Hours of physical-restraint use,0.03,6.34,7776.0,nan,Hours of seclusion use,0.0,0.0,7776.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,386.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,609.0,nan,Alcohol use brief intervention provided or offered,93.0,181.0,nan,93.0,181.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,382.0,nan,84.0,382.0,nan,Tobacco use screening,100.0,608.0,nan,Tobacco use treatment provided or offered,95.0,448.0,nan,94.0,448.0,nan,Tobacco use treatment provided or offered at discharge,90.0,434.0,nan,90.0,434.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),25.0,612.0,nan,Timely transmission of transition record (TR2),25.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,99.0,nan,21.2,99.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,279.0,20.6,17.2,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,52.0,nan,2017-10-01,2018-03-31
190307,SOUTH CAMERON MEMORIAL HOSPITAL,5360 WEST CREOLE HWY,CAMERON,LA,70631,CAMERON,Hours of physical-restraint use,0.0,0.0,6371.0,nan,Hours of seclusion use,0.1,15.0,6371.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,120.0,nan,Screening for metabolic disorders (SMD),100.0,690.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,814.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,73.0,nan,100.0,73.0,nan,Tobacco use screening,100.0,814.0,nan,Tobacco use treatment provided or offered,0.0,732.0,nan,0.0,732.0,nan,Tobacco use treatment provided or offered at discharge,0.0,732.0,nan,0.0,732.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,814.0,nan,Timely transmission of transition record (TR2),95.0,814.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.0,25.0,nan,16.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,141.0,24.8,20.4,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),16.0,89.0,nan,2017-10-01,2018-03-31
190312,OUR LADY OF THE ANGELS HOSPITAL,433 PLAZA STREET,BOGALUSA,LA,70427,WASHINGTON,Hours of physical-restraint use,0.03,3.1,4688.0,nan,Hours of seclusion use,0.0,0.0,4688.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,19.0,nan,Screening for metabolic disorders (SMD),99.0,247.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,403.0,nan,Alcohol use brief intervention provided or offered,100.0,112.0,nan,100.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,249.0,nan,84.0,249.0,nan,Tobacco use screening,100.0,403.0,nan,Tobacco use treatment provided or offered,100.0,288.0,nan,88.0,288.0,nan,Tobacco use treatment provided or offered at discharge,2.0,282.0,nan,0.0,282.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,405.0,nan,Timely transmission of transition record (TR2),0.0,405.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.0,25.0,nan,16.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,55.0,18.8,14.0,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,472.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,21.0,nan,2017-10-01,2018-03-31
191307,DEQUINCY MEMORIAL HOSPITAL,110 WEST 4TH STREET,DEQUINCY,LA,70633,CALCASIEU,Hours of physical-restraint use,0.0,0.0,2134.0,nan,Hours of seclusion use,0.0,0.0,2134.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,61.0,nan,Screening for metabolic disorders (SMD),100.0,125.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,125.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,125.0,nan,Tobacco use treatment provided or offered,100.0,30.0,nan,100.0,30.0,nan,Tobacco use treatment provided or offered at discharge,100.0,30.0,nan,100.0,30.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,125.0,nan,Timely transmission of transition record (TR2),100.0,125.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,12.0,nan,50.0,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,175.0,18.3,14.6,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
191315,HARDTNER MEDICAL CENTER,1102 N PINE ROAD,OLLA,LA,71465,LASALLE,Hours of physical-restraint use,0.0,0.0,2723.0,nan,Hours of seclusion use,0.05,3.0,2723.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,35.0,nan,Screening for metabolic disorders (SMD),93.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,206.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,206.0,nan,Tobacco use treatment provided or offered,100.0,97.0,nan,100.0,97.0,nan,Tobacco use treatment provided or offered at discharge,100.0,97.0,nan,0.0,97.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,206.0,nan,Timely transmission of transition record (TR2),100.0,206.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.2,18.0,nan,50.0,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,289.0,18.9,15.3,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,124.0,nan,2017-10-01,2018-03-31
191319,ACADIA ST LANDRY,810 SOUTH BROADWAY STREET,CHURCH POINT,LA,70525,ACADIA,Hours of physical-restraint use,0.63,5.0,333.0,nan,Hours of seclusion use,0.63,5.0,333.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,24.0,nan,Screening for metabolic disorders (SMD),81.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,333.0,nan,Alcohol use brief intervention provided or offered,100.0,168.0,nan,100.0,168.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,168.0,nan,10.0,168.0,nan,Tobacco use screening,100.0,333.0,nan,Tobacco use treatment provided or offered,100.0,284.0,nan,100.0,284.0,nan,Tobacco use treatment provided or offered at discharge,100.0,284.0,nan,0.0,284.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,333.0,nan,Timely transmission of transition record (TR2),98.0,333.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.4,104.0,nan,59.6,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,243.0,21.8,18.4,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,173.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),33.0,18.0,nan,2017-10-01,2018-03-31
191322,ABROM KAPLAN MEMORIAL HOSPITAL,1310 WEST SEVENTH STREET,KAPLAN,LA,70548,VERMILION,Hours of physical-restraint use,0.26,20.88,3410.0,nan,Hours of seclusion use,0.27,22.07,3410.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,97.0,nan,Screening for metabolic disorders (SMD),28.0,267.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,357.0,nan,Alcohol use brief intervention provided or offered,90.0,84.0,nan,26.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,178.0,nan,10.0,178.0,nan,Tobacco use screening,100.0,364.0,nan,Tobacco use treatment provided or offered,98.0,266.0,nan,0.0,266.0,nan,Tobacco use treatment provided or offered at discharge,99.0,239.0,nan,0.0,239.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,375.0,nan,Timely transmission of transition record (TR2),0.0,375.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.3,108.0,nan,52.8,108.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,317.0,20.6,17.4,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,191.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,27.0,nan,2017-10-01,2018-03-31
191324,OCHSNER ST ANNE GENERAL HOSPITAL,4608 HIGHWAY 1,RACELAND,LA,70394,LAFOURCHE,Hours of physical-restraint use,0.26,21.57,3447.0,nan,Hours of seclusion use,0.0,0.0,3447.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,28.0,nan,Screening for metabolic disorders (SMD),92.0,247.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,571.0,nan,Alcohol use brief intervention provided or offered,95.0,115.0,nan,95.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,330.0,nan,98.0,330.0,nan,Tobacco use screening,100.0,575.0,nan,Tobacco use treatment provided or offered,97.0,405.0,nan,62.0,405.0,nan,Tobacco use treatment provided or offered at discharge,96.0,346.0,nan,66.0,346.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),41.0,597.0,nan,Timely transmission of transition record (TR2),37.0,597.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.3,35.0,nan,28.6,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,95.0,23.2,17.9,29.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,13.0,nan,2017-10-01,2018-03-31
194007,NORTHLAKE BEHAVIORAL HEALTH SYSTEM,23515 HIGHWAY 190,MANDEVILLE,LA,70448,ST. TAMMANY,Hours of physical-restraint use,0.01,6.47,40585.0,nan,Hours of seclusion use,0.11,107.42,40585.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,199.0,nan,Screening for metabolic disorders (SMD),98.0,1164.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1341.0,nan,Alcohol use brief intervention provided or offered,100.0,174.0,nan,99.0,174.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,562.0,nan,8.0,562.0,nan,Tobacco use screening,99.0,1340.0,nan,Tobacco use treatment provided or offered,100.0,775.0,nan,40.0,775.0,nan,Tobacco use treatment provided or offered at discharge,99.0,772.0,nan,0.0,772.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,2258.0,nan,Timely transmission of transition record (TR2),96.0,2258.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.4,59.0,nan,16.9,59.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,102.0,20.4,16.0,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,1171.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,326.0,nan,2017-10-01,2018-03-31
194008,EASTERN LA MENTAL HEALTH SYSTEM,4502 HIGHWAY 951,JACKSON,LA,70748,EAST FELICIANA,Hours of physical-restraint use,0.01,18.72,81193.0,nan,Hours of seclusion use,0.02,38.27,81193.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,55.0,nan,Screening for metabolic disorders (SMD),99.0,126.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,73.0,71.0,nan,Alcohol use brief intervention provided or offered,5.0,21.0,nan,5.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,6.0,35.0,nan,3.0,35.0,nan,Tobacco use screening,61.0,71.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,191.0,nan,Timely transmission of transition record (TR2),96.0,191.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,51.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,1274.0,nan,2017-10-01,2018-03-31
194020,BRENTWOOD HOSPITAL,1006 HIGHLAND AVENUE,SHREVEPORT,LA,71106,CADDO,Hours of physical-restraint use,0.05,70.23,57905.0,nan,Hours of seclusion use,0.17,233.6,57905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,26.0,nan,Screening for metabolic disorders (SMD),100.0,937.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,419.0,nan,Alcohol use brief intervention provided or offered,100.0,140.0,nan,100.0,140.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,236.0,nan,99.0,236.0,nan,Tobacco use screening,100.0,419.0,nan,Tobacco use treatment provided or offered,100.0,233.0,nan,99.0,233.0,nan,Tobacco use treatment provided or offered at discharge,99.0,224.0,nan,96.0,224.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1279.0,nan,Timely transmission of transition record (TR2),99.0,1279.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.8,230.0,nan,26.5,230.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,949.0,17.6,15.3,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,624.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,717.0,nan,2017-10-01,2018-03-31
194022,LONGLEAF HOSPITAL,44 VERSAILLES BLVD,ALEXANDRIA,LA,71303,RAPIDES,Hours of physical-restraint use,0.01,10.37,29553.0,nan,Hours of seclusion use,0.03,18.8,29553.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,55.0,nan,Screening for metabolic disorders (SMD),88.0,380.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,552.0,nan,Alcohol use brief intervention provided or offered,80.0,99.0,nan,67.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,282.0,nan,11.0,282.0,nan,Tobacco use screening,99.0,553.0,nan,Tobacco use treatment provided or offered,96.0,269.0,nan,4.0,269.0,nan,Tobacco use treatment provided or offered at discharge,69.0,264.0,nan,0.0,264.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.2,231.0,nan,26.4,231.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,561.0,19.6,16.8,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,360.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,300.0,nan,2017-10-01,2018-03-31
194025,CENTRAL LOUISIANA STATE HOSPITAL,242 W SHAMROCK STREET,PINEVILLE,LA,71361,RAPIDES,Hours of physical-restraint use,0.3,312.68,42926.0,nan,Hours of seclusion use,0.0,0.0,42926.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,27.0,nan,Screening for metabolic disorders (SMD),89.0,18.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,39.0,nan,Timely transmission of transition record (TR2),95.0,39.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),95.0,470.0,nan,2017-10-01,2018-03-31
194031,RIVER OAKS HOSPITAL,1525 RIVER OAKS WEST,HARAHAN,LA,70123,JEFFERSON,Hours of physical-restraint use,0.05,33.41,26071.0,nan,Hours of seclusion use,0.02,13.73,26071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,260.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,465.0,nan,Alcohol use brief intervention provided or offered,99.0,165.0,nan,98.0,165.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,302.0,nan,73.0,302.0,nan,Tobacco use screening,94.0,465.0,nan,Tobacco use treatment provided or offered,98.0,301.0,nan,32.0,301.0,nan,Tobacco use treatment provided or offered at discharge,80.0,255.0,nan,2.0,255.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,866.0,nan,Timely transmission of transition record (TR2),67.0,866.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.7,118.0,nan,42.4,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,559.0,15.5,12.9,18.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),47.0,371.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,288.0,nan,2017-10-01,2018-03-31
194044,VERMILION BEHAVIORAL HEALTH SYSTEMS,2520 N UNIVERSITY AVENUE,LAFAYETTE,LA,70507,LAFAYETTE,Hours of physical-restraint use,0.03,21.56,26234.0,nan,Hours of seclusion use,0.0,0.0,26234.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,41.0,22.0,nan,Screening for metabolic disorders (SMD),38.0,378.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,148.0,nan,Alcohol use brief intervention provided or offered,91.0,45.0,nan,91.0,45.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,445.0,nan,26.0,445.0,nan,Tobacco use screening,100.0,622.0,nan,Tobacco use treatment provided or offered,97.0,430.0,nan,2.0,430.0,nan,Tobacco use treatment provided or offered at discharge,76.0,420.0,nan,0.0,420.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),11.0,765.0,nan,Timely transmission of transition record (TR2),10.0,765.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.4,97.0,nan,27.8,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,340.0,21.4,17.9,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,500.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,233.0,nan,2017-10-01,2018-03-31
194056,COMMUNITY CARE HOSPITAL,1421 GENERAL TAYLOR,NEW ORLEANS,LA,70115,ORLEANS,Hours of physical-restraint use,0.0,0.0,11357.0,nan,Hours of seclusion use,0.0,0.0,11357.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,25.0,nan,Screening for metabolic disorders (SMD),69.0,475.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,601.0,nan,Alcohol use brief intervention provided or offered,100.0,253.0,nan,96.0,253.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,312.0,nan,95.0,312.0,nan,Tobacco use screening,100.0,594.0,nan,Tobacco use treatment provided or offered,100.0,214.0,nan,71.0,214.0,nan,Tobacco use treatment provided or offered at discharge,87.0,212.0,nan,63.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1449.0,nan,Timely transmission of transition record (TR2),100.0,1449.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.6,124.0,nan,39.5,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,321.0,22.2,18.6,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,286.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
194069,COVINGTON BEHAVIORAL HEALTH,201 GREENBRIAR BLVD,COVINGTON,LA,70433,ST. TAMMANY,Hours of physical-restraint use,0.06,24.67,18234.0,nan,Hours of seclusion use,0.04,16.75,18234.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,37.0,nan,Screening for metabolic disorders (SMD),55.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,591.0,nan,Alcohol use brief intervention provided or offered,77.0,115.0,nan,72.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,310.0,nan,47.0,310.0,nan,Tobacco use screening,99.0,604.0,nan,Tobacco use treatment provided or offered,91.0,281.0,nan,1.0,281.0,nan,Tobacco use treatment provided or offered at discharge,88.0,278.0,nan,1.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,615.0,nan,Timely transmission of transition record (TR2),55.0,615.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.0,187.0,nan,30.5,187.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,497.0,21.1,18.3,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),18.0,1388.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,156.0,nan,2017-10-01,2018-03-31
194073,OCEANS HOSPITAL OF BROUSSARD,420 ALBERTSONS PARKWAY,BROUSSARD,LA,70518,LAFAYETTE,Hours of physical-restraint use,0.01,1.95,12266.0,nan,Hours of seclusion use,0.0,0.0,12266.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,340.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,604.0,nan,Alcohol use brief intervention provided or offered,73.0,78.0,nan,71.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,165.0,nan,38.0,165.0,nan,Tobacco use screening,99.0,605.0,nan,Tobacco use treatment provided or offered,90.0,243.0,nan,26.0,243.0,nan,Tobacco use treatment provided or offered at discharge,76.0,221.0,nan,1.0,221.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,610.0,nan,Timely transmission of transition record (TR2),0.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.1,251.0,nan,43.8,251.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,998.0,21.9,19.4,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,168.0,nan,2017-10-01,2018-03-31
194074,SERENITY SPRINGS SPECIALTY HOSPITAL,1495 FRAZIER ROAD,RUSTON,LA,71270,LINCOLN,Hours of physical-restraint use,0.08,10.31,5703.0,nan,Hours of seclusion use,0.0,0.16,5703.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,16.0,nan,Screening for metabolic disorders (SMD),100.0,656.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,695.0,nan,Alcohol use brief intervention provided or offered,68.0,162.0,nan,68.0,162.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,162.0,nan,100.0,162.0,nan,Tobacco use screening,98.0,695.0,nan,Tobacco use treatment provided or offered,32.0,474.0,nan,32.0,474.0,nan,Tobacco use treatment provided or offered at discharge,32.0,474.0,nan,32.0,474.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,695.0,nan,Timely transmission of transition record (TR2),75.0,695.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.4,86.0,nan,47.7,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,214.0,16.3,12.8,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),13.0,90.0,nan,2017-10-01,2018-03-31
194079,"RED RIVER BEHAVIORAL CENTER, LLC",2800 MELROSE AVENUE,BOSSIER CITY,LA,71111,BOSSIER,Hours of physical-restraint use,0.01,1.0,5797.0,nan,Hours of seclusion use,0.0,0.0,5797.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),8.0,253.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,322.0,nan,Alcohol use brief intervention provided or offered,100.0,20.0,nan,5.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,20.0,nan,5.0,20.0,nan,Tobacco use screening,100.0,323.0,nan,Tobacco use treatment provided or offered,100.0,63.0,nan,2.0,63.0,nan,Tobacco use treatment provided or offered at discharge,0.0,63.0,nan,0.0,63.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,325.0,nan,Timely transmission of transition record (TR2),98.0,325.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.8,52.0,nan,11.5,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,422.0,22.5,18.5,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),2.0,161.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,74.0,nan,2017-10-01,2018-03-31
194080,"BEACON BEHAVIORAL HOSPITAL - NORTHSHORE, INC","64026 HWY 434, SUITE 300 (3RD FLOOR)",LACOMBE,LA,70445,ST. TAMMANY,Hours of physical-restraint use,0.0,0.6,5490.0,nan,Hours of seclusion use,0.01,0.88,5490.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,33.0,nan,Screening for metabolic disorders (SMD),73.0,375.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,505.0,nan,Alcohol use brief intervention provided or offered,93.0,41.0,nan,71.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,68.0,nan,26.0,68.0,nan,Tobacco use screening,98.0,505.0,nan,Tobacco use treatment provided or offered,91.0,150.0,nan,55.0,150.0,nan,Tobacco use treatment provided or offered at discharge,42.0,120.0,nan,1.0,120.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,516.0,nan,Timely transmission of transition record (TR2),60.0,516.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.8,85.0,nan,45.9,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,484.0,19.9,16.8,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),9.0,86.0,nan,2017-10-01,2018-03-31
194081,OCEANS BEHAVIORAL HOSPITAL OF DERIDDER,1420 BLANKENSHIP DRIVE,DERIDDER,LA,70634,BEAUREGARD,Hours of physical-restraint use,0.0,0.47,5943.0,nan,Hours of seclusion use,0.0,0.0,5943.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,289.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,427.0,nan,Alcohol use brief intervention provided or offered,96.0,27.0,nan,89.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,29.0,nan,10.0,29.0,nan,Tobacco use screening,100.0,427.0,nan,Tobacco use treatment provided or offered,100.0,123.0,nan,7.0,123.0,nan,Tobacco use treatment provided or offered at discharge,98.0,58.0,nan,0.0,58.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,425.0,nan,Timely transmission of transition record (TR2),76.0,425.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.7,41.0,nan,31.7,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,438.0,23.6,20.0,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,176.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,74.0,nan,2017-10-01,2018-03-31
194082,JENNINGS SENIOR CARE HOSPITAL,"1 HOSPITAL DRIVE, SUITE 201",JENNINGS,LA,70546,JEFFRSON DAVIS,Hours of physical-restraint use,0.0,0.0,4813.0,nan,Hours of seclusion use,0.0,0.0,4813.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),84.0,214.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,302.0,nan,Alcohol use brief intervention provided or offered,92.0,12.0,nan,83.0,12.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,302.0,nan,Tobacco use treatment provided or offered,77.0,82.0,nan,16.0,82.0,nan,Tobacco use treatment provided or offered at discharge,0.0,33.0,nan,0.0,33.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,304.0,nan,Timely transmission of transition record (TR2),100.0,304.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.7,46.0,nan,54.3,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,415.0,23.2,19.2,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,166.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,40.0,nan,2017-10-01,2018-03-31
194083,"CYPRESS GROVE BEHAVIORAL HEALTH, LLC",4673 EUGENE WARE ROAD,BASTROP,LA,71220,MOREHOUSE,Hours of physical-restraint use,0.0,0.05,10300.0,nan,Hours of seclusion use,0.01,1.45,10300.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),51.0,77.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1087.0,nan,Timely transmission of transition record (TR2),70.0,1087.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),32.0,175.0,nan,2017-10-01,2018-03-31
194084,"BEACON BEHAVIORAL HOSPITAL- NEW ORLEANS, INC",14500 HAYNES BLVD,NEW ORLEANS,LA,70128,ORLEANS,Hours of physical-restraint use,0.11,19.46,7657.0,nan,Hours of seclusion use,0.06,10.96,7657.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,34.0,nan,Screening for metabolic disorders (SMD),37.0,357.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,588.0,nan,Alcohol use brief intervention provided or offered,96.0,95.0,nan,65.0,95.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,207.0,nan,28.0,207.0,nan,Tobacco use screening,98.0,588.0,nan,Tobacco use treatment provided or offered,94.0,365.0,nan,40.0,365.0,nan,Tobacco use treatment provided or offered at discharge,55.0,347.0,nan,3.0,347.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),32.0,613.0,nan,Timely transmission of transition record (TR2),32.0,613.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.5,114.0,nan,36.0,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,321.0,22.1,18.5,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),25.0,166.0,nan,2017-10-01,2018-03-31
194085,COMPASS BEHAVIORAL CENTER OF LAFAYETTE,312 YOUNGSVILLE HIGHWAY,LAFAYETTE,LA,70508,LAFAYETTE,Hours of physical-restraint use,0.0,0.0,4322.0,nan,Hours of seclusion use,0.0,0.0,4322.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),32.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,250.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,10.0,20.0,nan,10.0,20.0,nan,Tobacco use screening,93.0,250.0,nan,Tobacco use treatment provided or offered,74.0,66.0,nan,11.0,66.0,nan,Tobacco use treatment provided or offered at discharge,6.0,62.0,nan,0.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),61.0,252.0,nan,Timely transmission of transition record (TR2),53.0,252.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.4,61.0,nan,41.0,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,611.0,26.8,23.3,30.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,121.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,43.0,nan,2017-10-01,2018-03-31
194086,OCEANS BEHAVIORAL HOSPITAL OF BATON ROUGE,11135 FLORIDA BLVD,BATON ROUGE,LA,70815,E. BATON ROUGE,Hours of physical-restraint use,0.01,2.16,6734.0,nan,Hours of seclusion use,0.0,0.5,6734.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,52.0,nan,Screening for metabolic disorders (SMD),0.0,98.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,491.0,nan,Alcohol use brief intervention provided or offered,100.0,56.0,nan,100.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,56.0,nan,0.0,56.0,nan,Tobacco use screening,100.0,491.0,nan,Tobacco use treatment provided or offered,100.0,203.0,nan,67.0,203.0,nan,Tobacco use treatment provided or offered at discharge,0.0,203.0,nan,0.0,203.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,119.0,nan,Timely transmission of transition record (TR2),0.0,119.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.6,67.0,nan,62.7,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,495.0,21.0,17.7,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,241.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,107.0,nan,2017-10-01,2018-03-31
194087,ALLEGIANCE HEALTH CENTER OF MONROE,"3421 MEDICAL PARK DRIVE,",MONROE,LA,71203,OUACHITA,Hours of physical-restraint use,0.0,0.0,8996.0,nan,Hours of seclusion use,0.0,0.0,8996.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,55.0,nan,Screening for metabolic disorders (SMD),89.0,348.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,617.0,nan,Alcohol use brief intervention provided or offered,97.0,38.0,nan,92.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,38.0,nan,97.0,38.0,nan,Tobacco use screening,100.0,617.0,nan,Tobacco use treatment provided or offered,100.0,75.0,nan,92.0,75.0,nan,Tobacco use treatment provided or offered at discharge,96.0,75.0,nan,92.0,75.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,617.0,nan,Timely transmission of transition record (TR2),100.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.5,84.0,nan,47.6,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,555.0,22.5,19.1,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,353.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,137.0,nan,2017-10-01,2018-03-31
194088,"ST JAMES BEHAVIORAL HEALTH HOSPITAL, INC",3136 SOUTH ST LANDRY ROAD,GONZALES,LA,70737,ASCENSION,Hours of physical-restraint use,0.2,44.3,9057.0,nan,Hours of seclusion use,0.0,0.67,9057.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,46.0,nan,Screening for metabolic disorders (SMD),91.0,46.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,203.0,nan,Alcohol use brief intervention provided or offered,90.0,78.0,nan,82.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,78.0,nan,47.0,78.0,nan,Tobacco use screening,100.0,203.0,nan,Tobacco use treatment provided or offered,100.0,152.0,nan,0.0,152.0,nan,Tobacco use treatment provided or offered at discharge,93.0,152.0,nan,93.0,152.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,203.0,nan,Timely transmission of transition record (TR2),92.0,203.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.7,172.0,nan,44.2,172.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,436.0,19.7,16.8,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,101.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),42.0,140.0,nan,2017-10-01,2018-03-31
194089,GENESIS BEHAVIORAL HOSPITAL,606 LATIOLAIS ROAD,BREAUX BRIDGE,LA,70517,ST. MARTIN,Hours of physical-restraint use,0.02,3.12,5986.0,nan,Hours of seclusion use,0.0,0.0,5986.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,239.0,nan,Screening for metabolic disorders (SMD),100.0,239.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,717.0,nan,Alcohol use brief intervention provided or offered,100.0,154.0,nan,90.0,154.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,461.0,nan,22.0,461.0,nan,Tobacco use screening,94.0,717.0,nan,Tobacco use treatment provided or offered,100.0,477.0,nan,3.0,477.0,nan,Tobacco use treatment provided or offered at discharge,100.0,511.0,nan,17.0,511.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,717.0,nan,Timely transmission of transition record (TR2),92.0,717.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.8,180.0,nan,63.3,180.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,556.0,21.1,18.2,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),9.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),35.0,149.0,nan,2017-10-01,2018-03-31
194090,OCEANS BEHAVIORAL HOSPITAL OF LAKE CHARLES,4250 FIFTH AVENUE,LAKE CHARLES,LA,70607,CALCASIEU,Hours of physical-restraint use,0.02,5.61,14180.0,nan,Hours of seclusion use,0.04,12.03,14180.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,77.0,nan,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,73.0,1424.0,nan,Alcohol use brief intervention provided or offered,83.0,332.0,nan,83.0,332.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,332.0,nan,0.0,332.0,nan,Tobacco use screening,60.0,1424.0,nan,Tobacco use treatment provided or offered,9.0,684.0,nan,1.0,684.0,nan,Tobacco use treatment provided or offered at discharge,0.0,625.0,nan,0.0,625.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,399.0,nan,Timely transmission of transition record (TR2),0.0,399.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.4,165.0,nan,20.6,165.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,672.0,21.1,18.3,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),24.0,558.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,171.0,nan,2017-10-01,2018-03-31
194091,OCEANS BEHAVIORAL HOSPITAL OF KENTWOOD,921 AVENUE G,KENTWOOD,LA,70444,TANGIPAHOA,Hours of physical-restraint use,0.01,1.82,6147.0,nan,Hours of seclusion use,0.03,3.82,6147.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),0.0,11.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,518.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,518.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,149.0,nan,Timely transmission of transition record (TR2),0.0,149.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.3,67.0,nan,17.9,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,474.0,22.3,18.9,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),48.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,78.0,nan,2017-10-01,2018-03-31
194094,PHYSICIANS BEHAVIORAL HOSPITAL,2025 DESOTO ST,SHREVEPORT,LA,71103,CADDO,Hours of physical-restraint use,0.0,0.25,4810.0,nan,Hours of seclusion use,0.0,0.25,4810.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),100.0,481.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,481.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,282.0,nan,100.0,282.0,nan,Tobacco use screening,100.0,481.0,nan,Tobacco use treatment provided or offered,100.0,433.0,nan,10.0,433.0,nan,Tobacco use treatment provided or offered at discharge,100.0,433.0,nan,0.0,433.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,491.0,nan,Timely transmission of transition record (TR2),100.0,491.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.9,267.0,nan,46.1,267.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,511.0,17.9,15.3,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,203.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),28.0,115.0,nan,2017-10-01,2018-03-31
194095,OCEANS BEHAVIORAL HOSPITAL OF OPELOUSAS,1310 HEATHER DRIVE,OPELOUSAS,LA,70570,ST. LANDRY,Hours of physical-restraint use,0.0,0.0,9569.0,nan,Hours of seclusion use,0.02,5.47,9569.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,395.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,639.0,nan,Alcohol use brief intervention provided or offered,50.0,112.0,nan,36.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,148.0,nan,20.0,148.0,nan,Tobacco use screening,98.0,639.0,nan,Tobacco use treatment provided or offered,92.0,317.0,nan,4.0,317.0,nan,Tobacco use treatment provided or offered at discharge,24.0,271.0,nan,0.0,271.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,644.0,nan,Timely transmission of transition record (TR2),0.0,644.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.7,146.0,nan,28.8,146.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,464.0,25.3,21.3,29.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,136.0,nan,2017-10-01,2018-03-31
194096,OCEANS BEHAVIORAL HOSPITAL OF ALEXANDRIA,2621 NORTH BOLTON AVENUE,ALEXANDRIA,LA,71303,RAPIDES,Hours of physical-restraint use,0.0,0.0,6778.0,nan,Hours of seclusion use,0.0,0.0,6778.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,12.0,nan,Screening for metabolic disorders (SMD),92.0,357.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,517.0,nan,Alcohol use brief intervention provided or offered,83.0,63.0,nan,48.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,81.0,nan,14.0,81.0,nan,Tobacco use screening,100.0,517.0,nan,Tobacco use treatment provided or offered,98.0,174.0,nan,16.0,174.0,nan,Tobacco use treatment provided or offered at discharge,92.0,133.0,nan,2.0,133.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,519.0,nan,Timely transmission of transition record (TR2),1.0,519.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.3,81.0,nan,38.3,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,546.0,19.9,16.8,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,244.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,102.0,nan,2017-10-01,2018-03-31
194098,OCEANS BEHAVIORAL HOSPITAL OF GREATER NEW ORLEANS,716 VILLAGE ROAD,KENNER,LA,70065,JEFFERSON,Hours of physical-restraint use,0.0,0.0,10647.0,nan,Hours of seclusion use,0.01,3.62,10647.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),99.0,308.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,382.0,nan,Alcohol use brief intervention provided or offered,100.0,55.0,nan,62.0,55.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,87.0,nan,25.0,87.0,nan,Tobacco use screening,100.0,382.0,nan,Tobacco use treatment provided or offered,100.0,130.0,nan,12.0,130.0,nan,Tobacco use treatment provided or offered at discharge,71.0,114.0,nan,6.0,114.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,607.0,nan,Timely transmission of transition record (TR2),25.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.0,98.0,nan,36.7,98.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,608.0,20.1,17.1,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,283.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,121.0,nan,2017-10-01,2018-03-31
194100,SEASIDE BEHAVIORAL CENTER,4201 WOODLAND DRIVE,NEW ORLEANS,LA,70131,ORLEANS,Hours of physical-restraint use,0.1,35.0,15253.0,nan,Hours of seclusion use,0.03,11.0,15253.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,50.0,nan,Screening for metabolic disorders (SMD),90.0,220.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,2500.0,nan,Alcohol use brief intervention provided or offered,100.0,47.0,nan,81.0,47.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,47.0,nan,74.0,47.0,nan,Tobacco use screening,100.0,2500.0,nan,Tobacco use treatment provided or offered,99.0,176.0,nan,1.0,176.0,nan,Tobacco use treatment provided or offered at discharge,99.0,176.0,nan,0.0,176.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,360.0,nan,Timely transmission of transition record (TR2),100.0,360.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,218.0,nan,44.0,218.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,782.0,21.0,18.5,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,180.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),47.0,381.0,nan,2017-10-01,2018-03-31
194102,"BEACON BEHAVIORAL HOSPITAL, INC",2471 LOUISIANA AVE,LUTCHER,LA,70071,ST. JAMES,Hours of physical-restraint use,0.03,3.77,5242.0,nan,Hours of seclusion use,0.04,5.12,5242.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,69.0,nan,Screening for metabolic disorders (SMD),52.0,404.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,581.0,nan,Alcohol use brief intervention provided or offered,92.0,62.0,nan,77.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,217.0,nan,24.0,217.0,nan,Tobacco use screening,94.0,581.0,nan,Tobacco use treatment provided or offered,64.0,264.0,nan,24.0,264.0,nan,Tobacco use treatment provided or offered at discharge,67.0,252.0,nan,0.0,252.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,587.0,nan,Timely transmission of transition record (TR2),54.0,587.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.2,114.0,nan,41.2,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,328.0,20.9,17.5,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,150.0,nan,2017-10-01,2018-03-31
194103,SEASIDE HEALTH SYSTEM,4363 CONVENTION STREET,BATON ROUGE,LA,70806,E. BATON ROUGE,Hours of physical-restraint use,0.02,7.27,17257.0,nan,Hours of seclusion use,0.0,0.0,17257.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,96.0,nan,Screening for metabolic disorders (SMD),100.0,404.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,622.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,622.0,nan,Tobacco use treatment provided or offered,100.0,403.0,nan,10.0,403.0,nan,Tobacco use treatment provided or offered at discharge,94.0,401.0,nan,0.0,401.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,638.0,nan,Timely transmission of transition record (TR2),100.0,637.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,195.0,nan,47.2,195.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,618.0,20.6,18.1,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),48.0,175.0,nan,2017-10-01,2018-03-31
194105,"APOLLO BEHAVIORAL HEALTH HOSPITAL, L L C",9938 AIRLINE HWY,BATON ROUGE,LA,70809,E. BATON ROUGE,Hours of physical-restraint use,0.01,1.0,5133.0,nan,Hours of seclusion use,0.13,16.25,5133.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,488.0,nan,Screening for metabolic disorders (SMD),48.0,488.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,802.0,nan,Alcohol use brief intervention provided or offered,100.0,451.0,nan,0.0,451.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,451.0,nan,0.0,451.0,nan,Tobacco use screening,100.0,802.0,nan,Tobacco use treatment provided or offered,100.0,484.0,nan,0.0,484.0,nan,Tobacco use treatment provided or offered at discharge,100.0,484.0,nan,0.0,484.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,789.0,nan,Timely transmission of transition record (TR2),100.0,789.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.8,120.0,nan,36.7,120.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,336.0,23.9,20.4,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,802.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,78.0,nan,2017-10-01,2018-03-31
194106,"COMPASS BEHAVIORAL CENTER OF ALEXANDRIA, INC",6410 MASONIC DRIVE,ALEXANDRIA,LA,71301,RAPIDES,Hours of physical-restraint use,0.01,0.77,3952.0,nan,Hours of seclusion use,0.0,0.0,3952.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,265.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,405.0,nan,Alcohol use brief intervention provided or offered,80.0,69.0,nan,68.0,69.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,30.0,nan,0.0,30.0,nan,Tobacco use screening,95.0,409.0,nan,Tobacco use treatment provided or offered,81.0,227.0,nan,17.0,227.0,nan,Tobacco use treatment provided or offered at discharge,77.0,180.0,nan,0.0,180.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,420.0,nan,Timely transmission of transition record (TR2),0.0,420.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.5,86.0,nan,40.7,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,359.0,22.1,18.4,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,232.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,52.0,nan,2017-10-01,2018-03-31
194107,BATON ROUGE BEHAVIORAL HOSPITAL,4040 NORTH BLVD.,BATON ROUGE,LA,70806,E. BATON ROUGE,Hours of physical-restraint use,0.0,1.0,261048.0,nan,Hours of seclusion use,0.0,3.0,254040.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,43.0,nan,Screening for metabolic disorders (SMD),52.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,625.0,nan,Alcohol use brief intervention provided or offered,100.0,155.0,nan,99.0,155.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,347.0,nan,62.0,347.0,nan,Tobacco use screening,100.0,622.0,nan,Tobacco use treatment provided or offered,96.0,507.0,nan,6.0,507.0,nan,Tobacco use treatment provided or offered at discharge,21.0,401.0,nan,0.0,401.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),50.0,634.0,nan,Timely transmission of transition record (TR2),15.0,626.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.9,57.0,nan,28.1,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,325.0,22.5,19.1,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,124.0,nan,2017-10-01,2018-03-31
194109,"COMPASS BEHAVIORAL CENTER OF HOUMA, LLC",4701 WEST PARK AVENUE,HOUMA,LA,70364,TERREBONNE,Hours of physical-restraint use,0.0,0.0,5125.0,nan,Hours of seclusion use,0.08,9.23,5125.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,66.0,128.0,nan,Screening for metabolic disorders (SMD),75.0,324.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,422.0,nan,Alcohol use brief intervention provided or offered,97.0,95.0,nan,43.0,95.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,30.0,nan,0.0,30.0,nan,Tobacco use screening,97.0,423.0,nan,Tobacco use treatment provided or offered,100.0,242.0,nan,0.0,242.0,nan,Tobacco use treatment provided or offered at discharge,98.0,212.0,nan,0.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,428.0,nan,Timely transmission of transition record (TR2),0.0,428.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.3,124.0,nan,32.3,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,399.0,22.5,19.2,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,247.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),32.0,60.0,nan,2017-10-01,2018-03-31
194112,BEACON BEHAVIORAL HOSPITAL - CENTRAL,323 EVERGREEN STREET,BUNKIE,LA,71322,AVOYELLES,Hours of physical-restraint use,0.03,4.05,4969.0,nan,Hours of seclusion use,0.0,0.0,4969.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,20.0,nan,Screening for metabolic disorders (SMD),71.0,402.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,589.0,nan,Alcohol use brief intervention provided or offered,91.0,109.0,nan,85.0,109.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,350.0,nan,43.0,350.0,nan,Tobacco use screening,97.0,589.0,nan,Tobacco use treatment provided or offered,83.0,413.0,nan,6.0,413.0,nan,Tobacco use treatment provided or offered at discharge,92.0,361.0,nan,0.0,361.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),37.0,594.0,nan,Timely transmission of transition record (TR2),35.0,594.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.2,62.0,nan,33.9,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,142.0,20.5,16.2,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),39.0,66.0,nan,2017-10-01,2018-03-31
194113,LAKE PINES HOSPITAL,3639 LOYOLA AVENUE,KENNER,LA,70065,JEFFERSON,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
194114,RIVER PLACE BEHAVIORAL HEALTH,500 RUE DE SANTE,LA PLACE,LA,70068,ST. JOHN BAPTIST,Hours of physical-restraint use,0.0,0.0,100.0,nan,Hours of seclusion use,0.0,0.0,100.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
200009,MAINE MEDICAL CENTER,22 BRAMHALL ST,PORTLAND,ME,04102,CUMBERLAND,Hours of physical-restraint use,0.02,4.15,7210.0,nan,Hours of seclusion use,0.24,41.55,7210.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),65.0,188.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,31.0,271.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,20.0,nan,50.0,20.0,nan,Tobacco use screening,99.0,275.0,nan,Tobacco use treatment provided or offered,40.0,25.0,nan,16.0,25.0,nan,Tobacco use treatment provided or offered at discharge,41.0,17.0,nan,12.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),27.0,291.0,nan,Timely transmission of transition record (TR2),27.0,291.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,36.0,nan,38.9,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,335.0,20.3,16.7,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,138.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,57.0,nan,2017-10-01,2018-03-31
200019,SOUTHERN MAINE HEALTH CARE,1 MEDICAL CENTER DRIVE,BIDDEFORD,ME,04005,YORK,Hours of physical-restraint use,0.28,28.66,4260.0,nan,Hours of seclusion use,0.01,1.5,4260.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),30.0,227.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,414.0,nan,Alcohol use brief intervention provided or offered,87.0,137.0,nan,80.0,137.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,233.0,nan,51.0,233.0,nan,Tobacco use screening,93.0,422.0,nan,Tobacco use treatment provided or offered,41.0,201.0,nan,9.0,201.0,nan,Tobacco use treatment provided or offered at discharge,0.0,185.0,nan,0.0,185.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,442.0,nan,Timely transmission of transition record (TR2),7.0,442.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.7,71.0,nan,59.2,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,209.0,16.9,13.3,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,184.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,29.0,nan,2017-10-01,2018-03-31
200034,ST MARY'S REGIONAL MEDICAL CENTER,93 CAMPUS AVENUE - PO BOX 291,LEWISTON,ME,04243,ANDROSCOGGIN,Hours of physical-restraint use,0.0,0.0,6242.0,nan,Hours of seclusion use,0.74,110.45,6242.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,21.0,nan,Screening for metabolic disorders (SMD),66.0,280.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,585.0,nan,Alcohol use brief intervention provided or offered,9.0,34.0,nan,6.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,186.0,nan,78.0,186.0,nan,Tobacco use screening,100.0,581.0,nan,Tobacco use treatment provided or offered,73.0,278.0,nan,35.0,278.0,nan,Tobacco use treatment provided or offered at discharge,51.0,259.0,nan,2.0,259.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),31.0,593.0,nan,Timely transmission of transition record (TR2),26.0,593.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.0,193.0,nan,40.4,193.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,467.0,15.1,12.6,18.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,405.0,nan,2017-10-01,2018-03-31
200052,NORTHERN MAINE MEDICAL CENTER,194 E MAIN STREET,FORT KENT,ME,04743,AROOSTOOK,Hours of physical-restraint use,0.07,5.21,3130.0,nan,Hours of seclusion use,0.34,25.41,3130.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,170.0,nan,Alcohol use brief intervention provided or offered,100.0,27.0,nan,100.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,19.0,nan,100.0,19.0,nan,Tobacco use screening,100.0,171.0,nan,Tobacco use treatment provided or offered,100.0,76.0,nan,91.0,76.0,nan,Tobacco use treatment provided or offered at discharge,98.0,62.0,nan,89.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,428.0,nan,Timely transmission of transition record (TR2),100.0,428.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.8,80.0,nan,42.5,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,174.0,16.6,12.9,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,211.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,26.0,nan,2017-10-01,2018-03-31
204004,DOROTHEA DIX PSYCHIATRIC CENTER,656 STATE STREET,BANGOR,ME,04401,PENOBSCOT,Hours of physical-restraint use,0.02,6.63,15618.0,nan,Hours of seclusion use,0.13,49.28,15618.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),95.0,73.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,46.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,11.0,nan,18.0,11.0,nan,Tobacco use screening,100.0,46.0,nan,Tobacco use treatment provided or offered,93.0,15.0,nan,0.0,15.0,nan,Tobacco use treatment provided or offered at discharge,57.0,14.0,nan,7.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),57.0,87.0,nan,Timely transmission of transition record (TR2),59.0,87.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,34.0,16.6,11.9,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),4.0,23.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,229.0,nan,2017-10-01,2018-03-31
204005,SPRING HARBOR HOSPITAL,123 ANDOVER ROAD,WESTBROOK,ME,04092,CUMBERLAND,Hours of physical-restraint use,0.3,225.1,31762.0,nan,Hours of seclusion use,0.5,377.58,31762.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,17.0,nan,Screening for metabolic disorders (SMD),60.0,398.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,559.0,nan,Alcohol use brief intervention provided or offered,90.0,126.0,nan,83.0,126.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,285.0,nan,54.0,285.0,nan,Tobacco use screening,99.0,563.0,nan,Tobacco use treatment provided or offered,80.0,280.0,nan,49.0,280.0,nan,Tobacco use treatment provided or offered at discharge,82.0,270.0,nan,6.0,270.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,950.0,nan,Timely transmission of transition record (TR2),72.0,950.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.1,332.0,nan,38.3,332.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,772.0,17.1,15.0,19.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),33.0,437.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,607.0,nan,2017-10-01,2018-03-31
204006,NORTHERN LIGHT ACADIA HOSPITAL,268 STILLWATER AVE,BANGOR,ME,04401,PENOBSCOT,Hours of physical-restraint use,0.78,453.23,24365.0,nan,Hours of seclusion use,0.0,0.0,24365.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,28.0,nan,Screening for metabolic disorders (SMD),67.0,387.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,313.0,nan,Alcohol use brief intervention provided or offered,76.0,46.0,nan,57.0,46.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,39.0,nan,38.0,39.0,nan,Tobacco use screening,99.0,312.0,nan,Tobacco use treatment provided or offered,95.0,164.0,nan,28.0,164.0,nan,Tobacco use treatment provided or offered at discharge,24.0,139.0,nan,15.0,139.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),47.0,681.0,nan,Timely transmission of transition record (TR2),30.0,681.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,79.8,228.0,nan,51.8,228.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,540.0,15.5,13.1,18.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),65.0,365.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,1115.0,nan,2017-10-01,2018-03-31
214000,"SHEPPARD AND ENOCH PRATT HOSPITAL, THE",6501 NORTH  CHARLES STREET,BALTIMORE,MD,21204,BALTIMORE,Hours of physical-restraint use,0.98,2523.5,107095.0,nan,Hours of seclusion use,0.68,1760.28,107095.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,306.0,nan,Screening for metabolic disorders (SMD),56.0,4972.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,5376.0,nan,Alcohol use brief intervention provided or offered,64.0,1490.0,nan,61.0,1490.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,2057.0,nan,64.0,2057.0,nan,Tobacco use screening,99.0,5400.0,nan,Tobacco use treatment provided or offered,81.0,2383.0,nan,55.0,2383.0,nan,Tobacco use treatment provided or offered at discharge,93.0,1842.0,nan,13.0,1842.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,8501.0,nan,Timely transmission of transition record (TR2),18.0,8501.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.6,576.0,nan,44.6,576.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1919.0,18.2,16.6,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,4075.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,2583.0,nan,2017-10-01,2018-03-31
214002,EASTERN SHORE HOSPITAL CENTER,POST OFFICE BOX 800,CAMBRIDGE,MD,21613,DORCHESTER,Hours of physical-restraint use,0.17,89.73,22316.0,nan,Hours of seclusion use,0.81,435.27,22316.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,14.0,nan,Screening for metabolic disorders (SMD),4.0,47.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,74.0,27.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,7.0,14.0,nan,7.0,14.0,nan,Tobacco use screening,85.0,27.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,35.0,nan,Timely transmission of transition record (TR2),0.0,35.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),27.0,11.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,250.0,nan,2017-10-01,2018-03-31
214003,BROOK LANE HEALTH SERVICES,13215  BROOK LANE DRIVE,HAGERSTOWN,MD,21742,WASHINGTON,Hours of physical-restraint use,0.07,28.83,17836.0,nan,Hours of seclusion use,0.3,130.4,17836.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,17.0,nan,Screening for metabolic disorders (SMD),100.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,242.0,nan,Alcohol use brief intervention provided or offered,100.0,18.0,nan,100.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,98.0,242.0,nan,Tobacco use treatment provided or offered,49.0,49.0,nan,41.0,49.0,nan,Tobacco use treatment provided or offered at discharge,0.0,48.0,nan,0.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,619.0,nan,Timely transmission of transition record (TR2),100.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.5,147.0,nan,46.3,147.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,353.0,19.5,15.9,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),38.0,589.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,529.0,nan,2017-10-01,2018-03-31
214004,SPRINGFIELD HOSPITAL CENTER,6655 SYKESVILLE ROAD,SYKESVILLE,MD,21784,CARROLL,Hours of physical-restraint use,1.13,2159.77,79474.0,nan,Hours of seclusion use,0.17,319.24,79474.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,53.0,nan,Screening for metabolic disorders (SMD),81.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,167.0,nan,Alcohol use brief intervention provided or offered,75.0,65.0,nan,54.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,79.0,nan,1.0,79.0,nan,Tobacco use screening,100.0,167.0,nan,Tobacco use treatment provided or offered,20.0,60.0,nan,13.0,60.0,nan,Tobacco use treatment provided or offered at discharge,9.0,53.0,nan,2.0,53.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,156.0,nan,Timely transmission of transition record (TR2),0.0,156.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,13.0,nan,23.1,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,85.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,758.0,nan,2017-10-01,2018-03-31
214012,THOMAS B FINAN CENTER,"10102 COUNTRY CLUB ROAD,  POST OFFICE BOX 1722",CUMBERLAND,MD,21502,ALLEGANY,Hours of physical-restraint use,0.13,74.12,23939.0,nan,Hours of seclusion use,0.14,79.78,23939.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,17.0,nan,Screening for metabolic disorders (SMD),85.0,34.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,50.0,28.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,82.0,28.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,47.0,nan,Timely transmission of transition record (TR2),62.0,47.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),78.0,235.0,nan,2017-10-01,2018-03-31
214013,ADVENTIST HEALTHCARE BEHAVIORAL HEALTH & WELLNESS,14901 BROSCHART ROAD,ROCKVILLE,MD,20850,MONTGOMERY,Hours of physical-restraint use,0.02,12.26,32952.0,nan,Hours of seclusion use,0.01,6.85,32952.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,51.0,nan,Screening for metabolic disorders (SMD),37.0,408.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,628.0,nan,Alcohol use brief intervention provided or offered,76.0,93.0,nan,74.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,13.0,223.0,nan,12.0,223.0,nan,Tobacco use screening,99.0,617.0,nan,Tobacco use treatment provided or offered,64.0,227.0,nan,46.0,227.0,nan,Tobacco use treatment provided or offered at discharge,18.0,205.0,nan,2.0,205.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),1.0,782.0,nan,Timely transmission of transition record (TR2),3.0,782.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.2,294.0,nan,36.4,294.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,607.0,18.3,15.7,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,394.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,536.0,nan,2017-10-01,2018-03-31
214018,SPRING GROVE HOSPITAL CENTER,WADE AVENUE,CATONSVILLE,MD,21228,BALTIMORE,Hours of physical-restraint use,0.17,505.88,125489.0,nan,Hours of seclusion use,0.0,0.0,125489.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,46.0,nan,Screening for metabolic disorders (SMD),97.0,138.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,55.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,21.0,nan,0.0,21.0,nan,Tobacco use screening,95.0,55.0,nan,Tobacco use treatment provided or offered,100.0,15.0,nan,33.0,15.0,nan,Tobacco use treatment provided or offered at discharge,0.0,11.0,nan,0.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),63.0,232.0,nan,Timely transmission of transition record (TR2),66.0,232.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),42.0,60.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,936.0,nan,2017-10-01,2018-03-31
220001,HEALTH ALLIANCE - CLINTON HOSPITAL,60 HOSPITAL ROAD,LEOMINSTER,MA,01453,WORCESTER,Hours of physical-restraint use,7.7,17.0,92.0,nan,Hours of seclusion use,0.0,0.0,92.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),4.0,51.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,76.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,18.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),17.0,92.0,nan,Timely transmission of transition record (TR2),17.0,92.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),19.0,89.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
220002,MOUNT AUBURN HOSPITAL,330 MOUNT AUBURN STREET,CAMBRIDGE,MA,02138,MIDDLESEX,Hours of physical-restraint use,0.12,13.23,4629.0,nan,Hours of seclusion use,0.0,0.0,4629.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),72.0,180.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,69.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,73.0,nan,Tobacco use treatment provided or offered,83.0,12.0,nan,0.0,12.0,nan,Tobacco use treatment provided or offered at discharge,82.0,11.0,nan,9.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),25.0,228.0,nan,Timely transmission of transition record (TR2),24.0,228.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.0,50.0,nan,50.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,304.0,19.4,15.7,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,114.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,60.0,nan,2017-10-01,2018-03-31
220011,CAMBRIDGE HEALTH ALLIANCE,1493 CAMBRIDGE STREET,CAMBRIDGE,MA,02138,MIDDLESEX,Hours of physical-restraint use,0.36,240.0,27834.0,nan,Hours of seclusion use,0.24,157.0,27834.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,33.0,nan,Screening for metabolic disorders (SMD),68.0,253.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,62.0,271.0,nan,Alcohol use brief intervention provided or offered,60.0,57.0,nan,60.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,125.0,nan,33.0,125.0,nan,Tobacco use screening,95.0,214.0,nan,Tobacco use treatment provided or offered,28.0,120.0,nan,18.0,120.0,nan,Tobacco use treatment provided or offered at discharge,57.0,101.0,nan,0.0,101.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,624.0,nan,Timely transmission of transition record (TR2),0.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.1,217.0,nan,37.8,217.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,974.0,24.9,22.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,278.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,293.0,nan,2017-10-01,2018-03-31
220012,CAPE COD HOSPITAL,88 LEWIS BAY ROAD,HYANNIS,MA,02601,BARNSTABLE,Hours of physical-restraint use,0.02,2.93,7134.0,nan,Hours of seclusion use,0.0,0.0,7134.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,46.0,nan,Screening for metabolic disorders (SMD),54.0,426.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,593.0,nan,Alcohol use brief intervention provided or offered,67.0,144.0,nan,67.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,228.0,nan,77.0,228.0,nan,Tobacco use screening,100.0,593.0,nan,Tobacco use treatment provided or offered,94.0,292.0,nan,29.0,292.0,nan,Tobacco use treatment provided or offered at discharge,96.0,270.0,nan,30.0,270.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),59.0,690.0,nan,Timely transmission of transition record (TR2),51.0,690.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.5,208.0,nan,55.3,208.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,537.0,22.8,19.7,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,87.0,nan,2017-10-01,2018-03-31
220015,"COOLEY DICKINSON HOSPITAL INC,THE",30 LOCUST STREET,NORTHAMPTON,MA,01060,HAMPSHIRE,Hours of physical-restraint use,0.24,42.44,7280.0,nan,Hours of seclusion use,0.0,0.0,7280.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,32.0,nan,Screening for metabolic disorders (SMD),10.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,588.0,nan,Alcohol use brief intervention provided or offered,82.0,141.0,nan,82.0,141.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,251.0,nan,87.0,251.0,nan,Tobacco use screening,96.0,585.0,nan,Tobacco use treatment provided or offered,38.0,281.0,nan,16.0,281.0,nan,Tobacco use treatment provided or offered at discharge,42.0,266.0,nan,10.0,266.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,620.0,nan,Timely transmission of transition record (TR2),6.0,620.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.3,107.0,nan,30.8,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,22.3,18.9,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,237.0,nan,2017-10-01,2018-03-31
220017,CARNEY HOSPITAL,2100 DORCHESTER AVENUE,BOSTON,MA,02124,SUFFOLK,Hours of physical-restraint use,0.16,43.2,11359.0,nan,Hours of seclusion use,0.03,9.4,11359.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,15.0,nan,Screening for metabolic disorders (SMD),80.0,289.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,247.0,nan,Alcohol use brief intervention provided or offered,90.0,81.0,nan,83.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,147.0,nan,77.0,147.0,nan,Tobacco use screening,92.0,246.0,nan,Tobacco use treatment provided or offered,97.0,146.0,nan,25.0,146.0,nan,Tobacco use treatment provided or offered at discharge,82.0,137.0,nan,5.0,137.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,632.0,nan,Timely transmission of transition record (TR2),9.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.2,67.0,nan,29.9,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,331.0,23.7,20.0,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,251.0,nan,2017-10-01,2018-03-31
220019,HARRINGTON MEMORIAL HOSPITAL-1,100 SOUTH STREET,SOUTHBRIDGE,MA,01550,WORCESTER,Hours of physical-restraint use,0.24,21.78,3713.0,nan,Hours of seclusion use,0.0,0.0,3713.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,67.0,nan,Screening for metabolic disorders (SMD),86.0,291.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,444.0,nan,Alcohol use brief intervention provided or offered,100.0,31.0,nan,90.0,31.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,138.0,nan,44.0,138.0,nan,Tobacco use screening,100.0,451.0,nan,Tobacco use treatment provided or offered,88.0,218.0,nan,4.0,218.0,nan,Tobacco use treatment provided or offered at discharge,46.0,210.0,nan,0.0,210.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),39.0,464.0,nan,Timely transmission of transition record (TR2),87.0,464.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.1,96.0,nan,33.3,96.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,243.0,21.7,18.0,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,218.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,33.0,nan,2017-10-01,2018-03-31
220020,SAINT ANNE'S HOSPITAL,795 MIDDLE STREET,FALL RIVER,MA,02721,BRISTOL,Hours of physical-restraint use,0.04,9.4,10804.0,nan,Hours of seclusion use,0.0,0.0,10804.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,329.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,101.0,nan,Alcohol use brief intervention provided or offered,100.0,17.0,nan,100.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,15.0,nan,53.0,15.0,nan,Tobacco use screening,99.0,100.0,nan,Tobacco use treatment provided or offered,100.0,19.0,nan,21.0,19.0,nan,Tobacco use treatment provided or offered at discharge,89.0,18.0,nan,17.0,18.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,596.0,nan,Timely transmission of transition record (TR2),25.0,596.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.2,54.0,nan,50.0,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,774.0,20.9,18.1,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,272.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,193.0,nan,2017-10-01,2018-03-31
220024,HOLYOKE MEDICAL CENTER,575 BEECH STREET,HOLYOKE,MA,01040,HAMPDEN,Hours of physical-restraint use,0.03,4.32,6035.0,nan,Hours of seclusion use,0.0,0.0,6035.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,29.0,nan,Screening for metabolic disorders (SMD),45.0,354.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,590.0,nan,Alcohol use brief intervention provided or offered,100.0,74.0,nan,86.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,304.0,nan,85.0,304.0,nan,Tobacco use screening,100.0,591.0,nan,Tobacco use treatment provided or offered,100.0,324.0,nan,61.0,324.0,nan,Tobacco use treatment provided or offered at discharge,98.0,311.0,nan,5.0,311.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,602.0,nan,Timely transmission of transition record (TR2),100.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.2,114.0,nan,34.2,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,262.0,19.3,15.9,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,233.0,nan,2017-10-01,2018-03-31
220029,ANNA JAQUES HOSPITAL,25 HIGHLAND AVENUE,NEWBURYPORT,MA,01950,ESSEX,Hours of physical-restraint use,0.02,2.03,5608.0,nan,Hours of seclusion use,0.0,0.0,5608.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),77.0,285.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,609.0,nan,Alcohol use brief intervention provided or offered,100.0,200.0,nan,98.0,200.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,322.0,nan,95.0,322.0,nan,Tobacco use screening,100.0,610.0,nan,Tobacco use treatment provided or offered,99.0,358.0,nan,10.0,358.0,nan,Tobacco use treatment provided or offered at discharge,96.0,348.0,nan,9.0,348.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,645.0,nan,Timely transmission of transition record (TR2),83.0,645.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.0,116.0,nan,31.9,116.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,290.0,23.4,19.9,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,54.0,nan,2017-10-01,2018-03-31
220030,BAYSTATE WING HOSPITAL AND MEDICAL CENTERS,40 WRIGHT STREET,PALMER,MA,01069,HAMPDEN,Hours of physical-restraint use,0.39,71.28,7648.0,nan,Hours of seclusion use,0.0,0.0,7648.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,44.0,52.0,nan,Screening for metabolic disorders (SMD),48.0,404.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,57.0,466.0,nan,Alcohol use brief intervention provided or offered,12.0,34.0,nan,12.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,182.0,nan,58.0,182.0,nan,Tobacco use screening,96.0,136.0,nan,Tobacco use treatment provided or offered,73.0,220.0,nan,53.0,220.0,nan,Tobacco use treatment provided or offered at discharge,2.0,182.0,nan,0.0,182.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,670.0,nan,Timely transmission of transition record (TR2),2.0,670.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.1,92.0,nan,29.3,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,579.0,21.4,18.3,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,341.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,90.0,nan,2017-10-01,2018-03-31
220033,BEVERLY HOSPITAL CORPORATION,85 HERRICK STREET,BEVERLY,MA,01915,ESSEX,Hours of physical-restraint use,0.17,98.67,24337.0,nan,Hours of seclusion use,0.0,0.0,24337.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,51.0,nan,Screening for metabolic disorders (SMD),70.0,462.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,492.0,nan,Alcohol use brief intervention provided or offered,69.0,108.0,nan,68.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,143.0,nan,64.0,143.0,nan,Tobacco use screening,98.0,497.0,nan,Tobacco use treatment provided or offered,84.0,166.0,nan,10.0,166.0,nan,Tobacco use treatment provided or offered at discharge,40.0,152.0,nan,20.0,152.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,740.0,nan,Timely transmission of transition record (TR2),0.0,740.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.3,278.0,nan,43.9,278.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1308.0,24.0,21.8,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,244.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,273.0,nan,2017-10-01,2018-03-31
220035,NORTH SHORE MEDICAL CENTER -,81 HIGHLAND AVENUE,SALEM,MA,01970,ESSEX,Hours of physical-restraint use,0.2,99.0,20672.0,nan,Hours of seclusion use,0.13,65.0,20672.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,19.0,nan,Screening for metabolic disorders (SMD),31.0,284.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,74.0,377.0,nan,Alcohol use brief intervention provided or offered,44.0,68.0,nan,40.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,164.0,nan,65.0,164.0,nan,Tobacco use screening,98.0,394.0,nan,Tobacco use treatment provided or offered,20.0,167.0,nan,11.0,167.0,nan,Tobacco use treatment provided or offered at discharge,5.0,146.0,nan,1.0,146.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,635.0,nan,Timely transmission of transition record (TR2),20.0,635.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.6,173.0,nan,50.9,173.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,760.0,20.9,18.4,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,234.0,nan,2017-10-01,2018-03-31
220036,ST ELIZABETH'S MEDICAL CENTER,736 CAMBRIDGE STREET,BRIGHTON,MA,02135,SUFFOLK,Hours of physical-restraint use,0.35,167.5,19905.0,nan,Hours of seclusion use,0.0,0.0,19905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,49.0,nan,Screening for metabolic disorders (SMD),79.0,335.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,345.0,nan,Alcohol use brief intervention provided or offered,89.0,102.0,nan,80.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,180.0,nan,61.0,180.0,nan,Tobacco use screening,89.0,345.0,nan,Tobacco use treatment provided or offered,89.0,176.0,nan,22.0,176.0,nan,Tobacco use treatment provided or offered at discharge,80.0,160.0,nan,14.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,610.0,nan,Timely transmission of transition record (TR2),2.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.2,249.0,nan,33.7,249.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,974.0,23.6,21.3,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,287.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,258.0,nan,2017-10-01,2018-03-31
220046,BERKSHIRE MEDICAL CENTER INC - 1,725 NORTH STREET,PITTSFIELD,MA,01201,BERKSHIRE,Hours of physical-restraint use,0.03,16.2,22643.0,nan,Hours of seclusion use,0.01,3.9,22643.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,13.0,nan,Screening for metabolic disorders (SMD),30.0,201.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,76.0,548.0,nan,Alcohol use brief intervention provided or offered,95.0,115.0,nan,91.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,239.0,nan,55.0,239.0,nan,Tobacco use screening,99.0,549.0,nan,Tobacco use treatment provided or offered,94.0,288.0,nan,11.0,288.0,nan,Tobacco use treatment provided or offered at discharge,84.0,205.0,nan,4.0,205.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,640.0,nan,Timely transmission of transition record (TR2),22.0,640.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.2,210.0,nan,39.5,210.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,820.0,18.9,16.8,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,101.0,nan,2017-10-01,2018-03-31
220052,SIGNATURE HEALTHCARE BROCKTON HOSPITAL,680 CENTER STREET,BROCKTON,MA,02302,PLYMOUTH,Hours of physical-restraint use,0.05,6.98,6286.0,nan,Hours of seclusion use,0.0,0.0,6286.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),31.0,321.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,604.0,nan,Alcohol use brief intervention provided or offered,98.0,159.0,nan,92.0,159.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,320.0,nan,58.0,320.0,nan,Tobacco use screening,100.0,604.0,nan,Tobacco use treatment provided or offered,98.0,333.0,nan,2.0,333.0,nan,Tobacco use treatment provided or offered at discharge,99.0,320.0,nan,0.0,320.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),78.0,612.0,nan,Timely transmission of transition record (TR2),24.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,156.0,nan,26.9,156.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,489.0,21.9,19.2,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,66.0,nan,2017-10-01,2018-03-31
220060,BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH,275 SANDWICH STREET,PLYMOUTH,MA,02360,PLYMOUTH,Hours of physical-restraint use,0.0,0.0,5865.0,nan,Hours of seclusion use,0.0,0.0,5865.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),22.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,263.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,95.0,262.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,279.0,nan,Timely transmission of transition record (TR2),77.0,279.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.1,18.0,nan,38.9,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,472.0,15.2,12.3,18.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,44.0,nan,2017-10-01,2018-03-31
220065,BAYSTATE NOBLE HOSPITAL,115 WEST SILVER STREET,WESTFIELD,MA,01085,HAMPDEN,Hours of physical-restraint use,0.09,13.41,5909.0,nan,Hours of seclusion use,0.0,0.0,5909.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,10.0,30.0,nan,Screening for metabolic disorders (SMD),86.0,317.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,557.0,nan,Alcohol use brief intervention provided or offered,5.0,134.0,nan,5.0,134.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,20.0,nan,25.0,20.0,nan,Tobacco use screening,99.0,556.0,nan,Tobacco use treatment provided or offered,89.0,274.0,nan,62.0,274.0,nan,Tobacco use treatment provided or offered at discharge,24.0,268.0,nan,3.0,268.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),18.0,581.0,nan,Timely transmission of transition record (TR2),12.0,581.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,133.0,nan,32.3,133.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,290.0,19.5,16.1,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,289.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,250.0,nan,2017-10-01,2018-03-31
220066,MERCY MEDICAL CTR,271 CAREW STREET,SPRINGFIELD,MA,01104,HAMPDEN,Hours of physical-restraint use,0.03,15.45,20565.0,nan,Hours of seclusion use,0.11,54.8,20565.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,39.0,31.0,nan,Screening for metabolic disorders (SMD),22.0,380.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,274.0,nan,Alcohol use brief intervention provided or offered,1.0,85.0,nan,1.0,85.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,160.0,nan,29.0,160.0,nan,Tobacco use screening,96.0,272.0,nan,Tobacco use treatment provided or offered,85.0,163.0,nan,67.0,163.0,nan,Tobacco use treatment provided or offered at discharge,11.0,140.0,nan,0.0,140.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,728.0,nan,Timely transmission of transition record (TR2),0.0,728.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.5,215.0,nan,20.9,215.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,739.0,21.2,18.9,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,368.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,457.0,nan,2017-10-01,2018-03-31
220070,MELROSEWAKEFIELD HEALTHCARE,585 LEBANON STREET,MELROSE,MA,02176,MIDDLESEX,Hours of physical-restraint use,0.07,25.8,16483.0,nan,Hours of seclusion use,0.01,3.5,16483.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,21.0,nan,Screening for metabolic disorders (SMD),39.0,356.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,535.0,nan,Alcohol use brief intervention provided or offered,96.0,72.0,nan,96.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,221.0,nan,88.0,221.0,nan,Tobacco use screening,100.0,601.0,nan,Tobacco use treatment provided or offered,90.0,214.0,nan,19.0,214.0,nan,Tobacco use treatment provided or offered at discharge,30.0,207.0,nan,11.0,207.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,733.0,nan,Timely transmission of transition record (TR2),95.0,733.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.1,248.0,nan,40.7,248.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1211.0,22.6,20.4,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,190.0,nan,2017-10-01,2018-03-31
220071,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,SUFFOLK,Hours of physical-restraint use,0.57,112.63,8171.0,nan,Hours of seclusion use,0.04,7.38,8171.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),67.0,359.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,559.0,nan,Alcohol use brief intervention provided or offered,93.0,107.0,nan,66.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,213.0,nan,53.0,213.0,nan,Tobacco use screening,95.0,559.0,nan,Tobacco use treatment provided or offered,100.0,205.0,nan,76.0,205.0,nan,Tobacco use treatment provided or offered at discharge,91.0,192.0,nan,3.0,192.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),72.0,603.0,nan,Timely transmission of transition record (TR2),24.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.9,157.0,nan,48.4,157.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,474.0,18.5,15.8,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,128.0,nan,2017-10-01,2018-03-31
220073,MORTON HOSPITAL,88 WASHINGTON STREET,TAUNTON,MA,02780,BRISTOL,Hours of physical-restraint use,0.01,1.25,5913.0,nan,Hours of seclusion use,0.0,0.0,5913.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,56.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,55.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,340.0,nan,Timely transmission of transition record (TR2),35.0,340.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.2,41.0,nan,19.5,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,476.0,21.4,17.9,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,158.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,71.0,nan,2017-10-01,2018-03-31
220077,BAYSTATE MEDICAL CENTER,759 CHESTNUT STREET,SPRINGFIELD,MA,01199,HAMPDEN,Hours of physical-restraint use,0.13,29.02,9071.0,nan,Hours of seclusion use,0.04,9.42,9071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,50.0,nan,Screening for metabolic disorders (SMD),69.0,440.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,859.0,nan,Alcohol use brief intervention provided or offered,69.0,190.0,nan,69.0,190.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,509.0,nan,94.0,509.0,nan,Tobacco use screening,99.0,858.0,nan,Tobacco use treatment provided or offered,77.0,430.0,nan,58.0,430.0,nan,Tobacco use treatment provided or offered at discharge,10.0,420.0,nan,7.0,420.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),43.0,834.0,nan,Timely transmission of transition record (TR2),42.0,834.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.1,129.0,nan,27.1,129.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,376.0,20.0,17.0,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,465.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,69.0,nan,2017-10-01,2018-03-31
220080,HOLY FAMILY HOSPITAL,70 EAST STREET,METHUEN,MA,01844,ESSEX,Hours of physical-restraint use,0.07,15.9,9836.0,nan,Hours of seclusion use,0.0,0.0,9836.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,40.0,nan,Screening for metabolic disorders (SMD),71.0,387.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,334.0,nan,Alcohol use brief intervention provided or offered,76.0,97.0,nan,68.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,204.0,nan,79.0,204.0,nan,Tobacco use screening,94.0,335.0,nan,Tobacco use treatment provided or offered,99.0,206.0,nan,24.0,206.0,nan,Tobacco use treatment provided or offered at discharge,97.0,197.0,nan,4.0,197.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,601.0,nan,Timely transmission of transition record (TR2),9.0,601.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,18.0,nan,11.1,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,490.0,20.6,17.3,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,83.0,nan,2017-10-01,2018-03-31
220084,EMERSON HOSPITAL -,133 OLD ROAD TO 9 ACRE CORNER,W CONCORD,MA,01742,MIDDLESEX,Hours of physical-restraint use,0.02,5.56,9275.0,nan,Hours of seclusion use,0.0,0.0,9275.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),65.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,558.0,nan,Alcohol use brief intervention provided or offered,99.0,287.0,nan,99.0,287.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,320.0,nan,76.0,320.0,nan,Tobacco use screening,100.0,558.0,nan,Tobacco use treatment provided or offered,75.0,284.0,nan,26.0,284.0,nan,Tobacco use treatment provided or offered at discharge,0.0,260.0,nan,0.0,260.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),5.0,587.0,nan,Timely transmission of transition record (TR2),2.0,587.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.9,72.0,nan,44.4,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,385.0,22.9,19.6,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,108.0,nan,2017-10-01,2018-03-31
220086,BETH ISRAEL DEACONESS MEDICAL CENTER,330 BROOKLINE AVENUE,BOSTON,MA,02215,SUFFOLK,Hours of physical-restraint use,0.14,26.97,8246.0,nan,Hours of seclusion use,0.06,11.83,8246.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,19.0,nan,Screening for metabolic disorders (SMD),73.0,373.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,563.0,nan,Alcohol use brief intervention provided or offered,18.0,159.0,nan,17.0,159.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,215.0,nan,56.0,215.0,nan,Tobacco use screening,100.0,564.0,nan,Tobacco use treatment provided or offered,72.0,207.0,nan,57.0,207.0,nan,Tobacco use treatment provided or offered at discharge,39.0,195.0,nan,35.0,195.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,678.0,nan,Timely transmission of transition record (TR2),88.0,673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.3,93.0,nan,52.7,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,264.0,19.0,15.7,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,278.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,107.0,nan,2017-10-01,2018-03-31
220095,HEYWOOD HOSPITAL -,242 GREEN STREET,GARDNER,MA,01440,WORCESTER,Hours of physical-restraint use,0.0,0.0,6572.0,nan,Hours of seclusion use,0.0,0.0,6572.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,22.0,nan,Screening for metabolic disorders (SMD),34.0,464.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,192.0,nan,Alcohol use brief intervention provided or offered,25.0,16.0,nan,25.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,18.0,nan,33.0,18.0,nan,Tobacco use screening,82.0,192.0,nan,Tobacco use treatment provided or offered,59.0,34.0,nan,38.0,34.0,nan,Tobacco use treatment provided or offered at discharge,38.0,34.0,nan,0.0,34.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),5.0,539.0,nan,Timely transmission of transition record (TR2),5.0,539.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.1,93.0,nan,31.2,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,581.0,22.6,19.3,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,271.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,52.0,nan,2017-10-01,2018-03-31
220098,NASHOBA VALLEY MEDICAL CENTER,200 GROTON ROAD,AYER,MA,01432,MIDDLESEX,Hours of physical-restraint use,0.02,2.4,6651.0,nan,Hours of seclusion use,0.0,0.1,6651.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),86.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,76.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,96.0,74.0,nan,Tobacco use treatment provided or offered,93.0,14.0,nan,0.0,14.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,311.0,nan,Timely transmission of transition record (TR2),40.0,311.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.8,24.0,nan,25.0,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,315.0,20.6,16.8,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,159.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,94.0,nan,2017-10-01,2018-03-31
220101,NEWTON-WELLESLEY HOSPITAL,2014 WASHINGTON STREET,NEWTON,MA,02462,MIDDLESEX,Hours of physical-restraint use,0.26,66.82,10555.0,nan,Hours of seclusion use,0.04,11.33,10555.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,35.0,nan,Screening for metabolic disorders (SMD),21.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,59.0,580.0,nan,Alcohol use brief intervention provided or offered,4.0,105.0,nan,4.0,105.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,219.0,nan,16.0,219.0,nan,Tobacco use screening,94.0,588.0,nan,Tobacco use treatment provided or offered,40.0,208.0,nan,27.0,208.0,nan,Tobacco use treatment provided or offered at discharge,1.0,196.0,nan,0.0,196.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),28.0,600.0,nan,Timely transmission of transition record (TR2),9.0,600.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.3,165.0,nan,44.2,165.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,499.0,22.1,19.1,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,133.0,nan,2017-10-01,2018-03-31
220111,GOOD SAMARITAN MEDICAL CENTER,235 NORTH PEARL STREET,BROCKTON,MA,02301,PLYMOUTH,Hours of physical-restraint use,0.0,0.22,5431.0,nan,Hours of seclusion use,0.0,0.0,5431.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),90.0,183.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,69.0,nan,Alcohol use brief intervention provided or offered,92.0,13.0,nan,77.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,16.0,nan,44.0,16.0,nan,Tobacco use screening,100.0,69.0,nan,Tobacco use treatment provided or offered,100.0,18.0,nan,22.0,18.0,nan,Tobacco use treatment provided or offered at discharge,93.0,14.0,nan,0.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,340.0,nan,Timely transmission of transition record (TR2),44.0,340.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.7,22.0,nan,27.3,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,429.0,17.1,13.9,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,138.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,59.0,nan,2017-10-01,2018-03-31
220116,TUFTS MEDICAL CENTER,800 WASHINGTON STREET,BOSTON,MA,02111,SUFFOLK,Hours of physical-restraint use,1.05,169.3,6724.0,nan,Hours of seclusion use,1.79,288.49,6724.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,12.0,nan,Screening for metabolic disorders (SMD),76.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,420.0,nan,Alcohol use brief intervention provided or offered,94.0,31.0,nan,65.0,31.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,139.0,nan,17.0,139.0,nan,Tobacco use screening,100.0,420.0,nan,Tobacco use treatment provided or offered,69.0,127.0,nan,29.0,127.0,nan,Tobacco use treatment provided or offered at discharge,30.0,125.0,nan,3.0,125.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),20.0,632.0,nan,Timely transmission of transition record (TR2),15.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.5,104.0,nan,39.4,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,247.0,22.6,18.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,77.0,nan,2017-10-01,2018-03-31
220119,BRIGHAM AND WOMEN'S FAULKNER HOSPITAL,1153 CENTRE STREET,BOSTON,MA,02130,SUFFOLK,Hours of physical-restraint use,0.28,38.82,5852.0,nan,Hours of seclusion use,0.37,51.97,5852.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,11.0,nan,Screening for metabolic disorders (SMD),21.0,280.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,324.0,nan,Alcohol use brief intervention provided or offered,83.0,104.0,nan,83.0,104.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,177.0,nan,51.0,177.0,nan,Tobacco use screening,96.0,347.0,nan,Tobacco use treatment provided or offered,90.0,134.0,nan,37.0,134.0,nan,Tobacco use treatment provided or offered at discharge,86.0,127.0,nan,9.0,127.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),65.0,597.0,nan,Timely transmission of transition record (TR2),14.0,597.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.8,99.0,nan,56.6,99.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,476.0,26.7,23.5,30.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,122.0,nan,2017-10-01,2018-03-31
220126,NORWOOD HOSPITAL,800 WASHINGTON STREET,NORWOOD,MA,02062,NORFOLK,Hours of physical-restraint use,0.05,22.7,20937.0,nan,Hours of seclusion use,0.0,0.1,20937.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,271.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,414.0,nan,Alcohol use brief intervention provided or offered,86.0,130.0,nan,82.0,130.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,229.0,nan,69.0,229.0,nan,Tobacco use screening,98.0,413.0,nan,Tobacco use treatment provided or offered,98.0,219.0,nan,13.0,219.0,nan,Tobacco use treatment provided or offered at discharge,88.0,194.0,nan,3.0,194.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),8.0,629.0,nan,Timely transmission of transition record (TR2),7.0,629.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.8,326.0,nan,35.3,326.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1269.0,24.2,22.1,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,285.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,153.0,nan,2017-10-01,2018-03-31
220163,UMASS MEMORIAL MEDICAL CENTER INC,55 LAKE AVENUE NORTH,WORCESTER,MA,01655,WORCESTER,Hours of physical-restraint use,0.37,137.2,15479.0,nan,Hours of seclusion use,0.07,24.4,15479.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,23.0,nan,Screening for metabolic disorders (SMD),33.0,337.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,546.0,nan,Alcohol use brief intervention provided or offered,42.0,123.0,nan,41.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,244.0,nan,61.0,244.0,nan,Tobacco use screening,95.0,589.0,nan,Tobacco use treatment provided or offered,37.0,294.0,nan,29.0,294.0,nan,Tobacco use treatment provided or offered at discharge,4.0,265.0,nan,1.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),24.0,608.0,nan,Timely transmission of transition record (TR2),19.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.6,225.0,nan,34.2,225.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,633.0,19.8,17.6,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,143.0,nan,2017-10-01,2018-03-31
220175,METROWEST MEDICAL CENTER,115 LINCOLN STREET,FRAMINGHAM,MA,01701,MIDDLESEX,Hours of physical-restraint use,0.1,44.68,18747.0,nan,Hours of seclusion use,0.0,0.0,18747.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,18.0,nan,Screening for metabolic disorders (SMD),56.0,351.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,663.0,nan,Alcohol use brief intervention provided or offered,90.0,178.0,nan,83.0,178.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,276.0,nan,53.0,276.0,nan,Tobacco use screening,99.0,661.0,nan,Tobacco use treatment provided or offered,85.0,289.0,nan,2.0,289.0,nan,Tobacco use treatment provided or offered at discharge,82.0,248.0,nan,2.0,248.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,689.0,nan,Timely transmission of transition record (TR2),51.0,689.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.4,289.0,nan,43.9,289.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,904.0,24.8,22.5,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,337.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,231.0,nan,2017-10-01,2018-03-31
220176,ST VINCENT HOSPITAL,123 SUMMER STREET,WORCESTER,MA,01608,WORCESTER,Hours of physical-restraint use,0.02,2.0,4279.0,nan,Hours of seclusion use,0.0,0.0,4279.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,54.0,nan,Screening for metabolic disorders (SMD),72.0,274.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,418.0,nan,Alcohol use brief intervention provided or offered,68.0,101.0,nan,55.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,289.0,nan,92.0,289.0,nan,Tobacco use screening,99.0,419.0,nan,Tobacco use treatment provided or offered,94.0,242.0,nan,6.0,242.0,nan,Tobacco use treatment provided or offered at discharge,86.0,230.0,nan,4.0,230.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,435.0,nan,Timely transmission of transition record (TR2),75.0,435.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.1,62.0,nan,41.9,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,172.0,22.8,19.0,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,211.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,40.0,nan,2017-10-01,2018-03-31
224001,TAUNTON STATE HOSPITAL,"60 HODGES AVENUE, BOX 151",TAUNTON,MA,02780,BRISTOL,Hours of physical-restraint use,0.46,182.25,16656.0,nan,Hours of seclusion use,0.11,43.75,16656.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,16.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),36.0,28.0,nan,Timely transmission of transition record (TR2),93.0,28.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),73.0,259.0,nan,2017-10-01,2018-03-31
224007,MCLEAN HOSPITAL CORPORATION,115 MILL STREET,BELMONT,MA,02478,MIDDLESEX,Hours of physical-restraint use,0.19,322.12,69253.0,nan,Hours of seclusion use,0.06,92.57,69253.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,218.0,nan,Screening for metabolic disorders (SMD),25.0,2873.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,5225.0,nan,Alcohol use brief intervention provided or offered,54.0,1975.0,nan,53.0,1975.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,2061.0,nan,29.0,2061.0,nan,Tobacco use screening,97.0,5186.0,nan,Tobacco use treatment provided or offered,56.0,2029.0,nan,29.0,2029.0,nan,Tobacco use treatment provided or offered at discharge,55.0,2008.0,nan,2.0,2008.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,6074.0,nan,Timely transmission of transition record (TR2),6.0,6074.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,80.3,633.0,nan,55.6,633.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,2159.0,19.1,17.5,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,2840.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,2606.0,nan,2017-10-01,2018-03-31
224013,"ARBOUR HOSPITAL, THE",49 ROBINWOOD AVENUE,BOSTON,MA,02130,SUFFOLK,Hours of physical-restraint use,0.16,172.7,45955.0,nan,Hours of seclusion use,0.0,2.58,45955.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,39.0,nan,Screening for metabolic disorders (SMD),40.0,404.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,617.0,nan,Alcohol use brief intervention provided or offered,70.0,241.0,nan,44.0,241.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,356.0,nan,51.0,356.0,nan,Tobacco use screening,99.0,617.0,nan,Tobacco use treatment provided or offered,81.0,342.0,nan,59.0,342.0,nan,Tobacco use treatment provided or offered at discharge,76.0,309.0,nan,2.0,309.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,849.0,nan,Timely transmission of transition record (TR2),35.0,849.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.1,399.0,nan,30.8,399.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,970.0,22.2,20.1,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,384.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),30.0,514.0,nan,2017-10-01,2018-03-31
224018,ARBOUR HUMAN RESOURCE INSTITUTE,227 BABCOCK STREET,BROOKLINE,MA,02446,NORFOLK,Hours of physical-restraint use,0.15,75.33,21289.0,nan,Hours of seclusion use,0.0,0.0,21289.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,51.0,nan,Screening for metabolic disorders (SMD),45.0,399.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,700.0,nan,Alcohol use brief intervention provided or offered,95.0,275.0,nan,67.0,275.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,362.0,nan,71.0,362.0,nan,Tobacco use screening,100.0,700.0,nan,Tobacco use treatment provided or offered,67.0,443.0,nan,38.0,443.0,nan,Tobacco use treatment provided or offered at discharge,75.0,383.0,nan,2.0,383.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),71.0,712.0,nan,Timely transmission of transition record (TR2),71.0,712.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.9,284.0,nan,32.0,284.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,930.0,24.8,22.6,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),51.0,227.0,nan,2017-10-01,2018-03-31
224021,ARBOUR-FULLER HOSPITAL,200 MAY STREET,SOUTH ATTLEBORO,MA,02703,BRISTOL,Hours of physical-restraint use,0.73,565.2,32425.0,nan,Hours of seclusion use,0.0,0.0,32425.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,70.0,nan,Screening for metabolic disorders (SMD),51.0,410.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,598.0,nan,Alcohol use brief intervention provided or offered,93.0,194.0,nan,91.0,194.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,313.0,nan,47.0,313.0,nan,Tobacco use screening,98.0,600.0,nan,Tobacco use treatment provided or offered,79.0,345.0,nan,40.0,345.0,nan,Tobacco use treatment provided or offered at discharge,78.0,312.0,nan,5.0,312.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,862.0,nan,Timely transmission of transition record (TR2),44.0,862.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,158.0,nan,29.7,158.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,559.0,19.4,16.9,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,579.0,nan,2017-10-01,2018-03-31
224022,BOURNEWOOD HOSPITAL,300 SOUTH STREET,BROOKLINE,MA,02467,MIDDLESEX,Hours of physical-restraint use,0.17,135.0,32998.0,nan,Hours of seclusion use,0.12,94.55,32998.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,22.0,nan,Screening for metabolic disorders (SMD),17.0,320.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,646.0,nan,Alcohol use brief intervention provided or offered,93.0,214.0,nan,91.0,214.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,382.0,nan,50.0,382.0,nan,Tobacco use screening,94.0,647.0,nan,Tobacco use treatment provided or offered,88.0,391.0,nan,12.0,391.0,nan,Tobacco use treatment provided or offered at discharge,35.0,372.0,nan,2.0,372.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,706.0,nan,Timely transmission of transition record (TR2),86.0,706.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.9,305.0,nan,43.9,305.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,996.0,22.2,20.2,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,356.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,417.0,nan,2017-10-01,2018-03-31
224023,WESTWOOD PEMBROKE HEALTH SYSTEMS,45 CLAPBOARDTREE STREET,WESTWOOD,MA,02090,NORFOLK,Hours of physical-restraint use,0.35,269.0,31836.0,nan,Hours of seclusion use,0.29,224.7,31836.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,79.0,nan,Screening for metabolic disorders (SMD),96.0,414.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,563.0,nan,Alcohol use brief intervention provided or offered,87.0,122.0,nan,54.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,191.0,nan,54.0,191.0,nan,Tobacco use screening,97.0,563.0,nan,Tobacco use treatment provided or offered,64.0,288.0,nan,31.0,288.0,nan,Tobacco use treatment provided or offered at discharge,47.0,234.0,nan,0.0,234.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,785.0,nan,Timely transmission of transition record (TR2),63.0,785.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,475.0,nan,31.6,475.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1561.0,20.9,19.1,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,280.0,nan,2017-10-01,2018-03-31
224028,DR JOHN C CORRIGAN MENTAL HEALTH CENTER,49 HILLSIDE STREET,FALL RIVER,MA,02720,BRISTOL,Hours of physical-restraint use,0.06,4.97,3581.0,nan,Hours of seclusion use,0.0,0.0,3581.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,17.0,nan,Screening for metabolic disorders (SMD),22.0,63.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,77.0,nan,Alcohol use brief intervention provided or offered,88.0,17.0,nan,88.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,26.0,nan,31.0,26.0,nan,Tobacco use screening,91.0,78.0,nan,Tobacco use treatment provided or offered,84.0,37.0,nan,62.0,37.0,nan,Tobacco use treatment provided or offered at discharge,61.0,31.0,nan,0.0,31.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,85.0,nan,Timely transmission of transition record (TR2),0.0,85.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,43.0,19.2,14.2,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,33.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,209.0,nan,2017-10-01,2018-03-31
224031,CAPE COD & ISLANDS COMMUNITY MENTAL HEALTH CENTER,830 COUNTY ROAD,POCASSET,MA,02559,BARNSTABLE,Hours of physical-restraint use,0.19,26.42,5783.0,nan,Hours of seclusion use,0.0,0.0,5783.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,45.0,nan,Screening for metabolic disorders (SMD),86.0,124.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,143.0,nan,Alcohol use brief intervention provided or offered,86.0,28.0,nan,86.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,44.0,nan,52.0,44.0,nan,Tobacco use screening,100.0,143.0,nan,Tobacco use treatment provided or offered,82.0,80.0,nan,50.0,80.0,nan,Tobacco use treatment provided or offered at discharge,75.0,60.0,nan,0.0,60.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,154.0,nan,Timely transmission of transition record (TR2),93.0,154.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.8,16.0,nan,50.0,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,43.0,18.4,13.4,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,70.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,110.0,nan,2017-10-01,2018-03-31
224032,WORCESTER RECOVERY CENTER AND HOSPITAL,309 BELMONT STREET,WORCESTER,MA,01604,WORCESTER,Hours of physical-restraint use,0.4,978.23,102234.0,nan,Hours of seclusion use,0.07,172.97,102234.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,76.0,nan,Screening for metabolic disorders (SMD),96.0,389.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,381.0,nan,Alcohol use brief intervention provided or offered,79.0,67.0,nan,73.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,192.0,nan,27.0,192.0,nan,Tobacco use screening,99.0,381.0,nan,Tobacco use treatment provided or offered,84.0,141.0,nan,57.0,141.0,nan,Tobacco use treatment provided or offered at discharge,52.0,138.0,nan,0.0,138.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,594.0,nan,Timely transmission of transition record (TR2),52.0,594.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,35.0,17.3,12.6,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,207.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,1270.0,nan,2017-10-01,2018-03-31
224038,"WALDEN BEHAVIORAL CARE, LLC",9 HOPE AVENUE,WALTHAM,MA,02453,MIDDLESEX,Hours of physical-restraint use,0.03,11.96,16434.0,nan,Hours of seclusion use,0.0,0.0,16434.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),28.0,309.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,459.0,nan,Alcohol use brief intervention provided or offered,100.0,107.0,nan,100.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,107.0,nan,100.0,107.0,nan,Tobacco use screening,99.0,459.0,nan,Tobacco use treatment provided or offered,100.0,154.0,nan,90.0,154.0,nan,Tobacco use treatment provided or offered at discharge,100.0,150.0,nan,33.0,150.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),34.0,660.0,nan,Timely transmission of transition record (TR2),34.0,660.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.6,62.0,nan,48.4,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,253.0,23.3,19.1,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,467.0,nan,2017-10-01,2018-03-31
224039,WHITTIER PAVILION,76 SUMMER STREET,HAVERHILL,MA,01830,ESSEX,Hours of physical-restraint use,0.22,101.15,19120.0,nan,Hours of seclusion use,0.01,2.92,19120.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,172.0,nan,Screening for metabolic disorders (SMD),54.0,1182.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,2184.0,nan,Alcohol use brief intervention provided or offered,100.0,301.0,nan,100.0,301.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,301.0,nan,0.0,301.0,nan,Tobacco use screening,100.0,2184.0,nan,Tobacco use treatment provided or offered,100.0,1114.0,nan,100.0,1114.0,nan,Tobacco use treatment provided or offered at discharge,0.0,1114.0,nan,0.0,1114.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,2172.0,nan,Timely transmission of transition record (TR2),97.0,2172.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.8,529.0,nan,36.1,529.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1644.0,20.6,18.8,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),17.0,1136.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,306.0,nan,2017-10-01,2018-03-31
224040,DR SOLOMON CARTER FULLER MENTAL HEALTH CENTER,85 EAST NEWTON STREET,BOSTON,MA,02118,SUFFOLK,Hours of physical-restraint use,0.42,212.15,21227.0,nan,Hours of seclusion use,0.0,2.0,21227.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,21.0,nan,Screening for metabolic disorders (SMD),95.0,174.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,246.0,nan,Alcohol use brief intervention provided or offered,67.0,33.0,nan,48.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,143.0,nan,19.0,143.0,nan,Tobacco use screening,97.0,246.0,nan,Tobacco use treatment provided or offered,71.0,72.0,nan,15.0,72.0,nan,Tobacco use treatment provided or offered at discharge,42.0,69.0,nan,4.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,290.0,nan,Timely transmission of transition record (TR2),0.0,290.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.4,33.0,nan,12.1,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,65.0,15.7,11.4,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,140.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,207.0,nan,2017-10-01,2018-03-31
224041,SOUTHCOAST BEHAVIORAL HEALTH,581 FAUNCE CORNER ROAD,DARTMOUTH,MA,02747,BRISTOL,Hours of physical-restraint use,0.12,97.68,33023.0,nan,Hours of seclusion use,0.24,187.55,33023.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,57.0,nan,Screening for metabolic disorders (SMD),91.0,559.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,559.0,nan,Alcohol use brief intervention provided or offered,79.0,122.0,nan,74.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,291.0,nan,26.0,291.0,nan,Tobacco use screening,98.0,561.0,nan,Tobacco use treatment provided or offered,88.0,283.0,nan,6.0,283.0,nan,Tobacco use treatment provided or offered at discharge,69.0,252.0,nan,1.0,252.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,666.0,nan,Timely transmission of transition record (TR2),32.0,666.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.8,572.0,nan,26.4,572.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1232.0,20.1,18.2,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,330.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,467.0,nan,2017-10-01,2018-03-31
224042,HIGH POINT TREATMENT CENTER,52 OAK STREET,MIDDLEBORO,MA,02346,PLYMOUTH,Hours of physical-restraint use,0.15,76.15,21725.0,nan,Hours of seclusion use,0.01,6.73,21725.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,43.0,nan,Screening for metabolic disorders (SMD),2.0,307.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,436.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,231.0,nan,45.0,231.0,nan,Tobacco use screening,94.0,436.0,nan,Tobacco use treatment provided or offered,49.0,292.0,nan,2.0,292.0,nan,Tobacco use treatment provided or offered at discharge,7.0,252.0,nan,0.0,252.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,630.0,nan,Timely transmission of transition record (TR2),0.0,630.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),38.0,359.0,nan,2017-10-01,2018-03-31
230002,ST MARY MERCY HOSPITAL,36475 FIVE MILE ROAD,LIVONIA,MI,48154,WAYNE,Hours of physical-restraint use,1.41,274.06,8081.0,nan,Hours of seclusion use,0.24,46.84,8081.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),52.0,309.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,412.0,nan,Alcohol use brief intervention provided or offered,31.0,138.0,nan,31.0,138.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,260.0,nan,60.0,260.0,nan,Tobacco use screening,96.0,419.0,nan,Tobacco use treatment provided or offered,75.0,229.0,nan,58.0,229.0,nan,Tobacco use treatment provided or offered at discharge,84.0,214.0,nan,71.0,214.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,634.0,nan,Timely transmission of transition record (TR2),0.0,634.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.3,121.0,nan,43.8,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,278.0,18.2,14.9,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,131.0,nan,2017-10-01,2018-03-31
230013,PONTIAC GENERAL HOSPITAL,461 W HURON ST,PONTIAC,MI,48341,OAKLAND,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.7,72.0,nan,23.6,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,191.0,22.5,18.8,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),95.0,42.0,nan,2017-10-01,2018-03-31
230019,ASCENSION PROVIDENCE HOSPITAL,16001 W NINE MILE RD,SOUTHFIELD,MI,48075,OAKLAND,Hours of physical-restraint use,0.26,46.67,7525.0,nan,Hours of seclusion use,0.2,37.02,7525.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,51.0,nan,Screening for metabolic disorders (SMD),74.0,398.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,557.0,nan,Alcohol use brief intervention provided or offered,74.0,39.0,nan,62.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,202.0,nan,16.0,202.0,nan,Tobacco use screening,98.0,588.0,nan,Tobacco use treatment provided or offered,66.0,238.0,nan,39.0,238.0,nan,Tobacco use treatment provided or offered at discharge,10.0,228.0,nan,3.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,598.0,nan,Timely transmission of transition record (TR2),35.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.2,136.0,nan,42.6,136.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,346.0,21.5,18.1,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,246.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,57.0,nan,2017-10-01,2018-03-31
230021,"LAKELAND HOSPITAL, ST JOSEPH",1234 NAPIER AVENUE,ST JOSEPH,MI,49085,BERRIEN,Hours of physical-restraint use,0.36,56.28,6457.0,nan,Hours of seclusion use,0.14,20.98,6457.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,63.0,nan,Screening for metabolic disorders (SMD),83.0,438.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,365.0,nan,Alcohol use brief intervention provided or offered,79.0,82.0,nan,68.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,163.0,nan,70.0,163.0,nan,Tobacco use screening,100.0,365.0,nan,Tobacco use treatment provided or offered,91.0,211.0,nan,68.0,211.0,nan,Tobacco use treatment provided or offered at discharge,90.0,201.0,nan,8.0,201.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),36.0,697.0,nan,Timely transmission of transition record (TR2),41.0,697.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.1,113.0,nan,30.1,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,225.0,20.9,17.0,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,344.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,189.0,nan,2017-10-01,2018-03-31
230024,SINAI-GRACE HOSPITAL,6071 W OUTER DRIVE,DETROIT,MI,48235,WAYNE,Hours of physical-restraint use,1.05,129.87,5133.0,nan,Hours of seclusion use,0.48,59.62,5133.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,36.0,nan,Screening for metabolic disorders (SMD),69.0,368.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,447.0,nan,Alcohol use brief intervention provided or offered,82.0,67.0,nan,72.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,211.0,nan,96.0,211.0,nan,Tobacco use screening,97.0,438.0,nan,Tobacco use treatment provided or offered,97.0,233.0,nan,19.0,233.0,nan,Tobacco use treatment provided or offered at discharge,77.0,210.0,nan,25.0,210.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),37.0,585.0,nan,Timely transmission of transition record (TR2),66.0,585.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,134.0,nan,32.1,134.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,350.0,20.9,17.7,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,260.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,40.0,nan,2017-10-01,2018-03-31
230029,ST JOSEPH MERCY OAKLAND,44405 WOODWARD AVE,PONTIAC,MI,48341,OAKLAND,Hours of physical-restraint use,0.02,3.82,9478.0,nan,Hours of seclusion use,0.03,6.25,9478.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,42.0,nan,Screening for metabolic disorders (SMD),63.0,434.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,281.0,nan,Alcohol use brief intervention provided or offered,90.0,61.0,nan,89.0,61.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,86.0,nan,45.0,86.0,nan,Tobacco use screening,99.0,287.0,nan,Tobacco use treatment provided or offered,99.0,135.0,nan,89.0,135.0,nan,Tobacco use treatment provided or offered at discharge,87.0,129.0,nan,87.0,129.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),35.0,632.0,nan,Timely transmission of transition record (TR2),31.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.4,251.0,nan,33.1,251.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,678.0,22.9,20.6,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,48.0,nan,2017-10-01,2018-03-31
230030,MIDMICHIGAN MEDICAL CENTER-GRATIOT,300 E WARWICK DR,ALMA,MI,48801,GRATIOT,Hours of physical-restraint use,0.04,6.7,7478.0,nan,Hours of seclusion use,0.05,9.4,7478.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,61.0,nan,Screening for metabolic disorders (SMD),60.0,458.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,554.0,nan,Alcohol use brief intervention provided or offered,50.0,114.0,nan,48.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,184.0,nan,42.0,184.0,nan,Tobacco use screening,97.0,552.0,nan,Tobacco use treatment provided or offered,59.0,272.0,nan,50.0,272.0,nan,Tobacco use treatment provided or offered at discharge,30.0,263.0,nan,6.0,263.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),51.0,691.0,nan,Timely transmission of transition record (TR2),53.0,691.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,104.0,nan,27.9,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,375.0,16.2,13.1,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,389.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,84.0,nan,2017-10-01,2018-03-31
230037,HILLSDALE HOSPITAL,168 S HOWELL STREET,HILLSDALE,MI,49242,HILLSDALE,Hours of physical-restraint use,0.26,15.1,2383.0,nan,Hours of seclusion use,0.12,6.92,2383.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,39.0,nan,Screening for metabolic disorders (SMD),9.0,249.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,408.0,nan,Alcohol use brief intervention provided or offered,100.0,24.0,nan,100.0,24.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,24.0,nan,12.0,24.0,nan,Tobacco use screening,100.0,408.0,nan,Tobacco use treatment provided or offered,100.0,161.0,nan,100.0,161.0,nan,Tobacco use treatment provided or offered at discharge,0.0,161.0,nan,0.0,161.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,408.0,nan,Timely transmission of transition record (TR2),100.0,408.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.5,51.0,nan,23.5,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,122.0,16.7,12.6,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),23.0,197.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,35.0,nan,2017-10-01,2018-03-31
230041,MCLAREN BAY REGION,1900 COLUMBUS AVE,BAY CITY,MI,48708,BAY,Hours of physical-restraint use,0.5,10.92,918.0,nan,Hours of seclusion use,0.0,0.0,918.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,34.0,nan,Screening for metabolic disorders (SMD),100.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,919.0,nan,Alcohol use brief intervention provided or offered,100.0,148.0,nan,99.0,148.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,495.0,nan,74.0,495.0,nan,Tobacco use screening,100.0,918.0,nan,Tobacco use treatment provided or offered,100.0,563.0,nan,77.0,563.0,nan,Tobacco use treatment provided or offered at discharge,90.0,467.0,nan,12.0,467.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,909.0,nan,Timely transmission of transition record (TR2),95.0,914.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.4,144.0,nan,41.0,144.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,360.0,16.3,13.5,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,436.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,86.0,nan,2017-10-01,2018-03-31
230046,UNIVERSITY OF MICHIGAN HEALTH SYSTEM,"1500 E MEDICAL CENTER DRIVE, SPC 5474",ANN ARBOR,MI,48109,WASHTENAW,Hours of physical-restraint use,0.55,178.98,13570.0,nan,Hours of seclusion use,0.13,43.05,13570.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,11.0,nan,Screening for metabolic disorders (SMD),34.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,429.0,nan,Alcohol use brief intervention provided or offered,77.0,103.0,nan,50.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,165.0,nan,13.0,165.0,nan,Tobacco use screening,100.0,428.0,nan,Tobacco use treatment provided or offered,52.0,135.0,nan,33.0,135.0,nan,Tobacco use treatment provided or offered at discharge,73.0,122.0,nan,1.0,122.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.0,121.0,nan,54.5,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,316.0,16.5,13.4,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,353.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,235.0,nan,2017-10-01,2018-03-31
230047,HENRY FORD MACOMB HOSPITAL,15855 NINETEEN MILE RD,CLINTON TOWNSHIP,MI,48038,MACOMB,Hours of physical-restraint use,0.18,77.28,17732.0,nan,Hours of seclusion use,0.21,90.65,17732.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,49.0,nan,Screening for metabolic disorders (SMD),34.0,432.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,619.0,nan,Alcohol use brief intervention provided or offered,97.0,118.0,nan,56.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,275.0,nan,38.0,275.0,nan,Tobacco use screening,97.0,619.0,nan,Tobacco use treatment provided or offered,55.0,377.0,nan,46.0,377.0,nan,Tobacco use treatment provided or offered at discharge,92.0,363.0,nan,52.0,363.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),18.0,636.0,nan,Timely transmission of transition record (TR2),37.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.6,252.0,nan,47.6,252.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,701.0,22.7,20.0,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,4518.0,nan,2017-10-01,2018-03-31
230054,UP HEALTH SYSTEM - MARQUETTE,850 W BARAGA AVE,MARQUETTE,MI,49855,MARQUETTE,Hours of physical-restraint use,0.04,6.38,7292.0,nan,Hours of seclusion use,0.2,34.32,7292.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,63.0,nan,Screening for metabolic disorders (SMD),85.0,417.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,406.0,nan,Alcohol use brief intervention provided or offered,94.0,160.0,nan,92.0,160.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,221.0,nan,56.0,221.0,nan,Tobacco use screening,95.0,406.0,nan,Tobacco use treatment provided or offered,97.0,224.0,nan,73.0,224.0,nan,Tobacco use treatment provided or offered at discharge,61.0,216.0,nan,8.0,216.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),19.0,686.0,nan,Timely transmission of transition record (TR2),11.0,686.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.7,85.0,nan,30.6,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,19.3,15.3,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,348.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,48.0,nan,2017-10-01,2018-03-31
230059,SAINT MARY'S HEALTH CARE,200 JEFFERSON AVENUE SE,GRAND RAPIDS,MI,49503,KENT,Hours of physical-restraint use,0.07,58.92,33351.0,nan,Hours of seclusion use,0.08,63.35,33351.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,22.0,nan,Screening for metabolic disorders (SMD),68.0,438.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,828.0,nan,Alcohol use brief intervention provided or offered,98.0,264.0,nan,86.0,264.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,429.0,nan,57.0,429.0,nan,Tobacco use screening,100.0,837.0,nan,Tobacco use treatment provided or offered,94.0,469.0,nan,55.0,469.0,nan,Tobacco use treatment provided or offered at discharge,35.0,466.0,nan,6.0,466.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),74.0,854.0,nan,Timely transmission of transition record (TR2),61.0,854.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.6,493.0,nan,30.0,493.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1299.0,19.3,17.4,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,341.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,77.0,nan,2017-10-01,2018-03-31
230066,MERCY HEALTH MUSKEGON,1700 CLINTON STREET,MUSKEGON,MI,49442,MUSKEGON,Hours of physical-restraint use,0.23,32.38,5802.0,nan,Hours of seclusion use,0.08,10.71,5802.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,26.0,nan,Screening for metabolic disorders (SMD),70.0,464.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,533.0,nan,Alcohol use brief intervention provided or offered,99.0,131.0,nan,98.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,303.0,nan,98.0,303.0,nan,Tobacco use screening,100.0,532.0,nan,Tobacco use treatment provided or offered,93.0,326.0,nan,74.0,326.0,nan,Tobacco use treatment provided or offered at discharge,88.0,317.0,nan,62.0,317.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,770.0,nan,Timely transmission of transition record (TR2),0.0,770.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.7,143.0,nan,32.9,143.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,439.0,24.1,20.6,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,64.0,nan,2017-10-01,2018-03-31
230072,HOLLAND COMMUNITY HOSPITAL,602 MICHIGAN AVE,HOLLAND,MI,49423,OTTAWA,Hours of physical-restraint use,0.32,33.7,4360.0,nan,Hours of seclusion use,0.45,47.13,4360.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,37.0,nan,Screening for metabolic disorders (SMD),98.0,306.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,358.0,nan,Alcohol use brief intervention provided or offered,98.0,51.0,nan,86.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,142.0,nan,94.0,142.0,nan,Tobacco use screening,100.0,357.0,nan,Tobacco use treatment provided or offered,97.0,168.0,nan,44.0,168.0,nan,Tobacco use treatment provided or offered at discharge,95.0,146.0,nan,50.0,146.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,547.0,nan,Timely transmission of transition record (TR2),89.0,547.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.3,90.0,nan,38.9,90.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,248.0,17.6,14.4,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,808.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,52.0,nan,2017-10-01,2018-03-31
230075,BRONSON BATTLE CREEK HOSPITAL,300 NORTH AVENUE,BATTLE CREEK,MI,49017,CALHOUN,Hours of physical-restraint use,0.19,37.96,8308.0,nan,Hours of seclusion use,0.05,9.92,8308.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,22.0,23.0,nan,Screening for metabolic disorders (SMD),83.0,415.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,438.0,nan,Alcohol use brief intervention provided or offered,30.0,74.0,nan,28.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,143.0,nan,52.0,143.0,nan,Tobacco use screening,95.0,440.0,nan,Tobacco use treatment provided or offered,68.0,228.0,nan,5.0,228.0,nan,Tobacco use treatment provided or offered at discharge,52.0,212.0,nan,0.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,683.0,nan,Timely transmission of transition record (TR2),2.0,683.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.6,107.0,nan,33.6,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,346.0,18.6,15.3,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,348.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,229.0,nan,2017-10-01,2018-03-31
230092,HENRY FORD ALLEGIANCE HEALTH,205 N EAST AVE,JACKSON,MI,49201,JACKSON,Hours of physical-restraint use,0.03,1.03,1677.0,nan,Hours of seclusion use,0.0,0.0,1677.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),38.0,151.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,70.0,nan,Alcohol use brief intervention provided or offered,31.0,13.0,nan,23.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,11.0,nan,45.0,11.0,nan,Tobacco use screening,86.0,70.0,nan,Tobacco use treatment provided or offered,24.0,17.0,nan,0.0,17.0,nan,Tobacco use treatment provided or offered at discharge,40.0,15.0,nan,0.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),9.0,231.0,nan,Timely transmission of transition record (TR2),6.0,231.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.4,143.0,nan,42.0,143.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,388.0,20.4,16.8,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,95.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,79.0,nan,2017-10-01,2018-03-31
230097,MUNSON MEDICAL CENTER,1105 SIXTH STREET,TRAVERSE CITY,MI,49684,GRAND TRAVERSE,Hours of physical-restraint use,0.05,5.4,4621.0,nan,Hours of seclusion use,0.36,40.3,4621.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,22.0,nan,Screening for metabolic disorders (SMD),41.0,330.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,535.0,nan,Alcohol use brief intervention provided or offered,87.0,115.0,nan,87.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,214.0,nan,23.0,214.0,nan,Tobacco use screening,100.0,539.0,nan,Tobacco use treatment provided or offered,61.0,296.0,nan,51.0,296.0,nan,Tobacco use treatment provided or offered at discharge,0.0,258.0,nan,0.0,258.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,559.0,nan,Timely transmission of transition record (TR2),1.0,559.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.6,107.0,nan,32.7,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,296.0,18.5,15.2,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,268.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,50.0,nan,2017-10-01,2018-03-31
230099,PROMEDICA MONROE REGIONAL HOSPITAL,718 N MACOMB ST,MONROE,MI,48162,MONROE,Hours of physical-restraint use,0.0,0.0,4189.0,nan,Hours of seclusion use,0.0,0.0,4189.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,32.0,nan,Screening for metabolic disorders (SMD),76.0,283.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,545.0,nan,Alcohol use brief intervention provided or offered,90.0,109.0,nan,89.0,109.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,202.0,nan,92.0,202.0,nan,Tobacco use screening,97.0,553.0,nan,Tobacco use treatment provided or offered,79.0,321.0,nan,50.0,321.0,nan,Tobacco use treatment provided or offered at discharge,54.0,312.0,nan,0.0,312.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),65.0,583.0,nan,Timely transmission of transition record (TR2),63.0,583.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.6,116.0,nan,28.4,116.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,285.0,21.1,17.6,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,385.0,nan,2017-10-01,2018-03-31
230117,ASCENSION BORGESS HOSPITAL,1521 GULL ROAD,KALAMAZOO,MI,49048,KALAMAZOO,Hours of physical-restraint use,0.07,20.9,12742.0,nan,Hours of seclusion use,0.07,21.87,12742.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,31.0,nan,Screening for metabolic disorders (SMD),19.0,284.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,439.0,nan,Alcohol use brief intervention provided or offered,1.0,93.0,nan,0.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,204.0,nan,45.0,204.0,nan,Tobacco use screening,97.0,433.0,nan,Tobacco use treatment provided or offered,74.0,238.0,nan,60.0,238.0,nan,Tobacco use treatment provided or offered at discharge,84.0,225.0,nan,25.0,225.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,604.0,nan,Timely transmission of transition record (TR2),0.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.6,176.0,nan,35.8,176.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,491.0,17.3,14.5,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,161.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,60.0,nan,2017-10-01,2018-03-31
230121,MEMORIAL HEALTHCARE,826 WEST KING STREET,OWOSSO,MI,48867,SHIAWASSEE,Hours of physical-restraint use,0.07,9.25,5214.0,nan,Hours of seclusion use,0.0,0.0,5214.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,13.0,nan,Screening for metabolic disorders (SMD),73.0,378.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,897.0,nan,Alcohol use brief intervention provided or offered,89.0,162.0,nan,85.0,162.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,433.0,nan,10.0,433.0,nan,Tobacco use screening,100.0,901.0,nan,Tobacco use treatment provided or offered,98.0,521.0,nan,87.0,521.0,nan,Tobacco use treatment provided or offered at discharge,86.0,511.0,nan,3.0,511.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,926.0,nan,Timely transmission of transition record (TR2),96.0,926.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.5,107.0,nan,39.3,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,286.0,18.0,14.9,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,461.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,42.0,nan,2017-10-01,2018-03-31
230130,"BEAUMONT HOSPITAL, ROYAL OAK",3601 W THIRTEEN MILE RD,ROYAL OAK,MI,48073,OAKLAND,Hours of physical-restraint use,0.0,0.08,6741.0,nan,Hours of seclusion use,0.01,1.72,6741.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,29.0,nan,Screening for metabolic disorders (SMD),69.0,313.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,149.0,nan,Alcohol use brief intervention provided or offered,90.0,21.0,nan,14.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,33.0,nan,18.0,33.0,nan,Tobacco use screening,99.0,149.0,nan,Tobacco use treatment provided or offered,90.0,40.0,nan,62.0,40.0,nan,Tobacco use treatment provided or offered at discharge,56.0,36.0,nan,3.0,36.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),69.0,611.0,nan,Timely transmission of transition record (TR2),68.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.8,234.0,nan,41.0,234.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,582.0,22.3,19.4,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,60.0,nan,2017-10-01,2018-03-31
230132,HURLEY MEDICAL CENTER,ONE HURLEY PLAZA,FLINT,MI,48503,GENESEE,Hours of physical-restraint use,0.65,179.53,11431.0,nan,Hours of seclusion use,0.66,180.4,11431.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,78.0,23.0,nan,Screening for metabolic disorders (SMD),95.0,548.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,578.0,nan,Alcohol use brief intervention provided or offered,87.0,116.0,nan,44.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,153.0,nan,54.0,153.0,nan,Tobacco use screening,100.0,579.0,nan,Tobacco use treatment provided or offered,99.0,369.0,nan,17.0,369.0,nan,Tobacco use treatment provided or offered at discharge,97.0,329.0,nan,1.0,329.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,633.0,nan,Timely transmission of transition record (TR2),16.0,634.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.4,135.0,nan,42.2,135.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,333.0,17.8,14.8,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,175.0,nan,2017-10-01,2018-03-31
230141,MCLAREN FLINT,401 S BALLENGER HIGHWAY,FLINT,MI,48532,GENESEE,Hours of physical-restraint use,0.2,51.53,10597.0,nan,Hours of seclusion use,0.21,52.7,10597.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,28.0,nan,Screening for metabolic disorders (SMD),98.0,654.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,622.0,nan,Alcohol use brief intervention provided or offered,82.0,110.0,nan,78.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,263.0,nan,63.0,263.0,nan,Tobacco use screening,99.0,628.0,nan,Tobacco use treatment provided or offered,77.0,414.0,nan,41.0,414.0,nan,Tobacco use treatment provided or offered at discharge,42.0,370.0,nan,4.0,370.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,902.0,nan,Timely transmission of transition record (TR2),0.0,902.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.0,158.0,nan,47.5,158.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,386.0,16.3,13.6,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,310.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),28.0,138.0,nan,2017-10-01,2018-03-31
230146,HENRY FORD WYANDOTTE HOSPITAL,2333 BIDDLE AVE,WYANDOTTE,MI,48192,WAYNE,Hours of physical-restraint use,0.26,59.5,9711.0,nan,Hours of seclusion use,0.22,50.87,9711.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,13.0,nan,Screening for metabolic disorders (SMD),31.0,303.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,616.0,nan,Alcohol use brief intervention provided or offered,62.0,117.0,nan,62.0,117.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,290.0,nan,68.0,290.0,nan,Tobacco use screening,92.0,612.0,nan,Tobacco use treatment provided or offered,73.0,364.0,nan,61.0,364.0,nan,Tobacco use treatment provided or offered at discharge,86.0,360.0,nan,83.0,360.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),22.0,636.0,nan,Timely transmission of transition record (TR2),40.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,186.0,nan,34.9,186.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,402.0,20.9,17.9,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,71.0,nan,2017-10-01,2018-03-31
230151,BEAUMONT HOSPITAL - FARMINGTON HILLS,28050 GRAND RIVER AVENUE,FARMINGTON HILLS,MI,48336,OAKLAND,Hours of physical-restraint use,21.14,2939.7,5795.0,nan,Hours of seclusion use,0.14,19.37,5795.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),85.0,429.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,23.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,91.0,23.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),22.0,599.0,nan,Timely transmission of transition record (TR2),14.0,599.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.4,103.0,nan,24.3,103.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,838.0,23.7,20.7,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,267.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,87.0,nan,2017-10-01,2018-03-31
230156,ST JOSEPH MERCY HOSPITAL,5301 E HURON RIVER DR,ANN ARBOR,MI,48106,WASHTENAW,Hours of physical-restraint use,0.01,2.36,7604.0,nan,Hours of seclusion use,0.03,5.73,7604.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,24.0,nan,Screening for metabolic disorders (SMD),48.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,625.0,nan,Alcohol use brief intervention provided or offered,3.0,165.0,nan,2.0,165.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,300.0,nan,31.0,300.0,nan,Tobacco use screening,96.0,628.0,nan,Tobacco use treatment provided or offered,76.0,298.0,nan,40.0,298.0,nan,Tobacco use treatment provided or offered at discharge,39.0,294.0,nan,4.0,294.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),3.0,640.0,nan,Timely transmission of transition record (TR2),1.0,640.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.6,165.0,nan,35.8,165.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,344.0,18.1,14.9,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,71.0,nan,2017-10-01,2018-03-31
230165,ASCENSION ST JOHN HOSPITAL,22101 MOROSS RD,DETROIT,MI,48236,WAYNE,Hours of physical-restraint use,0.01,2.0,6809.0,nan,Hours of seclusion use,0.0,0.0,6809.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,60.0,nan,Screening for metabolic disorders (SMD),81.0,380.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,625.0,nan,Alcohol use brief intervention provided or offered,70.0,40.0,nan,70.0,40.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,228.0,nan,25.0,228.0,nan,Tobacco use screening,100.0,625.0,nan,Tobacco use treatment provided or offered,50.0,260.0,nan,41.0,260.0,nan,Tobacco use treatment provided or offered at discharge,22.0,257.0,nan,8.0,257.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,637.0,nan,Timely transmission of transition record (TR2),88.0,637.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.8,149.0,nan,48.3,149.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,382.0,22.5,19.2,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,61.0,nan,2017-10-01,2018-03-31
230167,MCLAREN GREATER LANSING,401 W GREENLAWN AVE,LANSING,MI,48910,INGHAM,Hours of physical-restraint use,0.0,0.0,1097.0,nan,Hours of seclusion use,0.0,0.0,1097.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),21.0,105.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,130.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,17.0,12.0,nan,17.0,12.0,nan,Tobacco use screening,98.0,131.0,nan,Tobacco use treatment provided or offered,27.0,26.0,nan,0.0,26.0,nan,Tobacco use treatment provided or offered at discharge,18.0,22.0,nan,0.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,130.0,nan,Timely transmission of transition record (TR2),74.0,125.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.6,22.0,nan,27.3,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,168.0,15.6,11.9,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,61.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,31.0,nan,2017-10-01,2018-03-31
230193,MCLAREN LAPEER REGION,1375 N MAIN ST,LAPEER,MI,48446,LAPEER,Hours of physical-restraint use,0.35,28.23,3329.0,nan,Hours of seclusion use,0.01,0.9,3329.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,25.0,nan,Screening for metabolic disorders (SMD),99.0,231.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,489.0,nan,Alcohol use brief intervention provided or offered,92.0,73.0,nan,92.0,73.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,242.0,nan,28.0,242.0,nan,Tobacco use screening,100.0,489.0,nan,Tobacco use treatment provided or offered,92.0,314.0,nan,66.0,314.0,nan,Tobacco use treatment provided or offered at discharge,97.0,302.0,nan,11.0,302.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,493.0,nan,Timely transmission of transition record (TR2),95.0,493.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.2,91.0,nan,31.9,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,16.8,13.5,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,210.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,35.0,nan,2017-10-01,2018-03-31
230195,ASCENSION MACOMB OAKLAND HOSP-WARREN CAMPUS,11800 EAST TWELVE MILE ROAD,WARREN,MI,48093,MACOMB,Hours of physical-restraint use,0.31,172.0,23024.0,nan,Hours of seclusion use,0.05,26.0,23024.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,64.0,nan,Screening for metabolic disorders (SMD),92.0,336.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,626.0,nan,Alcohol use brief intervention provided or offered,74.0,70.0,nan,74.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,257.0,nan,18.0,257.0,nan,Tobacco use screening,100.0,627.0,nan,Tobacco use treatment provided or offered,34.0,368.0,nan,28.0,368.0,nan,Tobacco use treatment provided or offered at discharge,27.0,359.0,nan,0.0,359.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),59.0,598.0,nan,Timely transmission of transition record (TR2),58.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.2,311.0,nan,47.3,311.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,860.0,20.9,18.8,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,203.0,nan,2017-10-01,2018-03-31
230207,MCLAREN OAKLAND,50 N PERRY ST,PONTIAC,MI,48342,OAKLAND,Hours of physical-restraint use,0.03,5.0,7680.0,nan,Hours of seclusion use,0.17,31.67,7680.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,12.0,nan,Screening for metabolic disorders (SMD),87.0,208.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,483.0,nan,Alcohol use brief intervention provided or offered,82.0,49.0,nan,73.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,92.0,nan,12.0,92.0,nan,Tobacco use screening,99.0,480.0,nan,Tobacco use treatment provided or offered,70.0,148.0,nan,58.0,148.0,nan,Tobacco use treatment provided or offered at discharge,43.0,123.0,nan,2.0,123.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,321.0,nan,Timely transmission of transition record (TR2),6.0,321.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.1,148.0,nan,31.1,148.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,677.0,22.8,19.9,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,264.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,60.0,nan,2017-10-01,2018-03-31
230216,MCLAREN PORT HURON,1221 PINE GROVE AVE,PORT HURON,MI,48060,ST. CLAIR,Hours of physical-restraint use,0.13,19.43,6049.0,nan,Hours of seclusion use,0.0,0.0,6049.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),18.0,302.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,71.0,480.0,nan,Alcohol use brief intervention provided or offered,85.0,132.0,nan,83.0,132.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,290.0,nan,32.0,290.0,nan,Tobacco use screening,96.0,486.0,nan,Tobacco use treatment provided or offered,66.0,338.0,nan,57.0,338.0,nan,Tobacco use treatment provided or offered at discharge,4.0,331.0,nan,1.0,331.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,705.0,nan,Timely transmission of transition record (TR2),0.0,705.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.5,187.0,nan,36.9,187.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,424.0,17.0,14.2,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,335.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,93.0,nan,2017-10-01,2018-03-31
230230,EDWARD W SPARROW HOSPITAL,1215 E MICHIGAN AVENUE,LANSING,MI,48912,INGHAM,Hours of physical-restraint use,0.06,17.51,12683.0,nan,Hours of seclusion use,0.3,90.81,12683.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,66.0,59.0,nan,Screening for metabolic disorders (SMD),31.0,639.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,908.0,nan,Alcohol use brief intervention provided or offered,70.0,144.0,nan,69.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,343.0,nan,41.0,343.0,nan,Tobacco use screening,97.0,908.0,nan,Tobacco use treatment provided or offered,70.0,356.0,nan,56.0,356.0,nan,Tobacco use treatment provided or offered at discharge,30.0,332.0,nan,17.0,332.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),18.0,1182.0,nan,Timely transmission of transition record (TR2),18.0,1182.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.4,212.0,nan,42.0,212.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,776.0,18.6,16.1,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,541.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,115.0,nan,2017-10-01,2018-03-31
230239,CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL,500 OSBORN BLVD,SAULT SAINTE MARIE,MI,49783,CHIPPEWA,Hours of physical-restraint use,0.0,0.0,4801.0,nan,Hours of seclusion use,0.0,0.0,4801.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),54.0,364.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,605.0,nan,Alcohol use brief intervention provided or offered,96.0,150.0,nan,96.0,150.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,225.0,nan,8.0,225.0,nan,Tobacco use screening,100.0,605.0,nan,Tobacco use treatment provided or offered,87.0,357.0,nan,80.0,357.0,nan,Tobacco use treatment provided or offered at discharge,8.0,357.0,nan,3.0,357.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,562.0,nan,Timely transmission of transition record (TR2),93.0,561.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,99.0,nan,27.3,99.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,216.0,17.0,13.5,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,36.0,nan,2017-10-01,2018-03-31
230254,ASCENSION PROVIDENCE ROCHESTER HOSPITAL,1101 W UNIVERSITY DRIVE,ROCHESTER,MI,48307,OAKLAND,Hours of physical-restraint use,0.09,10.53,5073.0,nan,Hours of seclusion use,0.03,3.36,5073.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,39.0,33.0,nan,Screening for metabolic disorders (SMD),3.0,390.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,715.0,nan,Alcohol use brief intervention provided or offered,50.0,28.0,nan,39.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,25.0,161.0,nan,18.0,161.0,nan,Tobacco use screening,93.0,708.0,nan,Tobacco use treatment provided or offered,53.0,249.0,nan,51.0,249.0,nan,Tobacco use treatment provided or offered at discharge,14.0,245.0,nan,13.0,245.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,785.0,nan,Timely transmission of transition record (TR2),0.0,785.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.5,102.0,nan,51.0,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,343.0,25.9,22.2,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,361.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,41.0,nan,2017-10-01,2018-03-31
230259,ST JOSEPH MERCY CHELSEA,775 S MAIN ST,CHELSEA,MI,48118,WASHTENAW,Hours of physical-restraint use,0.33,43.27,5486.0,nan,Hours of seclusion use,0.04,5.73,5486.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,11.0,nan,Screening for metabolic disorders (SMD),64.0,229.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,609.0,nan,Alcohol use brief intervention provided or offered,54.0,188.0,nan,54.0,188.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,25.0,281.0,nan,22.0,281.0,nan,Tobacco use screening,98.0,610.0,nan,Tobacco use treatment provided or offered,63.0,277.0,nan,17.0,277.0,nan,Tobacco use treatment provided or offered at discharge,40.0,267.0,nan,8.0,267.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,629.0,nan,Timely transmission of transition record (TR2),0.0,629.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.9,123.0,nan,48.8,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,358.0,17.9,15.0,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,66.0,nan,2017-10-01,2018-03-31
230270,BEAUMONT HOSPITAL - TAYLOR,10000 TELEGRAPH ROAD,TAYLOR,MI,48180,WAYNE,Hours of physical-restraint use,4.04,705.9,7282.0,nan,Hours of seclusion use,0.42,74.13,7282.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),25.0,471.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,94.0,nan,Alcohol use brief intervention provided or offered,47.0,19.0,nan,21.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,48.0,nan,23.0,48.0,nan,Tobacco use screening,98.0,98.0,nan,Tobacco use treatment provided or offered,91.0,54.0,nan,80.0,54.0,nan,Tobacco use treatment provided or offered at discharge,92.0,51.0,nan,10.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),75.0,612.0,nan,Timely transmission of transition record (TR2),66.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.8,227.0,nan,45.8,227.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,529.0,20.1,17.5,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,70.0,nan,2017-10-01,2018-03-31
230273,DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER,4201 ST ANTOINE ST - 2C,DETROIT,MI,48201,WAYNE,Hours of physical-restraint use,2.52,343.58,5691.0,nan,Hours of seclusion use,0.04,5.0,5691.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,49.0,nan,Screening for metabolic disorders (SMD),38.0,452.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,333.0,nan,Alcohol use brief intervention provided or offered,58.0,19.0,nan,47.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,187.0,nan,97.0,187.0,nan,Tobacco use screening,100.0,330.0,nan,Tobacco use treatment provided or offered,78.0,179.0,nan,49.0,179.0,nan,Tobacco use treatment provided or offered at discharge,59.0,172.0,nan,3.0,172.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),39.0,528.0,nan,Timely transmission of transition record (TR2),67.0,528.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.1,141.0,nan,30.5,141.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,355.0,17.1,14.3,20.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,284.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,37.0,nan,2017-10-01,2018-03-31
230275,HEALTHSOURCE SAGINAW,3340 HOSPITAL ROAD,SAGINAW,MI,48603,SAGINAW,Hours of physical-restraint use,0.28,173.7,25451.0,nan,Hours of seclusion use,0.06,37.31,25451.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,50.0,nan,Screening for metabolic disorders (SMD),2.0,416.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,247.0,nan,Alcohol use brief intervention provided or offered,97.0,65.0,nan,97.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,5.0,119.0,nan,5.0,119.0,nan,Tobacco use screening,100.0,247.0,nan,Tobacco use treatment provided or offered,63.0,161.0,nan,35.0,161.0,nan,Tobacco use treatment provided or offered at discharge,18.0,140.0,nan,1.0,140.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,642.0,nan,Timely transmission of transition record (TR2),0.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,216.0,nan,29.2,216.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,584.0,17.1,14.8,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,685.0,nan,2017-10-01,2018-03-31
231332,BRONSON LAKEVIEW HOSPITAL,408 HAZEN STREET,PAW PAW,MI,49079,VAN BUREN,Hours of physical-restraint use,0.02,1.4,2889.0,nan,Hours of seclusion use,0.0,0.0,2889.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),80.0,105.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,16.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,20.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),6.0,186.0,nan,Timely transmission of transition record (TR2),6.0,186.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,12.0,nan,41.7,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,227.0,19.7,15.2,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1934.0,nan,2017-10-01,2018-03-31
231334,PROMEDICA HERRICK HOSPITAL,500 E POTTAWATAMIE STREET,TECUMSEH,MI,49286,LENAWEE,Hours of physical-restraint use,0.51,20.61,1670.0,nan,Hours of seclusion use,0.02,1.0,1670.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,11.0,nan,Screening for metabolic disorders (SMD),36.0,84.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,158.0,nan,Alcohol use brief intervention provided or offered,100.0,20.0,nan,100.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,65.0,nan,52.0,65.0,nan,Tobacco use screening,100.0,158.0,nan,Tobacco use treatment provided or offered,88.0,84.0,nan,79.0,84.0,nan,Tobacco use treatment provided or offered at discharge,43.0,82.0,nan,7.0,82.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),31.0,160.0,nan,Timely transmission of transition record (TR2),0.0,160.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.1,56.0,nan,35.7,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,138.0,17.3,13.2,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,98.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,197.0,nan,2017-10-01,2018-03-31
234006,PINE REST CHRISTIAN MENTAL HEALTH SERVICES,"300 - 68TH STREET, SE",GRAND RAPIDS,MI,49548,KENT,Hours of physical-restraint use,0.12,82.05,28810.0,nan,Hours of seclusion use,0.11,75.29,28810.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),61.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,387.0,nan,Alcohol use brief intervention provided or offered,97.0,66.0,nan,83.0,66.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,113.0,nan,42.0,113.0,nan,Tobacco use screening,100.0,396.0,nan,Tobacco use treatment provided or offered,93.0,148.0,nan,34.0,148.0,nan,Tobacco use treatment provided or offered at discharge,17.0,143.0,nan,5.0,143.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),73.0,722.0,nan,Timely transmission of transition record (TR2),50.0,722.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.8,229.0,nan,34.5,229.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,671.0,16.8,14.2,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,600.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1902.0,nan,2017-10-01,2018-03-31
234011,HENRY FORD KINGSWOOD HOSPITAL,10300 W EIGHT MILE ROAD,FERNDALE,MI,48220,OAKLAND,Hours of physical-restraint use,0.36,216.62,25137.0,nan,Hours of seclusion use,0.31,188.67,25137.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,60.0,15.0,nan,Screening for metabolic disorders (SMD),61.0,475.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,485.0,nan,Alcohol use brief intervention provided or offered,100.0,86.0,nan,57.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,246.0,nan,28.0,246.0,nan,Tobacco use screening,93.0,486.0,nan,Tobacco use treatment provided or offered,59.0,268.0,nan,39.0,268.0,nan,Tobacco use treatment provided or offered at discharge,88.0,257.0,nan,32.0,257.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),23.0,799.0,nan,Timely transmission of transition record (TR2),24.0,799.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,198.0,nan,29.8,198.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,522.0,23.6,20.8,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,397.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,673.0,nan,2017-10-01,2018-03-31
234021,HARBOR OAKS HOSPITAL,35031 23 MILE RD,NEW BALTIMORE,MI,48047,MACOMB,Hours of physical-restraint use,0.06,85.42,60170.0,nan,Hours of seclusion use,0.08,122.43,60170.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,57.0,28.0,nan,Screening for metabolic disorders (SMD),1.0,403.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,322.0,nan,Alcohol use brief intervention provided or offered,79.0,34.0,nan,74.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,8.0,125.0,nan,5.0,125.0,nan,Tobacco use screening,94.0,324.0,nan,Tobacco use treatment provided or offered,88.0,143.0,nan,11.0,143.0,nan,Tobacco use treatment provided or offered at discharge,46.0,138.0,nan,0.0,138.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),3.0,618.0,nan,Timely transmission of transition record (TR2),2.0,618.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.8,189.0,nan,36.5,189.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,956.0,19.5,17.4,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,300.0,nan,2017-10-01,2018-03-31
234023,HAVENWYCK HOSPITAL,1525 UNIVERSITY DRIVE,AUBURN HILLS,MI,48326,OAKLAND,Hours of physical-restraint use,0.03,42.71,63614.0,nan,Hours of seclusion use,0.05,69.08,63614.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,143.0,nan,Screening for metabolic disorders (SMD),42.0,1012.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,797.0,nan,Alcohol use brief intervention provided or offered,91.0,91.0,nan,58.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,371.0,nan,14.0,371.0,nan,Tobacco use screening,98.0,797.0,nan,Tobacco use treatment provided or offered,93.0,442.0,nan,25.0,442.0,nan,Tobacco use treatment provided or offered at discharge,76.0,421.0,nan,0.0,421.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,1419.0,nan,Timely transmission of transition record (TR2),74.0,1419.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.7,545.0,nan,34.5,545.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1386.0,20.9,19.1,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,710.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),32.0,639.0,nan,2017-10-01,2018-03-31
234025,CARO CENTER,"2000 CHAMBERS, BOX A",CARO,MI,48723,TUSCOLA,Hours of physical-restraint use,4.36,5602.9,53491.0,nan,Hours of seclusion use,0.0,0.0,53491.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,42.0,nan,Screening for metabolic disorders (SMD),41.0,49.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,14.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,14.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,102.0,nan,Timely transmission of transition record (TR2),3.0,102.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),46.0,389.0,nan,2017-10-01,2018-03-31
234026,KALAMAZOO REGIONAL PSYCHIATRIC HOSPITAL,1312 OAKLAND DR,KALAMAZOO,MI,49008,KALAMAZOO,Hours of physical-restraint use,1.19,1466.02,51346.0,nan,Hours of seclusion use,0.01,6.37,51346.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,41.0,nan,Screening for metabolic disorders (SMD),40.0,77.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,43.0,nan,Alcohol use brief intervention provided or offered,0.0,14.0,nan,0.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,21.0,nan,0.0,21.0,nan,Tobacco use screening,72.0,43.0,nan,Tobacco use treatment provided or offered,36.0,11.0,nan,18.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,126.0,nan,Timely transmission of transition record (TR2),49.0,126.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,20.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),38.0,593.0,nan,2017-10-01,2018-03-31
234030,FOREST VIEW PSYCHIATRIC HOSPITAL,1055 MEDICAL PARK SE,GRAND RAPIDS,MI,49546,KENT,Hours of physical-restraint use,0.08,61.06,31913.0,nan,Hours of seclusion use,0.01,8.25,31913.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,56.0,nan,Screening for metabolic disorders (SMD),70.0,586.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,486.0,nan,Alcohol use brief intervention provided or offered,82.0,124.0,nan,75.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,129.0,nan,44.0,129.0,nan,Tobacco use screening,98.0,486.0,nan,Tobacco use treatment provided or offered,74.0,238.0,nan,39.0,238.0,nan,Tobacco use treatment provided or offered at discharge,47.0,217.0,nan,2.0,217.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,813.0,nan,Timely transmission of transition record (TR2),73.0,813.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.5,367.0,nan,40.6,367.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,983.0,20.4,18.3,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,373.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,463.0,nan,2017-10-01,2018-03-31
234035,WALTER P REUTHER PSYCHIATRIC HOSPITAL,30901 PALMER RD,WESTLAND,MI,48185,WAYNE,Hours of physical-restraint use,0.33,488.07,61795.0,nan,Hours of seclusion use,0.05,73.83,61795.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,36.0,nan,Screening for metabolic disorders (SMD),69.0,51.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,15.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,87.0,15.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,89.0,nan,Timely transmission of transition record (TR2),25.0,89.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),33.0,15.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,371.0,nan,2017-10-01,2018-03-31
234038,BCA STONECREST CENTER,15000 GRATIOT AVENUE,DETROIT,MI,48205,WAYNE,Hours of physical-restraint use,0.63,691.68,45781.0,nan,Hours of seclusion use,0.15,167.95,45781.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,184.0,nan,Screening for metabolic disorders (SMD),42.0,591.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,666.0,nan,Alcohol use brief intervention provided or offered,75.0,69.0,nan,65.0,69.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,4.0,341.0,nan,4.0,341.0,nan,Tobacco use screening,93.0,670.0,nan,Tobacco use treatment provided or offered,83.0,276.0,nan,32.0,276.0,nan,Tobacco use treatment provided or offered at discharge,12.0,272.0,nan,0.0,272.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),22.0,742.0,nan,Timely transmission of transition record (TR2),19.0,742.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.3,405.0,nan,26.2,405.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,908.0,20.0,17.9,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,396.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),47.0,425.0,nan,2017-10-01,2018-03-31
234040,SAMARITAN BEHAVIORAL CENTER,"5555 CONNER AVENUE, SUITE 3N",DETROIT,MI,48213,WAYNE,Hours of physical-restraint use,0.21,90.08,18141.0,nan,Hours of seclusion use,0.0,0.58,18141.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,11.0,248.0,nan,Screening for metabolic disorders (SMD),56.0,1350.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,1501.0,nan,Alcohol use brief intervention provided or offered,92.0,133.0,nan,92.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,1497.0,nan,Tobacco use treatment provided or offered,91.0,958.0,nan,90.0,958.0,nan,Tobacco use treatment provided or offered at discharge,1.0,951.0,nan,0.0,951.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),34.0,1508.0,nan,Timely transmission of transition record (TR2),33.0,1508.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.8,334.0,nan,35.6,334.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,599.0,18.5,16.2,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),43.0,714.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,137.0,nan,2017-10-01,2018-03-31
234041,THE CENTER FOR FORENSIC PSYCHIATRY,8303 PLATT ROAD,SALINE,MI,48176,WASHTENAW,Hours of physical-restraint use,0.09,206.15,94123.0,nan,Hours of seclusion use,0.01,26.65,94123.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,33.0,nan,Screening for metabolic disorders (SMD),67.0,120.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,87.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,28.0,nan,18.0,28.0,nan,Tobacco use screening,95.0,87.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),3.0,176.0,nan,Timely transmission of transition record (TR2),4.0,176.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,5.9,17.0,nan,5.9,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),41.0,32.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),45.0,555.0,nan,2017-10-01,2018-03-31
234042,THE BEHAVIORAL CENTER OF MICHIGAN,4050 E 12 MILE ROAD,WARREN,MI,48092,MACOMB,Hours of physical-restraint use,0.18,60.06,14296.0,nan,Hours of seclusion use,0.09,30.67,14296.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,195.0,nan,Screening for metabolic disorders (SMD),61.0,1005.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,1377.0,nan,Alcohol use brief intervention provided or offered,76.0,165.0,nan,76.0,165.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,89.0,1378.0,nan,Tobacco use treatment provided or offered,98.0,669.0,nan,86.0,669.0,nan,Tobacco use treatment provided or offered at discharge,4.0,649.0,nan,2.0,649.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),31.0,1382.0,nan,Timely transmission of transition record (TR2),30.0,1382.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.3,446.0,nan,40.8,446.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,903.0,19.9,17.7,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),63.0,653.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,164.0,nan,2017-10-01,2018-03-31
240001,NORTH MEMORIAL HEALTH,3300 OAKDALE NORTH,ROBBINSDALE,MN,55422,HENNEPIN,Hours of physical-restraint use,1.49,302.0,8447.0,nan,Hours of seclusion use,1.38,279.0,8447.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,19.0,nan,Screening for metabolic disorders (SMD),32.0,326.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,614.0,nan,Alcohol use brief intervention provided or offered,68.0,158.0,nan,59.0,158.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,255.0,nan,52.0,255.0,nan,Tobacco use screening,99.0,616.0,nan,Tobacco use treatment provided or offered,87.0,331.0,nan,33.0,331.0,nan,Tobacco use treatment provided or offered at discharge,2.0,237.0,nan,2.0,237.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),86.0,582.0,nan,Timely transmission of transition record (TR2),5.0,582.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.7,87.0,nan,20.7,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,268.0,17.2,14.2,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,46.0,nan,2017-10-01,2018-03-31
240004,HENNEPIN COUNTY MEDICAL CENTER 1,701 PARK AVENUE,MINNEAPOLIS,MN,55415,HENNEPIN,Hours of physical-restraint use,3.07,2285.87,31017.0,nan,Hours of seclusion use,8.46,6295.06,31017.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,330.0,nan,Screening for metabolic disorders (SMD),74.0,1467.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,2620.0,nan,Alcohol use brief intervention provided or offered,65.0,226.0,nan,63.0,226.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,998.0,nan,73.0,998.0,nan,Tobacco use screening,89.0,2618.0,nan,Tobacco use treatment provided or offered,70.0,1284.0,nan,57.0,1284.0,nan,Tobacco use treatment provided or offered at discharge,34.0,1287.0,nan,1.0,1287.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,2817.0,nan,Timely transmission of transition record (TR2),0.0,2817.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,456.0,nan,23.0,456.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1285.0,18.0,16.2,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,1291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,2036.0,nan,2017-10-01,2018-03-31
240010,MAYO CLINIC HOSPITAL ROCHESTER,1216 SECOND STREET SOUTHWEST,ROCHESTER,MN,55902,OLMSTED,Hours of physical-restraint use,0.23,133.84,23821.0,nan,Hours of seclusion use,0.84,479.03,23821.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),66.0,187.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,321.0,nan,Alcohol use brief intervention provided or offered,92.0,90.0,nan,92.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,121.0,nan,34.0,121.0,nan,Tobacco use screening,100.0,328.0,nan,Tobacco use treatment provided or offered,95.0,131.0,nan,37.0,131.0,nan,Tobacco use treatment provided or offered at discharge,75.0,109.0,nan,5.0,109.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),76.0,644.0,nan,Timely transmission of transition record (TR2),73.0,644.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.0,233.0,nan,39.1,233.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,617.0,14.3,11.9,17.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,376.0,nan,2017-10-01,2018-03-31
240038,UNITED HOSPITAL,333 NORTH SMITH AVENUE,SAINT PAUL,MN,55102,RAMSEY,Hours of physical-restraint use,31.4,2957.63,3925.0,nan,Hours of seclusion use,0.0,0.0,3925.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),80.0,173.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,32.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,32.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),76.0,269.0,nan,Timely transmission of transition record (TR2),75.0,269.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.0,20.0,nan,20.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,154.0,17.8,13.5,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,102.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,43.0,nan,2017-10-01,2018-03-31
240044,WINONA HEALTH SERVICES,855 MANKATO AVENUE,WINONA,MN,55987,WINONA,Hours of physical-restraint use,0.07,2.58,1463.0,nan,Hours of seclusion use,0.0,0.0,1463.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),64.0,90.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,294.0,nan,Alcohol use brief intervention provided or offered,85.0,61.0,nan,82.0,61.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,22.0,73.0,nan,8.0,73.0,nan,Tobacco use screening,97.0,292.0,nan,Tobacco use treatment provided or offered,72.0,137.0,nan,29.0,137.0,nan,Tobacco use treatment provided or offered at discharge,12.0,118.0,nan,0.0,118.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),91.0,331.0,nan,Timely transmission of transition record (TR2),90.0,331.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.7,47.0,nan,21.3,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,106.0,19.7,15.0,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,176.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,32.0,nan,2017-10-01,2018-03-31
240052,LAKE REGION HEALTHCARE CORPORATION,712 SOUTH CASCADE,FERGUS FALLS,MN,56537,OTTER TAIL,Hours of physical-restraint use,0.0,0.0,2107.0,nan,Hours of seclusion use,0.0,0.0,2107.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,69.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,205.0,nan,Alcohol use brief intervention provided or offered,95.0,38.0,nan,95.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,49.0,nan,12.0,49.0,nan,Tobacco use screening,97.0,205.0,nan,Tobacco use treatment provided or offered,92.0,63.0,nan,16.0,63.0,nan,Tobacco use treatment provided or offered at discharge,68.0,60.0,nan,2.0,60.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),60.0,291.0,nan,Timely transmission of transition record (TR2),51.0,291.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,84.6,26.0,nan,42.3,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,77.0,15.9,11.5,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,157.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,292.0,nan,2017-10-01,2018-03-31
240056,RIDGEVIEW MEDICAL CENTER,500 SOUTH MAPLE STREET,WACONIA,MN,55387,CARVER,Hours of physical-restraint use,0.0,0.0,8152.0,nan,Hours of seclusion use,0.0,0.0,8152.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),100.0,219.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,219.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,219.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,219.0,nan,Timely transmission of transition record (TR2),100.0,219.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,136.0,17.2,13.0,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,115.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,38.0,nan,2017-10-01,2018-03-31
240059,REGINA HOSPITAL,1175 NININGER ROAD,HASTINGS,MN,55033,DAKOTA,Hours of physical-restraint use,0.0,0.0,3940.0,nan,Hours of seclusion use,0.0,0.0,3940.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),43.0,247.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,299.0,nan,Timely transmission of transition record (TR2),83.0,299.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,217.0,18.1,14.0,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,136.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
240063,ST JOSEPH'S HOSPITAL,45 WEST 10TH STREET,SAINT PAUL,MN,55102,RAMSEY,Hours of physical-restraint use,1.93,198.07,4276.0,nan,Hours of seclusion use,1.87,192.08,4276.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,15.0,27.0,nan,Screening for metabolic disorders (SMD),25.0,177.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,194.0,nan,Alcohol use brief intervention provided or offered,43.0,37.0,nan,35.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,81.0,nan,49.0,81.0,nan,Tobacco use screening,89.0,205.0,nan,Tobacco use treatment provided or offered,49.0,89.0,nan,43.0,89.0,nan,Tobacco use treatment provided or offered at discharge,6.0,77.0,nan,5.0,77.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),21.0,258.0,nan,Timely transmission of transition record (TR2),19.0,258.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,42.0,nan,23.8,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,50.0,18.2,13.6,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,144.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,76.0,nan,2017-10-01,2018-03-31
240069,OWATONNA HOSPITAL,2250 26TH STREET NORTHWEST,OWATONNA,MN,55060,STEELE,Hours of physical-restraint use,0.12,8.07,2888.0,nan,Hours of seclusion use,0.0,0.0,2888.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,11.0,nan,Screening for metabolic disorders (SMD),81.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,188.0,nan,Alcohol use brief intervention provided or offered,97.0,67.0,nan,97.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,86.0,nan,42.0,86.0,nan,Tobacco use screening,97.0,188.0,nan,Tobacco use treatment provided or offered,98.0,98.0,nan,90.0,98.0,nan,Tobacco use treatment provided or offered at discharge,91.0,78.0,nan,40.0,78.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),78.0,311.0,nan,Timely transmission of transition record (TR2),75.0,311.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.0,29.0,nan,55.2,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,88.0,16.9,12.9,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,154.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,24.0,nan,2017-10-01,2018-03-31
240075,ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER,523 NORTH 3RD STREET,BRAINERD,MN,56401,CROW WING,Hours of physical-restraint use,0.0,0.0,2740.0,nan,Hours of seclusion use,0.0,0.0,2740.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,18.0,nan,Screening for metabolic disorders (SMD),55.0,124.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,62.0,404.0,nan,Alcohol use brief intervention provided or offered,40.0,102.0,nan,22.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,154.0,nan,88.0,154.0,nan,Tobacco use screening,100.0,405.0,nan,Tobacco use treatment provided or offered,72.0,203.0,nan,0.0,203.0,nan,Tobacco use treatment provided or offered at discharge,6.0,193.0,nan,1.0,193.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),43.0,412.0,nan,Timely transmission of transition record (TR2),39.0,412.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.9,53.0,nan,34.0,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,103.0,19.2,14.9,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,196.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,122.0,nan,2017-10-01,2018-03-31
240078,FAIRVIEW SOUTHDALE HOSPITAL,6401 FRANCE AVENUE SOUTH,EDINA,MN,55435,HENNEPIN,Hours of physical-restraint use,1.0,141.13,5875.0,nan,Hours of seclusion use,0.11,14.88,5875.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,65.0,nan,Screening for metabolic disorders (SMD),5.0,296.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,583.0,nan,Alcohol use brief intervention provided or offered,32.0,135.0,nan,30.0,135.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,239.0,nan,40.0,239.0,nan,Tobacco use screening,99.0,583.0,nan,Tobacco use treatment provided or offered,0.0,214.0,nan,0.0,214.0,nan,Tobacco use treatment provided or offered at discharge,0.0,194.0,nan,0.0,194.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,638.0,nan,Timely transmission of transition record (TR2),0.0,638.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.6,92.0,nan,31.5,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,223.0,19.7,16.1,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,180.0,nan,2017-10-01,2018-03-31
240080,"UNIVERSITY OF MINNESOTA  MEDICAL CENTER, FAIRVIEW",2450 RIVERSIDE AVENUE,MINNEAPOLIS,MN,55454,HENNEPIN,Hours of physical-restraint use,0.35,490.0,57883.0,nan,Hours of seclusion use,0.54,751.0,57883.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,51.0,nan,Screening for metabolic disorders (SMD),14.0,433.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,699.0,nan,Alcohol use brief intervention provided or offered,22.0,150.0,nan,22.0,150.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,353.0,nan,26.0,353.0,nan,Tobacco use screening,95.0,703.0,nan,Tobacco use treatment provided or offered,0.0,340.0,nan,0.0,340.0,nan,Tobacco use treatment provided or offered at discharge,0.0,325.0,nan,0.0,325.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1207.0,nan,Timely transmission of transition record (TR2),0.0,1207.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.5,467.0,nan,31.0,467.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1148.0,18.8,16.8,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,593.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,961.0,nan,2017-10-01,2018-03-31
240100,SANFORD BEMIDJI MEDICAL CENTER,1300 ANNE ST NW,BEMIDJI,MN,56601,BELTRAMI,Hours of physical-restraint use,0.02,1.1,2167.0,nan,Hours of seclusion use,0.0,0.0,2167.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),18.0,84.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,120.0,nan,Timely transmission of transition record (TR2),0.0,120.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,114.0,18.9,14.1,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),62.0,40.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,93.0,nan,2017-10-01,2018-03-31
240115,MERCY HOSPITAL,4050 COON RAPIDS BLVD,COON RAPIDS,MN,55433,ANOKA,Hours of physical-restraint use,10.97,1257.62,4776.0,nan,Hours of seclusion use,0.0,0.0,4776.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,25.0,nan,Screening for metabolic disorders (SMD),95.0,219.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,24.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,11.0,nan,9.0,11.0,nan,Tobacco use screening,96.0,24.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,282.0,nan,Timely transmission of transition record (TR2),44.0,282.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,11.0,nan,0.0,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,140.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,43.0,nan,2017-10-01,2018-03-31
241329,LAKEWOOD HEALTH SYSTEM,49725 COUNTY ROAD 83,STAPLES,MN,56479,TODD,Hours of physical-restraint use,0.0,0.0,3109.0,nan,Hours of seclusion use,0.0,0.0,3109.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,148.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,25.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,25.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,200.0,nan,Timely transmission of transition record (TR2),98.0,200.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,103.0,16.3,11.8,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,36.0,nan,2017-10-01,2018-03-31
241356,MILLE LACS HEALTH SYSTEM,200 NORTH ELM STREET,ONAMIA,MN,56359,MILLE LACS,Hours of physical-restraint use,0.03,2.25,3275.0,nan,Hours of seclusion use,0.0,0.0,3025.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),51.0,171.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,171.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,99.0,171.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,171.0,nan,Timely transmission of transition record (TR2),100.0,171.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,114.0,17.5,13.3,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,171.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,290.0,nan,2017-10-01,2018-03-31
241359,AVERA MARSHALL REGIONAL MEDICAL CTR,300 SOUTH BRUCE STREET,MARSHALL,MN,56258,LYON,Hours of physical-restraint use,0.01,0.72,2325.0,nan,Hours of seclusion use,0.0,0.0,2325.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),100.0,97.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,362.0,nan,Alcohol use brief intervention provided or offered,95.0,91.0,nan,69.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,85.0,nan,28.0,85.0,nan,Tobacco use screening,100.0,362.0,nan,Tobacco use treatment provided or offered,100.0,198.0,nan,12.0,198.0,nan,Tobacco use treatment provided or offered at discharge,97.0,198.0,nan,3.0,198.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),83.0,411.0,nan,Timely transmission of transition record (TR2),83.0,411.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.8,48.0,nan,31.3,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,124.0,19.0,14.7,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,199.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,44.0,nan,2017-10-01,2018-03-31
241362,CENTRACARE HEALTH - MONTICELLO,1013 HART BOULEVARD,MONTICELLO,MN,55362,WRIGHT,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
241366,MEEKER MEMORIAL HOSPITAL,612 SOUTH SIBLEY AVENUE,LITCHFIELD,MN,55355,MEEKER,Hours of physical-restraint use,0.01,0.63,2577.0,nan,Hours of seclusion use,0.0,0.0,2577.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,38.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,25.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,26.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,136.0,nan,Timely transmission of transition record (TR2),90.0,136.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,86.0,19.0,14.0,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,73.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,198.0,nan,2017-10-01,2018-03-31
241378,NEW ULM MEDICAL CENTER,1324 FIFTH NORTH STREET,NEW ULM,MN,56073,BROWN,Hours of physical-restraint use,0.03,2.54,3159.0,nan,Hours of seclusion use,0.0,0.0,3159.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,37.0,nan,Screening for metabolic disorders (SMD),54.0,215.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,257.0,nan,Alcohol use brief intervention provided or offered,68.0,92.0,nan,65.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,128.0,nan,24.0,128.0,nan,Tobacco use screening,95.0,257.0,nan,Tobacco use treatment provided or offered,71.0,128.0,nan,60.0,128.0,nan,Tobacco use treatment provided or offered at discharge,19.0,108.0,nan,8.0,108.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),12.0,593.0,nan,Timely transmission of transition record (TR2),10.0,593.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,52.0,nan,23.1,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,148.0,19.8,15.7,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,234.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,28.0,nan,2017-10-01,2018-03-31
244002,ANOKA-METRO REG TREATMENT CTR,3301 SEVENTH AVE NORTH,ANOKA,MN,55303,ANOKA,Hours of physical-restraint use,0.16,127.7,33556.0,nan,Hours of seclusion use,0.04,29.87,33556.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,62.0,nan,Screening for metabolic disorders (SMD),0.0,227.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,179.0,nan,Alcohol use brief intervention provided or offered,38.0,93.0,nan,16.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,68.0,nan,9.0,68.0,nan,Tobacco use screening,96.0,179.0,nan,Tobacco use treatment provided or offered,22.0,55.0,nan,5.0,55.0,nan,Tobacco use treatment provided or offered at discharge,26.0,31.0,nan,0.0,31.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,276.0,nan,Timely transmission of transition record (TR2),0.0,276.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,22.2,36.0,nan,2.8,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,89.0,13.2,9.7,17.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),23.0,420.0,nan,2017-10-01,2018-03-31
244005,CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES,1701 TECHNOLOGY DRIVE NE,WILLMAR,MN,56201,KANDIYOHI,Hours of physical-restraint use,0.88,22.02,1042.0,nan,Hours of seclusion use,0.1,2.62,1042.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,12.0,nan,Timely transmission of transition record (TR2),0.0,12.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),18.0,51.0,nan,2017-10-01,2018-03-31
244011,COMMUNITY BEHAVIORAL HEALTH HOSPITAL ANNANDALE,400 ANNANDALE BOULEVARD,ANNANDALE,MN,55302,WRIGHT,Hours of physical-restraint use,0.02,2.2,4407.0,nan,Hours of seclusion use,0.01,1.22,4407.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,19.0,nan,Screening for metabolic disorders (SMD),0.0,64.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,63.0,nan,Alcohol use brief intervention provided or offered,68.0,22.0,nan,64.0,22.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,63.0,nan,Tobacco use treatment provided or offered,74.0,31.0,nan,35.0,31.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,70.0,nan,Timely transmission of transition record (TR2),0.0,70.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,18.0,nan,16.7,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,39.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),5.0,97.0,nan,2017-10-01,2018-03-31
244012,COMM BEHAVIORAL HEALTH HOSP,1610 8TH AVENUE EAST,ALEXANDRIA,MN,56308,DOUGLAS,Hours of physical-restraint use,0.18,18.55,4326.0,nan,Hours of seclusion use,0.0,0.02,4326.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,20.0,nan,Screening for metabolic disorders (SMD),0.0,80.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,89.0,nan,Alcohol use brief intervention provided or offered,93.0,27.0,nan,63.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,25.0,32.0,nan,19.0,32.0,nan,Tobacco use screening,99.0,89.0,nan,Tobacco use treatment provided or offered,97.0,60.0,nan,18.0,60.0,nan,Tobacco use treatment provided or offered at discharge,81.0,31.0,nan,6.0,31.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,93.0,nan,Timely transmission of transition record (TR2),0.0,93.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,16.0,nan,37.5,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,27.0,16.9,12.5,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),16.0,92.0,nan,2017-10-01,2018-03-31
244013,COMMUNITY BEHAVIORAL HOSPITAL FERGUS FALLS,1801 WEST ALCOTT,FERGUS FALLS,MN,56537,OTTER TAIL,Hours of physical-restraint use,0.07,8.45,4699.0,nan,Hours of seclusion use,0.11,11.97,4699.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,25.0,nan,Screening for metabolic disorders (SMD),0.0,90.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,108.0,nan,Alcohol use brief intervention provided or offered,100.0,56.0,nan,98.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,22.0,45.0,nan,22.0,45.0,nan,Tobacco use screening,100.0,108.0,nan,Tobacco use treatment provided or offered,99.0,73.0,nan,93.0,73.0,nan,Tobacco use treatment provided or offered at discharge,31.0,52.0,nan,6.0,52.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,110.0,nan,Timely transmission of transition record (TR2),0.0,110.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.0,25.0,nan,12.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,42.0,17.4,12.8,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,50.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),24.0,76.0,nan,2017-10-01,2018-03-31
244014,COMMUNITY BEHAVIORAL HEALTH HOSPITAL - BEMIDJI,800 BEMIDJI AVENUE NORTH SUITE 200,BEMIDJI,MN,56601,BELTRAMI,Hours of physical-restraint use,0.17,18.47,4608.0,nan,Hours of seclusion use,0.07,7.78,4608.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,28.0,nan,Screening for metabolic disorders (SMD),0.0,102.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,114.0,nan,Alcohol use brief intervention provided or offered,86.0,44.0,nan,86.0,44.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,49.0,nan,4.0,49.0,nan,Tobacco use screening,99.0,114.0,nan,Tobacco use treatment provided or offered,89.0,79.0,nan,76.0,79.0,nan,Tobacco use treatment provided or offered at discharge,80.0,59.0,nan,0.0,59.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,117.0,nan,Timely transmission of transition record (TR2),0.0,117.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.0,20.0,nan,25.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,42.0,19.0,13.9,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,61.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),37.0,91.0,nan,2017-10-01,2018-03-31
244015,COMMUNITY BEHAVIORAL HEALTH HOSPITAL - BAXTER,14241 GRAND OAKS DRIVE,BAXTER,MN,56425,CROW WING,Hours of physical-restraint use,0.0,0.1,4961.0,nan,Hours of seclusion use,0.0,0.08,4961.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,17.0,nan,Screening for metabolic disorders (SMD),0.0,99.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,80.0,110.0,nan,Alcohol use brief intervention provided or offered,0.0,40.0,nan,0.0,40.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,56.0,nan,20.0,56.0,nan,Tobacco use screening,92.0,111.0,nan,Tobacco use treatment provided or offered,56.0,54.0,nan,7.0,54.0,nan,Tobacco use treatment provided or offered at discharge,0.0,50.0,nan,0.0,50.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,113.0,nan,Timely transmission of transition record (TR2),0.0,113.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.7,26.0,nan,11.5,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,34.0,17.0,12.6,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),4.0,54.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,72.0,nan,2017-10-01,2018-03-31
244017,COMMUNITY BEHAVIORAL HEALTH HOSPITAL ROCHESTER,251 WOOD LAKE DRIVE SOUTHEAST,ROCHESTER,MN,55904,OLMSTED,Hours of physical-restraint use,0.03,3.15,4350.0,nan,Hours of seclusion use,0.0,0.0,4350.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,87.0,15.0,nan,Screening for metabolic disorders (SMD),0.0,76.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,79.0,nan,Alcohol use brief intervention provided or offered,0.0,42.0,nan,0.0,42.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,34.0,nan,18.0,34.0,nan,Tobacco use screening,100.0,79.0,nan,Tobacco use treatment provided or offered,77.0,31.0,nan,0.0,31.0,nan,Tobacco use treatment provided or offered at discharge,0.0,22.0,nan,0.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,86.0,nan,Timely transmission of transition record (TR2),0.0,86.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.7,11.0,nan,45.5,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),41.0,41.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,102.0,nan,2017-10-01,2018-03-31
244018,SANFORD BEHAVIORAL HEALTH CENTER,120 LABREE AVENUE SOUTH,THIEF RIVER FALLS,MN,56701,PENNINGTON,Hours of physical-restraint use,0.25,21.89,3693.0,nan,Hours of seclusion use,0.01,0.89,3693.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,16.0,25.0,nan,Screening for metabolic disorders (SMD),43.0,232.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,300.0,nan,Alcohol use brief intervention provided or offered,47.0,92.0,nan,46.0,92.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,114.0,nan,14.0,114.0,nan,Tobacco use screening,86.0,300.0,nan,Tobacco use treatment provided or offered,65.0,136.0,nan,45.0,136.0,nan,Tobacco use treatment provided or offered at discharge,14.0,119.0,nan,3.0,119.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),6.0,524.0,nan,Timely transmission of transition record (TR2),2.0,536.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,91.2,34.0,nan,58.8,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,50.0,18.6,13.6,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,242.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,102.0,nan,2017-10-01,2018-03-31
250004,NORTH MISSISSIPPI MEDICAL CENTER,830 S GLOSTER STREET,TUPELO,MS,38801,LEE,Hours of physical-restraint use,0.03,9.98,12071.0,nan,Hours of seclusion use,0.01,3.0,12071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,283.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,680.0,nan,Alcohol use brief intervention provided or offered,100.0,162.0,nan,65.0,162.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,330.0,nan,68.0,330.0,nan,Tobacco use screening,100.0,671.0,nan,Tobacco use treatment provided or offered,99.0,450.0,nan,43.0,450.0,nan,Tobacco use treatment provided or offered at discharge,93.0,375.0,nan,3.0,375.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),93.0,668.0,nan,Timely transmission of transition record (TR2),75.0,668.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.7,185.0,nan,13.0,185.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,650.0,24.3,21.1,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,7471.0,nan,2017-10-01,2018-03-31
250007,MERIT HEALTH BILOXI,150 REYNOIR STREET,BILOXI,MS,39530,HARRISON,Hours of physical-restraint use,0.0,0.0,1610.0,nan,Hours of seclusion use,0.0,0.0,1610.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),74.0,69.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,37.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,104.0,nan,Tobacco use treatment provided or offered,100.0,25.0,nan,44.0,25.0,nan,Tobacco use treatment provided or offered at discharge,89.0,19.0,nan,0.0,19.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),48.0,116.0,nan,Timely transmission of transition record (TR2),40.0,116.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,25.0,nan,28.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,247.0,21.6,17.2,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,55.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,9.0,nan,2017-10-01,2018-03-31
250009,MAGNOLIA REGIONAL HEALTH CENTER,611 ALCORN DRIVE,CORINTH,MS,38834,ALCORN,Hours of physical-restraint use,0.26,4.44,707.0,nan,Hours of seclusion use,0.12,2.0,707.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,20.0,nan,Screening for metabolic disorders (SMD),43.0,317.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,675.0,nan,Alcohol use brief intervention provided or offered,99.0,137.0,nan,96.0,137.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,328.0,nan,17.0,328.0,nan,Tobacco use screening,99.0,674.0,nan,Tobacco use treatment provided or offered,88.0,440.0,nan,84.0,440.0,nan,Tobacco use treatment provided or offered at discharge,78.0,366.0,nan,72.0,366.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),38.0,588.0,nan,Timely transmission of transition record (TR2),31.0,588.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,19.6,97.0,nan,4.1,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,290.0,19.5,16.3,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,27.0,nan,2017-10-01,2018-03-31
250012,ALLIANCE HEALTHCARE SYSTEM,1430 HIGHWAY 4 EAST / P O BOX 6000,HOLLY SPRINGS,MS,38635,MARSHALL,Hours of physical-restraint use,0.0,0.0,1454.0,nan,Hours of seclusion use,0.0,0.0,1454.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),0.0,32.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,101.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,101.0,nan,Tobacco use treatment provided or offered,83.0,18.0,nan,11.0,18.0,nan,Tobacco use treatment provided or offered at discharge,87.0,15.0,nan,7.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,101.0,nan,Timely transmission of transition record (TR2),100.0,101.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.0,20.0,nan,10.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,179.0,21.4,16.5,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),39.0,46.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,18.0,nan,2017-10-01,2018-03-31
250017,TRACE REGIONAL HOSP AND SWING BED,1002 EAST MADISON STREET,HOUSTON,MS,38851,CHICKASAW,Hours of physical-restraint use,0.0,0.0,3091.0,nan,Hours of seclusion use,0.0,0.0,3091.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,219.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,257.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,257.0,nan,Tobacco use treatment provided or offered,100.0,23.0,nan,83.0,23.0,nan,Tobacco use treatment provided or offered at discharge,0.0,23.0,nan,0.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,257.0,nan,Timely transmission of transition record (TR2),100.0,257.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,20.0,15.0,nan,6.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,448.0,21.3,17.5,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,127.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,24.0,nan,2017-10-01,2018-03-31
250027,WINSTON MEDICAL CENTER & SWINGBED,17550 EAST MAIN STREET,LOUISVILLE,MS,39339,WINSTON,Hours of physical-restraint use,1.38,65.29,1965.0,nan,Hours of seclusion use,0.0,0.0,1965.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,83.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,72.0,96.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,97.0,96.0,nan,Tobacco use treatment provided or offered,84.0,19.0,nan,63.0,19.0,nan,Tobacco use treatment provided or offered at discharge,18.0,22.0,nan,14.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,152.0,nan,Timely transmission of transition record (TR2),100.0,152.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.5,11.0,nan,18.2,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,249.0,23.7,19.1,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,59.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,29.0,nan,2017-10-01,2018-03-31
250031,MERIT HEALTH RIVER REGION,2100 HWY 61 N,VICKSBURG,MS,39183,WARREN,Hours of physical-restraint use,0.0,0.0,1774.0,nan,Hours of seclusion use,0.0,0.0,1774.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,122.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,164.0,nan,Alcohol use brief intervention provided or offered,92.0,12.0,nan,42.0,12.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,162.0,nan,Tobacco use treatment provided or offered,100.0,48.0,nan,6.0,48.0,nan,Tobacco use treatment provided or offered at discharge,100.0,38.0,nan,5.0,38.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,165.0,nan,Timely transmission of transition record (TR2),99.0,165.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.9,43.0,nan,11.6,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,196.0,23.4,19.0,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,104.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,92.0,nan,2017-10-01,2018-03-31
250040,SINGING RIVER HEALTH SYSTEM,2809 DENNY AV,PASCAGOULA,MS,39581,JACKSON,Hours of physical-restraint use,5.57,705.6,5281.0,nan,Hours of seclusion use,0.0,0.0,5281.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,291.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,531.0,nan,Alcohol use brief intervention provided or offered,96.0,67.0,nan,85.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,187.0,nan,84.0,187.0,nan,Tobacco use screening,97.0,527.0,nan,Tobacco use treatment provided or offered,98.0,267.0,nan,72.0,267.0,nan,Tobacco use treatment provided or offered at discharge,96.0,226.0,nan,92.0,226.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,668.0,nan,Timely transmission of transition record (TR2),91.0,668.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,22.0,nan,13.6,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,333.0,20.1,16.3,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,326.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,42.0,nan,2017-10-01,2018-03-31
250043,NESHOBA COUNTY GENERAL HOSPITAL,1001 HOLLAND AVENUE,PHILADELPHIA,MS,39350,NESHOBA,Hours of physical-restraint use,5.61,294.53,2187.0,nan,Hours of seclusion use,0.0,0.0,2187.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),10.0,61.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,98.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,103.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,173.0,nan,Timely transmission of transition record (TR2),75.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.0,25.0,nan,8.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,315.0,22.2,17.9,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),55.0,86.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,82.0,nan,2017-10-01,2018-03-31
250044,BAPTIST MEMORIAL HOSPITAL BOONEVILLE,100 HOSPITAL DRIVE,BOONEVILLE,MS,38829,PRENTISS,Hours of physical-restraint use,0.0,0.0,3389.0,nan,Hours of seclusion use,0.0,0.0,3389.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,229.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,231.0,nan,Tobacco use treatment provided or offered,84.0,44.0,nan,52.0,44.0,nan,Tobacco use treatment provided or offered at discharge,57.0,14.0,nan,36.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,240.0,nan,Timely transmission of transition record (TR2),76.0,240.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,8.3,24.0,nan,4.2,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,364.0,23.1,19.1,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,115.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,32.0,nan,2017-10-01,2018-03-31
250048,ST DOMINIC-JACKSON MEMORIAL HOSPITAL,969 LAKELAND DR,JACKSON,MS,39216,HINDS,Hours of physical-restraint use,0.0,0.0,5415.0,nan,Hours of seclusion use,0.0,0.0,5415.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,296.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,496.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,497.0,nan,Tobacco use treatment provided or offered,100.0,13.0,nan,69.0,13.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,506.0,nan,Timely transmission of transition record (TR2),0.0,506.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.7,59.0,nan,10.2,59.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,396.0,25.8,21.6,30.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,214.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,190.0,nan,2017-10-01,2018-03-31
250049,BEACHAM MEMORIAL HOSPITAL,205 N CHERRY STREET,MAGNOLIA,MS,39652,PIKE,Hours of physical-restraint use,0.0,0.0,3140.0,nan,Hours of seclusion use,0.0,0.0,3140.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,43.0,nan,Screening for metabolic disorders (SMD),12.0,187.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,279.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,95.0,279.0,nan,Tobacco use treatment provided or offered,57.0,51.0,nan,35.0,51.0,nan,Tobacco use treatment provided or offered at discharge,0.0,51.0,nan,0.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,279.0,nan,Timely transmission of transition record (TR2),85.0,279.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,28.0,nan,14.3,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,182.0,23.3,18.3,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),22.0,147.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),37.0,49.0,nan,2017-10-01,2018-03-31
250060,JEFFERSON COUNTY HOSPITAL,870 S MAIN,FAYETTE,MS,39069,JEFFERSON,Hours of physical-restraint use,0.0,0.0,4086.0,nan,Hours of seclusion use,0.0,0.0,4086.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,299.0,nan,Screening for metabolic disorders (SMD),0.0,299.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,299.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,0.0,299.0,nan,Tobacco use treatment provided or offered,0.0,256.0,nan,0.0,256.0,nan,Tobacco use treatment provided or offered at discharge,0.0,256.0,nan,0.0,256.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,299.0,nan,Timely transmission of transition record (TR2),0.0,299.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.8,232.0,nan,22.4,232.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,531.0,19.8,16.8,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,130.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),17.0,23.0,nan,2017-10-01,2018-03-31
250072,MERIT HEALTH CENTRAL,1850 CHADWICK DR,JACKSON,MS,39204,HINDS,Hours of physical-restraint use,0.0,0.0,17531.0,nan,Hours of seclusion use,0.0,0.0,17531.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,18.0,17.0,nan,Screening for metabolic disorders (SMD),62.0,453.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,665.0,nan,Alcohol use brief intervention provided or offered,97.0,29.0,nan,97.0,29.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,2.0,280.0,nan,1.0,280.0,nan,Tobacco use screening,100.0,667.0,nan,Tobacco use treatment provided or offered,96.0,427.0,nan,18.0,427.0,nan,Tobacco use treatment provided or offered at discharge,61.0,366.0,nan,0.0,366.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),14.0,669.0,nan,Timely transmission of transition record (TR2),14.0,669.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.3,163.0,nan,12.9,163.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,507.0,21.7,18.9,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),27.0,82.0,nan,2017-10-01,2018-03-31
250079,SHARKEY ISSAQUENA COMMUNITY HOSPITAL,47 SOUTH FOURTH ST,ROLLING FORK,MS,39159,SHARKEY,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,17.0,nan,35.3,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,150.0,22.0,16.8,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
250081,ANDERSON RMC SOUTH,1102 CONSTITUTION AVENUE,MERIDIAN,MS,39301,LAUDERDALE,Hours of physical-restraint use,0.0,0.0,3071.0,nan,Hours of seclusion use,0.0,0.0,3071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,248.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,86.0,248.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),74.0,250.0,nan,Timely transmission of transition record (TR2),74.0,250.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.1,46.0,nan,6.5,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,357.0,18.7,15.2,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),41.0,128.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,28.0,nan,2017-10-01,2018-03-31
250082,DELTA REGIONAL MEDICAL CENTER,1400 E UNION ST,GREENVILLE,MS,38704,WASHINGTON,Hours of physical-restraint use,0.0,0.0,701.0,nan,Hours of seclusion use,0.0,0.0,701.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),4.0,23.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,28.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,29.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,21.0,nan,Timely transmission of transition record (TR2),0.0,21.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.8,22.0,nan,18.2,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,236.0,21.0,16.8,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
250084,MERIT HEALTH NATCHEZ,52 SERGEANT PRENTISS DRIVE,NATCHEZ,MS,39120,ADAMS,Hours of physical-restraint use,0.0,0.0,2497.0,nan,Hours of seclusion use,0.0,0.0,2497.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,23.0,nan,Screening for metabolic disorders (SMD),93.0,151.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,221.0,nan,Alcohol use brief intervention provided or offered,94.0,18.0,nan,94.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,13.0,nan,8.0,13.0,nan,Tobacco use screening,100.0,217.0,nan,Tobacco use treatment provided or offered,96.0,69.0,nan,71.0,69.0,nan,Tobacco use treatment provided or offered at discharge,96.0,46.0,nan,13.0,46.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,230.0,nan,Timely transmission of transition record (TR2),47.0,230.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.0,54.0,nan,14.8,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,248.0,20.4,16.4,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,21.0,nan,2017-10-01,2018-03-31
250093,BOLIVAR MEDICAL CENTER,901 E SUNFLOWER RD,CLEVELAND,MS,38732,BOLIVAR,Hours of physical-restraint use,0.0,0.0,2745.0,nan,Hours of seclusion use,0.0,0.0,2745.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,25.0,nan,Screening for metabolic disorders (SMD),98.0,147.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,221.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,221.0,nan,Tobacco use treatment provided or offered,100.0,35.0,nan,9.0,35.0,nan,Tobacco use treatment provided or offered at discharge,82.0,17.0,nan,0.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,223.0,nan,Timely transmission of transition record (TR2),93.0,223.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,21.0,nan,38.1,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,368.0,20.9,17.3,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,101.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,32.0,nan,2017-10-01,2018-03-31
250094,MERIT HEALTH WESLEY,5001 W HARDY ST,HATTIESBURG,MS,39402,LAMAR,Hours of physical-restraint use,0.18,3.67,837.0,nan,Hours of seclusion use,0.0,0.0,837.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,127.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,203.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,203.0,nan,Tobacco use treatment provided or offered,100.0,36.0,nan,11.0,36.0,nan,Tobacco use treatment provided or offered at discharge,92.0,25.0,nan,8.0,25.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,198.0,nan,Timely transmission of transition record (TR2),90.0,198.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.2,63.0,nan,19.0,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,187.0,20.3,15.4,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,79.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,394.0,nan,2017-10-01,2018-03-31
250096,MERIT HEALTH RANKIN,350 CROSSGATES BLVD,BRANDON,MS,39042,RANKIN,Hours of physical-restraint use,0.0,0.0,4809.0,nan,Hours of seclusion use,0.0,0.0,4809.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,299.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,385.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,375.0,nan,Tobacco use treatment provided or offered,100.0,35.0,nan,14.0,35.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,398.0,nan,Timely transmission of transition record (TR2),94.0,398.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,16.1,31.0,nan,0.0,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,564.0,25.3,21.6,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,174.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,52.0,nan,2017-10-01,2018-03-31
250100,BAPTIST MEMORIAL HOSPITAL GOLDEN TRIANGLE INC,2520 5TH STREET N,COLUMBUS,MS,39701,LOWNDES,Hours of physical-restraint use,0.0,0.0,9674.0,nan,Hours of seclusion use,0.01,2.87,9674.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,323.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,663.0,nan,Alcohol use brief intervention provided or offered,100.0,227.0,nan,91.0,227.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,284.0,nan,99.0,284.0,nan,Tobacco use screening,100.0,661.0,nan,Tobacco use treatment provided or offered,98.0,418.0,nan,56.0,418.0,nan,Tobacco use treatment provided or offered at discharge,97.0,340.0,nan,47.0,340.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),93.0,674.0,nan,Timely transmission of transition record (TR2),92.0,674.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.7,142.0,nan,8.5,142.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,650.0,21.2,18.3,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,1166.0,nan,2017-10-01,2018-03-31
250102,MISSISSIPPI BAPTIST MEDICAL CENTER,1225 N STATE ST,JACKSON,MS,39202,HINDS,Hours of physical-restraint use,0.0,0.0,3733.0,nan,Hours of seclusion use,0.0,0.0,3733.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),57.0,224.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,32.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,32.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,296.0,nan,Timely transmission of transition record (TR2),0.0,296.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,19.7,61.0,nan,13.1,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,367.0,20.6,16.9,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,55.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,21.0,nan,2017-10-01,2018-03-31
250123,GARDEN PARK MEDICAL CENTER,15200 COMMUNITY ROAD,GULFPORT,MS,39503,HARRISON,Hours of physical-restraint use,0.0,0.0,5964.0,nan,Hours of seclusion use,0.0,0.0,5964.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,180.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,502.0,nan,Alcohol use brief intervention provided or offered,100.0,127.0,nan,100.0,127.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,143.0,nan,88.0,143.0,nan,Tobacco use screening,100.0,511.0,nan,Tobacco use treatment provided or offered,91.0,206.0,nan,64.0,206.0,nan,Tobacco use treatment provided or offered at discharge,76.0,191.0,nan,55.0,191.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,413.0,nan,Timely transmission of transition record (TR2),71.0,413.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.6,48.0,nan,14.6,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,351.0,20.9,17.2,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,242.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,63.0,nan,2017-10-01,2018-03-31
250126,NORTH OAK REGIONAL MEDICAL CENTER,401 GETWELL DR,SENATOBIA,MS,38668,TATE,Hours of physical-restraint use,0.0,0.0,1431.0,nan,Hours of seclusion use,0.0,0.0,1431.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,118.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,118.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,118.0,nan,Tobacco use treatment provided or offered,0.0,18.0,nan,0.0,18.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,118.0,nan,Timely transmission of transition record (TR2),100.0,118.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,11.8,17.0,nan,5.9,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,196.0,21.4,16.3,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,47.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,14.0,nan,2017-10-01,2018-03-31
250128,PANOLA MEDICAL CENTER,303 MEDICAL CENTER DRIVE,BATESVILLE,MS,38606,PANOLA,Hours of physical-restraint use,0.0,0.0,1655.0,nan,Hours of seclusion use,0.0,0.0,1655.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),98.0,64.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,52.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,50.0,nan,Tobacco use treatment provided or offered,71.0,17.0,nan,0.0,17.0,nan,Tobacco use treatment provided or offered at discharge,92.0,13.0,nan,0.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,172.0,nan,Timely transmission of transition record (TR2),55.0,172.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,17.4,23.0,nan,13.0,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,251.0,21.8,17.4,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,96.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,13.0,nan,2017-10-01,2018-03-31
250151,ALLIANCE HEALTH CENTER,5000 HIGHWAY 39 NORTH,MERIDIAN,MS,39301,LAUDERDALE,Hours of physical-restraint use,0.02,15.0,26556.0,nan,Hours of seclusion use,0.15,97.0,26556.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,486.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,486.0,nan,Alcohol use brief intervention provided or offered,77.0,160.0,nan,76.0,160.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,224.0,nan,95.0,224.0,nan,Tobacco use screening,96.0,486.0,nan,Tobacco use treatment provided or offered,90.0,292.0,nan,4.0,292.0,nan,Tobacco use treatment provided or offered at discharge,91.0,240.0,nan,0.0,240.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),64.0,830.0,nan,Timely transmission of transition record (TR2),55.0,830.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.8,247.0,nan,18.6,247.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,750.0,15.3,13.2,17.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,365.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,330.0,nan,2017-10-01,2018-03-31
250163,PATIENTS CHOICE MEDICAL CENTER,347 MAGNOLIA DRIVE,RALEIGH,MS,39153,SMITH,Hours of physical-restraint use,0.0,0.0,2009.0,nan,Hours of seclusion use,0.0,0.0,2009.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,144.0,nan,Screening for metabolic disorders (SMD),0.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,148.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,148.0,nan,Tobacco use treatment provided or offered,0.0,97.0,nan,0.0,97.0,nan,Tobacco use treatment provided or offered at discharge,0.0,97.0,nan,0.0,97.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,148.0,nan,Timely transmission of transition record (TR2),100.0,148.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.3,28.0,nan,39.3,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,258.0,25.6,21.2,31.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,79.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
251300,S E LACKEY MEMORIAL HOSPITAL,330 N BROAD STREET,FOREST,MS,39074,SCOTT,Hours of physical-restraint use,0.0,0.0,1926.0,nan,Hours of seclusion use,0.0,0.0,1926.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),59.0,177.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,186.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,186.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,186.0,nan,Timely transmission of transition record (TR2),100.0,186.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.2,45.0,nan,53.3,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,275.0,19.8,15.8,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,95.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,33.0,nan,2017-10-01,2018-03-31
251302,MONROE REGIONAL HOSPITAL,400 SOUTH CHESTNUT STREET,ABERDEEN,MS,39730,MONROE,Hours of physical-restraint use,0.0,0.0,1965.0,nan,Hours of seclusion use,0.0,0.0,1965.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,158.0,nan,Screening for metabolic disorders (SMD),100.0,162.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,162.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,168.0,nan,Tobacco use treatment provided or offered,100.0,22.0,nan,100.0,22.0,nan,Tobacco use treatment provided or offered at discharge,100.0,22.0,nan,100.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,171.0,nan,Timely transmission of transition record (TR2),100.0,171.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.6,36.0,nan,5.6,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,240.0,21.0,16.8,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,66.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
251317,SIMPSON GENERAL HOSPITAL CAH,1842 SIMPSON HIGHWAY 149,MENDENHALL,MS,39114,SIMPSON,Hours of physical-restraint use,0.0,0.0,2008.0,nan,Hours of seclusion use,0.0,0.0,2008.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,15.0,nan,Screening for metabolic disorders (SMD),68.0,82.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,17.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,18.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,132.0,nan,Timely transmission of transition record (TR2),97.0,132.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.3,48.0,nan,31.3,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,236.0,19.8,15.6,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),39.0,61.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),51.0,86.0,nan,2017-10-01,2018-03-31
251318,NORTH SUNFLOWER MEDICAL CENTER CAH,840 NORTH OAK AVENUE,RULEVILLE,MS,38771,SUNFLOWER,Hours of physical-restraint use,0.0,0.0,2445.0,nan,Hours of seclusion use,0.0,0.0,2445.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,26.0,nan,Screening for metabolic disorders (SMD),1.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,258.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,258.0,nan,Tobacco use treatment provided or offered,95.0,22.0,nan,5.0,22.0,nan,Tobacco use treatment provided or offered at discharge,0.0,22.0,nan,0.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,258.0,nan,Timely transmission of transition record (TR2),100.0,258.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.6,27.0,nan,37.0,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,456.0,18.5,15.3,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,130.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,16.0,nan,2017-10-01,2018-03-31
251320,CLAIBORNE COUNTY HOSPITAL,123 MCCOMB AVENUE,PORT GIBSON,MS,39150,CLAIBORNE,Hours of physical-restraint use,0.0,0.0,1853.0,nan,Hours of seclusion use,0.0,0.0,1853.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,45.0,nan,Screening for metabolic disorders (SMD),100.0,85.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,138.0,nan,Alcohol use brief intervention provided or offered,100.0,14.0,nan,100.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,14.0,nan,0.0,14.0,nan,Tobacco use screening,100.0,138.0,nan,Tobacco use treatment provided or offered,100.0,15.0,nan,100.0,15.0,nan,Tobacco use treatment provided or offered at discharge,67.0,15.0,nan,60.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,138.0,nan,Timely transmission of transition record (TR2),100.0,138.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,47.0,nan,25.5,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,218.0,24.7,20.0,30.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),51.0,181.0,nan,2017-10-01,2018-03-31
251326,JEFFERSON DAVIS COMMUNITY HOSPITAL CAH,1102 ROSE STREET,PRENTISS,MS,39474,JEFFERSON DAVIS,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.4,17.0,nan,17.6,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,187.0,25.1,19.7,31.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
251337,TIPPAH COUNTY HOSPITAL,1005 CITY AVE NORTH,RIPLEY,MS,38663,TIPPAH,Hours of physical-restraint use,0.0,0.0,1672.0,nan,Hours of seclusion use,0.0,0.0,1672.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),84.0,83.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,131.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,96.0,131.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,80.0,nan,Timely transmission of transition record (TR2),83.0,83.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,17.2,29.0,nan,3.4,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,168.0,22.3,17.5,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,88.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,31.0,nan,2017-10-01,2018-03-31
254005,PARKWOOD BEHAVIORAL HEALTH SYSTEM,8135 GOODMAN ROAD,OLIVE BRANCH,MS,38654,DE SOTO,Hours of physical-restraint use,0.03,20.93,25534.0,nan,Hours of seclusion use,0.08,49.01,25534.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,27.0,nan,Screening for metabolic disorders (SMD),83.0,392.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,198.0,nan,Alcohol use brief intervention provided or offered,76.0,66.0,nan,64.0,66.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,103.0,nan,46.0,103.0,nan,Tobacco use screening,97.0,198.0,nan,Tobacco use treatment provided or offered,88.0,111.0,nan,5.0,111.0,nan,Tobacco use treatment provided or offered at discharge,74.0,98.0,nan,1.0,98.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,771.0,nan,Timely transmission of transition record (TR2),54.0,771.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.8,258.0,nan,17.1,258.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,819.0,18.5,16.0,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,376.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,405.0,nan,2017-10-01,2018-03-31
254007,BRENTWOOD BEHAVIORAL HEALTHCARE OF MS,3531 EAST LAKELAND DRIVE,FLOWOOD,MS,39232,RANKIN,Hours of physical-restraint use,0.02,10.86,24761.0,nan,Hours of seclusion use,0.03,20.41,24761.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),84.0,350.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,170.0,nan,Alcohol use brief intervention provided or offered,61.0,46.0,nan,61.0,46.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,75.0,nan,24.0,75.0,nan,Tobacco use screening,90.0,163.0,nan,Tobacco use treatment provided or offered,92.0,77.0,nan,81.0,77.0,nan,Tobacco use treatment provided or offered at discharge,58.0,69.0,nan,4.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),40.0,692.0,nan,Timely transmission of transition record (TR2),42.0,692.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,86.0,nan,14.0,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,227.0,18.5,14.6,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,347.0,nan,2017-10-01,2018-03-31
254008,SOUTH MISSISSIPPI STATE HOSPITAL,823 HIGHWAY 589,PURVIS,MS,39475,LAMAR,Hours of physical-restraint use,0.22,80.22,15445.0,nan,Hours of seclusion use,0.3,111.22,15445.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,99.0,nan,Screening for metabolic disorders (SMD),100.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,559.0,nan,Alcohol use brief intervention provided or offered,99.0,94.0,nan,99.0,94.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,257.0,nan,0.0,257.0,nan,Tobacco use screening,100.0,558.0,nan,Tobacco use treatment provided or offered,100.0,386.0,nan,90.0,386.0,nan,Tobacco use treatment provided or offered at discharge,2.0,373.0,nan,0.0,373.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,562.0,nan,Timely transmission of transition record (TR2),100.0,562.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.3,108.0,nan,16.7,108.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,280.0,16.7,13.4,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,244.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,149.0,nan,2017-10-01,2018-03-31
254009,NORTH MISSISSIPPI STATE HOSPITAL,1937 BRIAR RIDGE RD,TUPELO,MS,38804,LEE,Hours of physical-restraint use,0.05,20.65,16138.0,nan,Hours of seclusion use,0.36,138.42,16138.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,65.0,nan,Screening for metabolic disorders (SMD),100.0,441.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,535.0,nan,Alcohol use brief intervention provided or offered,96.0,152.0,nan,85.0,152.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,263.0,nan,0.0,263.0,nan,Tobacco use screening,100.0,535.0,nan,Tobacco use treatment provided or offered,90.0,371.0,nan,77.0,371.0,nan,Tobacco use treatment provided or offered at discharge,96.0,359.0,nan,7.0,359.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,535.0,nan,Timely transmission of transition record (TR2),88.0,535.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,21.2,104.0,nan,7.7,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,230.0,15.3,11.9,19.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,251.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,120.0,nan,2017-10-01,2018-03-31
254010,MS STATE HOSPITAL-WHITFIELD,3550 HIGHWAY 468 WEST,WHITFIELD,MS,39193,RANKIN,Hours of physical-restraint use,0.22,279.83,52231.0,nan,Hours of seclusion use,0.87,1092.58,52231.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,144.0,nan,Screening for metabolic disorders (SMD),82.0,697.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,840.0,nan,Alcohol use brief intervention provided or offered,97.0,131.0,nan,90.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,435.0,nan,100.0,435.0,nan,Tobacco use screening,94.0,840.0,nan,Tobacco use treatment provided or offered,99.0,513.0,nan,68.0,513.0,nan,Tobacco use treatment provided or offered at discharge,0.0,475.0,nan,0.0,475.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,934.0,nan,Timely transmission of transition record (TR2),65.0,934.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,15.6,109.0,nan,0.9,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,247.0,11.4,8.7,14.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),47.0,1816.0,nan,2017-10-01,2018-03-31
260005,SSM HEALTH ST JOSEPH HOSPITAL-ST CHARLES,300 1ST CAPITOL DR,SAINT CHARLES,MO,63301,ST. CHARLES,Hours of physical-restraint use,0.17,144.75,34824.0,nan,Hours of seclusion use,0.02,16.84,34824.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,66.0,64.0,nan,Screening for metabolic disorders (SMD),72.0,442.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,670.0,nan,Alcohol use brief intervention provided or offered,86.0,163.0,nan,84.0,163.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,366.0,nan,40.0,366.0,nan,Tobacco use screening,99.0,671.0,nan,Tobacco use treatment provided or offered,59.0,395.0,nan,51.0,395.0,nan,Tobacco use treatment provided or offered at discharge,89.0,359.0,nan,6.0,359.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),70.0,986.0,nan,Timely transmission of transition record (TR2),49.0,986.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.5,191.0,nan,23.0,191.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,736.0,21.5,18.8,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,476.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,134.0,nan,2017-10-01,2018-03-31
260017,PHELPS HEALTH,1000 W 10TH ST,ROLLA,MO,65401,PHELPS,Hours of physical-restraint use,0.37,55.8,6261.0,nan,Hours of seclusion use,0.45,67.28,6261.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),21.0,267.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,596.0,nan,Alcohol use brief intervention provided or offered,0.0,186.0,nan,0.0,186.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,23.0,318.0,nan,13.0,318.0,nan,Tobacco use screening,100.0,599.0,nan,Tobacco use treatment provided or offered,100.0,422.0,nan,52.0,422.0,nan,Tobacco use treatment provided or offered at discharge,0.0,403.0,nan,0.0,403.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),34.0,613.0,nan,Timely transmission of transition record (TR2),1.0,613.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.4,108.0,nan,20.4,108.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,306.0,18.2,15.2,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,39.0,nan,2017-10-01,2018-03-31
260020,MERCY HOSPITAL ST LOUIS,615 NEW BALLAS ROAD,SAINT LOUIS,MO,63141,ST. LOUIS,Hours of physical-restraint use,0.09,13.65,6332.0,nan,Hours of seclusion use,0.13,19.72,6332.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,52.0,21.0,nan,Screening for metabolic disorders (SMD),98.0,104.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,498.0,nan,Alcohol use brief intervention provided or offered,66.0,71.0,nan,66.0,71.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,110.0,nan,51.0,110.0,nan,Tobacco use screening,96.0,501.0,nan,Tobacco use treatment provided or offered,89.0,123.0,nan,64.0,123.0,nan,Tobacco use treatment provided or offered at discharge,72.0,105.0,nan,0.0,105.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),16.0,551.0,nan,Timely transmission of transition record (TR2),16.0,551.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.1,293.0,nan,33.4,293.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1144.0,20.5,18.4,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,285.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,106.0,nan,2017-10-01,2018-03-31
260027,RESEARCH MEDICAL CENTER,2316 E MEYER BLVD,KANSAS CITY,MO,64132,JACKSON,Hours of physical-restraint use,0.02,7.53,19794.0,nan,Hours of seclusion use,0.0,0.0,19794.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,13.0,nan,Screening for metabolic disorders (SMD),67.0,430.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1011.0,nan,Alcohol use brief intervention provided or offered,98.0,296.0,nan,98.0,296.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,503.0,nan,36.0,503.0,nan,Tobacco use screening,100.0,1014.0,nan,Tobacco use treatment provided or offered,88.0,626.0,nan,73.0,626.0,nan,Tobacco use treatment provided or offered at discharge,71.0,596.0,nan,18.0,596.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,850.0,nan,Timely transmission of transition record (TR2),99.0,850.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.5,316.0,nan,32.9,316.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1096.0,18.3,16.4,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,496.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,359.0,nan,2017-10-01,2018-03-31
260032,BARNES JEWISH HOSPITAL,ONE BARNES-JEWISH HOSPITAL PLAZA,SAINT LOUIS,MO,63110,ST. LOUIS CITY,Hours of physical-restraint use,0.95,569.64,24877.0,nan,Hours of seclusion use,0.75,445.21,24877.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,24.0,nan,Screening for metabolic disorders (SMD),66.0,270.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,318.0,nan,Alcohol use brief intervention provided or offered,21.0,43.0,nan,21.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,198.0,nan,47.0,198.0,nan,Tobacco use screening,87.0,320.0,nan,Tobacco use treatment provided or offered,87.0,166.0,nan,60.0,166.0,nan,Tobacco use treatment provided or offered at discharge,0.0,163.0,nan,0.0,163.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,603.0,nan,Timely transmission of transition record (TR2),1.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.6,227.0,nan,19.4,227.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,739.0,18.5,16.2,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,5688.0,nan,2017-10-01,2018-03-31
260040,COX MEDICAL CENTERS,3801 SOUTH NATIONAL AVENUE,SPRINGFIELD,MO,65807,GREENE,Hours of physical-restraint use,0.23,22.52,4165.0,nan,Hours of seclusion use,0.11,10.82,4165.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,233.0,nan,Alcohol use brief intervention provided or offered,13.0,47.0,nan,9.0,47.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,104.0,nan,20.0,104.0,nan,Tobacco use screening,100.0,235.0,nan,Tobacco use treatment provided or offered,6.0,128.0,nan,5.0,128.0,nan,Tobacco use treatment provided or offered at discharge,4.0,121.0,nan,2.0,121.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,536.0,nan,Timely transmission of transition record (TR2),0.0,536.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.2,95.0,nan,18.9,95.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,278.0,21.9,18.3,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,260.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,35.0,nan,2017-10-01,2018-03-31
260050,MOSAIC MEDICAL CENTER - MARYVILLE,2016 SOUTH MAIN ST,MARYVILLE,MO,64468,NODAWAY,Hours of physical-restraint use,0.0,0.0,3610.0,nan,Hours of seclusion use,0.0,0.0,3610.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,227.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,588.0,nan,Alcohol use brief intervention provided or offered,93.0,224.0,nan,93.0,224.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,193.0,nan,85.0,193.0,nan,Tobacco use screening,100.0,592.0,nan,Tobacco use treatment provided or offered,91.0,364.0,nan,75.0,364.0,nan,Tobacco use treatment provided or offered at discharge,92.0,348.0,nan,70.0,348.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),65.0,585.0,nan,Timely transmission of transition record (TR2),63.0,585.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,42.0,nan,42.9,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,121.0,20.6,15.9,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,24.0,nan,2017-10-01,2018-03-31
260057,CAMERON REGIONAL MEDICAL CENTER,1600 E EVERGREEN,CAMERON,MO,64429,CLINTON,Hours of physical-restraint use,0.0,0.0,2630.0,nan,Hours of seclusion use,0.0,0.0,2630.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,18.0,11.0,nan,Screening for metabolic disorders (SMD),74.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,64.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,92.0,78.0,nan,Tobacco use treatment provided or offered,0.0,15.0,nan,0.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),15.0,211.0,nan,Timely transmission of transition record (TR2),0.0,211.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,84.6,13.0,nan,53.8,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,320.0,23.4,19.2,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,94.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,38.0,nan,2017-10-01,2018-03-31
260061,NEVADA REGIONAL MEDICAL CENTER,800 S ASH ST,NEVADA,MO,64772,VERNON,Hours of physical-restraint use,0.0,0.0,6358.0,nan,Hours of seclusion use,0.0,0.0,6358.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,22.0,nan,Screening for metabolic disorders (SMD),70.0,245.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,607.0,nan,Alcohol use brief intervention provided or offered,85.0,136.0,nan,57.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,259.0,nan,17.0,259.0,nan,Tobacco use screening,99.0,622.0,nan,Tobacco use treatment provided or offered,96.0,420.0,nan,76.0,420.0,nan,Tobacco use treatment provided or offered at discharge,65.0,411.0,nan,1.0,411.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),74.0,672.0,nan,Timely transmission of transition record (TR2),63.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.3,124.0,nan,29.0,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,360.0,18.0,14.9,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,140.0,nan,2017-10-01,2018-03-31
260064,SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN,620 E MONROE,MEXICO,MO,65265,AUDRAIN,Hours of physical-restraint use,0.14,13.2,3832.0,nan,Hours of seclusion use,0.0,0.0,3832.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),78.0,233.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,325.0,nan,Alcohol use brief intervention provided or offered,74.0,53.0,nan,70.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,44.0,nan,45.0,44.0,nan,Tobacco use screening,99.0,324.0,nan,Tobacco use treatment provided or offered,44.0,97.0,nan,35.0,97.0,nan,Tobacco use treatment provided or offered at discharge,82.0,79.0,nan,3.0,79.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),70.0,329.0,nan,Timely transmission of transition record (TR2),47.0,329.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.8,52.0,nan,32.7,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,148.0,18.7,14.5,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,173.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,45.0,nan,2017-10-01,2018-03-31
260070,PEMISCOT COUNTY MEMORIAL HOSPITAL,946 EAST REED,HAYTI,MO,63851,PEMISCOT,Hours of physical-restraint use,0.0,0.0,6319.0,nan,Hours of seclusion use,0.0,0.0,6319.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,180.0,nan,Screening for metabolic disorders (SMD),40.0,616.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,1033.0,nan,Alcohol use brief intervention provided or offered,20.0,162.0,nan,17.0,162.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,162.0,nan,24.0,162.0,nan,Tobacco use screening,100.0,1033.0,nan,Tobacco use treatment provided or offered,87.0,765.0,nan,55.0,765.0,nan,Tobacco use treatment provided or offered at discharge,33.0,1029.0,nan,32.0,1029.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,1033.0,nan,Timely transmission of transition record (TR2),26.0,1226.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.3,110.0,nan,19.1,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,641.0,24.5,21.9,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),46.0,424.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,63.0,nan,2017-10-01,2018-03-31
260074,MOBERLY REGIONAL MEDICAL CENTER,1515 UNION AVE,MOBERLY,MO,65270,RANDOLPH,Hours of physical-restraint use,0.01,0.53,3751.0,nan,Hours of seclusion use,0.0,0.0,3751.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,21.0,nan,Screening for metabolic disorders (SMD),99.0,207.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,44.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,45.0,nan,Tobacco use treatment provided or offered,95.0,19.0,nan,74.0,19.0,nan,Tobacco use treatment provided or offered at discharge,76.0,17.0,nan,29.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,288.0,nan,Timely transmission of transition record (TR2),78.0,288.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.5,43.0,nan,9.3,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,344.0,20.0,16.4,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,113.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,49.0,nan,2017-10-01,2018-03-31
260091,SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS,6420 CLAYTON RD,RICHMOND HEIGHTS,MO,63117,ST. LOUIS,Hours of physical-restraint use,0.06,42.35,30564.0,nan,Hours of seclusion use,0.04,26.5,30564.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,44.0,nan,Screening for metabolic disorders (SMD),66.0,318.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,543.0,nan,Alcohol use brief intervention provided or offered,87.0,124.0,nan,86.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,239.0,nan,31.0,239.0,nan,Tobacco use screening,100.0,542.0,nan,Tobacco use treatment provided or offered,39.0,293.0,nan,29.0,293.0,nan,Tobacco use treatment provided or offered at discharge,90.0,261.0,nan,3.0,261.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),42.0,614.0,nan,Timely transmission of transition record (TR2),36.0,614.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.2,199.0,nan,15.1,199.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1011.0,23.8,21.5,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,287.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,74.0,nan,2017-10-01,2018-03-31
260097,WESTERN MISSOURI MEDICAL CENTER,403 BURKARTH ROAD,WARRENSBURG,MO,64093,JOHNSON,Hours of physical-restraint use,0.0,0.0,2366.0,nan,Hours of seclusion use,0.0,0.0,2360.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,102.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,162.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,167.0,nan,Tobacco use treatment provided or offered,80.0,15.0,nan,67.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,176.0,nan,Timely transmission of transition record (TR2),96.0,176.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,34.0,18.4,12.6,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,17.0,nan,2017-10-01,2018-03-31
260104,SSM HEALTH DEPAUL HOSPITAL ST LOUIS,12303 DEPAUL DRIVE,BRIDGETON,MO,63044,ST. LOUIS,Hours of physical-restraint use,0.38,267.58,29565.0,nan,Hours of seclusion use,0.38,268.25,29565.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,104.0,nan,Screening for metabolic disorders (SMD),91.0,491.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,699.0,nan,Alcohol use brief intervention provided or offered,71.0,168.0,nan,71.0,168.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,375.0,nan,42.0,375.0,nan,Tobacco use screening,99.0,700.0,nan,Tobacco use treatment provided or offered,70.0,417.0,nan,58.0,417.0,nan,Tobacco use treatment provided or offered at discharge,84.0,379.0,nan,4.0,379.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,972.0,nan,Timely transmission of transition record (TR2),30.0,972.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.9,102.0,nan,18.6,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,373.0,21.4,18.3,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,506.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,185.0,nan,2017-10-01,2018-03-31
260105,SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL,3635 VISTA AVE,SAINT LOUIS,MO,63110,ST. LOUIS CITY,Hours of physical-restraint use,0.17,41.08,10263.0,nan,Hours of seclusion use,0.63,156.33,10263.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),13.0,273.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,541.0,nan,Alcohol use brief intervention provided or offered,51.0,108.0,nan,23.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,242.0,nan,35.0,242.0,nan,Tobacco use screening,99.0,556.0,nan,Tobacco use treatment provided or offered,84.0,255.0,nan,41.0,255.0,nan,Tobacco use treatment provided or offered at discharge,23.0,234.0,nan,1.0,234.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),19.0,482.0,nan,Timely transmission of transition record (TR2),16.0,482.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,108.0,nan,14.8,108.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,569.0,21.0,18.3,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,130.0,nan,2017-10-01,2018-03-31
260110,SOUTHEASTHEALTH,1701 LACEY ST,CAPE GIRARDEAU,MO,63701,CAPE GIRARDEAU,Hours of physical-restraint use,0.0,0.0,2425.0,nan,Hours of seclusion use,0.0,0.0,2425.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,37.0,nan,Screening for metabolic disorders (SMD),57.0,182.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,563.0,nan,Alcohol use brief intervention provided or offered,100.0,88.0,nan,100.0,88.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,210.0,nan,86.0,210.0,nan,Tobacco use screening,100.0,564.0,nan,Tobacco use treatment provided or offered,100.0,327.0,nan,88.0,327.0,nan,Tobacco use treatment provided or offered at discharge,98.0,314.0,nan,2.0,314.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),42.0,686.0,nan,Timely transmission of transition record (TR2),42.0,686.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.6,86.0,nan,19.8,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,295.0,20.4,17.2,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,23.0,nan,2017-10-01,2018-03-31
260113,MISSOURI DELTA MEDICAL CENTER,1008 NORTH MAIN ST,SIKESTON,MO,63801,SCOTT,Hours of physical-restraint use,0.0,0.0,2020.0,nan,Hours of seclusion use,0.0,0.0,722.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,14.0,nan,Screening for metabolic disorders (SMD),66.0,82.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,109.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,14.0,nan,21.0,14.0,nan,Tobacco use screening,100.0,112.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,112.0,nan,Timely transmission of transition record (TR2),93.0,112.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.8,53.0,nan,15.1,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,587.0,17.1,14.3,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,214.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,28.0,nan,2017-10-01,2018-03-31
260137,FREEMAN HEALTH SYSTEM - FREEMAN WEST,1102 WEST 32ND STREET,JOPLIN,MO,64804,JASPER,Hours of physical-restraint use,0.02,1.5,2668.0,nan,Hours of seclusion use,0.4,25.44,2668.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),84.0,182.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,117.0,nan,Alcohol use brief intervention provided or offered,62.0,21.0,nan,62.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,22.0,nan,73.0,22.0,nan,Tobacco use screening,98.0,117.0,nan,Tobacco use treatment provided or offered,77.0,44.0,nan,43.0,44.0,nan,Tobacco use treatment provided or offered at discharge,60.0,30.0,nan,30.0,30.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,359.0,nan,Timely transmission of transition record (TR2),0.0,359.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,46.0,nan,23.9,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,328.0,19.0,15.3,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,166.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,140.0,nan,2017-10-01,2018-03-31
260141,UNIVERSITY OF MISSOURI HEALTH CARE,ONE HOSPITAL DRIVE,COLUMBIA,MO,65212,BOONE,Hours of physical-restraint use,3.41,1587.95,19384.0,nan,Hours of seclusion use,0.77,356.27,19384.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,176.0,nan,Screening for metabolic disorders (SMD),71.0,1898.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,1714.0,nan,Alcohol use brief intervention provided or offered,33.0,1094.0,nan,33.0,1094.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,1094.0,nan,0.0,1094.0,nan,Tobacco use screening,97.0,2175.0,nan,Tobacco use treatment provided or offered,71.0,1392.0,nan,47.0,1392.0,nan,Tobacco use treatment provided or offered at discharge,0.0,1392.0,nan,0.0,1392.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,3035.0,nan,Timely transmission of transition record (TR2),76.0,3035.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.2,203.0,nan,26.1,203.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,625.0,18.8,16.3,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,130.0,nan,2017-10-01,2018-03-31
260142,FITZGIBBON HOSPITAL,2305 S 65 HIGHWAY,MARSHALL,MO,65340,SALINE,Hours of physical-restraint use,0.02,1.0,1777.0,nan,Hours of seclusion use,0.0,0.0,1777.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),86.0,153.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,506.0,nan,Alcohol use brief intervention provided or offered,31.0,58.0,nan,28.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,58.0,nan,10.0,58.0,nan,Tobacco use screening,86.0,506.0,nan,Tobacco use treatment provided or offered,83.0,278.0,nan,78.0,278.0,nan,Tobacco use treatment provided or offered at discharge,62.0,278.0,nan,0.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,490.0,nan,Timely transmission of transition record (TR2),0.0,490.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.8,47.0,nan,29.8,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,134.0,18.6,14.5,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,210.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,52.0,nan,2017-10-01,2018-03-31
260163,PARKLAND HEALTH CENTER,1101 W LIBERTY,FARMINGTON,MO,63640,ST. FRANCOIS,Hours of physical-restraint use,0.0,0.0,2766.0,nan,Hours of seclusion use,0.0,0.0,2766.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,247.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,329.0,nan,Alcohol use brief intervention provided or offered,80.0,15.0,nan,80.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,63.0,nan,30.0,63.0,nan,Tobacco use screening,100.0,329.0,nan,Tobacco use treatment provided or offered,56.0,107.0,nan,38.0,107.0,nan,Tobacco use treatment provided or offered at discharge,7.0,96.0,nan,6.0,96.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,337.0,nan,Timely transmission of transition record (TR2),0.0,337.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.8,80.0,nan,15.0,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,312.0,18.2,14.7,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,181.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,486.0,nan,2017-10-01,2018-03-31
260195,CITIZENS MEMORIAL HOSPITAL,1500 N OAKLAND,BOLIVAR,MO,65613,POLK,Hours of physical-restraint use,0.05,4.9,3944.0,nan,Hours of seclusion use,0.0,0.0,3944.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,269.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,398.0,nan,Alcohol use brief intervention provided or offered,86.0,14.0,nan,79.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,46.0,nan,11.0,46.0,nan,Tobacco use screening,99.0,381.0,nan,Tobacco use treatment provided or offered,63.0,87.0,nan,48.0,87.0,nan,Tobacco use treatment provided or offered at discharge,39.0,54.0,nan,11.0,54.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),28.0,422.0,nan,Timely transmission of transition record (TR2),25.0,422.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,85.7,56.0,nan,58.9,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,382.0,18.3,15.0,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,167.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,43.0,nan,2017-10-01,2018-03-31
260209,FULTON MEDICAL CENTER LLC,10 SOUTH HOSPITAL DRIVE,FULTON,MO,65251,CALLAWAY,Hours of physical-restraint use,0.02,1.41,3602.0,nan,Hours of seclusion use,0.13,11.5,3602.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,27.0,nan,Screening for metabolic disorders (SMD),0.0,155.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,120.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,118.0,nan,Tobacco use treatment provided or offered,42.0,36.0,nan,19.0,36.0,nan,Tobacco use treatment provided or offered at discharge,0.0,21.0,nan,0.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,215.0,nan,Timely transmission of transition record (TR2),3.0,215.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,21.0,nan,14.3,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,364.0,18.3,14.9,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,75.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,32.0,nan,2017-10-01,2018-03-31
260210,ST ALEXIUS HOSPITAL,3933 S BROADWAY,SAINT LOUIS,MO,63118,ST. LOUIS CITY,Hours of physical-restraint use,0.56,144.9,10847.0,nan,Hours of seclusion use,0.68,176.67,10847.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,12.0,154.0,nan,Screening for metabolic disorders (SMD),42.0,448.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,83.0,541.0,nan,Alcohol use brief intervention provided or offered,4.0,23.0,nan,4.0,23.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,3.0,31.0,nan,3.0,31.0,nan,Tobacco use screening,79.0,542.0,nan,Tobacco use treatment provided or offered,4.0,113.0,nan,0.0,113.0,nan,Tobacco use treatment provided or offered at discharge,0.0,30.0,nan,0.0,30.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,545.0,nan,Timely transmission of transition record (TR2),0.0,545.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,22.0,nan,13.6,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,618.0,22.2,19.4,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,268.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,91.0,nan,2017-10-01,2018-03-31
261324,CASS REGIONAL MEDICAL CENTER,2800 E ROCK HAVEN ROAD,HARRISONVILLE,MO,64701,CASS,Hours of physical-restraint use,0.0,0.0,2644.0,nan,Hours of seclusion use,0.0,0.0,2644.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),78.0,170.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,214.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,214.0,nan,Tobacco use treatment provided or offered,85.0,26.0,nan,65.0,26.0,nan,Tobacco use treatment provided or offered at discharge,57.0,14.0,nan,7.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,177.0,nan,Timely transmission of transition record (TR2),97.0,177.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,169.0,20.6,15.7,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,93.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,551.0,nan,2017-10-01,2018-03-31
261337,MISSOURI BAPTIST SULLIVAN HOSPITAL,751 SAPPINGTON BRIDGE RD,SULLIVAN,MO,63080,FRANKLIN,Hours of physical-restraint use,0.0,0.0,2811.0,nan,Hours of seclusion use,0.0,0.0,2811.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),4.0,241.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,360.0,nan,Alcohol use brief intervention provided or offered,100.0,26.0,nan,100.0,26.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,88.0,nan,34.0,88.0,nan,Tobacco use screening,100.0,359.0,nan,Tobacco use treatment provided or offered,70.0,115.0,nan,22.0,115.0,nan,Tobacco use treatment provided or offered at discharge,5.0,97.0,nan,5.0,97.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,375.0,nan,Timely transmission of transition record (TR2),0.0,375.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.6,59.0,nan,22.0,59.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,323.0,23.4,19.5,28.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,175.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,503.0,nan,2017-10-01,2018-03-31
264004,FULTON STATE HOSPITAL,600 EAST 5TH STREET,FULTON,MO,65251,CALLAWAY,Hours of physical-restraint use,0.62,183.23,12358.0,nan,Hours of seclusion use,0.0,0.57,12358.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,1.0,Timely transmission of transition record (TR2),,,1.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),100.0,1241.0,nan,2017-10-01,2018-03-31
264005,SOUTHEAST MISSOURI MENTAL HLTH CTR,1010 WEST COLUMBIA STREET,FARMINGTON,MO,63640,ST. FRANCOIS,Hours of physical-restraint use,0.3,249.48,34217.0,nan,Hours of seclusion use,0.25,204.52,34217.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,1.0,Timely transmission of transition record (TR2),,,1.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),98.0,1004.0,nan,2017-10-01,2018-03-31
264007,NORTHWEST MISSOURI PSYCHIATRIC REHAB CTR,3505 FREDERICK AVENUE,SAINT JOSEPH,MO,64502,BUCHANAN,Hours of physical-restraint use,0.07,11.22,7070.0,nan,Hours of seclusion use,0.23,39.73,7070.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,1.0,Timely transmission of transition record (TR2),,,1.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),100.0,410.0,nan,2017-10-01,2018-03-31
264008,CENTER FOR BEHAVIORAL MEDICINE,1000 E 24TH STREET,KANSAS CITY,MO,64108,JACKSON,Hours of physical-restraint use,0.14,77.15,23323.0,nan,Hours of seclusion use,0.03,16.92,23323.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,29.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,22.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,11.0,nan,9.0,11.0,nan,Tobacco use screening,86.0,22.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,59.0,nan,Timely transmission of transition record (TR2),81.0,59.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),98.0,471.0,nan,2017-10-01,2018-03-31
264010,ST LOUIS PSYCHIATRIC REHAB CENTER,5400 ARSENAL ST,SAINT LOUIS,MO,63139,ST. LOUIS,Hours of physical-restraint use,0.13,26.85,8859.0,nan,Hours of seclusion use,0.0,0.0,8859.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,1.0,Timely transmission of transition record (TR2),,,1.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),99.0,775.0,nan,2017-10-01,2018-03-31
264012,CENTERPOINTE HOSPITAL,4801 WELDON SPRING PARKWAY,SAINT CHARLES,MO,63304,ST. CHARLES,Hours of physical-restraint use,0.23,175.0,32354.0,nan,Hours of seclusion use,0.05,37.61,32354.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,185.0,nan,Screening for metabolic disorders (SMD),22.0,440.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,474.0,nan,Alcohol use brief intervention provided or offered,83.0,161.0,nan,83.0,161.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,227.0,nan,63.0,227.0,nan,Tobacco use screening,95.0,474.0,nan,Tobacco use treatment provided or offered,72.0,189.0,nan,25.0,189.0,nan,Tobacco use treatment provided or offered at discharge,1.0,142.0,nan,1.0,142.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,765.0,nan,Timely transmission of transition record (TR2),11.0,765.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.6,368.0,nan,53.0,368.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,984.0,17.8,15.9,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),28.0,397.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,606.0,nan,2017-10-01,2018-03-31
264017,TWO RIVERS BEHAVIORAL HEALTH SYSTEM,5121 RAYTOWN ROAD,KANSAS CITY,MO,64133,JACKSON,Hours of physical-restraint use,0.08,23.28,11796.0,nan,Hours of seclusion use,0.03,7.55,11796.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,8.0,40.0,nan,Screening for metabolic disorders (SMD),56.0,306.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,264.0,nan,Alcohol use brief intervention provided or offered,59.0,79.0,nan,59.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,120.0,nan,28.0,120.0,nan,Tobacco use screening,99.0,264.0,nan,Tobacco use treatment provided or offered,63.0,146.0,nan,25.0,146.0,nan,Tobacco use treatment provided or offered at discharge,27.0,131.0,nan,1.0,131.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,672.0,nan,Timely transmission of transition record (TR2),28.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.4,205.0,nan,37.6,205.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,640.0,22.0,19.5,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,333.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,176.0,nan,2017-10-01,2018-03-31
264020,ROYAL OAKS HOSPITAL,307 N MAIN,WINDSOR,MO,65360,HENRY,Hours of physical-restraint use,0.76,178.53,9741.0,nan,Hours of seclusion use,0.13,31.12,9741.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,14.0,nan,Screening for metabolic disorders (SMD),93.0,433.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,290.0,nan,Alcohol use brief intervention provided or offered,76.0,68.0,nan,76.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,172.0,nan,62.0,172.0,nan,Tobacco use screening,99.0,292.0,nan,Tobacco use treatment provided or offered,88.0,192.0,nan,5.0,192.0,nan,Tobacco use treatment provided or offered at discharge,88.0,192.0,nan,5.0,192.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,664.0,nan,Timely transmission of transition record (TR2),76.0,664.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,82.6,23.0,nan,73.9,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,72.0,21.1,16.2,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,283.0,nan,2017-10-01,2018-03-31
264024,LAKELAND BEHAVIORAL HEALTH SYSTEM,440 S MARKET,SPRINGFIELD,MO,65806,GREENE,Hours of physical-restraint use,0.1,76.5,31702.0,nan,Hours of seclusion use,0.72,548.18,31702.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),69.0,275.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,44.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,60.0,nan,Tobacco use treatment provided or offered,83.0,12.0,nan,8.0,12.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),77.0,620.0,nan,Timely transmission of transition record (TR2),68.0,620.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.0,50.0,nan,18.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,253.0,16.1,12.5,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,281.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,520.0,nan,2017-10-01,2018-03-31
264025,METROPOLITAN ST LOUIS PSYCHIATRIC CTR,5351 DELMAR BOULEVARD,SAINT LOUIS,MO,63112,ST. LOUIS CITY,Hours of physical-restraint use,0.27,118.58,18100.0,nan,Hours of seclusion use,0.16,69.57,18100.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,8.0,12.0,nan,Screening for metabolic disorders (SMD),100.0,58.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,77.0,nan,Timely transmission of transition record (TR2),96.0,77.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),98.0,226.0,nan,2017-10-01,2018-03-31
264030,SIGNATURE PSYCHIATRIC HOSPITAL,2900 CLAY EDWARDS DRIVE,NORTH KANSAS CITY,MO,64116,CLAY,Hours of physical-restraint use,0.13,23.93,7566.0,nan,Hours of seclusion use,0.0,0.0,7566.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),48.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,592.0,nan,Alcohol use brief intervention provided or offered,81.0,188.0,nan,81.0,188.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,274.0,nan,33.0,274.0,nan,Tobacco use screening,100.0,591.0,nan,Tobacco use treatment provided or offered,75.0,342.0,nan,2.0,342.0,nan,Tobacco use treatment provided or offered at discharge,26.0,319.0,nan,0.0,319.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),59.0,578.0,nan,Timely transmission of transition record (TR2),44.0,578.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.8,111.0,nan,28.8,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,265.0,21.9,18.3,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,285.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,177.0,nan,2017-10-01,2018-03-31
264031,OSAGE BEACH CENTER FOR COGNITIVE DISORDERS,840 PASSOVER ROAD,OSAGE BEACH,MO,65065,CAMDEN,Hours of physical-restraint use,0.43,4.98,479.0,nan,Hours of seclusion use,1.1,97.5,3688.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,24.0,nan,Screening for metabolic disorders (SMD),88.0,146.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,441.0,nan,Alcohol use brief intervention provided or offered,100.0,60.0,nan,88.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,190.0,nan,4.0,190.0,nan,Tobacco use screening,100.0,479.0,nan,Tobacco use treatment provided or offered,99.0,261.0,nan,99.0,261.0,nan,Tobacco use treatment provided or offered at discharge,100.0,190.0,nan,4.0,190.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,455.0,nan,Timely transmission of transition record (TR2),74.0,455.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.3,45.0,nan,20.0,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,156.0,24.6,19.9,30.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,229.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,45.0,nan,2017-10-01,2018-03-31
270003,ST PETERS HOSPITAL,2475 BROADWAY,HELENA,MT,59601,LEWIS AND CLARK,Hours of physical-restraint use,0.25,34.0,5603.0,nan,Hours of seclusion use,0.19,25.16,5603.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,26.0,nan,Screening for metabolic disorders (SMD),86.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,438.0,nan,Alcohol use brief intervention provided or offered,93.0,89.0,nan,65.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,108.0,nan,14.0,108.0,nan,Tobacco use screening,100.0,438.0,nan,Tobacco use treatment provided or offered,96.0,167.0,nan,96.0,167.0,nan,Tobacco use treatment provided or offered at discharge,27.0,140.0,nan,0.0,140.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,441.0,nan,Timely transmission of transition record (TR2),76.0,441.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.1,43.0,nan,32.6,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,323.0,17.8,14.3,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,177.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,63.0,nan,2017-10-01,2018-03-31
270014,ST PATRICK HOSPITAL,500 W BROADWAY,MISSOULA,MT,59806,MISSOULA,Hours of physical-restraint use,0.05,9.12,7658.0,nan,Hours of seclusion use,0.0,0.0,7658.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,19.0,nan,Screening for metabolic disorders (SMD),69.0,255.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,479.0,nan,Alcohol use brief intervention provided or offered,93.0,175.0,nan,93.0,175.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,255.0,nan,49.0,255.0,nan,Tobacco use screening,100.0,498.0,nan,Tobacco use treatment provided or offered,93.0,274.0,nan,69.0,274.0,nan,Tobacco use treatment provided or offered at discharge,52.0,248.0,nan,20.0,248.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),11.0,601.0,nan,Timely transmission of transition record (TR2),6.0,601.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.1,130.0,nan,37.7,130.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,309.0,14.6,11.7,18.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,89.0,nan,2017-10-01,2018-03-31
274004,SHODAIR CHILDREN'S HOSPITAL,2755 COLONIAL DR,HELENA,MT,59601,LEWIS AND CLARK,Hours of physical-restraint use,0.15,23.0,6246.0,nan,Hours of seclusion use,0.85,127.0,6246.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,398.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),38.0,688.0,nan,Timely transmission of transition record (TR2),27.0,688.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),68.0,376.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,363.0,nan,2017-10-01,2018-03-31
274086,MONTANA STATE HOSPITAL,100 GARNET WAY,WARM SPRINGS,MT,59756,DEER LODGE,Hours of physical-restraint use,0.12,116.1,39178.0,nan,Hours of seclusion use,0.91,853.18,39178.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,41.0,88.0,nan,Screening for metabolic disorders (SMD),54.0,454.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,58.0,596.0,nan,Alcohol use brief intervention provided or offered,12.0,145.0,nan,10.0,145.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,28.0,259.0,nan,27.0,259.0,nan,Tobacco use screening,97.0,594.0,nan,Tobacco use treatment provided or offered,54.0,348.0,nan,31.0,348.0,nan,Tobacco use treatment provided or offered at discharge,0.0,315.0,nan,0.0,315.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,506.0,nan,Timely transmission of transition record (TR2),0.0,506.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.3,95.0,nan,30.5,95.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,256.0,17.3,14.0,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),6.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),45.0,630.0,nan,2017-10-01,2018-03-31
280003,BRYAN MEDICAL CENTER,1600 SOUTH 48TH ST,LINCOLN,NE,68506,LANCASTER,Hours of physical-restraint use,0.02,2.29,4070.0,nan,Hours of seclusion use,0.01,0.65,4070.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,51.0,nan,Screening for metabolic disorders (SMD),92.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,563.0,nan,Alcohol use brief intervention provided or offered,93.0,84.0,nan,93.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,140.0,nan,84.0,140.0,nan,Tobacco use screening,100.0,563.0,nan,Tobacco use treatment provided or offered,83.0,208.0,nan,50.0,208.0,nan,Tobacco use treatment provided or offered at discharge,58.0,188.0,nan,5.0,188.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,578.0,nan,Timely transmission of transition record (TR2),90.0,578.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.3,336.0,nan,38.7,336.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,973.0,15.3,13.3,17.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,191.0,nan,2017-10-01,2018-03-31
280013,THE NEBRASKA MEDICAL CENTER,987400 NEBRASKA MEDICAL CENTER,OMAHA,NE,68198,DOUGLAS,Hours of physical-restraint use,0.0,0.0,2323.0,nan,Hours of seclusion use,0.0,0.0,2323.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,137.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,345.0,nan,Alcohol use brief intervention provided or offered,100.0,90.0,nan,29.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,95.0,nan,33.0,95.0,nan,Tobacco use screening,98.0,346.0,nan,Tobacco use treatment provided or offered,99.0,168.0,nan,77.0,168.0,nan,Tobacco use treatment provided or offered at discharge,92.0,154.0,nan,4.0,154.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,383.0,nan,Timely transmission of transition record (TR2),68.0,382.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.5,32.0,nan,28.1,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,112.0,22.9,18.2,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,172.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,51.0,nan,2017-10-01,2018-03-31
280032,MARY LANNING HEALTHCARE,715 N ST JOSEPH AVE,HASTINGS,NE,68901,ADAMS,Hours of physical-restraint use,0.38,50.45,5571.0,nan,Hours of seclusion use,0.11,14.8,5571.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,31.0,nan,Screening for metabolic disorders (SMD),89.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,523.0,nan,Alcohol use brief intervention provided or offered,86.0,145.0,nan,84.0,145.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,212.0,nan,84.0,212.0,nan,Tobacco use screening,99.0,523.0,nan,Tobacco use treatment provided or offered,93.0,329.0,nan,76.0,329.0,nan,Tobacco use treatment provided or offered at discharge,83.0,304.0,nan,3.0,304.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),91.0,612.0,nan,Timely transmission of transition record (TR2),91.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.4,109.0,nan,24.8,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,358.0,17.9,14.7,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,74.0,nan,2017-10-01,2018-03-31
280061,REGIONAL WEST MEDICAL CENTER,4021 AVE B,SCOTTSBLUFF,NE,69361,SCOTT BLUFF,Hours of physical-restraint use,0.03,2.15,2592.0,nan,Hours of seclusion use,0.39,24.05,2592.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,15.0,nan,Screening for metabolic disorders (SMD),31.0,138.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,326.0,nan,Alcohol use brief intervention provided or offered,93.0,112.0,nan,89.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,157.0,nan,66.0,157.0,nan,Tobacco use screening,94.0,342.0,nan,Tobacco use treatment provided or offered,89.0,188.0,nan,46.0,188.0,nan,Tobacco use treatment provided or offered at discharge,82.0,182.0,nan,1.0,182.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),46.0,594.0,nan,Timely transmission of transition record (TR2),44.0,594.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.7,56.0,nan,37.5,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,145.0,21.1,16.5,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,374.0,nan,2017-10-01,2018-03-31
280065,GREAT PLAINS HEALTH,601 WEST LEOTA ST,NORTH PLATTE,NE,69101,LINCOLN,Hours of physical-restraint use,0.31,29.52,4019.0,nan,Hours of seclusion use,0.1,9.43,4019.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,13.0,nan,Screening for metabolic disorders (SMD),45.0,248.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,477.0,nan,Alcohol use brief intervention provided or offered,88.0,128.0,nan,62.0,128.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,214.0,nan,47.0,214.0,nan,Tobacco use screening,99.0,478.0,nan,Tobacco use treatment provided or offered,89.0,295.0,nan,13.0,295.0,nan,Tobacco use treatment provided or offered at discharge,87.0,267.0,nan,1.0,267.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,703.0,nan,Timely transmission of transition record (TR2),80.0,703.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.2,117.0,nan,52.1,117.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,328.0,19.8,16.6,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,346.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,31.0,nan,2017-10-01,2018-03-31
280077,METHODIST FREMONT HEALTH,450 EAST 23RD ST,FREMONT,NE,68025,DODGE,Hours of physical-restraint use,0.21,20.47,3975.0,nan,Hours of seclusion use,0.52,49.22,3975.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,42.0,nan,Screening for metabolic disorders (SMD),70.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,539.0,nan,Alcohol use brief intervention provided or offered,98.0,183.0,nan,63.0,183.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,250.0,nan,75.0,250.0,nan,Tobacco use screening,100.0,537.0,nan,Tobacco use treatment provided or offered,99.0,329.0,nan,3.0,329.0,nan,Tobacco use treatment provided or offered at discharge,96.0,315.0,nan,1.0,315.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,569.0,nan,Timely transmission of transition record (TR2),79.0,569.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.7,28.0,nan,39.3,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,45.0,19.0,14.6,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,53.0,nan,2017-10-01,2018-03-31
280081,CHI HEALTH IMMANUEL,6901 NORTH 72ND ST,OMAHA,NE,68122,DOUGLAS,Hours of physical-restraint use,0.01,0.58,4802.0,nan,Hours of seclusion use,0.0,0.53,4802.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,11.0,nan,Screening for metabolic disorders (SMD),91.0,269.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,36.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,36.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,457.0,nan,Timely transmission of transition record (TR2),62.0,457.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.9,144.0,nan,56.3,144.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,513.0,16.9,14.1,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,235.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,824.0,nan,2017-10-01,2018-03-31
281301,FILLMORE COUNTY HOSPITAL,"P O BOX 193, 1900 F STREET",GENEVA,NE,68361,FILLMORE,Hours of physical-restraint use,0.0,0.0,2156.0,nan,Hours of seclusion use,0.33,17.2,2156.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,18.0,nan,Screening for metabolic disorders (SMD),18.0,113.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,144.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,141.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,146.0,nan,Timely transmission of transition record (TR2),82.0,146.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.4,14.0,nan,35.7,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,148.0,20.3,15.4,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),62.0,69.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,27.0,nan,2017-10-01,2018-03-31
284003,LINCOLN REGIONAL CENTER,PO BOX 94949 FOLSOM AND PROSPECTOR,LINCOLN,NE,68509,LANCASTER,Hours of physical-restraint use,0.34,173.78,21550.0,nan,Hours of seclusion use,0.31,162.67,21550.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,87.0,15.0,nan,Screening for metabolic disorders (SMD),87.0,30.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,17.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,82.0,17.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),73.0,52.0,nan,Timely transmission of transition record (TR2),58.0,52.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),97.0,719.0,nan,2017-10-01,2018-03-31
284009,DOUGLAS COUNTY HEALTH CENTER,4102 WOOLWORTH AVE,OMAHA,NE,68105,DOUGLAS,Hours of physical-restraint use,0.1,9.56,3830.0,nan,Hours of seclusion use,0.2,18.76,3830.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,58.0,nan,Screening for metabolic disorders (SMD),58.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,609.0,nan,Alcohol use brief intervention provided or offered,95.0,257.0,nan,80.0,257.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,257.0,nan,75.0,257.0,nan,Tobacco use screening,97.0,609.0,nan,Tobacco use treatment provided or offered,78.0,464.0,nan,67.0,464.0,nan,Tobacco use treatment provided or offered at discharge,41.0,464.0,nan,29.0,464.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,609.0,nan,Timely transmission of transition record (TR2),92.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.1,87.0,nan,46.0,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,263.0,27.7,23.4,31.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,444.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,129.0,nan,2017-10-01,2018-03-31
290005,NORTH VISTA HOSPITAL,1409 EAST LAKE MEAD BLVD,NORTH LAS VEGAS,NV,89030,CLARK,Hours of physical-restraint use,0.01,6.42,24354.0,nan,Hours of seclusion use,0.0,1.83,24354.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,601.0,nan,Screening for metabolic disorders (SMD),68.0,631.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,266.0,nan,Alcohol use brief intervention provided or offered,100.0,32.0,nan,91.0,32.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,74.0,nan,65.0,74.0,nan,Tobacco use screening,100.0,277.0,nan,Tobacco use treatment provided or offered,99.0,166.0,nan,99.0,166.0,nan,Tobacco use treatment provided or offered at discharge,97.0,154.0,nan,97.0,154.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,967.0,nan,Timely transmission of transition record (TR2),83.0,967.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.9,259.0,nan,14.7,259.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1186.0,25.4,23.5,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,512.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,149.0,nan,2017-10-01,2018-03-31
290019,CARSON TAHOE REGIONAL MEDICAL CENTER,1600 MEDICAL PARKWAY,CARSON CITY,NV,89703,CARSON CITY,Hours of physical-restraint use,0.0,0.0,16711.0,nan,Hours of seclusion use,0.0,0.0,16711.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),77.0,207.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,455.0,nan,Alcohol use brief intervention provided or offered,84.0,232.0,nan,81.0,232.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,281.0,nan,53.0,281.0,nan,Tobacco use screening,100.0,462.0,nan,Tobacco use treatment provided or offered,99.0,295.0,nan,47.0,295.0,nan,Tobacco use treatment provided or offered at discharge,94.0,229.0,nan,3.0,229.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),46.0,610.0,nan,Timely transmission of transition record (TR2),45.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.6,221.0,nan,24.0,221.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,686.0,20.2,17.6,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,128.0,nan,2017-10-01,2018-03-31
290022,DESERT SPRINGS HOSPITAL,2075 EAST FLAMINGO ROAD,LAS VEGAS,NV,89119,CLARK,Hours of physical-restraint use,0.01,1.52,8411.0,nan,Hours of seclusion use,0.0,0.0,8411.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,19.0,nan,Screening for metabolic disorders (SMD),69.0,297.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,568.0,nan,Alcohol use brief intervention provided or offered,41.0,59.0,nan,31.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,123.0,nan,34.0,123.0,nan,Tobacco use screening,100.0,456.0,nan,Tobacco use treatment provided or offered,64.0,217.0,nan,20.0,217.0,nan,Tobacco use treatment provided or offered at discharge,6.0,178.0,nan,6.0,178.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),25.0,584.0,nan,Timely transmission of transition record (TR2),6.0,584.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.6,92.0,nan,8.7,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,369.0,24.2,20.6,28.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,60.0,nan,2017-10-01,2018-03-31
290032,NORTHERN NEVADA MEDICAL CENTER,2375 E PRATER WAY,SPARKS,NV,89434,WASHOE,Hours of physical-restraint use,0.0,0.0,7411.0,nan,Hours of seclusion use,0.0,0.0,7411.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,177.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,87.0,nan,Alcohol use brief intervention provided or offered,100.0,14.0,nan,93.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,29.0,nan,93.0,29.0,nan,Tobacco use screening,100.0,147.0,nan,Tobacco use treatment provided or offered,100.0,15.0,nan,73.0,15.0,nan,Tobacco use treatment provided or offered at discharge,100.0,14.0,nan,71.0,14.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,268.0,nan,Timely transmission of transition record (TR2),97.0,268.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,56.0,nan,21.4,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,416.0,19.3,16.0,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,121.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,54.0,nan,2017-10-01,2018-03-31
290047,SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER,9300 WEST SUNSET RD,LAS VEGAS,NV,89148,CLARK,Hours of physical-restraint use,0.0,0.0,5479.0,nan,Hours of seclusion use,0.0,0.0,5479.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,15.0,nan,Screening for metabolic disorders (SMD),77.0,180.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,266.0,nan,Alcohol use brief intervention provided or offered,84.0,49.0,nan,80.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,97.0,nan,76.0,97.0,nan,Tobacco use screening,97.0,268.0,nan,Tobacco use treatment provided or offered,94.0,84.0,nan,56.0,84.0,nan,Tobacco use treatment provided or offered at discharge,74.0,76.0,nan,43.0,76.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),58.0,368.0,nan,Timely transmission of transition record (TR2),58.0,368.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.8,85.0,nan,12.9,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,355.0,21.0,17.9,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,196.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
291309,BOULDER CITY HOSPITAL,901 ADAMS BLVD,BOULDER CITY,NV,89005,CLARK,Hours of physical-restraint use,0.0,0.0,3225.0,nan,Hours of seclusion use,0.0,0.0,3225.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,47.0,nan,Screening for metabolic disorders (SMD),100.0,47.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,224.0,nan,Alcohol use brief intervention provided or offered,26.0,39.0,nan,23.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,39.0,nan,13.0,39.0,nan,Tobacco use screening,99.0,223.0,nan,Tobacco use treatment provided or offered,100.0,74.0,nan,92.0,74.0,nan,Tobacco use treatment provided or offered at discharge,100.0,74.0,nan,92.0,74.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,223.0,nan,Timely transmission of transition record (TR2),97.0,223.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.9,45.0,nan,17.8,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,153.0,24.0,20.1,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,108.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,21.0,nan,2017-10-01,2018-03-31
294000,DINI-TOWNSEND HOSPITAL AT NNMH,480 GALLETTI WAY,SPARKS,NV,89431,WASHOE,Hours of physical-restraint use,0.05,12.77,10401.0,nan,Hours of seclusion use,0.02,6.18,10401.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,24.0,38.0,nan,Screening for metabolic disorders (SMD),0.0,211.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,590.0,nan,Alcohol use brief intervention provided or offered,0.0,269.0,nan,0.0,269.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,54.0,nan,0.0,54.0,nan,Tobacco use screening,95.0,590.0,nan,Tobacco use treatment provided or offered,89.0,398.0,nan,89.0,398.0,nan,Tobacco use treatment provided or offered at discharge,0.0,398.0,nan,0.0,398.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,655.0,nan,Timely transmission of transition record (TR2),0.0,655.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.3,38.0,nan,2.6,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,114.0,21.8,17.3,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),39.0,217.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,253.0,nan,2017-10-01,2018-03-31
294002,SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES,6161 W CHARLESTON BLVD,LAS VEGAS,NV,89146,CLARK,Hours of physical-restraint use,0.33,257.45,32451.0,nan,Hours of seclusion use,0.21,166.5,32451.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,13.0,135.0,nan,Screening for metabolic disorders (SMD),0.0,1050.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,1691.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,128.0,nan,0.0,128.0,nan,Tobacco use screening,99.0,1691.0,nan,Tobacco use treatment provided or offered,94.0,1527.0,nan,94.0,1527.0,nan,Tobacco use treatment provided or offered at discharge,0.0,1527.0,nan,0.0,1527.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,2119.0,nan,Timely transmission of transition record (TR2),0.0,2119.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,22.2,36.0,nan,8.3,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,91.0,19.9,15.6,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),34.0,1169.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,805.0,nan,2017-10-01,2018-03-31
294003,BHC WEST HILLS HOSPITAL,1240 E NINTH ST,RENO,NV,89512,WASHOE,Hours of physical-restraint use,0.07,34.05,20095.0,nan,Hours of seclusion use,0.21,99.53,20095.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,31.0,nan,Screening for metabolic disorders (SMD),62.0,265.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,350.0,nan,Alcohol use brief intervention provided or offered,91.0,133.0,nan,79.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,208.0,nan,42.0,208.0,nan,Tobacco use screening,98.0,350.0,nan,Tobacco use treatment provided or offered,55.0,197.0,nan,28.0,197.0,nan,Tobacco use treatment provided or offered at discharge,44.0,187.0,nan,1.0,187.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),50.0,752.0,nan,Timely transmission of transition record (TR2),50.0,752.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.0,275.0,nan,27.6,275.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,785.0,18.7,16.4,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,270.0,nan,2017-10-01,2018-03-31
294009,MONTEVISTA HOSPITAL,5900 WEST ROCHELLE AVENUE,LAS VEGAS,NV,89103,CLARK,Hours of physical-restraint use,0.01,5.0,36645.0,nan,Hours of seclusion use,0.01,11.0,36645.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,28.0,nan,Screening for metabolic disorders (SMD),1.0,376.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,805.0,nan,Alcohol use brief intervention provided or offered,89.0,241.0,nan,87.0,241.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,460.0,nan,85.0,460.0,nan,Tobacco use screening,91.0,826.0,nan,Tobacco use treatment provided or offered,89.0,445.0,nan,14.0,445.0,nan,Tobacco use treatment provided or offered at discharge,49.0,436.0,nan,3.0,436.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,1274.0,nan,Timely transmission of transition record (TR2),73.0,1273.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.9,306.0,nan,13.7,306.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,988.0,25.1,22.8,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),69.0,499.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,530.0,nan,2017-10-01,2018-03-31
294010,SPRING MOUNTAIN SAHARA,5460 WEST SAHARA,LAS VEGAS,NV,89146,CLARK,Hours of physical-restraint use,0.0,0.37,8248.0,nan,Hours of seclusion use,0.0,0.0,8248.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,261.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,656.0,nan,Alcohol use brief intervention provided or offered,99.0,151.0,nan,95.0,151.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,200.0,nan,56.0,200.0,nan,Tobacco use screening,100.0,656.0,nan,Tobacco use treatment provided or offered,100.0,234.0,nan,9.0,234.0,nan,Tobacco use treatment provided or offered at discharge,98.0,207.0,nan,0.0,207.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,673.0,nan,Timely transmission of transition record (TR2),47.0,673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.3,238.0,nan,30.3,238.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,594.0,24.0,21.1,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,59.0,nan,2017-10-01,2018-03-31
294011,SPRING MOUNTAIN TREATMENT CENTER,7000 WEST SPRING MOUNTAIN ROAD,LAS VEGAS,NV,89117,CLARK,Hours of physical-restraint use,0.08,60.53,31991.0,nan,Hours of seclusion use,0.39,295.6,31991.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,358.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,610.0,nan,Alcohol use brief intervention provided or offered,100.0,134.0,nan,91.0,134.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,310.0,nan,73.0,310.0,nan,Tobacco use screening,100.0,610.0,nan,Tobacco use treatment provided or offered,100.0,117.0,nan,3.0,117.0,nan,Tobacco use treatment provided or offered at discharge,96.0,112.0,nan,0.0,112.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),64.0,1131.0,nan,Timely transmission of transition record (TR2),57.0,1131.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.3,310.0,nan,14.8,310.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,858.0,26.7,24.3,29.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,583.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,252.0,nan,2017-10-01,2018-03-31
294012,SEVEN HILLS BEHAVIORAL INSTITUTE,3021 W HORIZON RIDGE PKWY,HENDERSON,NV,89052,CLARK,Hours of physical-restraint use,0.01,13.2,39593.0,nan,Hours of seclusion use,0.02,21.45,39593.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),48.0,442.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,986.0,nan,Alcohol use brief intervention provided or offered,95.0,204.0,nan,90.0,204.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,456.0,nan,25.0,456.0,nan,Tobacco use screening,100.0,989.0,nan,Tobacco use treatment provided or offered,95.0,250.0,nan,12.0,250.0,nan,Tobacco use treatment provided or offered at discharge,90.0,241.0,nan,0.0,241.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,1058.0,nan,Timely transmission of transition record (TR2),85.0,1058.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.5,372.0,nan,12.9,372.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,924.0,25.1,22.6,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,812.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,356.0,nan,2017-10-01,2018-03-31
294013,"DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL, LLC",3247 S MARYLAND PARKWAY,LAS VEGAS,NV,89109,CLARK,Hours of physical-restraint use,0.02,13.23,25627.0,nan,Hours of seclusion use,0.16,100.3,25627.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),47.0,327.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,542.0,nan,Alcohol use brief intervention provided or offered,70.0,135.0,nan,55.0,135.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,224.0,nan,99.0,224.0,nan,Tobacco use screening,97.0,543.0,nan,Tobacco use treatment provided or offered,81.0,318.0,nan,1.0,318.0,nan,Tobacco use treatment provided or offered at discharge,53.0,289.0,nan,1.0,289.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),37.0,729.0,nan,Timely transmission of transition record (TR2),18.0,729.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.6,347.0,nan,23.6,347.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,928.0,24.9,22.7,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,339.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),47.0,322.0,nan,2017-10-01,2018-03-31
300001,CONCORD HOSPITAL,250 PLEASANT ST,CONCORD,NH,03301,MERRIMACK,Hours of physical-restraint use,0.0,0.04,3774.0,nan,Hours of seclusion use,0.01,1.02,3774.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),30.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,317.0,nan,Alcohol use brief intervention provided or offered,92.0,84.0,nan,92.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,110.0,nan,43.0,110.0,nan,Tobacco use screening,98.0,317.0,nan,Tobacco use treatment provided or offered,67.0,150.0,nan,45.0,150.0,nan,Tobacco use treatment provided or offered at discharge,40.0,119.0,nan,33.0,119.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,329.0,nan,Timely transmission of transition record (TR2),0.0,329.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,88.1,67.0,nan,70.1,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,198.0,17.6,14.0,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,85.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,260.0,nan,2017-10-01,2018-03-31
300003,MARY HITCHCOCK MEMORIAL HOSPITAL,1 MEDICAL CENTER DRIVE,LEBANON,NH,03756,GRAFTON,Hours of physical-restraint use,1.29,198.0,6389.0,nan,Hours of seclusion use,0.0,0.0,6389.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),14.0,214.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,566.0,nan,Alcohol use brief intervention provided or offered,76.0,164.0,nan,75.0,164.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,207.0,nan,54.0,207.0,nan,Tobacco use screening,100.0,567.0,nan,Tobacco use treatment provided or offered,99.0,225.0,nan,25.0,225.0,nan,Tobacco use treatment provided or offered at discharge,81.0,217.0,nan,18.0,217.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,598.0,nan,Timely transmission of transition record (TR2),0.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.6,159.0,nan,54.7,159.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,463.0,16.5,13.8,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,128.0,nan,2017-10-01,2018-03-31
300005,LAKES REGION GENERAL HOSPITAL,80 HIGHLAND ST,LACONIA,NH,03246,BELKNAP,Hours of physical-restraint use,0.0,0.0,1626.0,nan,Hours of seclusion use,0.0,0.0,1626.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),66.0,35.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,4.0,25.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,33.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),16.0,76.0,nan,Timely transmission of transition record (TR2),16.0,76.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,138.0,19.1,14.3,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,39.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,26.0,nan,2017-10-01,2018-03-31
300012,ELLIOT HOSPITAL,1 ELLIOT WAY,MANCHESTER,NH,03103,HILLSBOROUGH,Hours of physical-restraint use,3.75,1126.59,12529.0,nan,Hours of seclusion use,0.09,28.42,12629.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,15.0,nan,Screening for metabolic disorders (SMD),26.0,337.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,290.0,nan,Alcohol use brief intervention provided or offered,79.0,63.0,nan,78.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,113.0,nan,27.0,113.0,nan,Tobacco use screening,97.0,292.0,nan,Tobacco use treatment provided or offered,73.0,132.0,nan,32.0,132.0,nan,Tobacco use treatment provided or offered at discharge,52.0,113.0,nan,11.0,113.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,580.0,nan,Timely transmission of transition record (TR2),0.0,580.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.7,107.0,nan,43.9,107.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,507.0,15.8,13.1,19.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,279.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,187.0,nan,2017-10-01,2018-03-31
300014,FRISBIE MEMORIAL HOSPITAL,11 WHITEHALL ROAD,ROCHESTER,NH,03867,STRAFFORD,Hours of physical-restraint use,0.05,9.7,8185.0,nan,Hours of seclusion use,0.0,0.0,8185.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,107.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,69.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,200.0,nan,Timely transmission of transition record (TR2),98.0,200.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.6,38.0,nan,44.7,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,401.0,16.4,12.9,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,83.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,1332.0,nan,2017-10-01,2018-03-31
300017,PARKLAND MEDICAL CENTER,1 PARKLAND DRIVE,DERRY,NH,03038,ROCKINGHAM,Hours of physical-restraint use,0.02,2.28,5069.0,nan,Hours of seclusion use,0.0,0.0,5069.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,648.0,nan,Alcohol use brief intervention provided or offered,99.0,193.0,nan,97.0,193.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,231.0,nan,95.0,231.0,nan,Tobacco use screening,100.0,650.0,nan,Tobacco use treatment provided or offered,100.0,293.0,nan,81.0,293.0,nan,Tobacco use treatment provided or offered at discharge,99.0,274.0,nan,77.0,274.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,724.0,nan,Timely transmission of transition record (TR2),96.0,724.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.0,96.0,nan,49.0,96.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,221.0,21.0,17.2,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,335.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,31.0,nan,2017-10-01,2018-03-31
300020,SOUTHERN NH MEDICAL CENTER,8 PROSPECT STREET,NASHUA,NH,03060,HILLSBOROUGH,Hours of physical-restraint use,0.93,92.64,4171.0,nan,Hours of seclusion use,0.0,0.0,4171.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,24.0,nan,Screening for metabolic disorders (SMD),33.0,200.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,472.0,nan,Alcohol use brief intervention provided or offered,90.0,107.0,nan,84.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,233.0,nan,91.0,233.0,nan,Tobacco use screening,100.0,473.0,nan,Tobacco use treatment provided or offered,100.0,237.0,nan,63.0,237.0,nan,Tobacco use treatment provided or offered at discharge,80.0,226.0,nan,6.0,226.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,476.0,nan,Timely transmission of transition record (TR2),0.0,476.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,83.0,112.0,nan,62.5,112.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,254.0,14.0,11.1,17.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,246.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,39.0,nan,2017-10-01,2018-03-31
300029,PORTSMOUTH REGIONAL HOSPITAL,333 BORTHWICK AVE,PORTSMOUTH,NH,03801,ROCKINGHAM,Hours of physical-restraint use,0.11,28.93,11271.0,nan,Hours of seclusion use,0.25,67.73,11271.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,12.0,nan,Screening for metabolic disorders (SMD),99.0,147.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1051.0,nan,Alcohol use brief intervention provided or offered,99.0,406.0,nan,99.0,406.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,547.0,nan,90.0,547.0,nan,Tobacco use screening,100.0,1057.0,nan,Tobacco use treatment provided or offered,97.0,583.0,nan,75.0,583.0,nan,Tobacco use treatment provided or offered at discharge,95.0,518.0,nan,80.0,518.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,366.0,nan,Timely transmission of transition record (TR2),85.0,366.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.7,178.0,nan,42.1,178.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,503.0,20.8,17.9,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,509.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,64.0,nan,2017-10-01,2018-03-31
301301,COTTAGE HOSPITAL,90 SWIFTWATER RD,WOODSVILLE,NH,03785,GRAFTON,Hours of physical-restraint use,0.03,2.29,3170.0,nan,Hours of seclusion use,0.0,0.01,3170.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),8.0,64.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,79.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,96.0,81.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),28.0,95.0,nan,Timely transmission of transition record (TR2),28.0,95.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,44.0,18.9,13.5,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,53.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,39.0,nan,2017-10-01,2018-03-31
301306,FRANKLIN REGIONAL HOSPITAL,15 AIKEN AVENUE,FRANKLIN,NH,03235,MERRIMACK,Hours of physical-restraint use,0.19,7.33,1600.0,nan,Hours of seclusion use,0.4,15.37,1600.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),60.0,105.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,8.0,209.0,nan,Alcohol use brief intervention provided or offered,16.0,25.0,nan,8.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,53.0,nan,47.0,53.0,nan,Tobacco use screening,98.0,208.0,nan,Tobacco use treatment provided or offered,63.0,103.0,nan,48.0,103.0,nan,Tobacco use treatment provided or offered at discharge,1.0,99.0,nan,0.0,99.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,239.0,nan,Timely transmission of transition record (TR2),2.0,239.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,82.2,45.0,nan,62.2,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,121.0,18.5,14.4,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,122.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,21.0,nan,2017-10-01,2018-03-31
304000,NEW HAMPSHIRE HOSP-PSYCH UNIT,36 CLINTON STREET,CONCORD,NH,03301,MERRIMACK,Hours of physical-restraint use,0.41,575.4,58993.0,nan,Hours of seclusion use,1.29,1830.45,58993.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,105.0,nan,Screening for metabolic disorders (SMD),0.0,770.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,83.0,872.0,nan,Alcohol use brief intervention provided or offered,0.0,87.0,nan,0.0,87.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,236.0,nan,0.0,236.0,nan,Tobacco use screening,0.0,872.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1446.0,nan,Timely transmission of transition record (TR2),0.0,1446.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.3,322.0,nan,44.7,322.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,773.0,18.3,15.9,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,503.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,1061.0,nan,2017-10-01,2018-03-31
304001,HAMPSTEAD HOSPITAL,218 EAST ROAD,HAMPSTEAD,NH,03841,ROCKINGHAM,Hours of physical-restraint use,0.2,69.83,14644.0,nan,Hours of seclusion use,0.89,313.85,14644.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,223.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,182.0,nan,Alcohol use brief intervention provided or offered,100.0,88.0,nan,100.0,88.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,101.0,nan,90.0,101.0,nan,Tobacco use screening,99.0,186.0,nan,Tobacco use treatment provided or offered,93.0,111.0,nan,89.0,111.0,nan,Tobacco use treatment provided or offered at discharge,91.0,90.0,nan,0.0,90.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,1673.0,nan,Timely transmission of transition record (TR2),94.0,1673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,15.0,nan,46.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,170.0,16.7,12.7,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,215.0,nan,2017-10-01,2018-03-31
310001,HACKENSACK UNIVERSITY MEDICAL CENTER,30 PROSPECT AVE,HACKENSACK,NJ,07601,BERGEN,Hours of physical-restraint use,0.1,20.0,8327.0,nan,Hours of seclusion use,0.0,0.0,8327.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),9.0,218.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,576.0,nan,Alcohol use brief intervention provided or offered,95.0,115.0,nan,94.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,247.0,nan,80.0,247.0,nan,Tobacco use screening,94.0,578.0,nan,Tobacco use treatment provided or offered,67.0,239.0,nan,54.0,239.0,nan,Tobacco use treatment provided or offered at discharge,39.0,197.0,nan,1.0,197.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,153.0,nan,Timely transmission of transition record (TR2),0.0,153.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.9,110.0,nan,49.1,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,359.0,23.7,20.2,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,35.0,nan,2017-10-01,2018-03-31
310002,NEWARK BETH ISRAEL MEDICAL CENTER,201 LYONS AVE,NEWARK,NJ,07112,ESSEX,Hours of physical-restraint use,0.19,48.5,10894.0,nan,Hours of seclusion use,0.16,41.87,10894.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,12.0,nan,Screening for metabolic disorders (SMD),50.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,287.0,nan,Alcohol use brief intervention provided or offered,90.0,40.0,nan,90.0,40.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,101.0,nan,60.0,101.0,nan,Tobacco use screening,100.0,283.0,nan,Tobacco use treatment provided or offered,95.0,113.0,nan,92.0,113.0,nan,Tobacco use treatment provided or offered at discharge,26.0,103.0,nan,1.0,103.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,700.0,nan,Timely transmission of transition record (TR2),85.0,700.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.7,62.0,nan,16.1,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,19.5,15.6,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,361.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,189.0,nan,2017-10-01,2018-03-31
310005,HUNTERDON MEDICAL CENTER,2100 WESCOTT DRIVE,FLEMINGTON,NJ,08822,HUNTERDON,Hours of physical-restraint use,0.12,7.75,2587.0,nan,Hours of seclusion use,0.12,7.75,2587.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,13.0,15.0,nan,Screening for metabolic disorders (SMD),15.0,195.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,425.0,nan,Alcohol use brief intervention provided or offered,97.0,234.0,nan,97.0,234.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,223.0,nan,96.0,223.0,nan,Tobacco use screening,99.0,423.0,nan,Tobacco use treatment provided or offered,88.0,217.0,nan,18.0,217.0,nan,Tobacco use treatment provided or offered at discharge,21.0,188.0,nan,15.0,188.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,435.0,nan,Timely transmission of transition record (TR2),0.0,435.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,82.8,29.0,nan,41.4,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,138.0,22.6,18.1,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,205.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,354.0,nan,2017-10-01,2018-03-31
310008,HOLY NAME MEDICAL CENTER,718 TEANECK RD,TEANECK,NJ,07666,BERGEN,Hours of physical-restraint use,0.0,0.0,5475.0,nan,Hours of seclusion use,0.0,0.0,5475.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,14.0,nan,Screening for metabolic disorders (SMD),91.0,223.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,352.0,nan,Alcohol use brief intervention provided or offered,89.0,28.0,nan,82.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,51.0,nan,92.0,51.0,nan,Tobacco use screening,100.0,347.0,nan,Tobacco use treatment provided or offered,92.0,62.0,nan,73.0,62.0,nan,Tobacco use treatment provided or offered at discharge,48.0,52.0,nan,37.0,52.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),82.0,377.0,nan,Timely transmission of transition record (TR2),82.0,377.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.2,74.0,nan,40.5,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,414.0,23.8,20.3,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,65.0,nan,2017-10-01,2018-03-31
310009,CLARA MAASS MEDICAL CENTER,ONE CLARA MAASS DRIVE,BELLEVILLE,NJ,07109,ESSEX,Hours of physical-restraint use,0.22,63.33,11984.0,nan,Hours of seclusion use,0.0,0.0,11984.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,11.0,nan,Screening for metabolic disorders (SMD),66.0,439.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,658.0,nan,Alcohol use brief intervention provided or offered,96.0,68.0,nan,94.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,204.0,nan,90.0,204.0,nan,Tobacco use screening,100.0,673.0,nan,Tobacco use treatment provided or offered,97.0,265.0,nan,82.0,265.0,nan,Tobacco use treatment provided or offered at discharge,97.0,238.0,nan,42.0,238.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,693.0,nan,Timely transmission of transition record (TR2),99.0,693.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.0,150.0,nan,18.7,150.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,523.0,23.8,20.6,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,168.0,nan,2017-10-01,2018-03-31
310010,PENN MEDICINE PRINCETON MEDICAL CENTER,ONE PLAINSBORO ROAD,PLAINSBORO,NJ,08536,MIDDLESEX,Hours of physical-restraint use,0.05,45.98,40766.0,nan,Hours of seclusion use,0.0,0.0,40766.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,17.0,nan,Screening for metabolic disorders (SMD),88.0,424.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,839.0,nan,Alcohol use brief intervention provided or offered,84.0,318.0,nan,72.0,318.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,567.0,nan,76.0,567.0,nan,Tobacco use screening,100.0,836.0,nan,Tobacco use treatment provided or offered,96.0,555.0,nan,8.0,555.0,nan,Tobacco use treatment provided or offered at discharge,90.0,460.0,nan,1.0,460.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,831.0,nan,Timely transmission of transition record (TR2),79.0,831.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.3,169.0,nan,49.1,169.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,586.0,17.3,14.8,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,409.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,3640.0,nan,2017-10-01,2018-03-31
310015,MORRISTOWN MEDICAL CENTER,100 MADISON AVE,MORRISTOWN,NJ,07960,MORRIS,Hours of physical-restraint use,0.04,4.75,5339.0,nan,Hours of seclusion use,0.03,4.0,5339.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,15.0,nan,Screening for metabolic disorders (SMD),99.0,443.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,729.0,nan,Alcohol use brief intervention provided or offered,98.0,167.0,nan,90.0,167.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,238.0,nan,68.0,238.0,nan,Tobacco use screening,99.0,740.0,nan,Tobacco use treatment provided or offered,96.0,248.0,nan,53.0,248.0,nan,Tobacco use treatment provided or offered at discharge,56.0,209.0,nan,5.0,209.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),64.0,745.0,nan,Timely transmission of transition record (TR2),60.0,745.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,79.5,78.0,nan,55.1,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,19.9,15.8,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,388.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,95.0,nan,2017-10-01,2018-03-31
310025,CAREPOINT HEALTH - BAYONNE MEDICAL CENTER,29 EAST 29TH ST,BAYONNE,NJ,07002,HUDSON,Hours of physical-restraint use,0.19,16.08,3489.0,nan,Hours of seclusion use,0.0,0.0,3489.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,293.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,500.0,nan,Alcohol use brief intervention provided or offered,72.0,159.0,nan,67.0,159.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,217.0,nan,55.0,217.0,nan,Tobacco use screening,100.0,500.0,nan,Tobacco use treatment provided or offered,85.0,260.0,nan,73.0,260.0,nan,Tobacco use treatment provided or offered at discharge,76.0,202.0,nan,10.0,202.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,449.0,nan,Timely transmission of transition record (TR2),78.0,449.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.2,67.0,nan,22.4,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,212.0,25.6,21.2,30.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,199.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,35.0,nan,2017-10-01,2018-03-31
310027,TRINITAS REGIONAL MEDICAL CENTER,225 WILLIAMSON STREET,ELIZABETH,NJ,07207,UNION,Hours of physical-restraint use,0.32,182.22,23946.0,nan,Hours of seclusion use,0.14,79.45,23946.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,38.0,nan,Screening for metabolic disorders (SMD),82.0,549.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,533.0,nan,Alcohol use brief intervention provided or offered,89.0,37.0,nan,81.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,109.0,nan,98.0,109.0,nan,Tobacco use screening,100.0,532.0,nan,Tobacco use treatment provided or offered,93.0,190.0,nan,75.0,190.0,nan,Tobacco use treatment provided or offered at discharge,65.0,135.0,nan,1.0,135.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,877.0,nan,Timely transmission of transition record (TR2),37.0,877.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.5,243.0,nan,30.0,243.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,643.0,16.1,13.7,18.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),50.0,424.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,4177.0,nan,2017-10-01,2018-03-31
310028,NEWTON MEDICAL CENTER,175 HIGH ST,NEWTON,NJ,07860,SUSSEX,Hours of physical-restraint use,0.23,28.22,5012.0,nan,Hours of seclusion use,0.06,6.75,5012.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,22.0,nan,Screening for metabolic disorders (SMD),95.0,279.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,544.0,nan,Alcohol use brief intervention provided or offered,95.0,88.0,nan,81.0,88.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,190.0,nan,48.0,190.0,nan,Tobacco use screening,99.0,553.0,nan,Tobacco use treatment provided or offered,90.0,286.0,nan,60.0,286.0,nan,Tobacco use treatment provided or offered at discharge,89.0,250.0,nan,3.0,250.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,558.0,nan,Timely transmission of transition record (TR2),77.0,558.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.1,82.0,nan,18.3,82.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,19.7,15.7,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,228.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,129.0,nan,2017-10-01,2018-03-31
310032,INSPIRA MEDICAL CENTER VINELAND,1505 W SHERMAN AVE,VINELAND,NJ,08360,CUMBERLAND,Hours of physical-restraint use,0.5,97.03,8073.0,nan,Hours of seclusion use,0.31,59.29,8073.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),22.0,351.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,581.0,nan,Alcohol use brief intervention provided or offered,49.0,111.0,nan,46.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,234.0,nan,11.0,234.0,nan,Tobacco use screening,99.0,579.0,nan,Tobacco use treatment provided or offered,46.0,331.0,nan,3.0,331.0,nan,Tobacco use treatment provided or offered at discharge,0.0,257.0,nan,0.0,257.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),82.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.2,95.0,nan,18.9,95.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,295.0,18.3,15.3,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,283.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,233.0,nan,2017-10-01,2018-03-31
310040,CAREPOINT HEALTH-HOBOKEN UNIVERSITY MEDICAL CENTER,308 WILLOW AVE,HOBOKEN,NJ,07030,HUDSON,Hours of physical-restraint use,0.02,3.47,9422.0,nan,Hours of seclusion use,0.03,7.88,9422.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,187.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,249.0,nan,Alcohol use brief intervention provided or offered,45.0,51.0,nan,41.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,110.0,nan,44.0,110.0,nan,Tobacco use screening,100.0,249.0,nan,Tobacco use treatment provided or offered,99.0,69.0,nan,62.0,69.0,nan,Tobacco use treatment provided or offered at discharge,67.0,64.0,nan,14.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),46.0,602.0,nan,Timely transmission of transition record (TR2),43.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.8,73.0,nan,26.0,73.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,224.0,19.7,15.7,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,23.0,nan,2017-10-01,2018-03-31
310045,ENGLEWOOD HOSPITAL AND MEDICAL CENTER,350 ENGLE ST,ENGLEWOOD,NJ,07631,BERGEN,Hours of physical-restraint use,1.02,102.3,4168.0,nan,Hours of seclusion use,0.07,7.32,4168.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),43.0,149.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,310.0,nan,Alcohol use brief intervention provided or offered,58.0,38.0,nan,53.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,53.0,nan,43.0,53.0,nan,Tobacco use screening,98.0,312.0,nan,Tobacco use treatment provided or offered,30.0,71.0,nan,15.0,71.0,nan,Tobacco use treatment provided or offered at discharge,17.0,63.0,nan,3.0,63.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,324.0,nan,Timely transmission of transition record (TR2),1.0,324.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.9,71.0,nan,40.8,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,282.0,20.9,16.9,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,137.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,68.0,nan,2017-10-01,2018-03-31
310048,ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET,110 REHILL AVE,SOMERVILLE,NJ,08876,SOMERSET,Hours of physical-restraint use,0.0,0.0,3371.0,nan,Hours of seclusion use,0.0,0.0,3371.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),2.0,203.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,612.0,nan,Alcohol use brief intervention provided or offered,93.0,148.0,nan,91.0,148.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,215.0,nan,71.0,215.0,nan,Tobacco use screening,80.0,612.0,nan,Tobacco use treatment provided or offered,85.0,245.0,nan,67.0,245.0,nan,Tobacco use treatment provided or offered at discharge,31.0,228.0,nan,0.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,628.0,nan,Timely transmission of transition record (TR2),0.0,628.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,36.0,nan,27.8,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,87.0,22.6,17.6,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,48.0,nan,2017-10-01,2018-03-31
310050,SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS,25 POCONO ROAD,DENVILLE,NJ,07834,MORRIS,Hours of physical-restraint use,0.38,191.41,20802.0,nan,Hours of seclusion use,0.19,93.58,20802.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,29.0,nan,Screening for metabolic disorders (SMD),95.0,324.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,327.0,nan,Alcohol use brief intervention provided or offered,97.0,68.0,nan,97.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,159.0,nan,99.0,159.0,nan,Tobacco use screening,100.0,327.0,nan,Tobacco use treatment provided or offered,100.0,175.0,nan,91.0,175.0,nan,Tobacco use treatment provided or offered at discharge,96.0,147.0,nan,78.0,147.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,814.0,nan,Timely transmission of transition record (TR2),87.0,814.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.3,129.0,nan,41.1,129.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,498.0,20.5,17.5,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,339.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,319.0,nan,2017-10-01,2018-03-31
310051,OVERLOOK MEDICAL CENTER,99 BEAUVOIR AVENUE,SUMMIT,NJ,07902,UNION,Hours of physical-restraint use,0.04,6.25,6829.0,nan,Hours of seclusion use,0.04,6.92,6829.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,19.0,nan,Screening for metabolic disorders (SMD),96.0,457.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,593.0,nan,Alcohol use brief intervention provided or offered,98.0,96.0,nan,96.0,96.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,186.0,nan,61.0,186.0,nan,Tobacco use screening,100.0,686.0,nan,Tobacco use treatment provided or offered,97.0,217.0,nan,90.0,217.0,nan,Tobacco use treatment provided or offered at discharge,81.0,207.0,nan,4.0,207.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),68.0,692.0,nan,Timely transmission of transition record (TR2),65.0,692.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.3,119.0,nan,63.0,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,355.0,18.8,15.1,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,333.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,128.0,nan,2017-10-01,2018-03-31
310054,HACKENSACK-UMC MOUNTAINSIDE,BAY AND HIGHLAND AVE,MONTCLAIR,NJ,07042,ESSEX,Hours of physical-restraint use,0.05,7.5,5783.0,nan,Hours of seclusion use,0.0,0.0,5783.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,303.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,719.0,nan,Alcohol use brief intervention provided or offered,89.0,99.0,nan,84.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,186.0,nan,94.0,186.0,nan,Tobacco use screening,95.0,721.0,nan,Tobacco use treatment provided or offered,100.0,267.0,nan,65.0,267.0,nan,Tobacco use treatment provided or offered at discharge,97.0,205.0,nan,9.0,205.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,580.0,nan,Timely transmission of transition record (TR2),92.0,580.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.2,142.0,nan,38.7,142.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,461.0,30.6,26.9,34.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,254.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,73.0,nan,2017-10-01,2018-03-31
310057,VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY,175 MADISON AVE,MOUNT HOLLY,NJ,08060,BURLINGTON,Hours of physical-restraint use,0.31,41.0,5520.0,nan,Hours of seclusion use,0.92,122.0,5520.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,19.0,nan,Screening for metabolic disorders (SMD),49.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,352.0,nan,Alcohol use brief intervention provided or offered,59.0,98.0,nan,52.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,169.0,nan,54.0,169.0,nan,Tobacco use screening,89.0,351.0,nan,Tobacco use treatment provided or offered,74.0,185.0,nan,36.0,185.0,nan,Tobacco use treatment provided or offered at discharge,44.0,155.0,nan,1.0,155.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),12.0,598.0,nan,Timely transmission of transition record (TR2),3.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,114.0,nan,22.8,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,289.0,21.2,17.9,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,37.0,nan,2017-10-01,2018-03-31
310058,BERGEN NEW BRIDGE MEDICAL CENTER,230 EAST RIDGEWOOD AVE,PARAMUS,NJ,07652,BERGEN,Hours of physical-restraint use,0.13,281.0,89904.0,nan,Hours of seclusion use,0.03,61.0,89904.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,12.0,nan,Screening for metabolic disorders (SMD),82.0,482.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,60.0,878.0,nan,Alcohol use brief intervention provided or offered,94.0,239.0,nan,94.0,239.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,400.0,nan,72.0,400.0,nan,Tobacco use screening,100.0,900.0,nan,Tobacco use treatment provided or offered,58.0,588.0,nan,58.0,588.0,nan,Tobacco use treatment provided or offered at discharge,11.0,408.0,nan,11.0,408.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,1016.0,nan,Timely transmission of transition record (TR2),1.0,1016.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,347.0,nan,31.4,347.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1336.0,25.7,23.5,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,491.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,683.0,nan,2017-10-01,2018-03-31
310061,LOURDES MEDICAL CENTER OF BURLINGTON COUNTY,218A SUNSET ROAD,WILLINGBORO,NJ,08046,BURLINGTON,Hours of physical-restraint use,0.22,14.31,2728.0,nan,Hours of seclusion use,0.0,0.0,2728.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,101.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,181.0,nan,Alcohol use brief intervention provided or offered,100.0,21.0,nan,100.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,22.0,nan,100.0,22.0,nan,Tobacco use screening,100.0,180.0,nan,Tobacco use treatment provided or offered,98.0,41.0,nan,63.0,41.0,nan,Tobacco use treatment provided or offered at discharge,83.0,30.0,nan,17.0,30.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,185.0,nan,Timely transmission of transition record (TR2),96.0,185.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.1,70.0,nan,18.6,70.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,245.0,19.3,15.8,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,78.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,182.0,nan,2017-10-01,2018-03-31
310074,JERSEY CITY MEDICAL CENTER,355 GRAND STREET,JERSEY CITY,NJ,07302,HUDSON,Hours of physical-restraint use,0.0,0.0,10149.0,nan,Hours of seclusion use,0.0,0.0,10149.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,68.0,nan,Screening for metabolic disorders (SMD),90.0,434.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,677.0,nan,Alcohol use brief intervention provided or offered,100.0,91.0,nan,99.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,177.0,nan,16.0,177.0,nan,Tobacco use screening,100.0,671.0,nan,Tobacco use treatment provided or offered,94.0,219.0,nan,39.0,219.0,nan,Tobacco use treatment provided or offered at discharge,90.0,189.0,nan,30.0,189.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,702.0,nan,Timely transmission of transition record (TR2),56.0,702.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.5,118.0,nan,32.2,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,19.7,16.2,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,348.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,97.0,nan,2017-10-01,2018-03-31
310075,MONMOUTH MEDICAL CENTER,300 SECOND AVENUE,LONG BRANCH,NJ,07740,MONMOUTH,Hours of physical-restraint use,0.01,52.17,174071.0,nan,Hours of seclusion use,0.0,0.0,174071.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,29.0,nan,Screening for metabolic disorders (SMD),59.0,428.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,442.0,nan,Alcohol use brief intervention provided or offered,100.0,87.0,nan,93.0,87.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,199.0,nan,22.0,199.0,nan,Tobacco use screening,100.0,440.0,nan,Tobacco use treatment provided or offered,93.0,219.0,nan,68.0,219.0,nan,Tobacco use treatment provided or offered at discharge,38.0,186.0,nan,0.0,186.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,855.0,nan,Timely transmission of transition record (TR2),69.0,855.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.9,192.0,nan,33.3,192.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,571.0,23.1,20.4,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,434.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,116.0,nan,2017-10-01,2018-03-31
310081,INSPIRA MEDICAL CENTER WOODBURY,509 N BROAD ST,WOODBURY,NJ,08096,GLOUCESTER,Hours of physical-restraint use,0.26,37.3,5904.0,nan,Hours of seclusion use,0.06,8.58,5904.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),5.0,315.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,581.0,nan,Alcohol use brief intervention provided or offered,56.0,131.0,nan,53.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,247.0,nan,74.0,247.0,nan,Tobacco use screening,85.0,579.0,nan,Tobacco use treatment provided or offered,80.0,267.0,nan,30.0,267.0,nan,Tobacco use treatment provided or offered at discharge,50.0,212.0,nan,1.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.3,62.0,nan,27.4,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,224.0,24.7,20.7,29.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,44.0,nan,2017-10-01,2018-03-31
310083,EAST ORANGE GENERAL HOSPITAL,300 CENTRAL AVE,EAST ORANGE,NJ,07018,ESSEX,Hours of physical-restraint use,0.52,131.17,10485.0,nan,Hours of seclusion use,0.14,33.98,10485.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,213.0,nan,Alcohol use brief intervention provided or offered,100.0,11.0,nan,100.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,24.0,nan,42.0,24.0,nan,Tobacco use screening,100.0,230.0,nan,Tobacco use treatment provided or offered,98.0,45.0,nan,78.0,45.0,nan,Tobacco use treatment provided or offered at discharge,64.0,39.0,nan,36.0,39.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),69.0,234.0,nan,Timely transmission of transition record (TR2),69.0,234.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.6,111.0,nan,17.1,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,310.0,26.6,22.8,31.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),52.0,86.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),46.0,68.0,nan,2017-10-01,2018-03-31
310092,CAPITAL HEALTH SYSTEM-FULD CAMPUS,750 BRUNSWICK AVE,TRENTON,NJ,08638,MERCER,Hours of physical-restraint use,0.3,40.12,5537.0,nan,Hours of seclusion use,0.15,19.92,5537.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,61.0,nan,Screening for metabolic disorders (SMD),84.0,414.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,561.0,nan,Alcohol use brief intervention provided or offered,99.0,132.0,nan,95.0,132.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,167.0,nan,94.0,167.0,nan,Tobacco use screening,99.0,561.0,nan,Tobacco use treatment provided or offered,96.0,257.0,nan,57.0,257.0,nan,Tobacco use treatment provided or offered at discharge,89.0,226.0,nan,32.0,226.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,721.0,nan,Timely transmission of transition record (TR2),74.0,721.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.9,94.0,nan,18.1,94.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,317.0,19.4,16.1,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,148.0,nan,2017-10-01,2018-03-31
314001,SUMMIT OAKS HOSPITAL,19 PROSPECT ST,SUMMIT,NJ,07901,UNION,Hours of physical-restraint use,0.01,11.36,38306.0,nan,Hours of seclusion use,0.0,1.02,38306.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,20.0,25.0,nan,Screening for metabolic disorders (SMD),42.0,364.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,446.0,nan,Alcohol use brief intervention provided or offered,85.0,221.0,nan,81.0,221.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,333.0,nan,77.0,333.0,nan,Tobacco use screening,98.0,446.0,nan,Tobacco use treatment provided or offered,92.0,314.0,nan,4.0,314.0,nan,Tobacco use treatment provided or offered at discharge,60.0,262.0,nan,0.0,262.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),73.0,852.0,nan,Timely transmission of transition record (TR2),57.0,852.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.6,172.0,nan,39.0,172.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1693.0,20.6,18.8,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,406.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,362.0,nan,2017-10-01,2018-03-31
314005,ANCORA PSYCH HOSP,ANCORA BRANCH,HAMMONTON,NJ,08037,ATLANTIC,Hours of physical-restraint use,0.3,1039.07,143074.0,nan,Hours of seclusion use,0.0,0.0,143074.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,181.0,nan,Screening for metabolic disorders (SMD),94.0,460.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,323.0,nan,Alcohol use brief intervention provided or offered,88.0,48.0,nan,88.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,74.0,nan,42.0,74.0,nan,Tobacco use screening,98.0,322.0,nan,Tobacco use treatment provided or offered,98.0,161.0,nan,66.0,161.0,nan,Tobacco use treatment provided or offered at discharge,8.0,158.0,nan,0.0,158.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,546.0,nan,Timely transmission of transition record (TR2),78.0,546.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.1,28.0,nan,14.3,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,94.0,17.8,13.4,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,143.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),47.0,1905.0,nan,2017-10-01,2018-03-31
314011,UNIVERSITY BEHAVIORAL HEALTH CARE,671 HOES LANE WEST,PISCATAWAY,NJ,08854,MIDDLESEX,Hours of physical-restraint use,0.07,27.4,15997.0,nan,Hours of seclusion use,0.04,13.65,15997.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),14.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,326.0,nan,Alcohol use brief intervention provided or offered,63.0,65.0,nan,60.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,29.0,nan,21.0,29.0,nan,Tobacco use screening,99.0,325.0,nan,Tobacco use treatment provided or offered,24.0,123.0,nan,16.0,123.0,nan,Tobacco use treatment provided or offered at discharge,6.0,114.0,nan,2.0,114.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),19.0,409.0,nan,Timely transmission of transition record (TR2),80.0,416.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,83.8,37.0,nan,70.3,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,69.0,18.2,13.7,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),44.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,1130.0,nan,2017-10-01,2018-03-31
314012,HACKENSACK MERIDIAN HEALTH CARRIER CLINIC,252 ROUTE 601,BELLE MEAD,NJ,08502,SOMERSET,Hours of physical-restraint use,0.32,414.88,54233.0,nan,Hours of seclusion use,0.09,120.25,54233.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,21.0,42.0,nan,Screening for metabolic disorders (SMD),30.0,558.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,768.0,nan,Alcohol use brief intervention provided or offered,93.0,170.0,nan,92.0,170.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,287.0,nan,48.0,287.0,nan,Tobacco use screening,100.0,767.0,nan,Tobacco use treatment provided or offered,85.0,382.0,nan,32.0,382.0,nan,Tobacco use treatment provided or offered at discharge,0.0,334.0,nan,0.0,334.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),71.0,612.0,nan,Timely transmission of transition record (TR2),63.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,519.0,nan,40.8,519.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1762.0,20.8,18.9,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),37.0,488.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,1081.0,nan,2017-10-01,2018-03-31
314013,TRENTON PSYCHIATRIC HOSP,STATION A,TRENTON,NJ,08625,MERCER,Hours of physical-restraint use,0.19,505.48,108157.0,nan,Hours of seclusion use,0.0,0.0,108157.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,51.0,nan,Screening for metabolic disorders (SMD),41.0,221.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,197.0,nan,Alcohol use brief intervention provided or offered,96.0,72.0,nan,96.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,76.0,nan,30.0,76.0,nan,Tobacco use screening,99.0,197.0,nan,Tobacco use treatment provided or offered,79.0,121.0,nan,46.0,121.0,nan,Tobacco use treatment provided or offered at discharge,7.0,107.0,nan,2.0,107.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),28.0,320.0,nan,Timely transmission of transition record (TR2),28.0,320.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,18.0,nan,33.3,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,52.0,16.9,12.7,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),42.0,86.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),46.0,1328.0,nan,2017-10-01,2018-03-31
314016,GREYSTONE PARK PSYCH HOSP,59 KOCH AVENUE,GREYSTONE PARK,NJ,07950,MORRIS,Hours of physical-restraint use,0.05,202.53,165706.0,nan,Hours of seclusion use,0.08,310.57,165706.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,103.0,nan,Screening for metabolic disorders (SMD),98.0,221.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,132.0,nan,Alcohol use brief intervention provided or offered,77.0,13.0,nan,77.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,29.0,nan,55.0,29.0,nan,Tobacco use screening,99.0,135.0,nan,Tobacco use treatment provided or offered,77.0,65.0,nan,66.0,65.0,nan,Tobacco use treatment provided or offered at discharge,13.0,62.0,nan,6.0,62.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,313.0,nan,Timely transmission of transition record (TR2),14.0,313.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.7,15.0,nan,33.3,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,59.0,17.8,13.3,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,75.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
314018,NORTHBROOK BEHAVIORAL HEALTH HOSPITAL,425  WOODBURY TURNERSVILLE ROAD,BLACKWOOD,NJ,08012,CAMDEN,Hours of physical-restraint use,0.2,224.87,47469.0,nan,Hours of seclusion use,0.0,0.0,52825.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,43.0,nan,Screening for metabolic disorders (SMD),61.0,442.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,608.0,nan,Alcohol use brief intervention provided or offered,100.0,67.0,nan,100.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,128.0,nan,97.0,128.0,nan,Tobacco use screening,100.0,608.0,nan,Tobacco use treatment provided or offered,100.0,133.0,nan,94.0,133.0,nan,Tobacco use treatment provided or offered at discharge,58.0,92.0,nan,39.0,92.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,609.0,nan,Timely transmission of transition record (TR2),0.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.5,379.0,nan,25.6,379.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1261.0,17.3,15.5,19.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,292.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,355.0,nan,2017-10-01,2018-03-31
314019,RAMAPO RIDGE PSYCH HOSP,301 SICOMAC AVE,WYCKOFF,NJ,07481,BERGEN,Hours of physical-restraint use,0.01,5.33,16756.0,nan,Hours of seclusion use,0.01,4.5,16756.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,341.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,610.0,nan,Alcohol use brief intervention provided or offered,100.0,60.0,nan,48.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,34.0,nan,50.0,34.0,nan,Tobacco use screening,100.0,610.0,nan,Tobacco use treatment provided or offered,95.0,65.0,nan,14.0,65.0,nan,Tobacco use treatment provided or offered at discharge,98.0,56.0,nan,4.0,56.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,612.0,nan,Timely transmission of transition record (TR2),95.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,84.0,119.0,nan,50.4,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,821.0,21.5,18.6,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,281.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,289.0,nan,2017-10-01,2018-03-31
314020,ESSEX COUNTY HOSPITAL CENTER,204 GROVE AVENUE,CEDAR GROVE,NJ,07009,ESSEX,Hours of physical-restraint use,0.0,1.48,62560.0,nan,Hours of seclusion use,0.01,22.03,62560.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,90.0,108.0,nan,Screening for metabolic disorders (SMD),94.0,249.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,168.0,nan,Alcohol use brief intervention provided or offered,100.0,72.0,nan,100.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,20.0,nan,100.0,20.0,nan,Tobacco use screening,100.0,168.0,nan,Tobacco use treatment provided or offered,99.0,88.0,nan,61.0,88.0,nan,Tobacco use treatment provided or offered at discharge,93.0,87.0,nan,59.0,87.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,294.0,nan,Timely transmission of transition record (TR2),93.0,294.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,14.0,nan,7.1,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,40.0,19.0,13.9,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),43.0,72.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),41.0,367.0,nan,2017-10-01,2018-03-31
314021,HAMPTON BEHAVIORAL HEALTH SYSTEM,650 RANCOCAS ROAD,WESTAMPTON,NJ,08060,BURLINGTON,Hours of physical-restraint use,0.04,36.38,38213.0,nan,Hours of seclusion use,0.05,46.36,38213.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,46.0,nan,Screening for metabolic disorders (SMD),46.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,403.0,nan,Alcohol use brief intervention provided or offered,97.0,125.0,nan,75.0,125.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,160.0,nan,80.0,160.0,nan,Tobacco use screening,98.0,403.0,nan,Tobacco use treatment provided or offered,84.0,235.0,nan,18.0,235.0,nan,Tobacco use treatment provided or offered at discharge,87.0,194.0,nan,1.0,194.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,660.0,nan,Timely transmission of transition record (TR2),48.0,660.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.0,355.0,nan,42.5,355.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,811.0,16.5,14.3,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,600.0,nan,2017-10-01,2018-03-31
314022,ST BARNABAS BEHAVIORAL HEALTH CENTER,1691 HIGHWAY 9  -  CN2025,TOMS RIVER,NJ,08755,OCEAN,Hours of physical-restraint use,0.0,0.1,11156.0,nan,Hours of seclusion use,0.0,0.0,1156.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,20.0,nan,Screening for metabolic disorders (SMD),89.0,376.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,624.0,nan,Alcohol use brief intervention provided or offered,88.0,74.0,nan,86.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,118.0,nan,93.0,118.0,nan,Tobacco use screening,100.0,613.0,nan,Tobacco use treatment provided or offered,89.0,197.0,nan,82.0,197.0,nan,Tobacco use treatment provided or offered at discharge,95.0,154.0,nan,6.0,154.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),77.0,650.0,nan,Timely transmission of transition record (TR2),75.0,650.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.3,288.0,nan,26.0,288.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,999.0,19.9,17.4,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,621.0,nan,2017-10-01,2018-03-31
314023,ASPEN HILLS HEALTHCARE CENTER,600 PEMBERTON-BROWNS MILLS ROAD,PEMBERTON,NJ,08068,BURLINGTON,Hours of physical-restraint use,0.04,7.1,7067.0,nan,Hours of seclusion use,0.04,7.3,7067.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,471.0,nan,Screening for metabolic disorders (SMD),55.0,473.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,37.0,473.0,nan,Alcohol use brief intervention provided or offered,100.0,60.0,nan,2.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,60.0,nan,0.0,60.0,nan,Tobacco use screening,100.0,473.0,nan,Tobacco use treatment provided or offered,38.0,45.0,nan,38.0,45.0,nan,Tobacco use treatment provided or offered at discharge,0.0,45.0,nan,0.0,45.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,472.0,nan,Timely transmission of transition record (TR2),55.0,472.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.9,57.0,nan,35.1,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,432.0,17.7,14.4,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,82.0,nan,2017-10-01,2018-03-31
314024,HUDSON COUNTY MEADOWVIEW PSYCHIATRIC H,595 COUNTY AVENUE,SECAUCUS,NJ,07094,HUDSON,Hours of physical-restraint use,0.05,35.02,29801.0,nan,Hours of seclusion use,0.02,11.12,29801.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,90.0,58.0,nan,Screening for metabolic disorders (SMD),94.0,127.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,83.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,30.0,nan,67.0,30.0,nan,Tobacco use screening,100.0,83.0,nan,Tobacco use treatment provided or offered,93.0,28.0,nan,54.0,28.0,nan,Tobacco use treatment provided or offered at discharge,74.0,27.0,nan,4.0,27.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,142.0,nan,Timely transmission of transition record (TR2),68.0,142.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.3,26.0,nan,30.8,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,48.0,17.3,12.7,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,47.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,186.0,nan,2017-10-01,2018-03-31
314026,EAST MOUNTAIN HOSPITAL,40 EAST MOUNTAIN ROAD,BELLE MEAD,NJ,08502,SOMERSET,Hours of physical-restraint use,0.09,10.76,5254.0,nan,Hours of seclusion use,0.0,0.0,5254.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,38.0,13.0,nan,Screening for metabolic disorders (SMD),86.0,244.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,515.0,nan,Alcohol use brief intervention provided or offered,99.0,150.0,nan,97.0,150.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,290.0,nan,87.0,290.0,nan,Tobacco use screening,98.0,533.0,nan,Tobacco use treatment provided or offered,72.0,382.0,nan,12.0,382.0,nan,Tobacco use treatment provided or offered at discharge,1.0,304.0,nan,0.0,304.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,458.0,nan,Timely transmission of transition record (TR2),0.0,458.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,23.0,nan,30.4,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,37.0,19.4,14.2,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,238.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,260.0,nan,2017-10-01,2018-03-31
314027,CORNERSTONE BEHAVIORAL HEALTH HOSPITAL OF UNION CO,40 WATCHUNG WAY,BERKELEY HEIGHTS,NJ,07922,UNION,Hours of physical-restraint use,0.08,30.58,15777.0,nan,Hours of seclusion use,0.01,4.08,15777.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,41.0,nan,Screening for metabolic disorders (SMD),95.0,322.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,348.0,nan,Alcohol use brief intervention provided or offered,98.0,60.0,nan,98.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,106.0,nan,27.0,106.0,nan,Tobacco use screening,69.0,348.0,nan,Tobacco use treatment provided or offered,98.0,133.0,nan,98.0,133.0,nan,Tobacco use treatment provided or offered at discharge,51.0,133.0,nan,51.0,133.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,348.0,nan,Timely transmission of transition record (TR2),72.0,348.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.5,40.0,nan,42.5,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,101.0,16.0,12.1,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,169.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,106.0,nan,2017-10-01,2018-03-31
320001,UNM HOSPITAL,2211 LOMAS BOULEVARD NE,ALBUQUERQUE,NM,87106,BERNALILLO,Hours of physical-restraint use,0.19,102.65,22979.0,nan,Hours of seclusion use,0.21,116.4,22979.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),80.0,736.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,544.0,nan,Alcohol use brief intervention provided or offered,86.0,69.0,nan,71.0,69.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,214.0,nan,26.0,214.0,nan,Tobacco use screening,99.0,535.0,nan,Tobacco use treatment provided or offered,50.0,254.0,nan,46.0,254.0,nan,Tobacco use treatment provided or offered at discharge,75.0,236.0,nan,2.0,236.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),31.0,2255.0,nan,Timely transmission of transition record (TR2),24.0,2260.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.2,221.0,nan,33.5,221.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,516.0,16.4,13.8,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,631.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,585.0,nan,2017-10-01,2018-03-31
320002,CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER,455 ST MICHAEL'S DRIVE,SANTA FE,NM,87505,SANTA FE,Hours of physical-restraint use,0.2,8.9,1817.0,nan,Hours of seclusion use,0.05,2.0,1817.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,11.0,nan,Screening for metabolic disorders (SMD),8.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,357.0,nan,Alcohol use brief intervention provided or offered,85.0,112.0,nan,84.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,196.0,nan,46.0,196.0,nan,Tobacco use screening,99.0,369.0,nan,Tobacco use treatment provided or offered,43.0,195.0,nan,38.0,195.0,nan,Tobacco use treatment provided or offered at discharge,3.0,190.0,nan,1.0,190.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),5.0,414.0,nan,Timely transmission of transition record (TR2),2.0,414.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.9,34.0,nan,38.2,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,107.0,20.5,15.7,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,216.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,43.0,nan,2017-10-01,2018-03-31
320004,GERALD CHAMPION REGIONAL MEDICAL CENTER,2669 NORTH SCENIC DRIVE,ALAMOGORDO,NM,88310,OTERO,Hours of physical-restraint use,0.0,0.0,6970.0,nan,Hours of seclusion use,0.0,0.0,6970.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,43.0,nan,Screening for metabolic disorders (SMD),82.0,415.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,654.0,nan,Alcohol use brief intervention provided or offered,92.0,53.0,nan,47.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,287.0,nan,6.0,287.0,nan,Tobacco use screening,98.0,653.0,nan,Tobacco use treatment provided or offered,84.0,233.0,nan,40.0,233.0,nan,Tobacco use treatment provided or offered at discharge,27.0,212.0,nan,1.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),56.0,663.0,nan,Timely transmission of transition record (TR2),64.0,663.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.7,67.0,nan,32.8,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,313.0,18.9,15.5,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),69.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,86.0,nan,2017-10-01,2018-03-31
320016,GILA REGIONAL MEDICAL CENTER,1313 E 32ND ST,SILVER CITY,NM,88061,GRANT,Hours of physical-restraint use,0.03,1.05,1267.0,nan,Hours of seclusion use,0.0,0.0,1267.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,71.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,102.0,nan,Alcohol use brief intervention provided or offered,90.0,41.0,nan,85.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,61.0,nan,70.0,61.0,nan,Tobacco use screening,94.0,103.0,nan,Tobacco use treatment provided or offered,93.0,56.0,nan,70.0,56.0,nan,Tobacco use treatment provided or offered at discharge,84.0,56.0,nan,38.0,56.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),36.0,279.0,nan,Timely transmission of transition record (TR2),34.0,279.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.4,19.0,nan,21.1,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,84.0,21.7,16.4,28.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,129.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,24.0,nan,2017-10-01,2018-03-31
320021,PRESBYTERIAN HOSPITAL,1100 CENTRAL AVENUE SE,ALBUQUERQUE,NM,87106,BERNALILLO,Hours of physical-restraint use,0.0,1.1,10431.0,nan,Hours of seclusion use,0.34,84.0,10431.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,253.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,388.0,nan,Alcohol use brief intervention provided or offered,86.0,90.0,nan,82.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,208.0,nan,26.0,208.0,nan,Tobacco use screening,99.0,381.0,nan,Tobacco use treatment provided or offered,62.0,176.0,nan,35.0,176.0,nan,Tobacco use treatment provided or offered at discharge,49.0,166.0,nan,7.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),87.0,597.0,nan,Timely transmission of transition record (TR2),74.0,597.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.8,51.0,nan,41.2,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,171.0,17.4,13.8,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,326.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,90.0,nan,2017-10-01,2018-03-31
320030,ARTESIA GENERAL HOSPITAL,702 N 13TH STREET,ARTESIA,NM,88210,EDDY,Hours of physical-restraint use,0.0,0.0,185.0,nan,Hours of seclusion use,0.0,0.0,185.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,19.0,nan,Screening for metabolic disorders (SMD),96.0,127.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,151.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,144.0,nan,Tobacco use treatment provided or offered,64.0,25.0,nan,52.0,25.0,nan,Tobacco use treatment provided or offered at discharge,48.0,21.0,nan,43.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),9.0,160.0,nan,Timely transmission of transition record (TR2),92.0,160.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,24.0,nan,29.2,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,194.0,18.8,14.5,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,70.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,174.0,nan,2017-10-01,2018-03-31
320065,LEA REGIONAL MEDICAL CENTER,5419 N LOVINGTON HIGHWAY,HOBBS,NM,88240,LEA,Hours of physical-restraint use,0.0,0.0,383.0,nan,Hours of seclusion use,0.0,0.0,383.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),98.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,371.0,nan,Alcohol use brief intervention provided or offered,100.0,114.0,nan,100.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,226.0,nan,98.0,226.0,nan,Tobacco use screening,100.0,371.0,nan,Tobacco use treatment provided or offered,100.0,114.0,nan,100.0,114.0,nan,Tobacco use treatment provided or offered at discharge,100.0,226.0,nan,98.0,226.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,380.0,nan,Timely transmission of transition record (TR2),97.0,380.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.1,47.0,nan,10.6,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,110.0,19.3,14.8,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,172.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,14.0,nan,2017-10-01,2018-03-31
324010,"BHC MESILLA VALLEY HOSPITAL, LLC",3751 DEL REY BOULEVARD,LAS CRUCES,NM,88012,DONA ANA,Hours of physical-restraint use,0.01,5.15,19028.0,nan,Hours of seclusion use,0.02,10.03,19028.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,19.0,nan,Screening for metabolic disorders (SMD),91.0,347.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,389.0,nan,Alcohol use brief intervention provided or offered,95.0,147.0,nan,90.0,147.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,273.0,nan,57.0,273.0,nan,Tobacco use screening,98.0,390.0,nan,Tobacco use treatment provided or offered,78.0,213.0,nan,38.0,213.0,nan,Tobacco use treatment provided or offered at discharge,24.0,194.0,nan,5.0,194.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,776.0,nan,Timely transmission of transition record (TR2),13.0,776.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.4,101.0,nan,31.7,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,390.0,18.6,15.9,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,390.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,423.0,nan,2017-10-01,2018-03-31
324012,"PEAK BEHAVIORAL HEALTH SERVICES, LLC","5065 MCNUTT ROAD (BLDG'S B, C & D)",SANTA TERESA,NM,88008,DONA ANA,Hours of physical-restraint use,0.08,36.0,18088.0,nan,Hours of seclusion use,0.0,0.0,18088.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,15.0,nan,Screening for metabolic disorders (SMD),5.0,427.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,405.0,nan,Alcohol use brief intervention provided or offered,96.0,151.0,nan,96.0,151.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,269.0,nan,33.0,269.0,nan,Tobacco use screening,95.0,405.0,nan,Tobacco use treatment provided or offered,5.0,114.0,nan,5.0,114.0,nan,Tobacco use treatment provided or offered at discharge,2.0,108.0,nan,1.0,108.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,915.0,nan,Timely transmission of transition record (TR2),0.0,915.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.7,95.0,nan,11.6,95.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,238.0,22.3,18.6,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),40.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,364.0,nan,2017-10-01,2018-03-31
324013,HAVEN BEHAVIORAL HOSPITAL OF ALBUQUERQUE,"5400 GIBSON BOULEVARD SE, 4TH FLOOR BOX# 8",ALBUQUERQUE,NM,87108,BERNALILLO,Hours of physical-restraint use,0.03,8.22,13140.0,nan,Hours of seclusion use,0.0,0.0,13140.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,44.0,27.0,nan,Screening for metabolic disorders (SMD),80.0,275.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,584.0,nan,Alcohol use brief intervention provided or offered,88.0,83.0,nan,84.0,83.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,167.0,nan,29.0,167.0,nan,Tobacco use screening,98.0,584.0,nan,Tobacco use treatment provided or offered,65.0,195.0,nan,44.0,195.0,nan,Tobacco use treatment provided or offered at discharge,20.0,161.0,nan,4.0,161.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),42.0,571.0,nan,Timely transmission of transition record (TR2),21.0,571.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.2,113.0,nan,19.5,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,385.0,17.2,13.9,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,266.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,135.0,nan,2017-10-01,2018-03-31
324014,CENTRAL DESERT BEHAVIORAL HEALTH CENTER,1525 N RENAISSANCE BLVD NE,ALBUQUERQUE,NM,87107,BERNALILLO,Hours of physical-restraint use,0.0,0.0,8818.0,nan,Hours of seclusion use,0.0,0.0,8818.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,262.0,nan,Screening for metabolic disorders (SMD),45.0,600.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,744.0,nan,Alcohol use brief intervention provided or offered,100.0,116.0,nan,100.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,25.0,nan,40.0,25.0,nan,Tobacco use screening,89.0,744.0,nan,Tobacco use treatment provided or offered,13.0,744.0,nan,13.0,744.0,nan,Tobacco use treatment provided or offered at discharge,13.0,744.0,nan,1.0,744.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,672.0,nan,Timely transmission of transition record (TR2),100.0,672.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.5,43.0,nan,18.6,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,399.0,17.7,14.5,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),16.0,391.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,94.0,nan,2017-10-01,2018-03-31
330006,ST JOSEPH'S MEDICAL CENTER,127 SOUTH BROADWAY,YONKERS,NY,10701,WESTCHESTER,Hours of physical-restraint use,0.16,176.27,47253.0,nan,Hours of seclusion use,0.01,12.0,47253.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,70.0,96.0,nan,Screening for metabolic disorders (SMD),75.0,436.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,535.0,nan,Alcohol use brief intervention provided or offered,93.0,107.0,nan,85.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,184.0,nan,72.0,184.0,nan,Tobacco use screening,99.0,534.0,nan,Tobacco use treatment provided or offered,84.0,253.0,nan,53.0,253.0,nan,Tobacco use treatment provided or offered at discharge,79.0,213.0,nan,3.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),76.0,617.0,nan,Timely transmission of transition record (TR2),76.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.1,334.0,nan,47.9,334.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,855.0,21.5,18.9,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,1751.0,nan,2017-10-01,2018-03-31
330008,WYOMING COUNTY COMMUNITY HOSPITAL,400 NORTH MAIN STREET,WARSAW,NY,14569,WYOMING,Hours of physical-restraint use,0.0,0.0,3224.0,nan,Hours of seclusion use,0.0,0.0,3224.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,47.0,nan,Screening for metabolic disorders (SMD),2.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,377.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,103.0,nan,74.0,103.0,nan,Tobacco use screening,100.0,377.0,nan,Tobacco use treatment provided or offered,100.0,184.0,nan,88.0,184.0,nan,Tobacco use treatment provided or offered at discharge,95.0,178.0,nan,3.0,178.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,395.0,nan,Timely transmission of transition record (TR2),99.0,395.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.7,57.0,nan,38.6,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,152.0,23.3,18.8,28.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,192.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,35.0,nan,2017-10-01,2018-03-31
330009,BRONX-LEBANON HOSPITAL CENTER,1276 FULTON AVENUE,BRONX,NY,10456,BRONX,Hours of physical-restraint use,0.32,284.33,37454.0,nan,Hours of seclusion use,0.08,73.33,37454.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),26.0,612.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,1301.0,nan,Alcohol use brief intervention provided or offered,100.0,229.0,nan,96.0,229.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,24.0,nan,33.0,24.0,nan,Tobacco use screening,88.0,1301.0,nan,Tobacco use treatment provided or offered,98.0,240.0,nan,74.0,240.0,nan,Tobacco use treatment provided or offered at discharge,96.0,171.0,nan,32.0,171.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),29.0,1715.0,nan,Timely transmission of transition record (TR2),26.0,1715.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.0,58.0,nan,41.4,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,211.0,24.5,20.5,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,709.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,4468.0,nan,2017-10-01,2018-03-31
330013,ALBANY MEDICAL CENTER HOSPITAL,"43 NEW SCOTLAND AVENUE, MAIL CODE 34",ALBANY,NY,12208,ALBANY,Hours of physical-restraint use,0.04,8.09,8277.0,nan,Hours of seclusion use,0.49,96.43,8277.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,13.0,nan,Screening for metabolic disorders (SMD),78.0,537.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,370.0,nan,Alcohol use brief intervention provided or offered,98.0,115.0,nan,93.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,177.0,nan,44.0,177.0,nan,Tobacco use screening,98.0,395.0,nan,Tobacco use treatment provided or offered,86.0,226.0,nan,9.0,226.0,nan,Tobacco use treatment provided or offered at discharge,34.0,213.0,nan,6.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1065.0,nan,Timely transmission of transition record (TR2),0.0,1065.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.3,140.0,nan,36.4,140.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,343.0,20.7,17.6,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,47.0,nan,2017-10-01,2018-03-31
330014,JAMAICA HOSPITAL MEDICAL CENTER,89TH AVENUE AND VAN WYCK EXPRESSWAY,JAMAICA,NY,11418,QUEENS,Hours of physical-restraint use,0.35,156.38,18430.0,nan,Hours of seclusion use,0.0,0.0,18430.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,77.0,nan,Screening for metabolic disorders (SMD),21.0,545.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,692.0,nan,Alcohol use brief intervention provided or offered,100.0,95.0,nan,100.0,95.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,261.0,nan,87.0,261.0,nan,Tobacco use screening,100.0,692.0,nan,Tobacco use treatment provided or offered,33.0,303.0,nan,32.0,303.0,nan,Tobacco use treatment provided or offered at discharge,9.0,280.0,nan,9.0,280.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),90.0,696.0,nan,Timely transmission of transition record (TR2),90.0,696.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.4,94.0,nan,35.1,94.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,205.0,19.7,16.1,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,345.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,108.0,nan,2017-10-01,2018-03-31
330024,MOUNT SINAI HOSPITAL,ONE GUSTAVE L LEVY PLACE,NEW YORK,NY,10029,NEW YORK,Hours of physical-restraint use,0.0,1.58,14408.0,nan,Hours of seclusion use,0.24,84.67,14408.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,12.0,nan,Screening for metabolic disorders (SMD),40.0,457.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,598.0,nan,Alcohol use brief intervention provided or offered,98.0,59.0,nan,90.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,183.0,nan,45.0,183.0,nan,Tobacco use screening,99.0,601.0,nan,Tobacco use treatment provided or offered,79.0,167.0,nan,48.0,167.0,nan,Tobacco use treatment provided or offered at discharge,41.0,154.0,nan,3.0,154.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),3.0,671.0,nan,Timely transmission of transition record (TR2),3.0,671.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.1,111.0,nan,58.6,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,366.0,16.4,13.2,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,1124.0,nan,2017-10-01,2018-03-31
330027,NASSAU UNIVERSITY MEDICAL CENTER,2201 HEMPSTEAD TURNPIKE,EAST MEADOW,NY,11554,NASSAU,Hours of physical-restraint use,0.23,212.71,38778.0,nan,Hours of seclusion use,0.01,7.67,38778.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,80.0,nan,Screening for metabolic disorders (SMD),5.0,626.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,1391.0,nan,Alcohol use brief intervention provided or offered,76.0,34.0,nan,53.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,695.0,nan,94.0,695.0,nan,Tobacco use screening,91.0,1391.0,nan,Tobacco use treatment provided or offered,17.0,464.0,nan,14.0,464.0,nan,Tobacco use treatment provided or offered at discharge,0.0,464.0,nan,0.0,464.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),46.0,1699.0,nan,Timely transmission of transition record (TR2),100.0,1699.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,156.0,nan,45.5,156.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,391.0,19.1,15.9,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,776.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,309.0,nan,2017-10-01,2018-03-31
330028,RICHMOND UNIVERSITY MEDICAL CENTER,355 BARD AVENUE,STATEN ISLAND,NY,10304,RICHMOND,Hours of physical-restraint use,0.09,37.18,16507.0,nan,Hours of seclusion use,0.0,0.0,16507.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,28.0,nan,Screening for metabolic disorders (SMD),80.0,495.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,167.0,nan,Alcohol use brief intervention provided or offered,88.0,24.0,nan,83.0,24.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,84.0,nan,39.0,84.0,nan,Tobacco use screening,97.0,167.0,nan,Tobacco use treatment provided or offered,85.0,73.0,nan,49.0,73.0,nan,Tobacco use treatment provided or offered at discharge,58.0,65.0,nan,17.0,65.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),12.0,732.0,nan,Timely transmission of transition record (TR2),9.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,82.0,111.0,nan,73.0,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,404.0,20.4,17.2,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,354.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,264.0,nan,2017-10-01,2018-03-31
330030,NEWARK-WAYNE COMMUNITY HOSPITAL,111 DRIVING PARK AVENUE,NEWARK,NY,14513,WAYNE,Hours of physical-restraint use,1.71,114.65,2795.0,nan,Hours of seclusion use,0.0,0.0,2795.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,19.0,nan,Screening for metabolic disorders (SMD),75.0,205.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,402.0,nan,Alcohol use brief intervention provided or offered,78.0,41.0,nan,76.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,119.0,nan,84.0,119.0,nan,Tobacco use screening,92.0,402.0,nan,Tobacco use treatment provided or offered,90.0,229.0,nan,72.0,229.0,nan,Tobacco use treatment provided or offered at discharge,83.0,208.0,nan,75.0,208.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,459.0,nan,Timely transmission of transition record (TR2),44.0,459.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.2,36.0,nan,55.6,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,118.0,20.5,15.8,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,189.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,30.0,nan,2017-10-01,2018-03-31
330045,HUNTINGTON HOSPITAL,270 PARK AVENUE,HUNTINGTON,NY,11743,SUFFOLK,Hours of physical-restraint use,0.01,1.25,5844.0,nan,Hours of seclusion use,0.17,24.33,5844.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,15.0,nan,Screening for metabolic disorders (SMD),38.0,254.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,368.0,nan,Alcohol use brief intervention provided or offered,52.0,66.0,nan,52.0,66.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,166.0,nan,53.0,166.0,nan,Tobacco use screening,98.0,368.0,nan,Tobacco use treatment provided or offered,80.0,163.0,nan,56.0,163.0,nan,Tobacco use treatment provided or offered at discharge,50.0,137.0,nan,6.0,137.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),19.0,448.0,nan,Timely transmission of transition record (TR2),17.0,448.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.6,56.0,nan,35.7,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,152.0,18.2,14.6,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,219.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,44.0,nan,2017-10-01,2018-03-31
330046,MOUNT SINAI WEST,1000 TENTH AVENUE,NEW YORK,NY,10019,NEW YORK,Hours of physical-restraint use,0.33,228.02,28467.0,nan,Hours of seclusion use,0.14,96.68,28467.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,27.0,nan,Screening for metabolic disorders (SMD),90.0,453.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,61.0,435.0,nan,Alcohol use brief intervention provided or offered,100.0,89.0,nan,100.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,23.0,nan,91.0,23.0,nan,Tobacco use screening,92.0,466.0,nan,Tobacco use treatment provided or offered,86.0,140.0,nan,85.0,140.0,nan,Tobacco use treatment provided or offered at discharge,63.0,127.0,nan,60.0,127.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),27.0,805.0,nan,Timely transmission of transition record (TR2),21.0,805.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.2,155.0,nan,38.7,155.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,500.0,20.1,17.1,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,283.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,169.0,nan,2017-10-01,2018-03-31
330047,ST MARY'S HOSPITAL AT AMSTERDAM,427 GUY PARK AVENUE,AMSTERDAM,NY,12010,MONTGOMERY,Hours of physical-restraint use,0.11,14.25,5348.0,nan,Hours of seclusion use,0.0,0.0,5348.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,43.0,nan,Screening for metabolic disorders (SMD),48.0,216.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,613.0,nan,Alcohol use brief intervention provided or offered,100.0,235.0,nan,98.0,235.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,343.0,nan,71.0,343.0,nan,Tobacco use screening,100.0,614.0,nan,Tobacco use treatment provided or offered,99.0,395.0,nan,81.0,395.0,nan,Tobacco use treatment provided or offered at discharge,65.0,338.0,nan,41.0,338.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),94.0,593.0,nan,Timely transmission of transition record (TR2),94.0,593.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,80.8,146.0,nan,48.6,146.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,352.0,17.1,14.1,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,44.0,nan,2017-10-01,2018-03-31
330059,MONTEFIORE MEDICAL CENTER,111 EAST 210TH STREET,BRONX,NY,10467,BRONX,Hours of physical-restraint use,0.02,7.83,20724.0,nan,Hours of seclusion use,0.38,188.48,20724.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,49.0,39.0,nan,Screening for metabolic disorders (SMD),89.0,431.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,578.0,nan,Alcohol use brief intervention provided or offered,59.0,78.0,nan,59.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,238.0,nan,76.0,238.0,nan,Tobacco use screening,99.0,604.0,nan,Tobacco use treatment provided or offered,80.0,246.0,nan,59.0,246.0,nan,Tobacco use treatment provided or offered at discharge,22.0,219.0,nan,13.0,219.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,610.0,nan,Timely transmission of transition record (TR2),82.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,42.0,nan,40.5,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,156.0,22.0,17.5,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,115.0,nan,2017-10-01,2018-03-31
330079,ADIRONDACK MEDICAL CENTER - PHYSICIAN,2233 STATE ROUTE 86,SARANAC LAKE,NY,12983,FRANKLIN,Hours of physical-restraint use,0.0,0.0,2278.0,nan,Hours of seclusion use,0.0,0.0,2278.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,41.0,22.0,nan,Screening for metabolic disorders (SMD),69.0,111.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,211.0,nan,Alcohol use brief intervention provided or offered,100.0,14.0,nan,50.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,19.0,nan,37.0,19.0,nan,Tobacco use screening,100.0,212.0,nan,Tobacco use treatment provided or offered,72.0,68.0,nan,18.0,68.0,nan,Tobacco use treatment provided or offered at discharge,95.0,65.0,nan,6.0,65.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,219.0,nan,Timely transmission of transition record (TR2),98.0,219.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.1,78.0,nan,39.7,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,224.0,21.0,16.8,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,33.0,nan,2017-10-01,2018-03-31
330080,LINCOLN MEDICAL & MENTAL HEALTH CENTER,234 EAST 149TH STREET,BRONX,NY,10451,BRONX,Hours of physical-restraint use,0.05,21.0,18565.0,nan,Hours of seclusion use,0.27,122.0,18565.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,25.0,nan,Screening for metabolic disorders (SMD),73.0,499.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,653.0,nan,Alcohol use brief intervention provided or offered,90.0,48.0,nan,90.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,299.0,nan,64.0,299.0,nan,Tobacco use screening,15.0,662.0,nan,Tobacco use treatment provided or offered,29.0,24.0,nan,25.0,24.0,nan,Tobacco use treatment provided or offered at discharge,17.0,23.0,nan,0.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,668.0,nan,Timely transmission of transition record (TR2),0.0,668.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,52.0,nan,34.6,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,111.0,22.5,18.0,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,324.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,244.0,nan,2017-10-01,2018-03-31
330086,MONTEFIORE MOUNT VERNON HOSPITAL,12 NORTH 7TH AVENUE,MOUNT VERNON,NY,10550,WESTCHESTER,Hours of physical-restraint use,0.0,0.0,7543.0,nan,Hours of seclusion use,0.01,0.93,7543.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,15.0,nan,Screening for metabolic disorders (SMD),70.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,356.0,nan,Alcohol use brief intervention provided or offered,100.0,42.0,nan,100.0,42.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,88.0,nan,52.0,88.0,nan,Tobacco use screening,100.0,355.0,nan,Tobacco use treatment provided or offered,92.0,182.0,nan,58.0,182.0,nan,Tobacco use treatment provided or offered at discharge,72.0,160.0,nan,17.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,363.0,nan,Timely transmission of transition record (TR2),93.0,363.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,44.0,nan,18.2,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,147.0,20.4,16.1,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,184.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,44.0,nan,2017-10-01,2018-03-31
330088,EASTERN LONG ISLAND HOSPITAL,201 MANOR PLACE,GREENPORT,NY,11944,SUFFOLK,Hours of physical-restraint use,0.56,73.43,5459.0,nan,Hours of seclusion use,0.0,0.0,5459.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,12.0,nan,Screening for metabolic disorders (SMD),2.0,318.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,568.0,nan,Alcohol use brief intervention provided or offered,63.0,119.0,nan,62.0,119.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,96.0,568.0,nan,Tobacco use treatment provided or offered,85.0,293.0,nan,51.0,293.0,nan,Tobacco use treatment provided or offered at discharge,4.0,247.0,nan,0.0,247.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,580.0,nan,Timely transmission of transition record (TR2),0.0,580.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.2,73.0,nan,35.6,73.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,151.0,20.0,15.9,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,54.0,nan,2017-10-01,2018-03-31
330094,COLUMBIA MEMORIAL HOSPITAL,71 PROSPECT AVENUE,HUDSON,NY,12534,COLUMBIA,Hours of physical-restraint use,0.0,0.0,7667.0,nan,Hours of seclusion use,0.0,0.0,7667.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,24.0,17.0,nan,Screening for metabolic disorders (SMD),98.0,245.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,432.0,nan,Alcohol use brief intervention provided or offered,99.0,81.0,nan,95.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,195.0,nan,76.0,195.0,nan,Tobacco use screening,100.0,433.0,nan,Tobacco use treatment provided or offered,100.0,251.0,nan,100.0,251.0,nan,Tobacco use treatment provided or offered at discharge,94.0,234.0,nan,20.0,234.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),55.0,433.0,nan,Timely transmission of transition record (TR2),54.0,433.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.6,78.0,nan,51.3,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,18.3,14.5,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,197.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,1874.0,nan,2017-10-01,2018-03-31
330101,NEW YORK-PRESBYTERIAN HOSPITAL-NEW YORK WEILL CORN,525 EAST 68TH STREET,NEW YORK,NY,10065,NEW YORK,Hours of physical-restraint use,0.19,392.67,88176.0,nan,Hours of seclusion use,0.14,293.55,88176.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,66.0,61.0,nan,Screening for metabolic disorders (SMD),87.0,1169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1524.0,nan,Alcohol use brief intervention provided or offered,100.0,215.0,nan,96.0,215.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,540.0,nan,63.0,540.0,nan,Tobacco use screening,100.0,1512.0,nan,Tobacco use treatment provided or offered,76.0,371.0,nan,44.0,371.0,nan,Tobacco use treatment provided or offered at discharge,55.0,326.0,nan,10.0,326.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),93.0,1912.0,nan,Timely transmission of transition record (TR2),93.0,1912.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.1,502.0,nan,48.4,502.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1259.0,17.7,15.8,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,962.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,38644.0,nan,2017-10-01,2018-03-31
330103,OLEAN GENERAL HOSPITAL,515 MAIN STREET,OLEAN,NY,14760,CATTARAUGUS,Hours of physical-restraint use,0.0,0.0,5120.0,nan,Hours of seclusion use,0.09,11.5,5120.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,17.0,nan,Screening for metabolic disorders (SMD),88.0,153.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,656.0,nan,Alcohol use brief intervention provided or offered,44.0,656.0,nan,44.0,656.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,278.0,nan,49.0,278.0,nan,Tobacco use screening,100.0,656.0,nan,Tobacco use treatment provided or offered,65.0,347.0,nan,35.0,347.0,nan,Tobacco use treatment provided or offered at discharge,99.0,347.0,nan,1.0,347.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),42.0,656.0,nan,Timely transmission of transition record (TR2),89.0,656.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.0,78.0,nan,39.7,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,16.8,13.2,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,33.0,nan,2017-10-01,2018-03-31
330104,NYACK HOSPITAL,160 NORTH MIDLAND AVENUE,NYACK,NY,10960,ROCKLAND,Hours of physical-restraint use,0.01,2.37,7880.0,nan,Hours of seclusion use,0.14,25.58,7880.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,35.0,nan,Screening for metabolic disorders (SMD),7.0,376.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,544.0,nan,Alcohol use brief intervention provided or offered,74.0,86.0,nan,73.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,35.0,nan,29.0,35.0,nan,Tobacco use screening,100.0,544.0,nan,Tobacco use treatment provided or offered,23.0,120.0,nan,18.0,120.0,nan,Tobacco use treatment provided or offered at discharge,5.0,112.0,nan,1.0,112.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,560.0,nan,Timely transmission of transition record (TR2),0.0,560.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,81.0,nan,42.0,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,176.0,22.3,17.6,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,257.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,70.0,nan,2017-10-01,2018-03-31
330106,NORTH SHORE UNIVERSITY HOSPITAL,300 COMMUNITY DRIVE,MANHASSET,NY,11030,NASSAU,Hours of physical-restraint use,0.16,17.63,4730.0,nan,Hours of seclusion use,0.05,5.82,4730.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,13.0,nan,Screening for metabolic disorders (SMD),78.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,271.0,nan,Alcohol use brief intervention provided or offered,66.0,41.0,nan,66.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,87.0,nan,30.0,87.0,nan,Tobacco use screening,100.0,273.0,nan,Tobacco use treatment provided or offered,67.0,102.0,nan,59.0,102.0,nan,Tobacco use treatment provided or offered at discharge,11.0,89.0,nan,0.0,89.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),12.0,320.0,nan,Timely transmission of transition record (TR2),11.0,320.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.6,61.0,nan,52.5,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,274.0,18.7,15.2,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,162.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,928.0,nan,2017-10-01,2018-03-31
330108,ST JOSEPH'S HOSPITAL,555 ST JOSEPH'S BLVD,ELMIRA,NY,14901,CHEMUNG,Hours of physical-restraint use,0.01,1.07,7388.0,nan,Hours of seclusion use,0.0,0.0,7388.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,45.0,nan,Screening for metabolic disorders (SMD),18.0,414.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,67.0,583.0,nan,Alcohol use brief intervention provided or offered,98.0,194.0,nan,97.0,194.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,261.0,nan,58.0,261.0,nan,Tobacco use screening,96.0,580.0,nan,Tobacco use treatment provided or offered,53.0,317.0,nan,50.0,317.0,nan,Tobacco use treatment provided or offered at discharge,2.0,299.0,nan,2.0,299.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),20.0,617.0,nan,Timely transmission of transition record (TR2),20.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,145.0,nan,31.7,145.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,370.0,19.1,15.9,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,51.0,nan,2017-10-01,2018-03-31
330119,LENOX HILL HOSPITAL,100 EAST 77TH STREET,NEW YORK,NY,10021,NEW YORK,Hours of physical-restraint use,0.01,0.95,7375.0,nan,Hours of seclusion use,0.21,36.65,7375.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,35.0,43.0,nan,Screening for metabolic disorders (SMD),51.0,392.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,501.0,nan,Alcohol use brief intervention provided or offered,34.0,128.0,nan,34.0,128.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,264.0,nan,43.0,264.0,nan,Tobacco use screening,98.0,502.0,nan,Tobacco use treatment provided or offered,56.0,222.0,nan,34.0,222.0,nan,Tobacco use treatment provided or offered at discharge,45.0,213.0,nan,8.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),40.0,594.0,nan,Timely transmission of transition record (TR2),38.0,594.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.7,67.0,nan,37.3,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,146.0,18.1,14.3,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,69.0,nan,2017-10-01,2018-03-31
330125,ROCHESTER GENERAL HOSPITAL,1425 PORTLAND AVENUE,ROCHESTER,NY,14621,MONROE,Hours of physical-restraint use,0.31,72.4,9744.0,nan,Hours of seclusion use,0.03,6.13,9744.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,43.0,nan,Screening for metabolic disorders (SMD),74.0,481.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,637.0,nan,Alcohol use brief intervention provided or offered,85.0,68.0,nan,75.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,281.0,nan,88.0,281.0,nan,Tobacco use screening,94.0,636.0,nan,Tobacco use treatment provided or offered,96.0,309.0,nan,79.0,309.0,nan,Tobacco use treatment provided or offered at discharge,89.0,284.0,nan,87.0,284.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),39.0,642.0,nan,Timely transmission of transition record (TR2),38.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.7,127.0,nan,55.1,127.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,322.0,18.1,15.0,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,97.0,nan,2017-10-01,2018-03-31
330126,ORANGE REGIONAL MEDICAL CENTER,707 EAST MAIN STREET,MIDDLETOWN,NY,10940,ORANGE,Hours of physical-restraint use,0.05,12.4,10723.0,nan,Hours of seclusion use,0.49,125.65,10723.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,34.0,nan,Screening for metabolic disorders (SMD),17.0,387.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,647.0,nan,Alcohol use brief intervention provided or offered,77.0,53.0,nan,77.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,282.0,nan,41.0,282.0,nan,Tobacco use screening,100.0,635.0,nan,Tobacco use treatment provided or offered,70.0,333.0,nan,57.0,333.0,nan,Tobacco use treatment provided or offered at discharge,0.0,299.0,nan,0.0,299.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,627.0,nan,Timely transmission of transition record (TR2),51.0,627.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.0,145.0,nan,47.6,145.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,387.0,20.6,17.4,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,319.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,209.0,nan,2017-10-01,2018-03-31
330127,JACOBI MEDICAL CENTER,1400 PELHAM PARKWAY SOUTH,BRONX,NY,10461,BRONX,Hours of physical-restraint use,0.22,133.27,25445.0,nan,Hours of seclusion use,0.12,75.17,25445.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,35.0,nan,Screening for metabolic disorders (SMD),81.0,339.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,499.0,nan,Alcohol use brief intervention provided or offered,24.0,84.0,nan,23.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,197.0,nan,54.0,197.0,nan,Tobacco use screening,99.0,501.0,nan,Tobacco use treatment provided or offered,70.0,225.0,nan,34.0,225.0,nan,Tobacco use treatment provided or offered at discharge,45.0,191.0,nan,41.0,191.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,153.0,nan,Timely transmission of transition record (TR2),0.0,153.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.7,97.0,nan,37.1,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,299.0,22.7,19.1,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,180.0,nan,2017-10-01,2018-03-31
330128,ELMHURST HOSPITAL CENTER,79-01 BROADWAY,ELMHURST,NY,11373,QUEENS,Hours of physical-restraint use,0.43,374.63,35905.0,nan,Hours of seclusion use,0.0,0.0,35905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,15.0,nan,Screening for metabolic disorders (SMD),98.0,420.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,500.0,nan,Alcohol use brief intervention provided or offered,86.0,70.0,nan,70.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,183.0,nan,41.0,183.0,nan,Tobacco use screening,98.0,514.0,nan,Tobacco use treatment provided or offered,78.0,172.0,nan,39.0,172.0,nan,Tobacco use treatment provided or offered at discharge,46.0,166.0,nan,23.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,598.0,nan,Timely transmission of transition record (TR2),67.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,182.0,nan,36.8,182.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,420.0,23.8,20.2,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),56.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,470.0,nan,2017-10-01,2018-03-31
330135,BON SECOURS COMMUNITY HOSPITAL,160 EAST MAIN STREET,PORT JERVIS,NY,12771,ORANGE,Hours of physical-restraint use,0.02,3.47,6099.0,nan,Hours of seclusion use,0.0,0.0,6099.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,35.0,84.0,nan,Screening for metabolic disorders (SMD),87.0,334.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,591.0,nan,Alcohol use brief intervention provided or offered,88.0,112.0,nan,77.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,243.0,nan,44.0,243.0,nan,Tobacco use screening,94.0,593.0,nan,Tobacco use treatment provided or offered,59.0,300.0,nan,42.0,300.0,nan,Tobacco use treatment provided or offered at discharge,58.0,250.0,nan,4.0,250.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,638.0,nan,Timely transmission of transition record (TR2),35.0,638.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.0,87.0,nan,39.1,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,269.0,21.4,17.8,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,72.0,nan,2017-10-01,2018-03-31
330136,MARY IMOGENE BASSETT HOSPITAL,ONE ATWELL ROAD,COOPERSTOWN,NY,13326,OTSEGO,Hours of physical-restraint use,0.0,0.0,4149.0,nan,Hours of seclusion use,0.0,0.0,4149.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,193.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,426.0,nan,Alcohol use brief intervention provided or offered,92.0,63.0,nan,81.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,135.0,nan,91.0,135.0,nan,Tobacco use screening,100.0,328.0,nan,Tobacco use treatment provided or offered,95.0,130.0,nan,81.0,130.0,nan,Tobacco use treatment provided or offered at discharge,89.0,120.0,nan,68.0,120.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),17.0,463.0,nan,Timely transmission of transition record (TR2),17.0,463.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.8,63.0,nan,57.1,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,210.0,19.8,15.9,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,250.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,37.0,nan,2017-10-01,2018-03-31
330141,LONG ISLAND COMMUNITY HOSPITAL,101 HOSPITAL ROAD,PATCHOGUE,NY,11772,SUFFOLK,Hours of physical-restraint use,0.12,20.66,7090.0,nan,Hours of seclusion use,0.0,0.0,7090.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,47.0,nan,Screening for metabolic disorders (SMD),56.0,330.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,418.0,nan,Alcohol use brief intervention provided or offered,88.0,73.0,nan,88.0,73.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,191.0,nan,69.0,191.0,nan,Tobacco use screening,99.0,419.0,nan,Tobacco use treatment provided or offered,95.0,42.0,nan,50.0,42.0,nan,Tobacco use treatment provided or offered at discharge,21.0,42.0,nan,2.0,42.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,423.0,nan,Timely transmission of transition record (TR2),24.0,425.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,66.0,nan,47.0,66.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,173.0,18.0,14.4,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,193.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,64.0,nan,2017-10-01,2018-03-31
330157,SAMARITAN MEDICAL CENTER,830 WASHINGTON STREET,WATERTOWN,NY,13601,JEFFERSON,Hours of physical-restraint use,0.2,48.17,9828.0,nan,Hours of seclusion use,0.0,0.0,9828.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,68.0,nan,Screening for metabolic disorders (SMD),5.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,600.0,nan,Alcohol use brief intervention provided or offered,63.0,75.0,nan,60.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,206.0,nan,44.0,206.0,nan,Tobacco use screening,98.0,600.0,nan,Tobacco use treatment provided or offered,71.0,320.0,nan,59.0,320.0,nan,Tobacco use treatment provided or offered at discharge,19.0,291.0,nan,18.0,291.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,620.0,nan,Timely transmission of transition record (TR2),0.0,620.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.8,81.0,nan,49.4,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,247.0,24.0,20.0,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,62.0,nan,2017-10-01,2018-03-31
330160,STATEN ISLAND UNIVERSITY HOSPITAL,475 SEAVIEW AVENUE,STATEN ISLAND,NY,10305,RICHMOND,Hours of physical-restraint use,0.21,40.88,8264.0,nan,Hours of seclusion use,0.62,123.87,8264.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,32.0,nan,Screening for metabolic disorders (SMD),80.0,350.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,519.0,nan,Alcohol use brief intervention provided or offered,81.0,103.0,nan,80.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,203.0,nan,69.0,203.0,nan,Tobacco use screening,97.0,520.0,nan,Tobacco use treatment provided or offered,88.0,278.0,nan,74.0,278.0,nan,Tobacco use treatment provided or offered at discharge,61.0,216.0,nan,27.0,216.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),37.0,635.0,nan,Timely transmission of transition record (TR2),18.0,635.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.1,58.0,nan,58.6,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,210.0,21.8,17.7,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,691.0,nan,2017-10-01,2018-03-31
330162,NORTHERN WESTCHESTER HOSPITAL,400 EAST MAIN STREET,MOUNT KISCO,NY,10549,WESTCHESTER,Hours of physical-restraint use,0.35,37.93,4512.0,nan,Hours of seclusion use,0.49,52.73,4512.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,15.0,nan,Screening for metabolic disorders (SMD),92.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,263.0,nan,Alcohol use brief intervention provided or offered,70.0,66.0,nan,70.0,66.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,106.0,nan,56.0,106.0,nan,Tobacco use screening,99.0,262.0,nan,Tobacco use treatment provided or offered,93.0,90.0,nan,37.0,90.0,nan,Tobacco use treatment provided or offered at discharge,68.0,80.0,nan,0.0,80.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,312.0,nan,Timely transmission of transition record (TR2),84.0,312.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.8,39.0,nan,48.7,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,110.0,22.1,17.0,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,151.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,1958.0,nan,2017-10-01,2018-03-31
330169,MOUNT SINAI BETH ISRAEL,FIRST AVENUE AT 16TH STREET,NEW YORK,NY,10003,NEW YORK,Hours of physical-restraint use,0.3,145.55,19943.0,nan,Hours of seclusion use,0.15,71.4,19943.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,14.0,nan,Screening for metabolic disorders (SMD),80.0,495.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,490.0,nan,Alcohol use brief intervention provided or offered,79.0,62.0,nan,79.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,12.0,nan,67.0,12.0,nan,Tobacco use screening,99.0,591.0,nan,Tobacco use treatment provided or offered,90.0,241.0,nan,44.0,241.0,nan,Tobacco use treatment provided or offered at discharge,35.0,221.0,nan,20.0,221.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,752.0,nan,Timely transmission of transition record (TR2),0.0,752.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,175.0,nan,44.0,175.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,538.0,22.8,19.7,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,117.0,nan,2017-10-01,2018-03-31
330175,"CORTLAND REGIONAL MEDICAL CENTER, INC",134 HOMER AVENUE,CORTLAND,NY,13045,CORTLAND,Hours of physical-restraint use,0.25,12.63,2123.0,nan,Hours of seclusion use,0.0,0.0,2123.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),45.0,67.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,70.0,284.0,nan,Alcohol use brief intervention provided or offered,50.0,50.0,nan,38.0,50.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,23.0,nan,35.0,23.0,nan,Tobacco use screening,99.0,285.0,nan,Tobacco use treatment provided or offered,63.0,120.0,nan,34.0,120.0,nan,Tobacco use treatment provided or offered at discharge,43.0,109.0,nan,3.0,109.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,334.0,nan,Timely transmission of transition record (TR2),0.0,339.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.9,41.0,nan,41.5,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,110.0,19.8,15.3,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,168.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,56.0,nan,2017-10-01,2018-03-31
330180,SAMARITAN HOSPITAL,2215 BURDETT AVENUE,TROY,NY,12180,RENSSELAER,Hours of physical-restraint use,0.29,89.8,13060.0,nan,Hours of seclusion use,0.03,9.58,13060.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,114.0,nan,Screening for metabolic disorders (SMD),42.0,217.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,51.0,376.0,nan,Alcohol use brief intervention provided or offered,2.0,114.0,nan,2.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,40.0,204.0,nan,37.0,204.0,nan,Tobacco use screening,100.0,376.0,nan,Tobacco use treatment provided or offered,87.0,210.0,nan,52.0,210.0,nan,Tobacco use treatment provided or offered at discharge,0.0,184.0,nan,0.0,184.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),21.0,1792.0,nan,Timely transmission of transition record (TR2),21.0,1792.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.8,212.0,nan,48.1,212.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,576.0,18.2,15.9,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,187.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,1329.0,nan,2017-10-01,2018-03-31
330185,JOHN T MATHER MEMORIAL HOSPITAL  OF PORT JEFFERSON,75 NORTH COUNTRY ROAD,PORT JEFFERSON,NY,11777,SUFFOLK,Hours of physical-restraint use,0.22,65.68,12581.0,nan,Hours of seclusion use,0.0,0.0,12581.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,30.0,nan,Screening for metabolic disorders (SMD),98.0,429.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,67.0,377.0,nan,Alcohol use brief intervention provided or offered,93.0,75.0,nan,89.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,166.0,nan,63.0,166.0,nan,Tobacco use screening,80.0,371.0,nan,Tobacco use treatment provided or offered,99.0,157.0,nan,73.0,157.0,nan,Tobacco use treatment provided or offered at discharge,41.0,140.0,nan,24.0,140.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,673.0,nan,Timely transmission of transition record (TR2),97.0,673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.7,139.0,nan,59.7,139.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,331.0,20.1,16.7,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,174.0,nan,2017-10-01,2018-03-31
330191,GLENS FALLS HOSPITAL,100 PARK STREET,GLENS FALLS,NY,12801,WARREN,Hours of physical-restraint use,0.23,12.99,2368.0,nan,Hours of seclusion use,0.0,0.0,2368.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,117.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,312.0,nan,Alcohol use brief intervention provided or offered,0.0,63.0,nan,0.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,105.0,nan,50.0,105.0,nan,Tobacco use screening,100.0,312.0,nan,Tobacco use treatment provided or offered,79.0,177.0,nan,66.0,177.0,nan,Tobacco use treatment provided or offered at discharge,97.0,173.0,nan,3.0,173.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,370.0,nan,Timely transmission of transition record (TR2),0.0,370.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.7,134.0,nan,41.8,134.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,418.0,21.5,18.3,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,158.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,68.0,nan,2017-10-01,2018-03-31
330193,FLUSHING HOSPITAL MEDICAL CENTER,45TH AVENUE AND PARSONS BOULEVARD,FLUSHING,NY,11355,QUEENS,Hours of physical-restraint use,0.01,1.0,4600.0,nan,Hours of seclusion use,0.0,0.0,4600.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,34.0,nan,Screening for metabolic disorders (SMD),18.0,250.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,366.0,nan,Alcohol use brief intervention provided or offered,100.0,96.0,nan,99.0,96.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,141.0,nan,52.0,141.0,nan,Tobacco use screening,100.0,366.0,nan,Tobacco use treatment provided or offered,100.0,170.0,nan,71.0,170.0,nan,Tobacco use treatment provided or offered at discharge,5.0,153.0,nan,1.0,153.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),89.0,374.0,nan,Timely transmission of transition record (TR2),89.0,374.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,88.0,25.0,nan,68.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,76.0,23.5,18.1,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,176.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,32.0,nan,2017-10-01,2018-03-31
330194,MAIMONIDES MEDICAL CENTER,4802 TENTH AVENUE,BROOKLYN,NY,11219,KINGS,Hours of physical-restraint use,0.55,318.3,24273.0,nan,Hours of seclusion use,0.0,0.0,24273.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,30.0,nan,Screening for metabolic disorders (SMD),14.0,497.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,515.0,nan,Alcohol use brief intervention provided or offered,33.0,39.0,nan,21.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,14.0,nan,14.0,14.0,nan,Tobacco use screening,92.0,510.0,nan,Tobacco use treatment provided or offered,34.0,162.0,nan,17.0,162.0,nan,Tobacco use treatment provided or offered at discharge,13.0,154.0,nan,2.0,154.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,649.0,nan,Timely transmission of transition record (TR2),0.0,649.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.4,152.0,nan,54.6,152.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,425.0,23.2,19.9,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,235.0,nan,2017-10-01,2018-03-31
330195,LONG ISLAND JEWISH MEDICAL CENTER,270 - 05 76TH AVENUE,NEW HYDE PARK,NY,11040,NASSAU,Hours of physical-restraint use,0.09,182.38,80126.0,nan,Hours of seclusion use,0.02,36.5,80126.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,228.0,nan,Screening for metabolic disorders (SMD),81.0,3166.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,4409.0,nan,Alcohol use brief intervention provided or offered,51.0,316.0,nan,49.0,316.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,1066.0,nan,33.0,1066.0,nan,Tobacco use screening,98.0,4344.0,nan,Tobacco use treatment provided or offered,96.0,1118.0,nan,18.0,1118.0,nan,Tobacco use treatment provided or offered at discharge,92.0,1007.0,nan,1.0,1007.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),48.0,5183.0,nan,Timely transmission of transition record (TR2),40.0,5183.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.0,448.0,nan,52.0,448.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1192.0,20.6,18.3,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,2434.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,1554.0,nan,2017-10-01,2018-03-31
330196,CONEY ISLAND HOSPITAL,2601 OCEAN PARKWAY,BROOKLYN,NY,11235,KINGS,Hours of physical-restraint use,0.04,20.35,21057.0,nan,Hours of seclusion use,0.0,0.0,21057.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,23.0,nan,Screening for metabolic disorders (SMD),92.0,484.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,70.0,573.0,nan,Alcohol use brief intervention provided or offered,69.0,32.0,nan,44.0,32.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,205.0,nan,59.0,205.0,nan,Tobacco use screening,80.0,586.0,nan,Tobacco use treatment provided or offered,74.0,216.0,nan,25.0,216.0,nan,Tobacco use treatment provided or offered at discharge,35.0,203.0,nan,8.0,203.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,609.0,nan,Timely transmission of transition record (TR2),77.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.6,86.0,nan,39.5,86.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,232.0,18.7,15.3,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),63.0,412.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,306.0,nan,2017-10-01,2018-03-31
330198,SOUTH NASSAU COMMUNITIES HOSPITAL,ONE HEALTHY WAY,OCEANSIDE,NY,11572,NASSAU,Hours of physical-restraint use,0.16,44.03,11714.0,nan,Hours of seclusion use,0.0,0.15,11714.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,27.0,nan,Screening for metabolic disorders (SMD),46.0,474.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,633.0,nan,Alcohol use brief intervention provided or offered,93.0,91.0,nan,93.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,258.0,nan,69.0,258.0,nan,Tobacco use screening,100.0,613.0,nan,Tobacco use treatment provided or offered,84.0,308.0,nan,82.0,308.0,nan,Tobacco use treatment provided or offered at discharge,13.0,293.0,nan,0.0,293.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),30.0,654.0,nan,Timely transmission of transition record (TR2),30.0,654.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,143.0,nan,47.6,143.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,411.0,26.2,22.7,30.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,112.0,nan,2017-10-01,2018-03-31
330199,METROPOLITAN HOSPITAL CENTER,1901 FIRST AVENUE,NEW YORK,NY,10029,NEW YORK,Hours of physical-restraint use,0.13,185.0,58631.0,nan,Hours of seclusion use,0.0,0.0,58631.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,13.0,nan,Screening for metabolic disorders (SMD),91.0,434.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,538.0,nan,Alcohol use brief intervention provided or offered,100.0,142.0,nan,98.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,316.0,nan,98.0,316.0,nan,Tobacco use screening,94.0,535.0,nan,Tobacco use treatment provided or offered,93.0,275.0,nan,40.0,275.0,nan,Tobacco use treatment provided or offered at discharge,93.0,260.0,nan,24.0,260.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),59.0,612.0,nan,Timely transmission of transition record (TR2),59.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.3,102.0,nan,19.6,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,274.0,24.9,21.2,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,214.0,nan,2017-10-01,2018-03-31
330201,KINGSBROOK JEWISH MEDICAL CENTER,585 SCHENECTADY AVENUE,BROOKLYN,NY,11203,KINGS,Hours of physical-restraint use,0.04,16.93,17558.0,nan,Hours of seclusion use,0.1,40.07,17558.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,33.0,nan,Screening for metabolic disorders (SMD),65.0,437.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,617.0,nan,Alcohol use brief intervention provided or offered,85.0,65.0,nan,85.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,95.0,nan,79.0,95.0,nan,Tobacco use screening,92.0,607.0,nan,Tobacco use treatment provided or offered,80.0,88.0,nan,52.0,88.0,nan,Tobacco use treatment provided or offered at discharge,51.0,59.0,nan,24.0,59.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),36.0,636.0,nan,Timely transmission of transition record (TR2),36.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,45.0,nan,42.2,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,440.0,24.1,20.6,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,278.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,121.0,nan,2017-10-01,2018-03-31
330202,KINGS COUNTY HOSPITAL CENTER,451 CLARKSON AVENUE,BROOKLYN,NY,11203,KINGS,Hours of physical-restraint use,0.15,40.67,11538.0,nan,Hours of seclusion use,0.0,0.0,11538.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),69.0,442.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,503.0,nan,Alcohol use brief intervention provided or offered,24.0,38.0,nan,18.0,38.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,215.0,nan,19.0,215.0,nan,Tobacco use screening,100.0,518.0,nan,Tobacco use treatment provided or offered,83.0,195.0,nan,63.0,195.0,nan,Tobacco use treatment provided or offered at discharge,69.0,188.0,nan,50.0,188.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),22.0,632.0,nan,Timely transmission of transition record (TR2),18.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,209.0,nan,36.8,209.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,420.0,19.3,16.2,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),58.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,993.0,nan,2017-10-01,2018-03-31
330204,BELLEVUE HOSPITAL CENTER,462 FIRST AVENUE,NEW YORK,NY,10016,NEW YORK,Hours of physical-restraint use,0.48,1004.18,87735.0,nan,Hours of seclusion use,0.24,499.63,87735.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,59.0,nan,Screening for metabolic disorders (SMD),62.0,779.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,881.0,nan,Alcohol use brief intervention provided or offered,98.0,80.0,nan,95.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,360.0,nan,47.0,360.0,nan,Tobacco use screening,100.0,882.0,nan,Tobacco use treatment provided or offered,97.0,262.0,nan,59.0,262.0,nan,Tobacco use treatment provided or offered at discharge,72.0,245.0,nan,37.0,245.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,959.0,nan,Timely transmission of transition record (TR2),2.0,959.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.7,264.0,nan,22.7,264.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,746.0,23.5,20.8,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,525.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,827.0,nan,2017-10-01,2018-03-31
330211,CLAXTON-HEPBURN MEDICAL CENTER,214 KING STREET,OGDENSBURG,NY,13669,ST. LAWRENCE,Hours of physical-restraint use,0.28,63.65,9397.0,nan,Hours of seclusion use,0.02,3.42,9397.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,28.0,nan,Screening for metabolic disorders (SMD),100.0,309.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,883.0,nan,Alcohol use brief intervention provided or offered,100.0,153.0,nan,93.0,153.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,407.0,nan,57.0,407.0,nan,Tobacco use screening,99.0,880.0,nan,Tobacco use treatment provided or offered,100.0,420.0,nan,21.0,420.0,nan,Tobacco use treatment provided or offered at discharge,94.0,392.0,nan,13.0,392.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,612.0,nan,Timely transmission of transition record (TR2),100.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.9,152.0,nan,39.5,152.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,420.0,21.2,18.3,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,512.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,51.0,nan,2017-10-01,2018-03-31
330214,NYU LANGONE HOSPITALS,550 FIRST AVENUE,NEW YORK,NY,10016,NEW YORK,Hours of physical-restraint use,0.02,8.75,17115.0,nan,Hours of seclusion use,0.11,46.93,17115.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,16.0,nan,Screening for metabolic disorders (SMD),78.0,211.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,638.0,nan,Alcohol use brief intervention provided or offered,98.0,120.0,nan,69.0,120.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,225.0,nan,99.0,225.0,nan,Tobacco use screening,100.0,646.0,nan,Tobacco use treatment provided or offered,91.0,241.0,nan,62.0,241.0,nan,Tobacco use treatment provided or offered at discharge,95.0,214.0,nan,48.0,214.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,411.0,nan,Timely transmission of transition record (TR2),88.0,406.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.0,109.0,nan,50.5,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,286.0,22.3,18.4,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,310.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,329.0,nan,2017-10-01,2018-03-31
330215,"ROME MEMORIAL HOSPITAL, INC",1500 NORTH JAMES STREET,ROME,NY,13440,ONEIDA,Hours of physical-restraint use,0.0,0.0,3860.0,nan,Hours of seclusion use,0.0,0.0,3860.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,16.0,nan,Screening for metabolic disorders (SMD),76.0,208.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,257.0,nan,Alcohol use brief intervention provided or offered,74.0,19.0,nan,47.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,28.0,nan,43.0,28.0,nan,Tobacco use screening,100.0,250.0,nan,Tobacco use treatment provided or offered,80.0,46.0,nan,35.0,46.0,nan,Tobacco use treatment provided or offered at discharge,12.0,40.0,nan,12.0,40.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,276.0,nan,Timely transmission of transition record (TR2),0.0,276.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,54.0,nan,31.5,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,297.0,17.2,13.6,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,119.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,50.0,nan,2017-10-01,2018-03-31
330218,OSWEGO HOSPITAL,110 WEST SIXTH STREET,OSWEGO,NY,13126,OSWEGO,Hours of physical-restraint use,0.01,1.67,5328.0,nan,Hours of seclusion use,0.0,0.0,5328.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,289.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,567.0,nan,Alcohol use brief intervention provided or offered,43.0,123.0,nan,26.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,265.0,nan,21.0,265.0,nan,Tobacco use screening,100.0,49.0,nan,Tobacco use treatment provided or offered,88.0,342.0,nan,32.0,342.0,nan,Tobacco use treatment provided or offered at discharge,94.0,337.0,nan,16.0,337.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,575.0,nan,Timely transmission of transition record (TR2),64.0,575.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.0,97.0,nan,38.1,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,292.0,25.2,21.5,29.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,91.0,nan,2017-10-01,2018-03-31
330219,ERIE COUNTY MEDICAL CENTER,462 GRIDER STREET,BUFFALO,NY,14215,ERIE,Hours of physical-restraint use,0.15,166.45,45458.0,nan,Hours of seclusion use,0.15,167.38,45458.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,60.0,30.0,nan,Screening for metabolic disorders (SMD),31.0,775.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,625.0,nan,Alcohol use brief intervention provided or offered,82.0,111.0,nan,81.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,324.0,nan,58.0,324.0,nan,Tobacco use screening,99.0,615.0,nan,Tobacco use treatment provided or offered,76.0,333.0,nan,59.0,333.0,nan,Tobacco use treatment provided or offered at discharge,36.0,305.0,nan,0.0,305.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),15.0,1234.0,nan,Timely transmission of transition record (TR2),14.0,1234.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.8,401.0,nan,39.2,401.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1061.0,17.7,15.6,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,362.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,428.0,nan,2017-10-01,2018-03-31
330224,HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS,105 MARY'S AVENUE,KINGSTON,NY,12401,ULSTER,Hours of physical-restraint use,0.06,16.45,11320.0,nan,Hours of seclusion use,0.18,47.69,11320.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,31.0,nan,Screening for metabolic disorders (SMD),74.0,399.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,534.0,nan,Alcohol use brief intervention provided or offered,81.0,136.0,nan,81.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,227.0,nan,40.0,227.0,nan,Tobacco use screening,99.0,531.0,nan,Tobacco use treatment provided or offered,32.0,296.0,nan,12.0,296.0,nan,Tobacco use treatment provided or offered at discharge,31.0,272.0,nan,3.0,272.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),46.0,654.0,nan,Timely transmission of transition record (TR2),42.0,654.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.8,162.0,nan,52.5,162.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,432.0,21.4,18.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,79.0,nan,2017-10-01,2018-03-31
330226,UNITY HOSPITAL OF ROCHESTER,1555 LONG POND ROAD,ROCHESTER,NY,14626,MONROE,Hours of physical-restraint use,0.21,20.17,4050.0,nan,Hours of seclusion use,0.21,20.28,4050.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,39.0,nan,Screening for metabolic disorders (SMD),91.0,292.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,483.0,nan,Alcohol use brief intervention provided or offered,57.0,68.0,nan,53.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,187.0,nan,40.0,187.0,nan,Tobacco use screening,98.0,483.0,nan,Tobacco use treatment provided or offered,87.0,232.0,nan,49.0,232.0,nan,Tobacco use treatment provided or offered at discharge,70.0,215.0,nan,27.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,435.0,nan,Timely transmission of transition record (TR2),44.0,435.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.4,79.0,nan,48.1,79.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,201.0,19.1,15.2,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,208.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,59.0,nan,2017-10-01,2018-03-31
330231,QUEENS HOSPITAL CENTER,82-68 164TH STREET,JAMAICA,NY,11432,QUEENS,Hours of physical-restraint use,0.06,21.5,13822.0,nan,Hours of seclusion use,0.09,30.13,13822.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,96.0,nan,Screening for metabolic disorders (SMD),31.0,573.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,667.0,nan,Alcohol use brief intervention provided or offered,68.0,60.0,nan,50.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,134.0,nan,37.0,134.0,nan,Tobacco use screening,98.0,661.0,nan,Tobacco use treatment provided or offered,68.0,219.0,nan,11.0,219.0,nan,Tobacco use treatment provided or offered at discharge,36.0,208.0,nan,1.0,208.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,680.0,nan,Timely transmission of transition record (TR2),23.0,680.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,88.0,nan,39.8,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,240.0,21.8,17.5,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,332.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,314.0,nan,2017-10-01,2018-03-31
330233,BROOKDALE HOSPITAL MEDICAL CENTER,1 BROOKDALE PLAZA,BROOKLYN,NY,11212,KINGS,Hours of physical-restraint use,0.01,5.23,20084.0,nan,Hours of seclusion use,0.19,91.82,20084.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,73.0,nan,Screening for metabolic disorders (SMD),59.0,437.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,375.0,nan,Alcohol use brief intervention provided or offered,74.0,23.0,nan,74.0,23.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,152.0,nan,71.0,152.0,nan,Tobacco use screening,98.0,382.0,nan,Tobacco use treatment provided or offered,38.0,190.0,nan,35.0,190.0,nan,Tobacco use treatment provided or offered at discharge,23.0,185.0,nan,4.0,185.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),59.0,698.0,nan,Timely transmission of transition record (TR2),57.0,698.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.9,106.0,nan,31.1,106.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,241.0,20.2,16.3,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,388.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,219.0,nan,2017-10-01,2018-03-31
330234,WESTCHESTER MEDICAL CENTER,100 WOODS RD,VALHALLA,NY,10595,WESTCHESTER,Hours of physical-restraint use,0.41,407.6,41819.0,nan,Hours of seclusion use,0.08,80.9,41819.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,113.0,nan,Screening for metabolic disorders (SMD),67.0,813.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,983.0,nan,Alcohol use brief intervention provided or offered,88.0,202.0,nan,67.0,202.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,373.0,nan,28.0,373.0,nan,Tobacco use screening,92.0,980.0,nan,Tobacco use treatment provided or offered,72.0,449.0,nan,33.0,449.0,nan,Tobacco use treatment provided or offered at discharge,17.0,415.0,nan,0.0,415.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),17.0,1281.0,nan,Timely transmission of transition record (TR2),4.0,1281.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.2,290.0,nan,42.1,290.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,815.0,22.4,20.0,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,628.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,231.0,nan,2017-10-01,2018-03-31
330235,AUBURN  COMMUNITY  HOSPITAL,17 LANSING STREET,AUBURN,NY,13021,CAYUGA,Hours of physical-restraint use,0.0,0.0,3659.0,nan,Hours of seclusion use,0.0,0.0,3659.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,26.0,nan,Screening for metabolic disorders (SMD),7.0,221.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,360.0,nan,Alcohol use brief intervention provided or offered,30.0,46.0,nan,30.0,46.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,130.0,nan,82.0,130.0,nan,Tobacco use screening,100.0,364.0,nan,Tobacco use treatment provided or offered,85.0,198.0,nan,83.0,198.0,nan,Tobacco use treatment provided or offered at discharge,0.0,187.0,nan,0.0,187.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),39.0,393.0,nan,Timely transmission of transition record (TR2),37.0,393.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.1,67.0,nan,56.7,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,222.0,22.3,18.5,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,205.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,28.0,nan,2017-10-01,2018-03-31
330236,NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL,506 SIXTH STREET,BROOKLYN,NY,11215,KINGS,Hours of physical-restraint use,0.01,2.98,14663.0,nan,Hours of seclusion use,0.06,21.7,14663.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,44.0,27.0,nan,Screening for metabolic disorders (SMD),73.0,467.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,189.0,nan,Alcohol use brief intervention provided or offered,62.0,29.0,nan,62.0,29.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,46.0,nan,67.0,46.0,nan,Tobacco use screening,96.0,189.0,nan,Tobacco use treatment provided or offered,93.0,54.0,nan,80.0,54.0,nan,Tobacco use treatment provided or offered at discharge,72.0,50.0,nan,8.0,50.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,643.0,nan,Timely transmission of transition record (TR2),0.0,643.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.8,93.0,nan,43.0,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,458.0,21.5,18.3,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,319.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,169.0,nan,2017-10-01,2018-03-31
330239,UPMC CHAUTAUQUA AT WCA,207 FOOTE AVENUE,JAMESTOWN,NY,14701,CHAUTAUQUA,Hours of physical-restraint use,0.02,4.3,9397.0,nan,Hours of seclusion use,0.27,61.45,9397.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,61.0,nan,Screening for metabolic disorders (SMD),99.0,587.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,685.0,nan,Alcohol use brief intervention provided or offered,57.0,127.0,nan,40.0,127.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,484.0,nan,88.0,484.0,nan,Tobacco use screening,98.0,794.0,nan,Tobacco use treatment provided or offered,33.0,681.0,nan,18.0,681.0,nan,Tobacco use treatment provided or offered at discharge,6.0,681.0,nan,5.0,681.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,1138.0,nan,Timely transmission of transition record (TR2),84.0,1138.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.5,109.0,nan,33.0,109.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,308.0,20.7,17.4,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),11.0,545.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,1596.0,nan,2017-10-01,2018-03-31
330240,HARLEM HOSPITAL CENTER,506 LENOX AVENUE,NEW YORK,NY,10037,NEW YORK,Hours of physical-restraint use,0.81,326.0,16695.0,nan,Hours of seclusion use,0.0,0.0,16695.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,52.0,138.0,nan,Screening for metabolic disorders (SMD),61.0,536.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,403.0,nan,Alcohol use brief intervention provided or offered,99.0,122.0,nan,97.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,238.0,nan,90.0,238.0,nan,Tobacco use screening,75.0,252.0,nan,Tobacco use treatment provided or offered,82.0,88.0,nan,44.0,88.0,nan,Tobacco use treatment provided or offered at discharge,46.0,81.0,nan,26.0,81.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),24.0,671.0,nan,Timely transmission of transition record (TR2),22.0,671.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.3,60.0,nan,31.7,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,166.0,23.0,18.6,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,326.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,148.0,nan,2017-10-01,2018-03-31
330241,UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER,750 EAST ADAMS STREET,SYRACUSE,NY,13210,ONONDAGA,Hours of physical-restraint use,0.65,161.39,10301.0,nan,Hours of seclusion use,0.34,85.24,10301.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,12.0,nan,Screening for metabolic disorders (SMD),48.0,356.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,555.0,nan,Alcohol use brief intervention provided or offered,99.0,147.0,nan,97.0,147.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,281.0,nan,90.0,281.0,nan,Tobacco use screening,97.0,553.0,nan,Tobacco use treatment provided or offered,88.0,289.0,nan,47.0,289.0,nan,Tobacco use treatment provided or offered at discharge,9.0,250.0,nan,8.0,250.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),37.0,953.0,nan,Timely transmission of transition record (TR2),34.0,953.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.1,111.0,nan,39.6,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,321.0,20.4,17.3,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,42.0,nan,2017-10-01,2018-03-31
330245,ST ELIZABETH MEDICAL CENTER,2209 GENESEE STREET,UTICA,NY,13501,ONEIDA,Hours of physical-restraint use,0.5,74.98,6300.0,nan,Hours of seclusion use,0.0,0.0,6300.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,33.0,nan,Screening for metabolic disorders (SMD),97.0,238.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,427.0,nan,Alcohol use brief intervention provided or offered,2.0,63.0,nan,2.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,187.0,nan,47.0,187.0,nan,Tobacco use screening,90.0,428.0,nan,Tobacco use treatment provided or offered,82.0,214.0,nan,48.0,214.0,nan,Tobacco use treatment provided or offered at discharge,18.0,197.0,nan,0.0,197.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,639.0,nan,Timely transmission of transition record (TR2),0.0,639.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.7,122.0,nan,33.6,122.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,326.0,23.2,19.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,41.0,nan,2017-10-01,2018-03-31
330259,MERCY MEDICAL CENTER,1000 NORTH VILLAGE AVENUE,ROCKVILLE CENTRE,NY,11570,NASSAU,Hours of physical-restraint use,0.04,10.68,10249.0,nan,Hours of seclusion use,0.0,0.0,10429.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,13.0,nan,Screening for metabolic disorders (SMD),17.0,447.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,618.0,nan,Alcohol use brief intervention provided or offered,92.0,203.0,nan,92.0,203.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,139.0,nan,83.0,139.0,nan,Tobacco use screening,94.0,632.0,nan,Tobacco use treatment provided or offered,78.0,250.0,nan,56.0,250.0,nan,Tobacco use treatment provided or offered at discharge,64.0,228.0,nan,4.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,603.0,nan,Timely transmission of transition record (TR2),57.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.3,89.0,nan,49.4,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,279.0,21.6,17.9,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,91.0,nan,2017-10-01,2018-03-31
330261,PHELPS MEMORIAL HOSPITAL ASSN,701 NORTH BROADWAY,SLEEPY HOLLOW,NY,10591,WESTCHESTER,Hours of physical-restraint use,0.8,126.2,6597.0,nan,Hours of seclusion use,0.07,11.05,6597.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,31.0,nan,Screening for metabolic disorders (SMD),86.0,249.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,358.0,nan,Alcohol use brief intervention provided or offered,100.0,48.0,nan,98.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,93.0,nan,56.0,93.0,nan,Tobacco use screening,93.0,353.0,nan,Tobacco use treatment provided or offered,84.0,146.0,nan,55.0,146.0,nan,Tobacco use treatment provided or offered at discharge,68.0,118.0,nan,35.0,118.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,392.0,nan,Timely transmission of transition record (TR2),57.0,392.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.8,81.0,nan,60.5,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,209.0,15.9,12.4,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,195.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,55.0,nan,2017-10-01,2018-03-31
330265,CLIFTON SPRINGS HOSPITAL AND CLINIC,2 COULTER ROAD,CLIFTON SPRINGS,NY,14432,ONTARIO,Hours of physical-restraint use,0.0,0.0,2872.0,nan,Hours of seclusion use,0.0,0.0,2872.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,12.0,nan,Screening for metabolic disorders (SMD),91.0,454.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,454.0,nan,Alcohol use brief intervention provided or offered,87.0,69.0,nan,78.0,69.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,69.0,nan,61.0,69.0,nan,Tobacco use screening,95.0,454.0,nan,Tobacco use treatment provided or offered,91.0,232.0,nan,80.0,232.0,nan,Tobacco use treatment provided or offered at discharge,71.0,232.0,nan,65.0,232.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,454.0,nan,Timely transmission of transition record (TR2),81.0,454.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.0,50.0,nan,50.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,19.8,15.6,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,215.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,38.0,nan,2017-10-01,2018-03-31
330273,PUTNAM HOSPITAL CENTER,670 STONELEIGH AVENUE,CARMEL,NY,10512,PUTNAM,Hours of physical-restraint use,0.06,8.0,5277.0,nan,Hours of seclusion use,0.0,0.0,5277.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,32.0,nan,Screening for metabolic disorders (SMD),94.0,315.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,609.0,nan,Alcohol use brief intervention provided or offered,91.0,78.0,nan,56.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,167.0,nan,60.0,167.0,nan,Tobacco use screening,100.0,608.0,nan,Tobacco use treatment provided or offered,90.0,295.0,nan,72.0,295.0,nan,Tobacco use treatment provided or offered at discharge,16.0,258.0,nan,0.0,258.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),3.0,758.0,nan,Timely transmission of transition record (TR2),1.0,758.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.4,84.0,nan,57.1,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,268.0,22.8,18.9,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,76.0,nan,2017-10-01,2018-03-31
330285,STRONG MEMORIAL HOSPITAL,601 ELMWOOD AVE,ROCHESTER,NY,14642,MONROE,Hours of physical-restraint use,0.65,420.65,26962.0,nan,Hours of seclusion use,2.07,1340.17,26962.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,38.0,16.0,nan,Screening for metabolic disorders (SMD),14.0,1094.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,276.0,nan,Alcohol use brief intervention provided or offered,24.0,138.0,nan,20.0,138.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,85.0,nan,47.0,85.0,nan,Tobacco use screening,86.0,320.0,nan,Tobacco use treatment provided or offered,24.0,138.0,nan,20.0,138.0,nan,Tobacco use treatment provided or offered at discharge,33.0,54.0,nan,24.0,54.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,523.0,nan,Timely transmission of transition record (TR2),0.0,523.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.4,216.0,nan,62.0,216.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,579.0,19.3,16.5,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,150.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,891.0,nan,2017-10-01,2018-03-31
330307,CAYUGA MEDICAL CENTER AT ITHACA,101 DATES DRIVE,ITHACA,NY,14850,TOMPKINS,Hours of physical-restraint use,0.03,5.58,7270.0,nan,Hours of seclusion use,0.03,5.85,7270.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),48.0,247.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,510.0,nan,Alcohol use brief intervention provided or offered,67.0,86.0,nan,66.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,173.0,nan,43.0,173.0,nan,Tobacco use screening,92.0,507.0,nan,Tobacco use treatment provided or offered,86.0,239.0,nan,3.0,239.0,nan,Tobacco use treatment provided or offered at discharge,68.0,211.0,nan,2.0,211.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,658.0,nan,Timely transmission of transition record (TR2),2.0,669.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,75.0,nan,53.3,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,252.0,21.9,18.1,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,326.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,87.0,nan,2017-10-01,2018-03-31
330385,NORTH CENTRAL BRONX HOSPITAL,3424 KOSSUTH AVENUE & 210TH STREET,BRONX,NY,10467,BRONX,Hours of physical-restraint use,0.02,8.8,17979.0,nan,Hours of seclusion use,0.22,94.67,17979.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,58.0,nan,Screening for metabolic disorders (SMD),70.0,473.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,581.0,nan,Alcohol use brief intervention provided or offered,49.0,43.0,nan,47.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,4.0,263.0,nan,3.0,263.0,nan,Tobacco use screening,95.0,578.0,nan,Tobacco use treatment provided or offered,78.0,209.0,nan,60.0,209.0,nan,Tobacco use treatment provided or offered at discharge,2.0,203.0,nan,0.0,203.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,611.0,nan,Timely transmission of transition record (TR2),0.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.4,65.0,nan,38.5,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,271.0,26.4,22.1,31.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,153.0,nan,2017-10-01,2018-03-31
330386,CATSKILL REGIONAL MEDICAL CENTER,68 HARRIS BUSHVILLE ROAD,HARRIS,NY,12742,SULLIVAN,Hours of physical-restraint use,0.03,3.47,4992.0,nan,Hours of seclusion use,0.0,0.0,4992.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,54.0,nan,Screening for metabolic disorders (SMD),26.0,293.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,472.0,nan,Alcohol use brief intervention provided or offered,44.0,39.0,nan,41.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,112.0,nan,53.0,112.0,nan,Tobacco use screening,99.0,476.0,nan,Tobacco use treatment provided or offered,74.0,286.0,nan,48.0,286.0,nan,Tobacco use treatment provided or offered at discharge,59.0,265.0,nan,25.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,506.0,nan,Timely transmission of transition record (TR2),42.0,506.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.1,104.0,nan,30.8,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,226.0,16.6,13.3,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,249.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,43.0,nan,2017-10-01,2018-03-31
330393,UNIVERSITY HOSPITAL AT STONY BROOK,HEALTH SCIENCES CENTER SUNY,STONY BROOK,NY,11794,SUFFOLK,Hours of physical-restraint use,0.24,76.01,13457.0,nan,Hours of seclusion use,0.06,18.28,13457.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,198.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,363.0,nan,Alcohol use brief intervention provided or offered,93.0,59.0,nan,85.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,126.0,nan,67.0,126.0,nan,Tobacco use screening,99.0,366.0,nan,Tobacco use treatment provided or offered,81.0,205.0,nan,54.0,205.0,nan,Tobacco use treatment provided or offered at discharge,41.0,169.0,nan,12.0,169.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,611.0,nan,Timely transmission of transition record (TR2),92.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.9,118.0,nan,47.5,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,292.0,19.9,16.5,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,273.0,nan,2017-10-01,2018-03-31
330394,"UNITED HEALTH SERVICES HOSPITALS, INC",10-42 MITCHELL AVENUE,BINGHAMTON,NY,13903,BROOME,Hours of physical-restraint use,0.29,118.8,16826.0,nan,Hours of seclusion use,0.34,138.37,16826.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,31.0,nan,Screening for metabolic disorders (SMD),6.0,415.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,685.0,nan,Alcohol use brief intervention provided or offered,82.0,139.0,nan,71.0,139.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,307.0,nan,37.0,307.0,nan,Tobacco use screening,99.0,694.0,nan,Tobacco use treatment provided or offered,92.0,381.0,nan,17.0,381.0,nan,Tobacco use treatment provided or offered at discharge,17.0,351.0,nan,1.0,351.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,716.0,nan,Timely transmission of transition record (TR2),1.0,718.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.4,248.0,nan,49.6,248.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,640.0,13.4,11.4,15.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,354.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,266.0,nan,2017-10-01,2018-03-31
330395,ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE,327 BEACH 19TH STREET,FAR ROCKAWAY,NY,11691,QUEENS,Hours of physical-restraint use,0.0,0.0,12040.0,nan,Hours of seclusion use,0.15,44.0,12040.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,313.0,nan,Screening for metabolic disorders (SMD),65.0,790.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,868.0,nan,Alcohol use brief intervention provided or offered,100.0,99.0,nan,100.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,99.0,nan,100.0,99.0,nan,Tobacco use screening,100.0,868.0,nan,Tobacco use treatment provided or offered,100.0,607.0,nan,10.0,607.0,nan,Tobacco use treatment provided or offered at discharge,100.0,607.0,nan,0.0,607.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),93.0,868.0,nan,Timely transmission of transition record (TR2),100.0,868.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.9,57.0,nan,42.1,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,353.0,21.9,18.2,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),2.0,392.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,149.0,nan,2017-10-01,2018-03-31
330396,WOODHULL MEDICAL & MENTAL HEALTH CENTER,760 BROADWAY,BROOKLYN,NY,11206,KINGS,Hours of physical-restraint use,0.38,296.05,32232.0,nan,Hours of seclusion use,0.04,32.18,32232.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,36.0,nan,Screening for metabolic disorders (SMD),94.0,488.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,607.0,nan,Alcohol use brief intervention provided or offered,74.0,82.0,nan,72.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,272.0,nan,72.0,272.0,nan,Tobacco use screening,96.0,606.0,nan,Tobacco use treatment provided or offered,96.0,292.0,nan,52.0,292.0,nan,Tobacco use treatment provided or offered at discharge,30.0,283.0,nan,18.0,283.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),20.0,608.0,nan,Timely transmission of transition record (TR2),20.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.6,113.0,nan,35.4,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,309.0,23.1,19.6,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,383.0,nan,2017-10-01,2018-03-31
330397,INTERFAITH MEDICAL CENTER,1545 ATLANTIC AVENUE,BROOKLYN,NY,11213,KINGS,Hours of physical-restraint use,0.02,12.52,27048.0,nan,Hours of seclusion use,0.0,0.0,27048.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,36.0,nan,Screening for metabolic disorders (SMD),78.0,481.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,47.0,559.0,nan,Alcohol use brief intervention provided or offered,85.0,39.0,nan,69.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,279.0,nan,62.0,279.0,nan,Tobacco use screening,100.0,573.0,nan,Tobacco use treatment provided or offered,64.0,334.0,nan,22.0,334.0,nan,Tobacco use treatment provided or offered at discharge,26.0,304.0,nan,7.0,304.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),58.0,640.0,nan,Timely transmission of transition record (TR2),40.0,640.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.0,114.0,nan,29.8,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,242.0,23.0,19.0,27.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,283.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,319.0,nan,2017-10-01,2018-03-31
330399,ST BARNABAS HOSPITAL,4422 THIRD AVENUE,BRONX,NY,10457,BRONX,Hours of physical-restraint use,0.59,211.4,14920.0,nan,Hours of seclusion use,0.81,291.43,14920.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,52.0,46.0,nan,Screening for metabolic disorders (SMD),38.0,499.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,179.0,nan,Alcohol use brief intervention provided or offered,88.0,16.0,nan,88.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,94.0,nan,40.0,94.0,nan,Tobacco use screening,90.0,174.0,nan,Tobacco use treatment provided or offered,52.0,77.0,nan,26.0,77.0,nan,Tobacco use treatment provided or offered at discharge,3.0,73.0,nan,1.0,73.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),39.0,612.0,nan,Timely transmission of transition record (TR2),36.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,78.0,nan,30.8,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,143.0,22.1,17.9,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,292.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,102.0,nan,2017-10-01,2018-03-31
330401,ST CATHERINE OF SIENA HOSPITAL,50 ROUTE 25A,SMITHTOWN,NY,11787,SUFFOLK,Hours of physical-restraint use,0.0,0.0,14794.0,nan,Hours of seclusion use,0.0,0.01,14794.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,51.0,nan,Screening for metabolic disorders (SMD),66.0,452.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,621.0,nan,Alcohol use brief intervention provided or offered,84.0,127.0,nan,84.0,127.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,301.0,nan,89.0,301.0,nan,Tobacco use screening,92.0,633.0,nan,Tobacco use treatment provided or offered,88.0,349.0,nan,69.0,349.0,nan,Tobacco use treatment provided or offered at discharge,90.0,328.0,nan,6.0,328.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,621.0,nan,Timely transmission of transition record (TR2),82.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.4,209.0,nan,50.7,209.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,509.0,24.6,21.6,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,310.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,79.0,nan,2017-10-01,2018-03-31
331314,SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES,418 NORTH MAIN STREET,PENN YAN,NY,14527,YATES,Hours of physical-restraint use,0.0,0.0,1202.0,nan,Hours of seclusion use,0.0,0.0,1202.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,98.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,188.0,nan,Alcohol use brief intervention provided or offered,89.0,18.0,nan,89.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,69.0,nan,29.0,69.0,nan,Tobacco use screening,100.0,190.0,nan,Tobacco use treatment provided or offered,96.0,114.0,nan,67.0,114.0,nan,Tobacco use treatment provided or offered at discharge,93.0,109.0,nan,5.0,109.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,206.0,nan,Timely transmission of transition record (TR2),0.0,206.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,78.9,19.0,nan,73.7,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,68.0,16.6,12.5,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,101.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,38.0,nan,2017-10-01,2018-03-31
334001,HUTCHINGS PSYCHIATRIC CTR,620 MADISON STREET,SYRACUSE,NY,13210,ONONDAGA,Hours of physical-restraint use,0.1,114.58,48440.0,nan,Hours of seclusion use,0.01,8.1,48440.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,83.0,nan,Screening for metabolic disorders (SMD),55.0,224.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,64.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,94.0,80.0,nan,Tobacco use treatment provided or offered,98.0,48.0,nan,25.0,48.0,nan,Tobacco use treatment provided or offered at discharge,80.0,40.0,nan,30.0,40.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),11.0,335.0,nan,Timely transmission of transition record (TR2),12.0,335.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,107.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,658.0,nan,2017-10-01,2018-03-31
334002,FOUR WINDS,800 CROSS RIVER RD,KATONAH,NY,10536,WESTCHESTER,Hours of physical-restraint use,0.1,136.17,57220.0,nan,Hours of seclusion use,1.95,2680.03,57220.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,248.0,nan,Screening for metabolic disorders (SMD),100.0,840.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,881.0,nan,Alcohol use brief intervention provided or offered,100.0,219.0,nan,100.0,219.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,284.0,nan,30.0,284.0,nan,Tobacco use screening,99.0,881.0,nan,Tobacco use treatment provided or offered,77.0,298.0,nan,65.0,298.0,nan,Tobacco use treatment provided or offered at discharge,67.0,298.0,nan,0.0,298.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,892.0,nan,Timely transmission of transition record (TR2),96.0,892.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.4,46.0,nan,50.0,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,68.0,18.3,13.4,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,2274.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,654.0,nan,2017-10-01,2018-03-31
334003,ST LAWRENCE PSYCH CENTER,ONE CHIMNEY POINT DRIVE,OGDENSBURG,NY,13669,ST. LAWRENCE,Hours of physical-restraint use,0.11,63.48,24749.0,nan,Hours of seclusion use,0.02,12.65,24749.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,48.0,nan,Screening for metabolic disorders (SMD),35.0,246.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,34.0,65.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,20.0,nan,45.0,20.0,nan,Tobacco use screening,34.0,65.0,nan,Tobacco use treatment provided or offered,100.0,14.0,nan,43.0,14.0,nan,Tobacco use treatment provided or offered at discharge,100.0,13.0,nan,0.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,490.0,nan,Timely transmission of transition record (TR2),96.0,490.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,764.0,nan,2017-10-01,2018-03-31
334004,CREEDMOOR PSYCHIATRIC CENTER,80-45 WINCHESTER BLVD BLDG B,QUEENS VILLAGE,NY,11427,QUEENS,Hours of physical-restraint use,0.03,84.77,116030.0,nan,Hours of seclusion use,0.06,162.83,116030.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,138.0,nan,Screening for metabolic disorders (SMD),94.0,189.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,97.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,38.0,nan,39.0,38.0,nan,Tobacco use screening,94.0,100.0,nan,Tobacco use treatment provided or offered,84.0,38.0,nan,63.0,38.0,nan,Tobacco use treatment provided or offered at discharge,86.0,36.0,nan,36.0,36.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,262.0,nan,Timely transmission of transition record (TR2),65.0,262.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,43.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,1220.0,nan,2017-10-01,2018-03-31
334009,NEW YORK STATE PSYCHIATRIC INSTITUTE,722 W 168TH ST,NEW YORK,NY,10032,NEW YORK,Hours of physical-restraint use,0.01,1.5,6843.0,nan,Hours of seclusion use,0.21,33.67,6843.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,131.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,157.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,53.0,nan,25.0,53.0,nan,Tobacco use screening,91.0,158.0,nan,Tobacco use treatment provided or offered,85.0,34.0,nan,65.0,34.0,nan,Tobacco use treatment provided or offered at discharge,58.0,33.0,nan,36.0,33.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,162.0,nan,Timely transmission of transition record (TR2),95.0,162.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,89.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,1313.0,nan,2017-10-01,2018-03-31
334012,GREATER BINGHAMTON HEALTH CENTER,425 ROBINSON ST,BINGHAMTON,NY,13901,BROOME,Hours of physical-restraint use,0.05,34.32,31060.0,nan,Hours of seclusion use,0.01,7.08,31060.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,27.0,nan,Screening for metabolic disorders (SMD),99.0,170.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,84.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,28.0,nan,54.0,28.0,nan,Tobacco use screening,97.0,87.0,nan,Tobacco use treatment provided or offered,90.0,50.0,nan,20.0,50.0,nan,Tobacco use treatment provided or offered at discharge,83.0,47.0,nan,45.0,47.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,309.0,nan,Timely transmission of transition record (TR2),93.0,309.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,123.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,538.0,nan,2017-10-01,2018-03-31
334013,PILGRIM PSYCHIATRIC CENTER,998 CROOKED HILL ROAD,WEST BRENTWOOD,NY,11717,SUFFOLK,Hours of physical-restraint use,0.02,45.17,101533.0,nan,Hours of seclusion use,0.02,56.02,101533.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,99.0,69.0,nan,Screening for metabolic disorders (SMD),93.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,64.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,26.0,nan,81.0,26.0,nan,Tobacco use screening,92.0,66.0,nan,Tobacco use treatment provided or offered,76.0,25.0,nan,56.0,25.0,nan,Tobacco use treatment provided or offered at discharge,75.0,24.0,nan,50.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,192.0,nan,Timely transmission of transition record (TR2),92.0,192.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,34.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,1490.0,nan,2017-10-01,2018-03-31
334015,ROCKLAND PSYCH CTR,140 OLD ORANGEBURG RD,ORANGEBURG,NY,10962,ROCKLAND,Hours of physical-restraint use,0.07,214.1,126115.0,nan,Hours of seclusion use,0.07,212.22,126115.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,66.0,nan,Screening for metabolic disorders (SMD),97.0,148.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,84.0,67.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,30.0,nan,47.0,30.0,nan,Tobacco use screening,97.0,71.0,nan,Tobacco use treatment provided or offered,85.0,40.0,nan,68.0,40.0,nan,Tobacco use treatment provided or offered at discharge,29.0,35.0,nan,11.0,35.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,213.0,nan,Timely transmission of transition record (TR2),75.0,213.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,33.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,1405.0,nan,2017-10-01,2018-03-31
334020,ROCHESTER PSYCHIATRIC CENTER,1600 SOUTH AVE,ROCHESTER,NY,14620,MONROE,Hours of physical-restraint use,0.71,1039.9,61380.0,nan,Hours of seclusion use,0.02,31.27,61380.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,56.0,nan,Screening for metabolic disorders (SMD),82.0,111.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,60.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,29.0,nan,34.0,29.0,nan,Tobacco use screening,94.0,63.0,nan,Tobacco use treatment provided or offered,81.0,27.0,nan,52.0,27.0,nan,Tobacco use treatment provided or offered at discharge,48.0,25.0,nan,20.0,25.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,156.0,nan,Timely transmission of transition record (TR2),43.0,156.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,36.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,667.0,nan,2017-10-01,2018-03-31
334021,MOHAWK VALLEY PSYCHIATRIC CENTER,1400 NOYES ST,UTICA,NY,13502,ONEIDA,Hours of physical-restraint use,0.18,44.42,10556.0,nan,Hours of seclusion use,0.01,3.75,10556.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,189.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,495.0,nan,Timely transmission of transition record (TR2),81.0,495.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,244.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,424.0,nan,2017-10-01,2018-03-31
334022,BRYLIN HOSP,1263 DELAWARE AVE,BUFFALO,NY,14209,ERIE,Hours of physical-restraint use,0.1,31.9,13062.0,nan,Hours of seclusion use,0.04,11.57,13062.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,29.0,nan,Screening for metabolic disorders (SMD),100.0,604.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,875.0,nan,Alcohol use brief intervention provided or offered,98.0,85.0,nan,98.0,85.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,165.0,nan,61.0,165.0,nan,Tobacco use screening,100.0,875.0,nan,Tobacco use treatment provided or offered,92.0,298.0,nan,60.0,298.0,nan,Tobacco use treatment provided or offered at discharge,62.0,286.0,nan,5.0,286.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,1211.0,nan,Timely transmission of transition record (TR2),85.0,1211.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,82.8,93.0,nan,57.0,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,204.0,20.2,16.0,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,1178.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,318.0,nan,2017-10-01,2018-03-31
334026,BRUNSWICK PSYCH CENTER,366 BROADWAY,AMITYVILLE,NY,11701,SUFFOLK,Hours of physical-restraint use,0.0,0.0,41666.0,nan,Hours of seclusion use,0.0,0.0,41666.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,81.0,nan,Screening for metabolic disorders (SMD),100.0,496.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,358.0,nan,Alcohol use brief intervention provided or offered,40.0,15.0,nan,20.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,178.0,nan,5.0,178.0,nan,Tobacco use screening,96.0,358.0,nan,Tobacco use treatment provided or offered,97.0,159.0,nan,6.0,159.0,nan,Tobacco use treatment provided or offered at discharge,97.0,149.0,nan,0.0,149.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),6.0,618.0,nan,Timely transmission of transition record (TR2),3.0,618.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.5,268.0,nan,38.1,268.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,724.0,23.2,20.4,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,360.0,nan,2017-10-01,2018-03-31
334027,SOUTH OAKS HOSP,400 SUNRISE HIGHWAY,AMITYVILLE,NY,11701,SUFFOLK,Hours of physical-restraint use,0.1,95.0,39963.0,nan,Hours of seclusion use,0.0,0.12,39963.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,78.0,nan,Screening for metabolic disorders (SMD),83.0,2087.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,3814.0,nan,Alcohol use brief intervention provided or offered,62.0,437.0,nan,45.0,437.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,1597.0,nan,69.0,1597.0,nan,Tobacco use screening,97.0,3723.0,nan,Tobacco use treatment provided or offered,64.0,2396.0,nan,49.0,2396.0,nan,Tobacco use treatment provided or offered at discharge,77.0,2315.0,nan,0.0,2315.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,4942.0,nan,Timely transmission of transition record (TR2),69.0,4942.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.9,219.0,nan,45.7,219.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1083.0,20.0,17.8,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,2139.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,1115.0,nan,2017-10-01,2018-03-31
334043,SOUTH BEACH PSYCHIATRIC CENTER,777 SEAVIEW AVE,STATEN ISLAND,NY,10305,RICHMOND,Hours of physical-restraint use,0.07,158.93,90412.0,nan,Hours of seclusion use,0.07,158.93,90412.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,181.0,nan,Screening for metabolic disorders (SMD),98.0,235.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,99.0,nan,Alcohol use brief intervention provided or offered,100.0,15.0,nan,87.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,33.0,nan,61.0,33.0,nan,Tobacco use screening,93.0,99.0,nan,Tobacco use treatment provided or offered,92.0,49.0,nan,53.0,49.0,nan,Tobacco use treatment provided or offered at discharge,95.0,43.0,nan,47.0,43.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,310.0,nan,Timely transmission of transition record (TR2),57.0,310.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,51.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,1080.0,nan,2017-10-01,2018-03-31
334045,ELMIRA PSYCH CENTER,WASHINGTON ST,ELMIRA,NY,14901,CHEMUNG,Hours of physical-restraint use,0.12,63.17,22843.0,nan,Hours of seclusion use,0.0,0.0,22843.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,44.0,nan,Screening for metabolic disorders (SMD),72.0,151.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,85.0,nan,Alcohol use brief intervention provided or offered,95.0,19.0,nan,68.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,10.0,29.0,nan,7.0,29.0,nan,Tobacco use screening,88.0,86.0,nan,Tobacco use treatment provided or offered,87.0,45.0,nan,64.0,45.0,nan,Tobacco use treatment provided or offered at discharge,47.0,43.0,nan,9.0,43.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,243.0,nan,Timely transmission of transition record (TR2),87.0,243.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,26.0,18.2,13.0,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,108.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,498.0,nan,2017-10-01,2018-03-31
334046,CAPITAL DISTRICT PSYCH CENTER,75 NEW SCOTLAND AVE,ALBANY,NY,12208,ALBANY,Hours of physical-restraint use,0.15,140.43,39549.0,nan,Hours of seclusion use,0.01,11.2,39549.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,10.0,30.0,nan,Screening for metabolic disorders (SMD),17.0,113.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,151.0,nan,Alcohol use brief intervention provided or offered,72.0,25.0,nan,52.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,66.0,nan,48.0,66.0,nan,Tobacco use screening,56.0,151.0,nan,Tobacco use treatment provided or offered,94.0,48.0,nan,35.0,48.0,nan,Tobacco use treatment provided or offered at discharge,62.0,47.0,nan,11.0,47.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),12.0,189.0,nan,Timely transmission of transition record (TR2),67.0,189.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.3,11.0,nan,18.2,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,31.0,19.2,14.1,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,71.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,687.0,nan,2017-10-01,2018-03-31
334048,GRACIE SQUARE HOSP,420 EAST 76 ST,NEW YORK,NY,10021,NEW YORK,Hours of physical-restraint use,0.03,32.47,42996.0,nan,Hours of seclusion use,0.09,94.05,42996.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,49.0,nan,Screening for metabolic disorders (SMD),74.0,494.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,604.0,nan,Alcohol use brief intervention provided or offered,100.0,190.0,nan,99.0,190.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,604.0,nan,Tobacco use treatment provided or offered,99.0,232.0,nan,81.0,232.0,nan,Tobacco use treatment provided or offered at discharge,66.0,228.0,nan,2.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),58.0,679.0,nan,Timely transmission of transition record (TR2),58.0,679.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.2,153.0,nan,39.9,153.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,373.0,20.9,17.5,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,444.0,nan,2017-10-01,2018-03-31
334049,FOUR WINDS OF SARATOGA,30 CRESCENT AVE,SARATOGA SPRINGS,NY,12866,SARATOGA,Hours of physical-restraint use,0.02,13.18,31938.0,nan,Hours of seclusion use,0.21,159.9,31938.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,48.0,nan,Screening for metabolic disorders (SMD),92.0,505.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,130.0,nan,Alcohol use brief intervention provided or offered,80.0,20.0,nan,80.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,36.0,nan,19.0,36.0,nan,Tobacco use screening,100.0,130.0,nan,Tobacco use treatment provided or offered,75.0,28.0,nan,32.0,28.0,nan,Tobacco use treatment provided or offered at discharge,7.0,28.0,nan,7.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,617.0,nan,Timely transmission of transition record (TR2),61.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.3,91.0,nan,50.5,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,211.0,16.2,12.4,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,540.0,nan,2017-10-01,2018-03-31
334052,BUFFALO PSYCHIATRIC CENTER,400 FOREST AVE,BUFFALO,NY,14213,ERIE,Hours of physical-restraint use,0.02,20.73,55626.0,nan,Hours of seclusion use,0.02,20.63,55626.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,50.0,nan,Screening for metabolic disorders (SMD),92.0,113.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,63.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,11.0,nan,45.0,11.0,nan,Tobacco use screening,97.0,63.0,nan,Tobacco use treatment provided or offered,92.0,24.0,nan,25.0,24.0,nan,Tobacco use treatment provided or offered at discharge,77.0,22.0,nan,18.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,142.0,nan,Timely transmission of transition record (TR2),98.0,142.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,32.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,848.0,nan,2017-10-01,2018-03-31
334053,BRONX PSYCHIATRIC CENTER,1500 WATERS PLACE,BRONX,NY,10461,BRONX,Hours of physical-restraint use,0.0,5.1,55708.0,nan,Hours of seclusion use,0.1,132.13,55708.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,56.0,nan,Screening for metabolic disorders (SMD),90.0,52.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,30.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,93.0,30.0,nan,Tobacco use treatment provided or offered,87.0,15.0,nan,60.0,15.0,nan,Tobacco use treatment provided or offered at discharge,80.0,15.0,nan,47.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),31.0,104.0,nan,Timely transmission of transition record (TR2),36.0,104.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,29.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,855.0,nan,2017-10-01,2018-03-31
334054,MANHATTAN PSYCHIATRIC CENTER,WARD'S ISLAND,NEW YORK,NY,10035,NEW YORK,Hours of physical-restraint use,0.01,8.42,56894.0,nan,Hours of seclusion use,0.04,48.03,56894.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,85.0,nan,Screening for metabolic disorders (SMD),100.0,156.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,75.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,32.0,nan,59.0,32.0,nan,Tobacco use screening,100.0,78.0,nan,Tobacco use treatment provided or offered,97.0,29.0,nan,79.0,29.0,nan,Tobacco use treatment provided or offered at discharge,93.0,28.0,nan,29.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,223.0,nan,Timely transmission of transition record (TR2),96.0,223.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,65.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,803.0,nan,2017-10-01,2018-03-31
334060,KIRBY FORENSIC PSYCHIATRIC CENTER,WARD ISLAND,NEW YORK,NY,10035,NEW YORK,Hours of physical-restraint use,1.82,3124.45,71512.0,nan,Hours of seclusion use,1.21,2070.67,71512.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,69.0,nan,Screening for metabolic disorders (SMD),44.0,256.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,67.0,162.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,24.0,nan,29.0,24.0,nan,Tobacco use screening,91.0,162.0,nan,Tobacco use treatment provided or offered,100.0,24.0,nan,50.0,24.0,nan,Tobacco use treatment provided or offered at discharge,71.0,24.0,nan,12.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),40.0,286.0,nan,Timely transmission of transition record (TR2),36.0,286.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,88.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),62.0,574.0,nan,2017-10-01,2018-03-31
334061,MID HUDSON FORENSIC PSYCHIATRIC CTR,BOX 158 ROUTE 17M,NEW HAMPTON,NY,10958,ORANGE,Hours of physical-restraint use,0.21,498.28,99421.0,nan,Hours of seclusion use,0.0,11.27,99421.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,41.0,nan,Screening for metabolic disorders (SMD),76.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,205.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,144.0,nan,1.0,144.0,nan,Tobacco use screening,100.0,209.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),49.0,326.0,nan,Timely transmission of transition record (TR2),64.0,326.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,698.0,nan,2017-10-01,2018-03-31
334063,KINGSBORO PSYCHIATRIC HOSPITAL,681 CLARKSON AVENUE,BROOKLYN,NY,11203,KINGS,Hours of physical-restraint use,0.0,2.43,58132.0,nan,Hours of seclusion use,0.01,12.17,58132.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,37.0,nan,Screening for metabolic disorders (SMD),95.0,55.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,13.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,11.0,nan,45.0,11.0,nan,Tobacco use screening,100.0,13.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,102.0,nan,Timely transmission of transition record (TR2),39.0,102.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),56.0,780.0,nan,2017-10-01,2018-03-31
334064,SAGAMORE CHILDREN'S PSYCHIATRIC CENTER,197 HALF  HOLLOW ROAD,DIX HILLS,NY,11746,SUFFOLK,Hours of physical-restraint use,0.34,118.13,14472.0,nan,Hours of seclusion use,0.05,16.8,14472.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,13.0,nan,Screening for metabolic disorders (SMD),99.0,104.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),51.0,155.0,nan,Timely transmission of transition record (TR2),52.0,155.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,56.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,405.0,nan,2017-10-01,2018-03-31
334065,WESTERN NY CHILDRENS PSYCHIATRIC CENTER,1010 EAST & WEST ROAD,WEST SENECA,NY,14224,ERIE,Hours of physical-restraint use,0.03,8.95,11672.0,nan,Hours of seclusion use,0.05,15.35,11672.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,95.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,147.0,nan,Timely transmission of transition record (TR2),51.0,147.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,58.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,290.0,nan,2017-10-01,2018-03-31
334066,ROCKLAND CHILDREN'S PSYCHIATRIC CENTER,2 FIRST AVE,ORANGEBURG,NY,10962,ROCKLAND,Hours of physical-restraint use,0.14,10.8,3196.0,nan,Hours of seclusion use,0.0,0.0,3196.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,46.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,107.0,nan,Timely transmission of transition record (TR2),97.0,107.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,98.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,271.0,nan,2017-10-01,2018-03-31
340001,CAROLINAS HEALTHCARE SYSTEM NORTHEAST,920 CHURCH ST N,CONCORD,NC,28025,CABARRUS,Hours of physical-restraint use,0.01,0.4,3211.0,nan,Hours of seclusion use,0.0,0.0,3211.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,115.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,123.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,166.0,nan,Tobacco use treatment provided or offered,89.0,18.0,nan,72.0,18.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,173.0,nan,Timely transmission of transition record (TR2),68.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,177.0,18.5,14.0,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,78.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,27.0,nan,2017-10-01,2018-03-31
340002,MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE,509 BILTMORE AVE,ASHEVILLE,NC,28801,BUNCOMBE,Hours of physical-restraint use,0.29,136.68,19819.0,nan,Hours of seclusion use,0.39,187.7,19819.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,27.0,nan,Screening for metabolic disorders (SMD),96.0,356.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,11.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,11.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),36.0,594.0,nan,Timely transmission of transition record (TR2),34.0,594.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.9,225.0,nan,21.3,225.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,813.0,19.0,17.0,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,315.0,nan,2017-10-01,2018-03-31
340013,RUTHERFORD REGIONAL MEDICAL CENTER,288 SOUTH RIDGECREST AVE,RUTHERFORDTON,NC,28139,RUTHERFORD,Hours of physical-restraint use,0.0,0.0,4059.0,nan,Hours of seclusion use,0.0,0.0,4059.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,292.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,407.0,nan,Alcohol use brief intervention provided or offered,84.0,62.0,nan,82.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,188.0,nan,19.0,188.0,nan,Tobacco use screening,99.0,410.0,nan,Tobacco use treatment provided or offered,77.0,280.0,nan,12.0,280.0,nan,Tobacco use treatment provided or offered at discharge,37.0,265.0,nan,0.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),52.0,418.0,nan,Timely transmission of transition record (TR2),23.0,418.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.3,60.0,nan,21.7,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,162.0,20.0,16.1,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,192.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,135.0,nan,2017-10-01,2018-03-31
340014,NOVANT HEALTH FORSYTH MEDICAL CENTER,3333 SILAS CREEK PARKWAY,WINSTON-SALEM,NC,27103,FORSYTH,Hours of physical-restraint use,0.06,24.8,17494.0,nan,Hours of seclusion use,0.11,44.43,17494.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,52.0,nan,Screening for metabolic disorders (SMD),61.0,747.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,687.0,nan,Alcohol use brief intervention provided or offered,36.0,159.0,nan,35.0,159.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,295.0,nan,64.0,295.0,nan,Tobacco use screening,92.0,710.0,nan,Tobacco use treatment provided or offered,61.0,379.0,nan,53.0,379.0,nan,Tobacco use treatment provided or offered at discharge,19.0,359.0,nan,17.0,359.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,1546.0,nan,Timely transmission of transition record (TR2),8.0,1546.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.9,31.0,nan,25.8,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,270.0,21.7,17.5,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,356.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,165.0,nan,2017-10-01,2018-03-31
340015,NOVANT HEALTH ROWAN MEDICAL CENTER,612 MOCKSVILLE AVE,SALISBURY,NC,28144,ROWAN,Hours of physical-restraint use,0.02,3.33,8140.0,nan,Hours of seclusion use,0.0,0.0,8140.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,31.0,nan,Screening for metabolic disorders (SMD),89.0,459.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,678.0,nan,Alcohol use brief intervention provided or offered,36.0,97.0,nan,33.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,235.0,nan,11.0,235.0,nan,Tobacco use screening,100.0,694.0,nan,Tobacco use treatment provided or offered,66.0,349.0,nan,59.0,349.0,nan,Tobacco use treatment provided or offered at discharge,29.0,340.0,nan,16.0,340.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,1181.0,nan,Timely transmission of transition record (TR2),0.0,1167.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.7,119.0,nan,18.5,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,276.0,18.3,14.6,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,354.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,47.0,nan,2017-10-01,2018-03-31
340023,PARK RIDGE HEALTH,100 HOSPITAL DRIVE,HENDERSONVILLE,NC,28792,HENDERSON,Hours of physical-restraint use,20.63,3615.95,7304.0,nan,Hours of seclusion use,0.0,0.0,7304.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,57.0,28.0,nan,Screening for metabolic disorders (SMD),92.0,531.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,852.0,nan,Alcohol use brief intervention provided or offered,75.0,57.0,nan,61.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,167.0,nan,51.0,167.0,nan,Tobacco use screening,99.0,805.0,nan,Tobacco use treatment provided or offered,83.0,235.0,nan,29.0,235.0,nan,Tobacco use treatment provided or offered at discharge,39.0,214.0,nan,6.0,214.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,1001.0,nan,Timely transmission of transition record (TR2),16.0,1001.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,63.0,nan,25.4,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,699.0,19.6,16.6,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,443.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,68.0,nan,2017-10-01,2018-03-31
340030,DUKE UNIVERSITY HOSPITAL,PO BOX 3814 DUMC  ERWIN RD,DURHAM,NC,27710,DURHAM,Hours of physical-restraint use,0.03,4.0,5798.0,nan,Hours of seclusion use,0.18,25.0,5798.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,218.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,471.0,nan,Alcohol use brief intervention provided or offered,96.0,81.0,nan,91.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,163.0,nan,77.0,163.0,nan,Tobacco use screening,100.0,476.0,nan,Tobacco use treatment provided or offered,91.0,190.0,nan,38.0,190.0,nan,Tobacco use treatment provided or offered at discharge,86.0,176.0,nan,6.0,176.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),66.0,507.0,nan,Timely transmission of transition record (TR2),54.0,507.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.6,66.0,nan,39.4,66.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,161.0,17.7,13.5,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,242.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,46.0,nan,2017-10-01,2018-03-31
340037,ATRIUM HEALTH KINGS MOUNTAIN,706 W KING ST,KINGS MOUNTAIN,NC,28086,CLEVELAND,Hours of physical-restraint use,0.12,15.83,5536.0,nan,Hours of seclusion use,0.0,0.0,5536.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,330.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,662.0,nan,Alcohol use brief intervention provided or offered,77.0,158.0,nan,70.0,158.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,451.0,nan,88.0,451.0,nan,Tobacco use screening,99.0,661.0,nan,Tobacco use treatment provided or offered,89.0,421.0,nan,59.0,421.0,nan,Tobacco use treatment provided or offered at discharge,86.0,407.0,nan,18.0,407.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,671.0,nan,Timely transmission of transition record (TR2),42.0,671.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.2,89.0,nan,10.1,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,19.9,16.1,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,48.0,nan,2017-10-01,2018-03-31
340040,VIDANT MEDICAL CENTER,2100 STANTONSBURG RD,GREENVILLE,NC,27834,PITT,Hours of physical-restraint use,0.35,129.0,15231.0,nan,Hours of seclusion use,0.77,280.0,15231.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,37.0,nan,Screening for metabolic disorders (SMD),78.0,671.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,1246.0,nan,Alcohol use brief intervention provided or offered,85.0,172.0,nan,85.0,172.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,358.0,nan,77.0,358.0,nan,Tobacco use screening,92.0,1244.0,nan,Tobacco use treatment provided or offered,76.0,533.0,nan,56.0,533.0,nan,Tobacco use treatment provided or offered at discharge,85.0,524.0,nan,60.0,524.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),22.0,1355.0,nan,Timely transmission of transition record (TR2),20.0,1355.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.6,290.0,nan,27.6,290.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,685.0,19.4,16.9,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,418.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,248.0,nan,2017-10-01,2018-03-31
340047,NORTH CAROLINA BAPTIST HOSPITAL,MEDICAL CENTER BOULEVARD,WINSTON-SALEM,NC,27157,FORSYTH,Hours of physical-restraint use,0.04,7.28,7111.0,nan,Hours of seclusion use,0.34,57.35,7111.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),78.0,325.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,330.0,nan,Alcohol use brief intervention provided or offered,86.0,86.0,nan,86.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,136.0,nan,90.0,136.0,nan,Tobacco use screening,94.0,333.0,nan,Tobacco use treatment provided or offered,86.0,169.0,nan,73.0,169.0,nan,Tobacco use treatment provided or offered at discharge,87.0,165.0,nan,83.0,165.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),68.0,913.0,nan,Timely transmission of transition record (TR2),64.0,909.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.6,115.0,nan,29.6,115.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,288.0,16.5,13.3,20.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,452.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,56.0,nan,2017-10-01,2018-03-31
340053,NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER,200 HAWTHORNE LANE BOX 33549,CHARLOTTE,NC,28233,MECKLENBURG,Hours of physical-restraint use,0.15,63.11,17049.0,nan,Hours of seclusion use,0.39,159.17,17049.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,24.0,nan,Screening for metabolic disorders (SMD),80.0,701.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,497.0,nan,Alcohol use brief intervention provided or offered,35.0,91.0,nan,35.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,191.0,nan,65.0,191.0,nan,Tobacco use screening,82.0,498.0,nan,Tobacco use treatment provided or offered,38.0,226.0,nan,36.0,226.0,nan,Tobacco use treatment provided or offered at discharge,39.0,223.0,nan,33.0,223.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),13.0,1511.0,nan,Timely transmission of transition record (TR2),12.0,1510.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.1,161.0,nan,20.5,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,473.0,20.3,17.5,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,363.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,152.0,nan,2017-10-01,2018-03-31
340061,UNIVERSITY OF NORTH CAROLINA HOSPITAL,101 MANNING DRIVE,CHAPEL HILL,NC,27514,ORANGE,Hours of physical-restraint use,0.05,42.35,36326.0,nan,Hours of seclusion use,0.4,350.19,36326.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,63.0,19.0,nan,Screening for metabolic disorders (SMD),71.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,220.0,nan,Alcohol use brief intervention provided or offered,69.0,59.0,nan,37.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,113.0,nan,56.0,113.0,nan,Tobacco use screening,99.0,220.0,nan,Tobacco use treatment provided or offered,83.0,95.0,nan,74.0,95.0,nan,Tobacco use treatment provided or offered at discharge,55.0,89.0,nan,7.0,89.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),25.0,617.0,nan,Timely transmission of transition record (TR2),17.0,616.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.7,169.0,nan,37.9,169.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,608.0,13.1,10.8,15.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,739.0,nan,2017-10-01,2018-03-31
340070,ALAMANCE REGIONAL MEDICAL CENTER,1240 HUFFMAN MILL RD,BURLINGTON,NC,27216,ALAMANCE,Hours of physical-restraint use,0.08,12.18,6004.0,nan,Hours of seclusion use,0.0,0.03,6004.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,48.0,nan,Screening for metabolic disorders (SMD),94.0,324.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,652.0,nan,Alcohol use brief intervention provided or offered,92.0,119.0,nan,59.0,119.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,269.0,nan,71.0,269.0,nan,Tobacco use screening,100.0,652.0,nan,Tobacco use treatment provided or offered,94.0,380.0,nan,27.0,380.0,nan,Tobacco use treatment provided or offered at discharge,90.0,364.0,nan,1.0,364.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),81.0,732.0,nan,Timely transmission of transition record (TR2),56.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.8,136.0,nan,22.1,136.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,315.0,16.7,13.8,20.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,360.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,57.0,nan,2017-10-01,2018-03-31
340085,NOVANT HEALTH THOMASVILLE MEDICAL CENTER,207 OLD LEXINGTON RD BOX 789,THOMASVILLE,NC,27360,DAVIDSON,Hours of physical-restraint use,0.79,180.83,9576.0,nan,Hours of seclusion use,0.0,0.0,9576.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,22.0,nan,Screening for metabolic disorders (SMD),73.0,474.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,675.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,15.0,20.0,nan,15.0,20.0,nan,Tobacco use screening,99.0,685.0,nan,Tobacco use treatment provided or offered,71.0,140.0,nan,59.0,140.0,nan,Tobacco use treatment provided or offered at discharge,15.0,113.0,nan,13.0,113.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),3.0,739.0,nan,Timely transmission of transition record (TR2),4.0,734.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.6,161.0,nan,19.9,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,776.0,15.7,13.2,18.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,85.0,nan,2017-10-01,2018-03-31
340090,JOHNSTON HEALTH,509 BRIGHT LEAF BLVD,SMITHFIELD,NC,27577,JOHNSTON,Hours of physical-restraint use,0.17,28.8,7178.0,nan,Hours of seclusion use,0.0,0.0,7178.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,40.0,nan,Screening for metabolic disorders (SMD),76.0,429.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,730.0,nan,Alcohol use brief intervention provided or offered,90.0,223.0,nan,88.0,223.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,312.0,nan,61.0,312.0,nan,Tobacco use screening,100.0,726.0,nan,Tobacco use treatment provided or offered,90.0,489.0,nan,65.0,489.0,nan,Tobacco use treatment provided or offered at discharge,91.0,463.0,nan,1.0,463.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),86.0,847.0,nan,Timely transmission of transition record (TR2),83.0,847.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.3,152.0,nan,18.4,152.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,388.0,18.6,15.5,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,204.0,nan,2017-10-01,2018-03-31
340091,THE MOSES H CONE MEMORIAL HOSPITAL,1200 N ELM ST,GREENSBORO,NC,27401,GUILFORD,Hours of physical-restraint use,0.03,9.5,12975.0,nan,Hours of seclusion use,0.0,0.08,12975.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,19.0,nan,Screening for metabolic disorders (SMD),80.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,708.0,nan,Alcohol use brief intervention provided or offered,94.0,184.0,nan,69.0,184.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,345.0,nan,81.0,345.0,nan,Tobacco use screening,100.0,708.0,nan,Tobacco use treatment provided or offered,95.0,437.0,nan,20.0,437.0,nan,Tobacco use treatment provided or offered at discharge,81.0,417.0,nan,4.0,417.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),79.0,732.0,nan,Timely transmission of transition record (TR2),50.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.7,151.0,nan,21.2,151.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,383.0,22.0,18.7,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,365.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,316.0,nan,2017-10-01,2018-03-31
340099,VIDANT ROANOKE CHOWAN HOSPITAL,500 S ACADEMY ST,AHOSKIE,NC,27910,HERTFORD,Hours of physical-restraint use,0.53,112.0,8881.0,nan,Hours of seclusion use,0.23,49.0,8881.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,53.0,nan,Screening for metabolic disorders (SMD),74.0,729.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1162.0,nan,Alcohol use brief intervention provided or offered,62.0,170.0,nan,62.0,170.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,478.0,nan,56.0,478.0,nan,Tobacco use screening,95.0,1162.0,nan,Tobacco use treatment provided or offered,78.0,672.0,nan,55.0,672.0,nan,Tobacco use treatment provided or offered at discharge,73.0,659.0,nan,63.0,659.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,1120.0,nan,Timely transmission of transition record (TR2),31.0,1120.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.9,186.0,nan,24.7,186.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,456.0,17.0,14.1,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,142.0,nan,2017-10-01,2018-03-31
340113,CAROLINAS MEDICAL CENTER/BEHAV HEALTH,1000 BLYTHE BLVD,CHARLOTTE,NC,28203,MECKLENBURG,Hours of physical-restraint use,0.64,601.6,39036.0,nan,Hours of seclusion use,0.02,22.96,39036.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,49.0,nan,Screening for metabolic disorders (SMD),88.0,512.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,828.0,nan,Alcohol use brief intervention provided or offered,71.0,141.0,nan,62.0,141.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,439.0,nan,87.0,439.0,nan,Tobacco use screening,99.0,831.0,nan,Tobacco use treatment provided or offered,87.0,414.0,nan,58.0,414.0,nan,Tobacco use treatment provided or offered at discharge,54.0,381.0,nan,15.0,381.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,999.0,nan,Timely transmission of transition record (TR2),54.0,999.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.1,339.0,nan,24.2,339.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,930.0,17.4,15.2,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,534.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,14.0,nan,2017-10-01,2018-03-31
340115,FIRSTHEALTH MOORE REGIONAL HOSPITAL,155 MEMORIAL DRIVE,PINEHURST,NC,28374,MOORE,Hours of physical-restraint use,0.13,23.88,7641.0,nan,Hours of seclusion use,2.99,547.53,7641.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),57.0,208.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,582.0,nan,Alcohol use brief intervention provided or offered,49.0,123.0,nan,48.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,298.0,nan,60.0,298.0,nan,Tobacco use screening,90.0,581.0,nan,Tobacco use treatment provided or offered,50.0,327.0,nan,44.0,327.0,nan,Tobacco use treatment provided or offered at discharge,91.0,90.0,nan,73.0,90.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,655.0,nan,Timely transmission of transition record (TR2),0.0,655.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.4,192.0,nan,23.4,192.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,456.0,18.5,15.6,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,113.0,nan,2017-10-01,2018-03-31
340116,FRYE REGIONAL MEDICAL CENTER,420 N CENTER ST,HICKORY,NC,28601,CATAWBA,Hours of physical-restraint use,0.03,16.3,21814.0,nan,Hours of seclusion use,0.08,39.8,21814.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,59.0,nan,Screening for metabolic disorders (SMD),96.0,153.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,713.0,nan,Alcohol use brief intervention provided or offered,98.0,230.0,nan,97.0,230.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,457.0,nan,81.0,457.0,nan,Tobacco use screening,98.0,721.0,nan,Tobacco use treatment provided or offered,69.0,477.0,nan,51.0,477.0,nan,Tobacco use treatment provided or offered at discharge,8.0,477.0,nan,0.0,477.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,732.0,nan,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.4,344.0,nan,22.7,344.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,996.0,18.2,16.2,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,355.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,2479.0,nan,2017-10-01,2018-03-31
340119,CAROLINAS HEALTHCARE SYSTEM STANLY,301 YADKIN ST,ALBEMARLE,NC,28001,STANLY,Hours of physical-restraint use,0.0,0.12,3506.0,nan,Hours of seclusion use,0.01,0.98,3506.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,244.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,462.0,nan,Alcohol use brief intervention provided or offered,69.0,75.0,nan,65.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,274.0,nan,83.0,274.0,nan,Tobacco use screening,99.0,465.0,nan,Tobacco use treatment provided or offered,51.0,288.0,nan,29.0,288.0,nan,Tobacco use treatment provided or offered at discharge,5.0,273.0,nan,1.0,273.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,473.0,nan,Timely transmission of transition record (TR2),63.0,473.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.1,53.0,nan,17.0,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,164.0,18.8,14.7,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,192.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,33.0,nan,2017-10-01,2018-03-31
340120,VIDANT DUPLIN  HOSPITAL,401 N MAIN ST,KENANSVILLE,NC,28349,DUPLIN,Hours of physical-restraint use,0.25,46.53,7793.0,nan,Hours of seclusion use,0.08,15.31,7793.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,96.0,83.0,nan,Screening for metabolic disorders (SMD),90.0,750.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1061.0,nan,Alcohol use brief intervention provided or offered,98.0,228.0,nan,98.0,228.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,447.0,nan,56.0,447.0,nan,Tobacco use screening,98.0,1061.0,nan,Tobacco use treatment provided or offered,99.0,692.0,nan,84.0,692.0,nan,Tobacco use treatment provided or offered at discharge,96.0,674.0,nan,10.0,674.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,1029.0,nan,Timely transmission of transition record (TR2),71.0,1029.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.5,118.0,nan,31.4,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,303.0,18.2,14.9,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,430.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,146.0,nan,2017-10-01,2018-03-31
340141,NEW HANOVER REGIONAL MEDICAL CENTER,2131 S 17TH ST BOX 9000,WILMINGTON,NC,28402,NEW HANOVER,Hours of physical-restraint use,0.22,104.0,19325.0,nan,Hours of seclusion use,0.44,204.0,19325.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,39.0,44.0,nan,Screening for metabolic disorders (SMD),80.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,604.0,nan,Alcohol use brief intervention provided or offered,75.0,172.0,nan,75.0,172.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,317.0,nan,97.0,317.0,nan,Tobacco use screening,100.0,609.0,nan,Tobacco use treatment provided or offered,87.0,365.0,nan,73.0,365.0,nan,Tobacco use treatment provided or offered at discharge,19.0,358.0,nan,13.0,358.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,628.0,nan,Timely transmission of transition record (TR2),0.0,628.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.3,267.0,nan,24.7,267.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,656.0,18.4,15.7,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,160.0,nan,2017-10-01,2018-03-31
340143,CATAWBA VALLEY MEDICAL CENTER,810 FAIRGROVE CHURCH RD,HICKORY,NC,28602,CATAWBA,Hours of physical-restraint use,0.4,123.24,12724.0,nan,Hours of seclusion use,0.13,40.9,12724.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,56.0,nan,Screening for metabolic disorders (SMD),92.0,849.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,2188.0,nan,Alcohol use brief intervention provided or offered,92.0,721.0,nan,91.0,721.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,1478.0,nan,95.0,1478.0,nan,Tobacco use screening,98.0,2149.0,nan,Tobacco use treatment provided or offered,93.0,1404.0,nan,80.0,1404.0,nan,Tobacco use treatment provided or offered at discharge,69.0,1390.0,nan,1.0,1390.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),63.0,2301.0,nan,Timely transmission of transition record (TR2),48.0,2301.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.0,150.0,nan,22.0,150.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,539.0,17.6,14.9,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,1040.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,75.0,nan,2017-10-01,2018-03-31
340144,DAVIS REGIONAL MEDICAL CENTER,218 OLD MOCKSBVILLE RD PO BOX 1823,STATESVILLE,NC,28687,IREDELL,Hours of physical-restraint use,0.0,0.0,961.0,nan,Hours of seclusion use,0.0,0.0,961.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,661.0,nan,Alcohol use brief intervention provided or offered,74.0,246.0,nan,74.0,246.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,246.0,nan,97.0,246.0,nan,Tobacco use screening,100.0,658.0,nan,Tobacco use treatment provided or offered,100.0,416.0,nan,96.0,416.0,nan,Tobacco use treatment provided or offered at discharge,100.0,416.0,nan,96.0,416.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,678.0,nan,Timely transmission of transition record (TR2),100.0,678.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.2,106.0,nan,25.5,106.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,261.0,20.0,16.4,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,340.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,101.0,nan,2017-10-01,2018-03-31
340151,HALIFAX REGIONAL MEDICAL CENTER INC,250 SMITH CHURCH RD,ROANOKE RAPIDS,NC,27870,HALIFAX,Hours of physical-restraint use,0.0,0.06,5114.0,nan,Hours of seclusion use,0.43,53.13,5114.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,31.0,nan,Screening for metabolic disorders (SMD),89.0,322.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,542.0,nan,Alcohol use brief intervention provided or offered,92.0,51.0,nan,76.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,203.0,nan,74.0,203.0,nan,Tobacco use screening,98.0,540.0,nan,Tobacco use treatment provided or offered,91.0,336.0,nan,13.0,336.0,nan,Tobacco use treatment provided or offered at discharge,93.0,324.0,nan,0.0,324.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,610.0,nan,Timely transmission of transition record (TR2),1.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.5,137.0,nan,20.4,137.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,395.0,22.5,19.0,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,271.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,57.0,nan,2017-10-01,2018-03-31
340155,DUKE REGIONAL HOSPITAL,3643 N ROXBORO STREET,DURHAM,NC,27704,DURHAM,Hours of physical-restraint use,0.13,18.3,5752.0,nan,Hours of seclusion use,0.22,30.5,5752.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,291.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,556.0,nan,Alcohol use brief intervention provided or offered,93.0,67.0,nan,88.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,203.0,nan,91.0,203.0,nan,Tobacco use screening,100.0,570.0,nan,Tobacco use treatment provided or offered,88.0,204.0,nan,63.0,204.0,nan,Tobacco use treatment provided or offered at discharge,18.0,198.0,nan,6.0,198.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),66.0,742.0,nan,Timely transmission of transition record (TR2),49.0,742.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.8,80.0,nan,21.3,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,225.0,18.1,14.3,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,53.0,nan,2017-10-01,2018-03-31
340184,HAYWOOD REGIONAL MEDICAL CENTER,262 LEROY GEORGE DRIVE,CLYDE,NC,28721,HAYWOOD,Hours of physical-restraint use,0.02,3.0,6068.0,nan,Hours of seclusion use,0.0,0.0,6068.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,76.0,25.0,nan,Screening for metabolic disorders (SMD),95.0,402.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,780.0,nan,Alcohol use brief intervention provided or offered,86.0,118.0,nan,56.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,433.0,nan,70.0,433.0,nan,Tobacco use screening,99.0,784.0,nan,Tobacco use treatment provided or offered,91.0,535.0,nan,15.0,535.0,nan,Tobacco use treatment provided or offered at discharge,75.0,526.0,nan,5.0,526.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),26.0,788.0,nan,Timely transmission of transition record (TR2),12.0,788.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.0,77.0,nan,18.2,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,207.0,16.4,13.0,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,395.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,62.0,nan,2017-10-01,2018-03-31
340186,VIDANT BEAUFORT HOSPITAL,628 E 12TH ST,WASHINGTON,NC,27889,BEAUFORT,Hours of physical-restraint use,0.02,2.0,5503.0,nan,Hours of seclusion use,0.22,29.0,5503.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,21.0,nan,Screening for metabolic disorders (SMD),97.0,401.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,826.0,nan,Alcohol use brief intervention provided or offered,99.0,227.0,nan,99.0,227.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,351.0,nan,87.0,351.0,nan,Tobacco use screening,99.0,827.0,nan,Tobacco use treatment provided or offered,99.0,541.0,nan,84.0,541.0,nan,Tobacco use treatment provided or offered at discharge,94.0,524.0,nan,93.0,524.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),54.0,773.0,nan,Timely transmission of transition record (TR2),46.0,773.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.4,74.0,nan,20.3,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,263.0,17.7,14.5,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,379.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,171.0,nan,2017-10-01,2018-03-31
341322,ST LUKES HOSPITAL,101 HOSPITAL DRIVE,COLUMBUS,NC,28722,POLK,Hours of physical-restraint use,0.0,0.0,2556.0,nan,Hours of seclusion use,0.0,0.0,2556.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,86.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,206.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,98.0,205.0,nan,Tobacco use treatment provided or offered,85.0,20.0,nan,55.0,20.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),34.0,204.0,nan,Timely transmission of transition record (TR2),94.0,204.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.5,38.0,nan,18.4,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,272.0,17.0,13.1,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,99.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,35.0,nan,2017-10-01,2018-03-31
341323,CHARLES A CANNON JR MEMORIAL HOSPITAL,434 HOSPITAL DRIVE,LINVILLE,NC,28646,AVERY,Hours of physical-restraint use,0.0,0.0,3292.0,nan,Hours of seclusion use,0.0,0.0,3292.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,60.0,nan,Screening for metabolic disorders (SMD),9.0,307.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,567.0,nan,Alcohol use brief intervention provided or offered,100.0,138.0,nan,100.0,138.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,138.0,nan,49.0,138.0,nan,Tobacco use screening,100.0,566.0,nan,Tobacco use treatment provided or offered,75.0,296.0,nan,14.0,296.0,nan,Tobacco use treatment provided or offered at discharge,0.0,296.0,nan,0.0,296.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,566.0,nan,Timely transmission of transition record (TR2),87.0,566.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.1,34.0,nan,26.5,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,74.0,18.5,14.0,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,286.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,45.0,nan,2017-10-01,2018-03-31
344004,CENTRAL REGIONAL HOSPITAL,300 VEAZY RD,BUTNER,NC,27509,GRANVILLE,Hours of physical-restraint use,0.09,256.27,112645.0,nan,Hours of seclusion use,0.17,458.08,112645.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,91.0,nan,Screening for metabolic disorders (SMD),96.0,575.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,534.0,nan,Alcohol use brief intervention provided or offered,67.0,18.0,nan,50.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,243.0,nan,85.0,243.0,nan,Tobacco use screening,99.0,532.0,nan,Tobacco use treatment provided or offered,97.0,262.0,nan,63.0,262.0,nan,Tobacco use treatment provided or offered at discharge,26.0,243.0,nan,2.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,829.0,nan,Timely transmission of transition record (TR2),78.0,829.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.6,82.0,nan,30.5,82.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,194.0,14.1,11.0,17.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,246.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,2177.0,nan,2017-10-01,2018-03-31
344007,OLD VINEYARD YOUTH SERVICES,3637 OLD VINEYARD ROAD,WINSTON SALEM,NC,27104,FORSYTH,Hours of physical-restraint use,0.01,11.95,39338.0,nan,Hours of seclusion use,0.01,5.37,39338.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,57.0,nan,Screening for metabolic disorders (SMD),69.0,555.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,691.0,nan,Alcohol use brief intervention provided or offered,98.0,218.0,nan,98.0,218.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,418.0,nan,71.0,418.0,nan,Tobacco use screening,100.0,691.0,nan,Tobacco use treatment provided or offered,100.0,335.0,nan,97.0,335.0,nan,Tobacco use treatment provided or offered at discharge,96.0,306.0,nan,2.0,306.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,1047.0,nan,Timely transmission of transition record (TR2),64.0,1047.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.1,621.0,nan,27.1,621.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1512.0,18.1,16.4,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,584.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,462.0,nan,2017-10-01,2018-03-31
344014,HOLLY HILL MENTAL HEALTH SERVICES,3019 FALSTAFF RD,RALEIGH,NC,27610,WAKE,Hours of physical-restraint use,0.02,34.65,74401.0,nan,Hours of seclusion use,0.0,1.23,74401.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,62.0,nan,Screening for metabolic disorders (SMD),50.0,690.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,855.0,nan,Alcohol use brief intervention provided or offered,91.0,349.0,nan,90.0,349.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,436.0,nan,79.0,436.0,nan,Tobacco use screening,100.0,855.0,nan,Tobacco use treatment provided or offered,93.0,444.0,nan,78.0,444.0,nan,Tobacco use treatment provided or offered at discharge,57.0,405.0,nan,15.0,405.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,1512.0,nan,Timely transmission of transition record (TR2),71.0,1512.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.6,754.0,nan,23.7,754.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1946.0,21.0,19.4,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),55.0,730.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,717.0,nan,2017-10-01,2018-03-31
344016,BRYNN MARR HOSP,192 VILLAGE DRIVE,JACKSONVILLE,NC,28540,ONSLOW,Hours of physical-restraint use,0.03,19.68,24680.0,nan,Hours of seclusion use,0.15,89.8,24680.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),60.0,591.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,229.0,nan,Alcohol use brief intervention provided or offered,95.0,65.0,nan,94.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,111.0,nan,36.0,111.0,nan,Tobacco use screening,93.0,229.0,nan,Tobacco use treatment provided or offered,44.0,124.0,nan,19.0,124.0,nan,Tobacco use treatment provided or offered at discharge,22.0,120.0,nan,0.0,120.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,787.0,nan,Timely transmission of transition record (TR2),0.0,787.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.5,53.0,nan,17.0,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,117.0,18.7,14.3,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,410.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,313.0,nan,2017-10-01,2018-03-31
344023,JULIAN F KEITH ALCOHOL & DRUG ABUSE TX,201 TABERNACLE ROAD,BLACK MOUNTAIN,NC,28711,BUNCOMBE,Hours of physical-restraint use,0.0,0.0,20833.0,nan,Hours of seclusion use,0.0,0.0,20833.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),37.0,131.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,608.0,nan,Alcohol use brief intervention provided or offered,100.0,338.0,nan,100.0,338.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,584.0,nan,93.0,584.0,nan,Tobacco use screening,100.0,608.0,nan,Tobacco use treatment provided or offered,99.0,527.0,nan,79.0,527.0,nan,Tobacco use treatment provided or offered at discharge,59.0,506.0,nan,8.0,506.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,600.0,nan,Timely transmission of transition record (TR2),93.0,600.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,86.0,15.0,11.3,19.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,214.0,nan,2017-10-01,2018-03-31
344025,BROUGHTON HOSPITAL,1000 S STERLING STREET,MORGANTON,NC,28655,BURKE,Hours of physical-restraint use,0.22,504.57,96381.0,nan,Hours of seclusion use,0.13,304.53,96381.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,95.0,nan,Screening for metabolic disorders (SMD),94.0,234.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,162.0,nan,Alcohol use brief intervention provided or offered,82.0,33.0,nan,76.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,59.0,nan,95.0,59.0,nan,Tobacco use screening,99.0,159.0,nan,Tobacco use treatment provided or offered,99.0,73.0,nan,70.0,73.0,nan,Tobacco use treatment provided or offered at discharge,85.0,65.0,nan,0.0,65.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,325.0,nan,Timely transmission of transition record (TR2),82.0,325.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.4,29.0,nan,17.2,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,77.0,15.2,11.2,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,80.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,1439.0,nan,2017-10-01,2018-03-31
344026,CHERRY HOSPITAL,1401 WEST ASH STREET,GOLDSBORO,NC,27530,WAYNE,Hours of physical-restraint use,0.14,247.77,72976.0,nan,Hours of seclusion use,0.17,290.2,72976.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,74.0,nan,Screening for metabolic disorders (SMD),97.0,532.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,541.0,nan,Alcohol use brief intervention provided or offered,100.0,122.0,nan,89.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,278.0,nan,100.0,278.0,nan,Tobacco use screening,99.0,568.0,nan,Tobacco use treatment provided or offered,93.0,364.0,nan,64.0,364.0,nan,Tobacco use treatment provided or offered at discharge,89.0,360.0,nan,0.0,360.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,834.0,nan,Timely transmission of transition record (TR2),91.0,834.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,55.0,nan,25.5,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,117.0,17.1,13.0,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,345.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1237.0,nan,2017-10-01,2018-03-31
344027,RJ BLACKLEY ALCOHOL AND DRUG ABUSE TREATMENT CTR,"BLDG 29, 30 BARRETT BLDG, 100 H STREET",BUTNER,NC,27509,GRANVILLE,Hours of physical-restraint use,0.0,0.0,9791.0,nan,Hours of seclusion use,0.0,0.0,9791.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),8.0,144.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,602.0,nan,Alcohol use brief intervention provided or offered,100.0,359.0,nan,99.0,359.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,582.0,nan,96.0,582.0,nan,Tobacco use screening,100.0,602.0,nan,Tobacco use treatment provided or offered,96.0,506.0,nan,91.0,506.0,nan,Tobacco use treatment provided or offered at discharge,70.0,499.0,nan,3.0,499.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),58.0,612.0,nan,Timely transmission of transition record (TR2),50.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,127.0,16.1,12.3,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,149.0,nan,2017-10-01,2018-03-31
344028,STRATEGIC BEHAVORIAL CENTER-GARNER,3200 WATERFIELD DRIVE,GARNER,NC,27529,WAKE,Hours of physical-restraint use,0.03,1.2,1615.0,nan,Hours of seclusion use,0.03,1.0,1615.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),46.0,13.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,45.0,nan,Timely transmission of transition record (TR2),0.0,45.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.8,19.0,nan,15.8,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,30.0,20.2,14.5,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),34.0,56.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,314.0,nan,2017-10-01,2018-03-31
344029,"GOOD HOPE HOSPITAL, INC",410 DENIM DRIVE,ERWIN,NC,28339,HARNETT,Hours of physical-restraint use,0.01,1.47,4886.0,nan,Hours of seclusion use,0.01,1.1,4886.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),49.0,314.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,435.0,nan,Alcohol use brief intervention provided or offered,98.0,90.0,nan,94.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,84.0,nan,83.0,84.0,nan,Tobacco use screening,100.0,435.0,nan,Tobacco use treatment provided or offered,71.0,287.0,nan,47.0,287.0,nan,Tobacco use treatment provided or offered at discharge,8.0,278.0,nan,2.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,434.0,nan,Timely transmission of transition record (TR2),23.0,434.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.2,43.0,nan,27.9,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,93.0,20.5,15.9,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,211.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,68.0,nan,2017-10-01,2018-03-31
344030,STRATEGIC BEHAVIORAL CENTER-LELAND,2050 MERCANTILE DRIVE,LELAND,NC,28451,BRUNSWICK,Hours of physical-restraint use,2.48,38.0,639.0,nan,Hours of seclusion use,2.8,43.0,639.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,286.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,52.0,207.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,12.0,nan,0.0,12.0,nan,Tobacco use screening,100.0,207.0,nan,Tobacco use treatment provided or offered,1.0,68.0,nan,1.0,68.0,nan,Tobacco use treatment provided or offered at discharge,0.0,48.0,nan,0.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,229.0,nan,Timely transmission of transition record (TR2),7.0,230.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.1,72.0,nan,19.4,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,103.0,15.4,11.4,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),56.0,268.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,376.0,nan,2017-10-01,2018-03-31
344031,STRATEGIC BEHAVIORAL CENTER-CHARLOTTE,1715 SHARON ROAD WEST,CHARLOTTE,NC,28210,MECKLENBURG,Hours of physical-restraint use,0.14,26.0,7508.0,nan,Hours of seclusion use,0.0,0.0,7508.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),16.0,187.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),30.0,613.0,nan,Timely transmission of transition record (TR2),18.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),24.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),43.0,215.0,nan,2017-10-01,2018-03-31
350002,CHI ST ALEXIUS HEALTH,900 E BROADWAY,BISMARCK,ND,58501,BURLEIGH,Hours of physical-restraint use,0.05,6.09,5455.0,nan,Hours of seclusion use,0.16,20.55,5455.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,312.0,nan,Alcohol use brief intervention provided or offered,93.0,68.0,nan,87.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,123.0,nan,83.0,123.0,nan,Tobacco use screening,97.0,319.0,nan,Tobacco use treatment provided or offered,99.0,169.0,nan,69.0,169.0,nan,Tobacco use treatment provided or offered at discharge,97.0,135.0,nan,27.0,135.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,557.0,nan,Timely transmission of transition record (TR2),83.0,557.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.4,26.0,nan,50.0,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,99.0,18.8,14.4,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,40.0,nan,2017-10-01,2018-03-31
350006,TRINITY HOSPITALS,407 3RD ST SE,MINOT,ND,58701,WARD,Hours of physical-restraint use,0.24,27.17,4730.0,nan,Hours of seclusion use,4.57,519.19,4730.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,40.0,nan,Screening for metabolic disorders (SMD),46.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,381.0,nan,Alcohol use brief intervention provided or offered,90.0,72.0,nan,88.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,170.0,nan,55.0,170.0,nan,Tobacco use screening,100.0,383.0,nan,Tobacco use treatment provided or offered,86.0,212.0,nan,57.0,212.0,nan,Tobacco use treatment provided or offered at discharge,59.0,177.0,nan,4.0,177.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),37.0,678.0,nan,Timely transmission of transition record (TR2),32.0,678.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.5,58.0,nan,27.6,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,187.0,19.5,15.3,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,319.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,33.0,nan,2017-10-01,2018-03-31
350011,SANFORD,801 BROADWAY NORTH,FARGO,ND,58122,CASS,Hours of physical-restraint use,0.08,18.6,9663.0,nan,Hours of seclusion use,3.85,892.29,9663.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),5.0,199.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,571.0,nan,Alcohol use brief intervention provided or offered,74.0,164.0,nan,66.0,164.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,17.0,258.0,nan,16.0,258.0,nan,Tobacco use screening,100.0,575.0,nan,Tobacco use treatment provided or offered,73.0,282.0,nan,12.0,282.0,nan,Tobacco use treatment provided or offered at discharge,1.0,242.0,nan,1.0,242.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),3.0,664.0,nan,Timely transmission of transition record (TR2),2.0,664.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.3,74.0,nan,44.6,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,307.0,17.8,14.7,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,147.0,nan,2017-10-01,2018-03-31
350015,SANFORD MEDICAL CENTER BISMARCK,300 N 7TH ST,BISMARCK,ND,58506,BURLEIGH,Hours of physical-restraint use,0.0,0.41,4876.0,nan,Hours of seclusion use,0.06,6.51,4879.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,17.0,nan,Screening for metabolic disorders (SMD),38.0,150.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,376.0,nan,Alcohol use brief intervention provided or offered,76.0,148.0,nan,72.0,148.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,209.0,nan,29.0,209.0,nan,Tobacco use screening,92.0,377.0,nan,Tobacco use treatment provided or offered,83.0,214.0,nan,6.0,214.0,nan,Tobacco use treatment provided or offered at discharge,42.0,178.0,nan,1.0,178.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),7.0,689.0,nan,Timely transmission of transition record (TR2),3.0,689.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.3,64.0,nan,34.4,64.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,17.8,14.3,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,354.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,30.0,nan,2017-10-01,2018-03-31
354003,NORTH DAKOTA STATE HOSPITAL,2605 CIRCLE DRIVE,JAMESTOWN,ND,58401,STUTSMAN,Hours of physical-restraint use,0.47,350.58,31368.0,nan,Hours of seclusion use,2.64,1984.23,31368.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,11.0,nan,Screening for metabolic disorders (SMD),13.0,443.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,768.0,nan,Alcohol use brief intervention provided or offered,100.0,338.0,nan,100.0,338.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,577.0,nan,72.0,577.0,nan,Tobacco use screening,95.0,759.0,nan,Tobacco use treatment provided or offered,94.0,489.0,nan,30.0,489.0,nan,Tobacco use treatment provided or offered at discharge,78.0,485.0,nan,25.0,485.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,944.0,nan,Timely transmission of transition record (TR2),92.0,944.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.0,50.0,nan,28.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,183.0,18.0,14.4,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,443.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,476.0,nan,2017-10-01,2018-03-31
354004,PRAIRIE ST JOHNS,510 4TH STREET SOUTH,FARGO,ND,58103,CASS,Hours of physical-restraint use,0.14,96.88,28751.0,nan,Hours of seclusion use,0.03,20.11,28751.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,36.0,nan,Screening for metabolic disorders (SMD),41.0,320.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,351.0,nan,Alcohol use brief intervention provided or offered,70.0,131.0,nan,69.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,149.0,nan,48.0,149.0,nan,Tobacco use screening,97.0,351.0,nan,Tobacco use treatment provided or offered,83.0,180.0,nan,25.0,180.0,nan,Tobacco use treatment provided or offered at discharge,37.0,120.0,nan,5.0,120.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),92.0,805.0,nan,Timely transmission of transition record (TR2),70.0,805.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.2,198.0,nan,40.4,198.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,553.0,16.7,14.2,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,422.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,549.0,nan,2017-10-01,2018-03-31
354005,RED RIVER BEHAVIORAL HEALTH SYSTEM,1451 44TH AVENUE S,GRAND FORKS,ND,58201,GRAND FORKS,Hours of physical-restraint use,0.04,7.3,7237.0,nan,Hours of seclusion use,0.06,10.4,7237.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,19.0,54.0,nan,Screening for metabolic disorders (SMD),38.0,263.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,13.0,495.0,nan,Alcohol use brief intervention provided or offered,87.0,79.0,nan,75.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,79.0,nan,32.0,79.0,nan,Tobacco use screening,53.0,495.0,nan,Tobacco use treatment provided or offered,83.0,192.0,nan,59.0,192.0,nan,Tobacco use treatment provided or offered at discharge,26.0,192.0,nan,6.0,192.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,813.0,nan,Timely transmission of transition record (TR2),51.0,813.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.9,34.0,nan,23.5,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,18.7,14.7,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),49.0,362.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,146.0,nan,2017-10-01,2018-03-31
360003,"UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC",234 GOODMAN STREET,CINCINNATI,OH,45219,HAMILTON,Hours of physical-restraint use,0.96,439.0,18970.0,nan,Hours of seclusion use,2.14,976.0,18970.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,48.0,33.0,nan,Screening for metabolic disorders (SMD),58.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,72.0,419.0,nan,Alcohol use brief intervention provided or offered,6.0,48.0,nan,6.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,211.0,nan,31.0,211.0,nan,Tobacco use screening,100.0,433.0,nan,Tobacco use treatment provided or offered,12.0,270.0,nan,7.0,270.0,nan,Tobacco use treatment provided or offered at discharge,0.0,249.0,nan,0.0,249.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),80.0,390.0,nan,Timely transmission of transition record (TR2),10.0,390.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.7,183.0,nan,16.9,183.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,644.0,18.8,16.4,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),43.0,282.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,128.0,nan,2017-10-01,2018-03-31
360006,RIVERSIDE METHODIST HOSPITAL,3535 OLENTANGY RIVER RD,COLUMBUS,OH,43214,FRANKLIN,Hours of physical-restraint use,0.03,14.0,22087.0,nan,Hours of seclusion use,0.21,109.32,22087.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,43.0,nan,Screening for metabolic disorders (SMD),89.0,301.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,577.0,nan,Alcohol use brief intervention provided or offered,96.0,104.0,nan,93.0,104.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,332.0,nan,91.0,332.0,nan,Tobacco use screening,100.0,590.0,nan,Tobacco use treatment provided or offered,94.0,318.0,nan,80.0,318.0,nan,Tobacco use treatment provided or offered at discharge,95.0,309.0,nan,74.0,309.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),84.0,637.0,nan,Timely transmission of transition record (TR2),78.0,637.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.1,141.0,nan,26.2,141.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,300.0,17.5,14.4,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,310.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,122.0,nan,2017-10-01,2018-03-31
360008,SOUTHERN OHIO MEDICAL CENTER,1805 27TH STREET,PORTSMOUTH,OH,45662,SCIOTO,Hours of physical-restraint use,0.0,0.0,4033.0,nan,Hours of seclusion use,0.0,0.0,4033.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,248.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,284.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,286.0,nan,Tobacco use treatment provided or offered,100.0,78.0,nan,100.0,78.0,nan,Tobacco use treatment provided or offered at discharge,100.0,41.0,nan,95.0,41.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,341.0,nan,Timely transmission of transition record (TR2),91.0,341.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.9,31.0,nan,16.1,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,390.0,20.3,16.6,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,174.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,42.0,nan,2017-10-01,2018-03-31
360011,MARION GENERAL HOSPITAL,1000 MCKINLEY PARK DRIVE,MARION,OH,43302,MARION,Hours of physical-restraint use,0.01,1.65,9106.0,nan,Hours of seclusion use,0.0,0.0,9106.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,37.0,nan,Screening for metabolic disorders (SMD),77.0,383.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,635.0,nan,Alcohol use brief intervention provided or offered,94.0,122.0,nan,93.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,278.0,nan,90.0,278.0,nan,Tobacco use screening,100.0,638.0,nan,Tobacco use treatment provided or offered,89.0,402.0,nan,83.0,402.0,nan,Tobacco use treatment provided or offered at discharge,91.0,386.0,nan,90.0,386.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,658.0,nan,Timely transmission of transition record (TR2),82.0,658.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.8,85.0,nan,43.5,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,214.0,16.2,12.8,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,58.0,nan,2017-10-01,2018-03-31
360013,WILSON MEMORIAL HOSPITAL,915 WEST MICHIGAN STREET,SIDNEY,OH,45365,SHELBY,Hours of physical-restraint use,0.0,0.0,2865.0,nan,Hours of seclusion use,0.0,0.0,2865.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,20.0,nan,Screening for metabolic disorders (SMD),99.0,172.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,222.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,222.0,nan,Tobacco use treatment provided or offered,100.0,19.0,nan,37.0,19.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,235.0,nan,Timely transmission of transition record (TR2),75.0,235.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.6,19.0,nan,21.1,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,259.0,20.0,15.7,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,104.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,41.0,nan,2017-10-01,2018-03-31
360020,SUMMA HEALTH SYSTEM,525 EAST MARKET STREET,AKRON,OH,44309,SUMMIT,Hours of physical-restraint use,0.17,12.05,3016.0,nan,Hours of seclusion use,0.01,0.37,3016.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,12.0,nan,Screening for metabolic disorders (SMD),60.0,80.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,57.0,nan,Alcohol use brief intervention provided or offered,100.0,12.0,nan,100.0,12.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,16.0,nan,31.0,16.0,nan,Tobacco use screening,100.0,57.0,nan,Tobacco use treatment provided or offered,64.0,28.0,nan,29.0,28.0,nan,Tobacco use treatment provided or offered at discharge,0.0,28.0,nan,0.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),34.0,174.0,nan,Timely transmission of transition record (TR2),34.0,174.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.7,259.0,nan,24.3,259.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,779.0,19.7,17.2,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,575.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,438.0,nan,2017-10-01,2018-03-31
360027,AKRON GENERAL MEDICAL CENTER,1 AKRON GENERAL AVENUE,AKRON,OH,44307,SUMMIT,Hours of physical-restraint use,1.07,311.43,12097.0,nan,Hours of seclusion use,0.75,218.08,12097.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,35.0,49.0,nan,Screening for metabolic disorders (SMD),5.0,299.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,567.0,nan,Alcohol use brief intervention provided or offered,74.0,82.0,nan,45.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,231.0,nan,74.0,231.0,nan,Tobacco use screening,95.0,575.0,nan,Tobacco use treatment provided or offered,79.0,256.0,nan,68.0,256.0,nan,Tobacco use treatment provided or offered at discharge,36.0,236.0,nan,17.0,236.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),4.0,606.0,nan,Timely transmission of transition record (TR2),3.0,606.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.1,185.0,nan,29.7,185.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,456.0,17.9,15.3,21.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,165.0,nan,2017-10-01,2018-03-31
360032,GRAND LAKE HEALTH SYSTEM,200 SAINT CLAIR STREET,SAINT MARYS,OH,45885,AUGLAIZE,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),91.0,67.0,nan,2017-10-01,2018-03-31
360035,MOUNT CARMEL WEST,793 WEST STATE STREET,COLUMBUS,OH,43222,FRANKLIN,Hours of physical-restraint use,0.07,9.17,5767.0,nan,Hours of seclusion use,0.37,50.56,5767.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,25.0,nan,Screening for metabolic disorders (SMD),44.0,322.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,632.0,nan,Alcohol use brief intervention provided or offered,74.0,185.0,nan,72.0,185.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,418.0,nan,16.0,418.0,nan,Tobacco use screening,99.0,639.0,nan,Tobacco use treatment provided or offered,89.0,448.0,nan,58.0,448.0,nan,Tobacco use treatment provided or offered at discharge,63.0,443.0,nan,9.0,443.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,659.0,nan,Timely transmission of transition record (TR2),0.0,659.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.7,60.0,nan,38.3,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,117.0,20.7,16.9,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,47.0,nan,2017-10-01,2018-03-31
360037,ST VINCENT CHARITY MEDICAL CENTER,2351 EAST 22ND STREET,CLEVELAND,OH,44115,CUYAHOGA,Hours of physical-restraint use,0.06,48.66,33690.0,nan,Hours of seclusion use,1.68,1355.05,33690.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,58.0,nan,Screening for metabolic disorders (SMD),45.0,269.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,388.0,nan,Alcohol use brief intervention provided or offered,95.0,37.0,nan,51.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,164.0,nan,54.0,164.0,nan,Tobacco use screening,95.0,393.0,nan,Tobacco use treatment provided or offered,65.0,233.0,nan,18.0,233.0,nan,Tobacco use treatment provided or offered at discharge,21.0,200.0,nan,0.0,200.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),64.0,421.0,nan,Timely transmission of transition record (TR2),50.0,420.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.7,151.0,nan,15.9,151.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,546.0,21.8,19.0,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,208.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,225.0,nan,2017-10-01,2018-03-31
360041,PARMA COMMUNITY GENERAL HOSPITAL,7007 POWERS BOULEVARD,PARMA,OH,44129,CUYAHOGA,Hours of physical-restraint use,0.0,0.0,4740.0,nan,Hours of seclusion use,0.0,0.0,4740.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,42.0,nan,Screening for metabolic disorders (SMD),56.0,252.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,250.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,37.0,nan,16.0,37.0,nan,Tobacco use screening,100.0,259.0,nan,Tobacco use treatment provided or offered,98.0,50.0,nan,54.0,50.0,nan,Tobacco use treatment provided or offered at discharge,13.0,31.0,nan,6.0,31.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,211.0,nan,Timely transmission of transition record (TR2),38.0,211.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.9,41.0,nan,12.2,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,252.0,18.4,14.5,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,165.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,25.0,nan,2017-10-01,2018-03-31
360044,WAYNE HOSPITAL,835 SWEITZER STREET,GREENVILLE,OH,45331,DARKE,Hours of physical-restraint use,0.1,2.22,959.0,nan,Hours of seclusion use,0.0,0.0,959.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),34.0,50.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,82.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,82.0,nan,Tobacco use treatment provided or offered,91.0,11.0,nan,45.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,88.0,nan,Timely transmission of transition record (TR2),0.0,88.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,26.0,19.5,13.9,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),31.0,49.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),0.0,1.0,nan,2017-10-01,2018-03-31
360048,UNIVERSITY OF TOLEDO MEDICAL CENTER,3000 ARLINGTON AVENUE,TOLEDO,OH,43699,LUCAS,Hours of physical-restraint use,0.01,2.43,7197.0,nan,Hours of seclusion use,0.01,1.53,7197.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,325.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,56.0,160.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,13.0,nan,54.0,13.0,nan,Tobacco use screening,98.0,164.0,nan,Tobacco use treatment provided or offered,57.0,35.0,nan,51.0,35.0,nan,Tobacco use treatment provided or offered at discharge,20.0,25.0,nan,20.0,25.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,1017.0,nan,Timely transmission of transition record (TR2),22.0,1017.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,87.5,32.0,nan,40.6,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,377.0,17.0,13.5,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),38.0,516.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,287.0,nan,2017-10-01,2018-03-31
360051,MIAMI VALLEY HOSPITAL,ONE WYOMING STREET,DAYTON,OH,45409,MONTGOMERY,Hours of physical-restraint use,0.77,145.5,7888.0,nan,Hours of seclusion use,0.93,175.13,7888.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),33.0,192.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,332.0,nan,Alcohol use brief intervention provided or offered,90.0,48.0,nan,90.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,211.0,nan,69.0,211.0,nan,Tobacco use screening,96.0,336.0,nan,Tobacco use treatment provided or offered,95.0,220.0,nan,69.0,220.0,nan,Tobacco use treatment provided or offered at discharge,46.0,210.0,nan,1.0,210.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),36.0,636.0,nan,Timely transmission of transition record (TR2),36.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.6,115.0,nan,15.7,115.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,310.0,22.8,19.2,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,62.0,nan,2017-10-01,2018-03-31
360054,HOLZER MEDICAL CENTER,100 JACKSON PIKE,GALLIPOLIS,OH,45631,GALLIA,Hours of physical-restraint use,0.38,27.25,2993.0,nan,Hours of seclusion use,0.02,1.25,2993.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,19.0,nan,Screening for metabolic disorders (SMD),85.0,192.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,269.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,24.0,nan,33.0,24.0,nan,Tobacco use screening,100.0,264.0,nan,Tobacco use treatment provided or offered,100.0,83.0,nan,82.0,83.0,nan,Tobacco use treatment provided or offered at discharge,58.0,59.0,nan,10.0,59.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,311.0,nan,Timely transmission of transition record (TR2),83.0,311.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.8,31.0,nan,22.6,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,179.0,19.0,14.8,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,172.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),28.0,54.0,nan,2017-10-01,2018-03-31
360055,TRUMBULL REGIONAL MEDICAL CENTER,1350 EAST MARKET STREET,WARREN,OH,44482,TRUMBULL,Hours of physical-restraint use,0.1,7.38,3204.0,nan,Hours of seclusion use,0.0,0.0,3204.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,11.0,nan,Screening for metabolic disorders (SMD),100.0,227.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,320.0,nan,Alcohol use brief intervention provided or offered,100.0,45.0,nan,89.0,45.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,74.0,nan,88.0,74.0,nan,Tobacco use screening,100.0,319.0,nan,Tobacco use treatment provided or offered,100.0,151.0,nan,3.0,151.0,nan,Tobacco use treatment provided or offered at discharge,100.0,119.0,nan,0.0,119.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),95.0,341.0,nan,Timely transmission of transition record (TR2),95.0,341.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.3,49.0,nan,30.6,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,172.0,20.1,15.4,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,181.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,87.0,nan,2017-10-01,2018-03-31
360059,METROHEALTH SYSTEM,2500 METROHEALTH DRIVE,CLEVELAND,OH,44109,CUYAHOGA,Hours of physical-restraint use,0.07,11.06,6152.0,nan,Hours of seclusion use,0.07,11.06,6152.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,19.0,nan,Screening for metabolic disorders (SMD),53.0,347.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,583.0,nan,Alcohol use brief intervention provided or offered,99.0,102.0,nan,98.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,273.0,nan,76.0,273.0,nan,Tobacco use screening,98.0,588.0,nan,Tobacco use treatment provided or offered,72.0,354.0,nan,61.0,354.0,nan,Tobacco use treatment provided or offered at discharge,25.0,324.0,nan,20.0,324.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,647.0,nan,Timely transmission of transition record (TR2),62.0,647.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.7,54.0,nan,16.7,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,167.0,22.1,17.7,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,49.0,nan,2017-10-01,2018-03-31
360064,MH ST ELIZABETH YOUNGSTOWN HOSPITAL,1044 BELMONT AVENUE,YOUNGSTOWN,OH,44501,MAHONING,Hours of physical-restraint use,0.08,5.47,2719.0,nan,Hours of seclusion use,0.14,8.92,2719.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),13.0,253.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,600.0,nan,Alcohol use brief intervention provided or offered,62.0,115.0,nan,45.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,72.0,nan,4.0,72.0,nan,Tobacco use screening,94.0,157.0,nan,Tobacco use treatment provided or offered,65.0,333.0,nan,22.0,333.0,nan,Tobacco use treatment provided or offered at discharge,7.0,301.0,nan,4.0,301.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,642.0,nan,Timely transmission of transition record (TR2),1.0,156.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.3,111.0,nan,22.5,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,278.0,18.7,15.4,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,103.0,nan,2017-10-01,2018-03-31
360068,TOLEDO HOSPITAL THE,2142 NORTH COVE BOULEVARD,TOLEDO,OH,43606,LUCAS,Hours of physical-restraint use,0.1,19.45,8107.0,nan,Hours of seclusion use,0.08,14.93,8107.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,11.0,nan,Screening for metabolic disorders (SMD),15.0,241.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,301.0,nan,Alcohol use brief intervention provided or offered,79.0,68.0,nan,78.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,161.0,nan,58.0,161.0,nan,Tobacco use screening,94.0,304.0,nan,Tobacco use treatment provided or offered,69.0,168.0,nan,51.0,168.0,nan,Tobacco use treatment provided or offered at discharge,42.0,168.0,nan,16.0,168.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,622.0,nan,Timely transmission of transition record (TR2),5.0,622.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.6,69.0,nan,31.9,69.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,163.0,20.8,16.4,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,464.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,3102.0,nan,2017-10-01,2018-03-31
360074,FLOWER HOSPITAL,5200 HARROUN ROAD,SYLVANIA,OH,43560,LUCAS,Hours of physical-restraint use,0.16,76.92,19508.0,nan,Hours of seclusion use,0.11,50.23,19508.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,29.0,nan,Screening for metabolic disorders (SMD),38.0,354.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,654.0,nan,Alcohol use brief intervention provided or offered,84.0,200.0,nan,81.0,200.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,278.0,nan,95.0,278.0,nan,Tobacco use screening,99.0,664.0,nan,Tobacco use treatment provided or offered,83.0,354.0,nan,72.0,354.0,nan,Tobacco use treatment provided or offered at discharge,51.0,346.0,nan,1.0,346.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),24.0,678.0,nan,Timely transmission of transition record (TR2),16.0,678.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.6,306.0,nan,31.0,306.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,847.0,22.1,19.6,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,1534.0,nan,2017-10-01,2018-03-31
360076,ATRIUM MEDICAL CENTER,ONE MEDICAL CENTER DRIVE,FRANKLIN,OH,45005,WARREN,Hours of physical-restraint use,0.59,60.11,4224.0,nan,Hours of seclusion use,0.63,63.98,4224.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),20.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,304.0,nan,Alcohol use brief intervention provided or offered,90.0,60.0,nan,90.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,178.0,nan,64.0,178.0,nan,Tobacco use screening,97.0,321.0,nan,Tobacco use treatment provided or offered,92.0,211.0,nan,75.0,211.0,nan,Tobacco use treatment provided or offered at discharge,55.0,210.0,nan,7.0,210.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,631.0,nan,Timely transmission of transition record (TR2),7.0,631.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.3,102.0,nan,16.7,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,255.0,21.6,17.9,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,45.0,nan,2017-10-01,2018-03-31
360081,MERCY HEALTH - ST CHARLES HOSPITAL,2600 NAVARRE AVENUE,OREGON,OH,43616,LUCAS,Hours of physical-restraint use,0.09,53.68,25715.0,nan,Hours of seclusion use,0.18,108.62,25715.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,70.0,46.0,nan,Screening for metabolic disorders (SMD),15.0,500.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,886.0,nan,Alcohol use brief intervention provided or offered,81.0,218.0,nan,9.0,218.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,542.0,nan,89.0,542.0,nan,Tobacco use screening,100.0,887.0,nan,Tobacco use treatment provided or offered,78.0,665.0,nan,49.0,665.0,nan,Tobacco use treatment provided or offered at discharge,0.0,648.0,nan,0.0,648.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,911.0,nan,Timely transmission of transition record (TR2),0.0,911.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.7,260.0,nan,23.1,260.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,876.0,27.7,25.4,30.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,392.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,323.0,nan,2017-10-01,2018-03-31
360082,EUCLID HOSPITAL,18901 LAKE SHORE BOULEVARD,EUCLID,OH,44119,CUYAHOGA,Hours of physical-restraint use,0.19,20.0,4367.0,nan,Hours of seclusion use,0.08,8.0,4367.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,253.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,358.0,nan,Alcohol use brief intervention provided or offered,91.0,22.0,nan,91.0,22.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,41.0,29.0,nan,38.0,29.0,nan,Tobacco use screening,100.0,361.0,nan,Tobacco use treatment provided or offered,77.0,52.0,nan,56.0,52.0,nan,Tobacco use treatment provided or offered at discharge,38.0,29.0,nan,17.0,29.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),50.0,393.0,nan,Timely transmission of transition record (TR2),44.0,393.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,21.0,nan,23.8,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,302.0,21.9,17.8,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,180.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,36.0,nan,2017-10-01,2018-03-31
360084,AULTMAN HOSPITAL,2600 SIXTH STREET SW,CANTON,OH,44710,STARK,Hours of physical-restraint use,0.86,64.6,3131.0,nan,Hours of seclusion use,0.0,0.0,3131.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,13.0,nan,Screening for metabolic disorders (SMD),63.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,536.0,nan,Alcohol use brief intervention provided or offered,0.0,87.0,nan,0.0,87.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,135.0,nan,50.0,135.0,nan,Tobacco use screening,99.0,537.0,nan,Tobacco use treatment provided or offered,43.0,258.0,nan,29.0,258.0,nan,Tobacco use treatment provided or offered at discharge,77.0,247.0,nan,77.0,247.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,607.0,nan,Timely transmission of transition record (TR2),62.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.6,88.0,nan,51.1,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,191.0,19.1,15.2,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,221.0,nan,2017-10-01,2018-03-31
360085,OHIO STATE UNIVERSITY HOSPITALS,410 WEST 10TH AVENUE,COLUMBUS,OH,43210,FRANKLIN,Hours of physical-restraint use,0.03,19.23,25858.0,nan,Hours of seclusion use,0.53,325.89,25858.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,18.0,nan,Screening for metabolic disorders (SMD),72.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,484.0,nan,Alcohol use brief intervention provided or offered,89.0,97.0,nan,70.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,261.0,nan,69.0,261.0,nan,Tobacco use screening,100.0,484.0,nan,Tobacco use treatment provided or offered,57.0,279.0,nan,19.0,279.0,nan,Tobacco use treatment provided or offered at discharge,57.0,271.0,nan,0.0,271.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),7.0,630.0,nan,Timely transmission of transition record (TR2),6.0,630.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.1,158.0,nan,25.3,158.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,341.0,17.7,15.0,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,472.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,9665.0,nan,2017-10-01,2018-03-31
360087,LUTHERAN HOSPITAL,1730 WEST 25TH STREET,CLEVELAND,OH,44113,CUYAHOGA,Hours of physical-restraint use,0.17,170.81,41819.0,nan,Hours of seclusion use,0.1,103.12,41819.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,39.0,18.0,nan,Screening for metabolic disorders (SMD),70.0,358.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,705.0,nan,Alcohol use brief intervention provided or offered,68.0,148.0,nan,66.0,148.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,312.0,nan,38.0,312.0,nan,Tobacco use screening,98.0,712.0,nan,Tobacco use treatment provided or offered,62.0,331.0,nan,46.0,331.0,nan,Tobacco use treatment provided or offered at discharge,24.0,307.0,nan,2.0,307.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),10.0,756.0,nan,Timely transmission of transition record (TR2),7.0,756.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.3,261.0,nan,25.7,261.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,829.0,20.6,18.0,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,366.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,122.0,nan,2017-10-01,2018-03-31
360095,BLANCHARD VALLEY HOSPITAL,1900 SOUTH MAIN STREET,FINDLAY,OH,45840,HANCOCK,Hours of physical-restraint use,0.0,0.0,1595.0,nan,Hours of seclusion use,0.03,1.0,1595.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),51.0,136.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,397.0,nan,Alcohol use brief intervention provided or offered,97.0,34.0,nan,97.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,199.0,nan,92.0,199.0,nan,Tobacco use screening,99.0,397.0,nan,Tobacco use treatment provided or offered,83.0,216.0,nan,68.0,216.0,nan,Tobacco use treatment provided or offered at discharge,78.0,207.0,nan,29.0,207.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,432.0,nan,Timely transmission of transition record (TR2),0.0,432.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,84.9,53.0,nan,34.0,53.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,131.0,19.7,15.6,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,204.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,27.0,nan,2017-10-01,2018-03-31
360096,EAST LIVERPOOL CITY HOSPITAL,425 WEST 5TH STREET,EAST LIVERPOOL,OH,43920,COLUMBIANA,Hours of physical-restraint use,0.0,0.0,2454.0,nan,Hours of seclusion use,0.0,0.0,2454.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,24.0,nan,Screening for metabolic disorders (SMD),96.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,130.0,nan,Alcohol use brief intervention provided or offered,100.0,13.0,nan,100.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,19.0,nan,100.0,19.0,nan,Tobacco use screening,100.0,140.0,nan,Tobacco use treatment provided or offered,100.0,31.0,nan,100.0,31.0,nan,Tobacco use treatment provided or offered at discharge,100.0,29.0,nan,100.0,29.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,389.0,nan,Timely transmission of transition record (TR2),97.0,389.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.3,11.0,nan,0.0,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,173.0,24.5,19.4,30.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,196.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,662.0,nan,2017-10-01,2018-03-31
360098,LAKE HEALTH,7590 AUBURN ROAD,CONCORD,OH,44077,LAKE,Hours of physical-restraint use,0.0,0.0,3075.0,nan,Hours of seclusion use,0.04,2.75,3075.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),88.0,226.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,75.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,71.0,nan,Tobacco use treatment provided or offered,75.0,12.0,nan,50.0,12.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,274.0,nan,Timely transmission of transition record (TR2),77.0,274.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.1,29.0,nan,41.4,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,255.0,20.6,16.5,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,125.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,4185.0,nan,2017-10-01,2018-03-31
360125,ASHTABULA COUNTY MEDICAL CENTER,2420 LAKE AVENUE,ASHTABULA,OH,44004,ASHTABULA,Hours of physical-restraint use,0.06,4.08,2673.0,nan,Hours of seclusion use,0.0,0.0,2673.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,30.0,20.0,nan,Screening for metabolic disorders (SMD),93.0,229.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,525.0,nan,Alcohol use brief intervention provided or offered,92.0,64.0,nan,53.0,64.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,203.0,nan,94.0,203.0,nan,Tobacco use screening,98.0,526.0,nan,Tobacco use treatment provided or offered,96.0,310.0,nan,47.0,310.0,nan,Tobacco use treatment provided or offered at discharge,93.0,281.0,nan,2.0,281.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,556.0,nan,Timely transmission of transition record (TR2),4.0,556.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.1,89.0,nan,19.1,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,292.0,23.3,19.7,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,284.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,30.0,nan,2017-10-01,2018-03-31
360131,ALLIANCE COMMUNITY HOSPITAL,200 EAST STATE STREET,ALLIANCE,OH,44601,STARK,Hours of physical-restraint use,0.01,0.78,2931.0,nan,Hours of seclusion use,0.0,0.0,2931.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,15.0,nan,Screening for metabolic disorders (SMD),84.0,175.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,118.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,119.0,nan,Tobacco use treatment provided or offered,50.0,26.0,nan,42.0,26.0,nan,Tobacco use treatment provided or offered at discharge,20.0,20.0,nan,15.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,274.0,nan,Timely transmission of transition record (TR2),42.0,274.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.1,37.0,nan,8.1,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,257.0,18.2,14.4,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,75.0,nan,2017-10-01,2018-03-31
360132,FORT HAMILTON HUGHES MEMORIAL HOSPITAL,630 EATON AVENUE,HAMILTON,OH,45013,BUTLER,Hours of physical-restraint use,0.7,56.23,3331.0,nan,Hours of seclusion use,0.09,7.46,3331.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,16.0,nan,Screening for metabolic disorders (SMD),71.0,254.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,341.0,nan,Alcohol use brief intervention provided or offered,94.0,80.0,nan,94.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,206.0,nan,63.0,206.0,nan,Tobacco use screening,98.0,335.0,nan,Tobacco use treatment provided or offered,85.0,208.0,nan,72.0,208.0,nan,Tobacco use treatment provided or offered at discharge,78.0,201.0,nan,15.0,201.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),38.0,646.0,nan,Timely transmission of transition record (TR2),35.0,646.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.7,54.0,nan,25.9,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,142.0,20.8,16.6,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,24.0,nan,2017-10-01,2018-03-31
360133,GRANDVIEW HOSPITAL & MEDICAL CENTER,405 GRAND AVENUE,DAYTON,OH,45405,MONTGOMERY,Hours of physical-restraint use,0.0,0.63,7442.0,nan,Hours of seclusion use,0.04,7.0,7442.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,18.0,17.0,nan,Screening for metabolic disorders (SMD),77.0,111.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,60.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,21.0,nan,19.0,21.0,nan,Tobacco use screening,95.0,57.0,nan,Tobacco use treatment provided or offered,89.0,27.0,nan,59.0,27.0,nan,Tobacco use treatment provided or offered at discharge,62.0,24.0,nan,62.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),39.0,189.0,nan,Timely transmission of transition record (TR2),35.0,189.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.0,41.0,nan,36.6,41.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,187.0,18.7,14.3,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,99.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,53.0,nan,2017-10-01,2018-03-31
360134,GOOD SAMARITAN HOSPITAL,375 DIXMYTH AVENUE,CINCINNATI,OH,45220,HAMILTON,Hours of physical-restraint use,1.51,414.78,11426.0,nan,Hours of seclusion use,0.28,76.45,11426.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,14.0,nan,Screening for metabolic disorders (SMD),84.0,253.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,552.0,nan,Alcohol use brief intervention provided or offered,85.0,102.0,nan,85.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,238.0,nan,89.0,238.0,nan,Tobacco use screening,100.0,554.0,nan,Tobacco use treatment provided or offered,92.0,265.0,nan,74.0,265.0,nan,Tobacco use treatment provided or offered at discharge,87.0,245.0,nan,87.0,245.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),94.0,608.0,nan,Timely transmission of transition record (TR2),83.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.9,138.0,nan,23.2,138.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,655.0,18.5,15.9,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,4983.0,nan,2017-10-01,2018-03-31
360137,UH CLEVELAND MEDICAL CENTER,11100 EUCLID AVENUE,CLEVELAND,OH,44106,CUYAHOGA,Hours of physical-restraint use,3.47,936.03,11239.0,nan,Hours of seclusion use,6.0,1618.6,11239.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,35.0,nan,Screening for metabolic disorders (SMD),66.0,365.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,239.0,nan,Alcohol use brief intervention provided or offered,9.0,53.0,nan,8.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,103.0,nan,78.0,103.0,nan,Tobacco use screening,99.0,259.0,nan,Tobacco use treatment provided or offered,42.0,137.0,nan,22.0,137.0,nan,Tobacco use treatment provided or offered at discharge,15.0,129.0,nan,4.0,129.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,607.0,nan,Timely transmission of transition record (TR2),0.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.5,80.0,nan,37.5,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,286.0,20.2,16.8,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,326.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,77.0,nan,2017-10-01,2018-03-31
360143,MARYMOUNT HOSPITAL,12300 MCCRACKEN ROAD,GARFIELD HEIGHTS,OH,44125,CUYAHOGA,Hours of physical-restraint use,0.57,476.0,34587.0,nan,Hours of seclusion use,0.28,229.0,34587.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,68.0,nan,Screening for metabolic disorders (SMD),53.0,393.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,609.0,nan,Alcohol use brief intervention provided or offered,70.0,107.0,nan,70.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,272.0,nan,23.0,272.0,nan,Tobacco use screening,98.0,596.0,nan,Tobacco use treatment provided or offered,61.0,278.0,nan,44.0,278.0,nan,Tobacco use treatment provided or offered at discharge,38.0,249.0,nan,1.0,249.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),8.0,642.0,nan,Timely transmission of transition record (TR2),6.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.4,237.0,nan,17.7,237.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,864.0,19.9,17.6,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,117.0,nan,2017-10-01,2018-03-31
360147,MARIETTA MEMORIAL HOSPITAL,401 MATTHEW STREET,MARIETTA,OH,45750,WASHINGTON,Hours of physical-restraint use,0.01,0.7,3366.0,nan,Hours of seclusion use,0.0,0.0,3366.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,19.0,nan,Screening for metabolic disorders (SMD),92.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,395.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,18.0,nan,11.0,18.0,nan,Tobacco use screening,96.0,396.0,nan,Tobacco use treatment provided or offered,72.0,50.0,nan,16.0,50.0,nan,Tobacco use treatment provided or offered at discharge,39.0,36.0,nan,6.0,36.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),63.0,419.0,nan,Timely transmission of transition record (TR2),65.0,419.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.3,56.0,nan,25.0,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,419.0,20.3,16.8,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,201.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
360155,SOUTHWEST GENERAL HEALTH CENTER,18697 BAGLEY ROAD,MIDDLEBURG HEIGHTS,OH,44130,CUYAHOGA,Hours of physical-restraint use,0.21,58.28,11634.0,nan,Hours of seclusion use,0.01,3.65,11634.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,14.0,nan,Screening for metabolic disorders (SMD),82.0,297.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,407.0,nan,Alcohol use brief intervention provided or offered,68.0,69.0,nan,68.0,69.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,188.0,nan,45.0,188.0,nan,Tobacco use screening,96.0,406.0,nan,Tobacco use treatment provided or offered,97.0,194.0,nan,80.0,194.0,nan,Tobacco use treatment provided or offered at discharge,58.0,172.0,nan,56.0,172.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),29.0,641.0,nan,Timely transmission of transition record (TR2),25.0,641.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.2,85.0,nan,31.8,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,533.0,21.6,18.4,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,314.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,45.0,nan,2017-10-01,2018-03-31
360163,CHRIST HOSPITAL,2139 AUBURN AVENUE,CINCINNATI,OH,45219,HAMILTON,Hours of physical-restraint use,0.56,108.41,8106.0,nan,Hours of seclusion use,0.61,118.33,8106.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,35.0,nan,Screening for metabolic disorders (SMD),43.0,250.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,577.0,nan,Alcohol use brief intervention provided or offered,99.0,101.0,nan,92.0,101.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,300.0,nan,70.0,300.0,nan,Tobacco use screening,100.0,578.0,nan,Tobacco use treatment provided or offered,67.0,347.0,nan,53.0,347.0,nan,Tobacco use treatment provided or offered at discharge,13.0,328.0,nan,1.0,328.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,642.0,nan,Timely transmission of transition record (TR2),38.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.3,126.0,nan,19.0,126.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,438.0,19.9,17.1,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,103.0,nan,2017-10-01,2018-03-31
360172,MERCY HEALTH-LORAIN HOSPITAL,3700 KOLBE ROAD,LORAIN,OH,44053,LORAIN,Hours of physical-restraint use,0.0,29.62,719900.0,nan,Hours of seclusion use,0.0,22.27,719900.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),20.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,636.0,nan,Alcohol use brief intervention provided or offered,75.0,80.0,nan,74.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,303.0,nan,7.0,303.0,nan,Tobacco use screening,100.0,636.0,nan,Tobacco use treatment provided or offered,72.0,394.0,nan,70.0,394.0,nan,Tobacco use treatment provided or offered at discharge,0.0,383.0,nan,0.0,383.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,644.0,nan,Timely transmission of transition record (TR2),0.0,644.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.7,118.0,nan,13.6,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,295.0,19.4,16.2,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),54.0,319.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,61.0,nan,2017-10-01,2018-03-31
360174,UPPER VALLEY MEDICAL CENTER,3130 NORTH COUNTY ROAD 25A,TROY,OH,45373,MIAMI,Hours of physical-restraint use,2.38,198.5,3475.0,nan,Hours of seclusion use,2.5,208.2,3475.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,151.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,436.0,nan,Alcohol use brief intervention provided or offered,95.0,93.0,nan,95.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,184.0,nan,65.0,184.0,nan,Tobacco use screening,96.0,441.0,nan,Tobacco use treatment provided or offered,93.0,285.0,nan,76.0,285.0,nan,Tobacco use treatment provided or offered at discharge,73.0,282.0,nan,1.0,282.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),9.0,625.0,nan,Timely transmission of transition record (TR2),9.0,625.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.5,116.0,nan,25.0,116.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,323.0,23.3,19.6,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,47.0,nan,2017-10-01,2018-03-31
360192,UH GEAUGA MEDICAL CENTER,13207 RAVENNA RD,CHARDON,OH,44024,GEAUGA,Hours of physical-restraint use,0.0,0.28,4672.0,nan,Hours of seclusion use,0.0,0.0,4672.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,28.0,nan,Screening for metabolic disorders (SMD),81.0,268.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,358.0,nan,Alcohol use brief intervention provided or offered,88.0,50.0,nan,50.0,50.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,117.0,nan,77.0,117.0,nan,Tobacco use screening,99.0,368.0,nan,Tobacco use treatment provided or offered,95.0,172.0,nan,58.0,172.0,nan,Tobacco use treatment provided or offered at discharge,63.0,164.0,nan,40.0,164.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),5.0,623.0,nan,Timely transmission of transition record (TR2),4.0,623.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,42.0,nan,28.6,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,199.0,24.9,20.3,30.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,71.0,nan,2017-10-01,2018-03-31
360211,TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST,380 SUMMIT AVENUE,STEUBENVILLE,OH,43952,JEFFERSON,Hours of physical-restraint use,0.5,46.83,3880.0,nan,Hours of seclusion use,0.0,0.0,3880.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,29.0,52.0,nan,Screening for metabolic disorders (SMD),96.0,302.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,390.0,nan,Alcohol use brief intervention provided or offered,100.0,109.0,nan,94.0,109.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,176.0,nan,47.0,176.0,nan,Tobacco use screening,100.0,398.0,nan,Tobacco use treatment provided or offered,99.0,268.0,nan,78.0,268.0,nan,Tobacco use treatment provided or offered at discharge,91.0,236.0,nan,1.0,236.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,377.0,nan,Timely transmission of transition record (TR2),99.0,377.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.1,57.0,nan,33.3,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,144.0,18.9,14.8,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,109.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),38.0,26.0,nan,2017-10-01,2018-03-31
361328,DEFIANCE REGIONAL MEDICAL CENTER,1200 RALSTON AVENUE,DEFIANCE,OH,43512,DEFIANCE,Hours of physical-restraint use,0.05,2.78,2555.0,nan,Hours of seclusion use,2.34,143.31,2555.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,17.0,nan,Screening for metabolic disorders (SMD),19.0,194.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,386.0,nan,Alcohol use brief intervention provided or offered,97.0,70.0,nan,97.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,131.0,nan,97.0,131.0,nan,Tobacco use screening,99.0,389.0,nan,Tobacco use treatment provided or offered,85.0,215.0,nan,85.0,215.0,nan,Tobacco use treatment provided or offered at discharge,1.0,199.0,nan,1.0,199.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),64.0,506.0,nan,Timely transmission of transition record (TR2),42.0,506.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.4,71.0,nan,43.7,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,190.0,19.4,15.4,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,268.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,24.0,nan,2017-10-01,2018-03-31
361330,HOCKING VALLEY COMMUNITY HOSPITAL,601 STATE ROUTE 664N,LOGAN,OH,43138,HOCKING,Hours of physical-restraint use,0.0,0.0,2033.0,nan,Hours of seclusion use,0.0,0.0,2033.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,17.0,nan,Screening for metabolic disorders (SMD),95.0,154.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,164.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,164.0,nan,Tobacco use treatment provided or offered,81.0,16.0,nan,69.0,16.0,nan,Tobacco use treatment provided or offered at discharge,56.0,16.0,nan,19.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,164.0,nan,Timely transmission of transition record (TR2),99.0,164.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.5,16.0,nan,12.5,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,157.0,20.9,15.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,79.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,27.0,nan,2017-10-01,2018-03-31
361332,HIGHLAND DISTRICT HOSPITAL,1275 NORTH HIGH STREET,HILLSBORO,OH,45133,HIGHLAND,Hours of physical-restraint use,0.0,0.0,1562.0,nan,Hours of seclusion use,0.0,0.0,1562.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,59.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,194.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,194.0,nan,Tobacco use treatment provided or offered,100.0,56.0,nan,100.0,56.0,nan,Tobacco use treatment provided or offered at discharge,100.0,12.0,nan,100.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,196.0,nan,Timely transmission of transition record (TR2),100.0,196.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.5,11.0,nan,0.0,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,234.0,18.9,14.9,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,83.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,61.0,nan,2017-10-01,2018-03-31
361333,FULTON COUNTY HEALTH CENTER,725 SOUTH SHOOP AVENUE,WAUSEON,OH,43567,FULTON,Hours of physical-restraint use,0.0,0.08,1290.0,nan,Hours of seclusion use,0.0,0.0,1290.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),3.0,94.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,145.0,nan,Alcohol use brief intervention provided or offered,45.0,11.0,nan,45.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,141.0,nan,Tobacco use treatment provided or offered,80.0,20.0,nan,40.0,20.0,nan,Tobacco use treatment provided or offered at discharge,17.0,18.0,nan,0.0,18.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,150.0,nan,Timely transmission of transition record (TR2),95.0,150.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.6,35.0,nan,28.6,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,163.0,17.9,13.5,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,72.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,5.0,nan,2017-10-01,2018-03-31
364007,TWIN VALLEY BEHAVIORAL HEALTHCARE,2200 WEST BROAD STREET,COLUMBUS,OH,43223,FRANKLIN,Hours of physical-restraint use,0.13,188.23,61566.0,nan,Hours of seclusion use,0.08,112.73,61566.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,179.0,nan,Screening for metabolic disorders (SMD),37.0,1072.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,1506.0,nan,Alcohol use brief intervention provided or offered,86.0,251.0,nan,82.0,251.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,602.0,nan,8.0,602.0,nan,Tobacco use screening,86.0,1399.0,nan,Tobacco use treatment provided or offered,36.0,743.0,nan,32.0,743.0,nan,Tobacco use treatment provided or offered at discharge,3.0,733.0,nan,0.0,733.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),11.0,1566.0,nan,Timely transmission of transition record (TR2),5.0,1556.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.2,43.0,nan,23.3,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,96.0,17.2,13.3,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),28.0,728.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,840.0,nan,2017-10-01,2018-03-31
364011,NORTHCOAST BEHAVIORAL HEALTHCARE NORTHFIELD CAMPUS,1756 SAGAMORE ROAD,NORTHFIELD,OH,44067,SUMMIT,Hours of physical-restraint use,0.03,67.87,92570.0,nan,Hours of seclusion use,0.09,198.55,92570.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,139.0,nan,Screening for metabolic disorders (SMD),2.0,766.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,1205.0,nan,Alcohol use brief intervention provided or offered,59.0,263.0,nan,29.0,263.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,712.0,nan,21.0,712.0,nan,Tobacco use screening,76.0,1194.0,nan,Tobacco use treatment provided or offered,51.0,376.0,nan,19.0,376.0,nan,Tobacco use treatment provided or offered at discharge,0.0,366.0,nan,0.0,366.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,1333.0,nan,Timely transmission of transition record (TR2),37.0,1333.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.5,40.0,nan,17.5,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,88.0,16.5,12.4,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),76.0,603.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,773.0,nan,2017-10-01,2018-03-31
364014,NORTHWEST OHIO PSYCHIATRIC HOSPITAL,930 SOUTH DETROIT AVENUE,TOLEDO,OH,43614,LUCAS,Hours of physical-restraint use,0.11,107.83,39852.0,nan,Hours of seclusion use,0.09,86.13,39852.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,90.0,nan,Screening for metabolic disorders (SMD),18.0,490.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,590.0,nan,Alcohol use brief intervention provided or offered,99.0,171.0,nan,42.0,171.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,6.0,236.0,nan,2.0,236.0,nan,Tobacco use screening,86.0,588.0,nan,Tobacco use treatment provided or offered,89.0,282.0,nan,39.0,282.0,nan,Tobacco use treatment provided or offered at discharge,0.0,259.0,nan,0.0,259.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,642.0,nan,Timely transmission of transition record (TR2),71.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,52.0,nan,23.1,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,143.0,18.8,14.6,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),62.0,278.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,384.0,nan,2017-10-01,2018-03-31
364015,APPALACHIAN BEHAVIORAL HEALTH CARE,100 HOSPITAL DRIVE,ATHENS,OH,45701,ATHENS,Hours of physical-restraint use,0.16,127.2,32535.0,nan,Hours of seclusion use,0.01,8.33,32535.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,127.0,nan,Screening for metabolic disorders (SMD),83.0,644.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,900.0,nan,Alcohol use brief intervention provided or offered,11.0,320.0,nan,10.0,320.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,488.0,nan,27.0,488.0,nan,Tobacco use screening,82.0,889.0,nan,Tobacco use treatment provided or offered,35.0,554.0,nan,29.0,554.0,nan,Tobacco use treatment provided or offered at discharge,1.0,543.0,nan,0.0,543.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,955.0,nan,Timely transmission of transition record (TR2),38.0,955.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.8,89.0,nan,22.5,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,189.0,17.7,14.1,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,404.0,nan,2017-10-01,2018-03-31
364027,CAMBRIDGE BEHAVIORAL HOSPITAL,66755 STATE STREET,CAMBRIDGE,OH,43725,GUERNSEY,Hours of physical-restraint use,0.08,37.0,18471.0,nan,Hours of seclusion use,0.0,0.0,18471.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,67.0,nan,Screening for metabolic disorders (SMD),100.0,1221.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,697.0,nan,Alcohol use brief intervention provided or offered,45.0,694.0,nan,33.0,694.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,696.0,nan,0.0,696.0,nan,Tobacco use screening,98.0,696.0,nan,Tobacco use treatment provided or offered,79.0,696.0,nan,5.0,696.0,nan,Tobacco use treatment provided or offered at discharge,71.0,696.0,nan,0.0,696.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,1221.0,nan,Timely transmission of transition record (TR2),100.0,1221.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.5,512.0,nan,16.4,512.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1193.0,19.7,17.7,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),10.0,628.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,185.0,nan,2017-10-01,2018-03-31
364029,WINDSOR LAURELWOOD CENTER FOR BEHAVORIAL MEDICINE,35900 EUCLID AVENUE,WILLOUGHBY,OH,44094,LAKE,Hours of physical-restraint use,0.04,38.11,44753.0,nan,Hours of seclusion use,0.02,22.83,44753.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,39.0,18.0,nan,Screening for metabolic disorders (SMD),99.0,560.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,616.0,nan,Alcohol use brief intervention provided or offered,100.0,197.0,nan,96.0,197.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,457.0,nan,41.0,457.0,nan,Tobacco use screening,99.0,616.0,nan,Tobacco use treatment provided or offered,98.0,393.0,nan,7.0,393.0,nan,Tobacco use treatment provided or offered at discharge,91.0,371.0,nan,0.0,371.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,1105.0,nan,Timely transmission of transition record (TR2),89.0,1105.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.1,449.0,nan,33.2,449.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1627.0,18.6,17.0,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,592.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,531.0,nan,2017-10-01,2018-03-31
364031,HEARTLAND BEHAVIORAL HEALTHCARE,3000 ERIE SW,MASSILLON,OH,44648,STARK,Hours of physical-restraint use,0.19,209.57,46443.0,nan,Hours of seclusion use,0.05,50.72,46443.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,155.0,nan,Screening for metabolic disorders (SMD),3.0,733.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,983.0,nan,Alcohol use brief intervention provided or offered,97.0,240.0,nan,82.0,240.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,502.0,nan,11.0,502.0,nan,Tobacco use screening,61.0,953.0,nan,Tobacco use treatment provided or offered,88.0,291.0,nan,76.0,291.0,nan,Tobacco use treatment provided or offered at discharge,0.0,202.0,nan,0.0,202.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,1058.0,nan,Timely transmission of transition record (TR2),1.0,1058.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.5,33.0,nan,27.3,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,108.0,16.9,13.0,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,475.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),61.0,480.0,nan,2017-10-01,2018-03-31
364035,SUMMIT BEHAVIORAL HEALTHCARE,1101 SUMMIT ROAD,CINCINNATI,OH,45237,HAMILTON,Hours of physical-restraint use,0.16,385.62,101372.0,nan,Hours of seclusion use,0.05,122.07,101372.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,80.0,nan,Screening for metabolic disorders (SMD),88.0,361.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,424.0,nan,Alcohol use brief intervention provided or offered,99.0,72.0,nan,83.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,239.0,nan,23.0,239.0,nan,Tobacco use screening,85.0,423.0,nan,Tobacco use treatment provided or offered,75.0,161.0,nan,48.0,161.0,nan,Tobacco use treatment provided or offered at discharge,0.0,152.0,nan,0.0,152.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,598.0,nan,Timely transmission of transition record (TR2),37.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,42.0,nan,16.7,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,91.0,15.2,11.3,20.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,172.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,618.0,nan,2017-10-01,2018-03-31
364036,ARROWHEAD BEHAVIORAL HEALTH,1725 TIMBER LINE ROAD,MAUMEE,OH,43537,LUCAS,Hours of physical-restraint use,0.0,0.85,8896.0,nan,Hours of seclusion use,0.0,0.0,8896.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),66.0,97.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,716.0,nan,Alcohol use brief intervention provided or offered,94.0,357.0,nan,91.0,357.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,628.0,nan,95.0,628.0,nan,Tobacco use screening,100.0,716.0,nan,Tobacco use treatment provided or offered,93.0,536.0,nan,11.0,536.0,nan,Tobacco use treatment provided or offered at discharge,54.0,511.0,nan,1.0,511.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,701.0,nan,Timely transmission of transition record (TR2),84.0,701.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,30.0,nan,26.7,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,590.0,19.9,17.2,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,375.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),21.0,213.0,nan,2017-10-01,2018-03-31
364038,BELMONT PINES HOSPITAL,615 CHURCHILL-HUBBARD RD,YOUNGSTOWN,OH,44505,MAHONING,Hours of physical-restraint use,0.1,25.0,10548.0,nan,Hours of seclusion use,0.35,88.68,10548.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,510.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,13.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,13.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,820.0,nan,Timely transmission of transition record (TR2),87.0,820.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,351.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,341.0,nan,2017-10-01,2018-03-31
364040,MENTAL HEALTH SERVICES FOR CLARK AND MADISON COS,474 NORTH YELLOW SPRINGS STREET,SPRINGFIELD,OH,45504,CLARK,Hours of physical-restraint use,0.02,2.01,5084.0,nan,Hours of seclusion use,0.0,0.0,5084.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,102.0,nan,Screening for metabolic disorders (SMD),76.0,497.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,713.0,nan,Alcohol use brief intervention provided or offered,75.0,99.0,nan,75.0,99.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,412.0,nan,43.0,412.0,nan,Tobacco use screening,99.0,723.0,nan,Tobacco use treatment provided or offered,95.0,471.0,nan,66.0,471.0,nan,Tobacco use treatment provided or offered at discharge,83.0,446.0,nan,0.0,446.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,743.0,nan,Timely transmission of transition record (TR2),74.0,743.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,50.0,nan,12.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,118.0,20.1,15.5,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,350.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,295.0,nan,2017-10-01,2018-03-31
364041,OHIO HOSPITAL FOR PSYCHIATRY,880 GREENLAWN AVENUE,COLUMBUS,OH,43223,FRANKLIN,Hours of physical-restraint use,0.01,6.36,32659.0,nan,Hours of seclusion use,0.0,0.0,32659.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,22.0,nan,Screening for metabolic disorders (SMD),18.0,396.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,582.0,nan,Alcohol use brief intervention provided or offered,76.0,50.0,nan,54.0,50.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,272.0,nan,0.0,272.0,nan,Tobacco use screening,93.0,598.0,nan,Tobacco use treatment provided or offered,79.0,219.0,nan,13.0,219.0,nan,Tobacco use treatment provided or offered at discharge,74.0,219.0,nan,0.0,219.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),24.0,651.0,nan,Timely transmission of transition record (TR2),15.0,651.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.8,679.0,nan,59.6,679.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1521.0,17.6,15.9,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,356.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),36.0,225.0,nan,2017-10-01,2018-03-31
364042,"TEN LAKES CENTER, LLC","819 NORTH FIRST STREET, 3RD FLOOR",DENNISON,OH,44621,TUSCARAWAS,Hours of physical-restraint use,0.0,0.75,17884.0,nan,Hours of seclusion use,0.0,0.0,17884.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,15.0,nan,Screening for metabolic disorders (SMD),89.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,281.0,nan,Alcohol use brief intervention provided or offered,100.0,11.0,nan,27.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,27.0,nan,4.0,27.0,nan,Tobacco use screening,99.0,279.0,nan,Tobacco use treatment provided or offered,96.0,84.0,nan,11.0,84.0,nan,Tobacco use treatment provided or offered at discharge,86.0,44.0,nan,0.0,44.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,262.0,nan,Timely transmission of transition record (TR2),78.0,262.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.7,17.0,nan,41.2,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,317.0,19.3,15.8,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),60.0,131.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,61.0,nan,2017-10-01,2018-03-31
364044,LINDNER CENTER OF HOPE,4075 OLD WESTERN ROW ROAD,MASON,OH,45040,WARREN,Hours of physical-restraint use,0.03,19.37,23178.0,nan,Hours of seclusion use,0.0,0.0,23178.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,68.0,nan,Screening for metabolic disorders (SMD),100.0,364.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,590.0,nan,Alcohol use brief intervention provided or offered,100.0,97.0,nan,100.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,113.0,nan,61.0,113.0,nan,Tobacco use screening,100.0,589.0,nan,Tobacco use treatment provided or offered,92.0,169.0,nan,87.0,169.0,nan,Tobacco use treatment provided or offered at discharge,24.0,157.0,nan,2.0,157.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,849.0,nan,Timely transmission of transition record (TR2),97.0,849.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.6,116.0,nan,48.3,116.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,256.0,21.9,17.7,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,378.0,nan,2017-10-01,2018-03-31
364045,SEQUEL POMEGRANATE HEALTH SYSTEMS LLC,765 PIERCE DRIVE,COLUMBUS,OH,43223,FRANKLIN,Hours of physical-restraint use,0.08,10.65,5731.0,nan,Hours of seclusion use,0.0,0.0,5731.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,249.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,756.0,nan,Timely transmission of transition record (TR2),100.0,756.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),28.0,279.0,nan,2017-10-01,2018-03-31
364047,RIDGEVIEW BEHAVIORAL HOSPITAL,17872 LINCOLN HIGHWAY,MIDDLE POINT,OH,45863,VAN WERT,Hours of physical-restraint use,0.01,6.77,30032.0,nan,Hours of seclusion use,0.0,0.92,30032.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,8.0,62.0,nan,Screening for metabolic disorders (SMD),77.0,349.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,727.0,nan,Alcohol use brief intervention provided or offered,100.0,275.0,nan,99.0,275.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,538.0,nan,78.0,538.0,nan,Tobacco use screening,100.0,727.0,nan,Tobacco use treatment provided or offered,100.0,628.0,nan,10.0,628.0,nan,Tobacco use treatment provided or offered at discharge,98.0,484.0,nan,1.0,484.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,629.0,nan,Timely transmission of transition record (TR2),12.0,629.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.3,864.0,nan,21.6,864.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1423.0,17.2,15.5,19.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,322.0,nan,2017-10-01,2018-03-31
364048,HAVEN BEHAVIORAL HOSPITAL OF DAYTON,"ONE ELIZABETH PLACE, E3 SUITE A",DAYTON,OH,45417,MONTGOMERY,Hours of physical-restraint use,0.01,2.03,8615.0,nan,Hours of seclusion use,0.0,0.0,8615.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,66.0,nan,Screening for metabolic disorders (SMD),89.0,440.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,572.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,43.0,nan,7.0,43.0,nan,Tobacco use screening,100.0,572.0,nan,Tobacco use treatment provided or offered,71.0,160.0,nan,47.0,160.0,nan,Tobacco use treatment provided or offered at discharge,5.0,111.0,nan,1.0,111.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),17.0,579.0,nan,Timely transmission of transition record (TR2),12.0,579.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,54.0,nan,20.4,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,536.0,21.8,18.2,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,288.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,93.0,nan,2017-10-01,2018-03-31
364049,DUBLIN SPRINGS,7625 HOSPITAL DRIVE,DUBLIN,OH,43016,FRANKLIN,Hours of physical-restraint use,0.02,14.38,34596.0,nan,Hours of seclusion use,0.04,33.4,34596.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,69.0,42.0,nan,Screening for metabolic disorders (SMD),46.0,490.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,1019.0,nan,Alcohol use brief intervention provided or offered,71.0,235.0,nan,66.0,235.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,459.0,nan,46.0,459.0,nan,Tobacco use screening,98.0,1019.0,nan,Tobacco use treatment provided or offered,90.0,454.0,nan,14.0,454.0,nan,Tobacco use treatment provided or offered at discharge,76.0,436.0,nan,0.0,436.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,1028.0,nan,Timely transmission of transition record (TR2),58.0,1028.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.2,420.0,nan,54.3,420.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1176.0,18.7,16.8,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,609.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),51.0,615.0,nan,2017-10-01,2018-03-31
364050,"ACCESS HOSPITAL DAYTON, LLC",2611 WAYNE AVENUE,DAYTON,OH,45420,MONTGOMERY,Hours of physical-restraint use,0.06,18.55,12018.0,nan,Hours of seclusion use,0.0,0.0,12018.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,89.0,nan,Screening for metabolic disorders (SMD),100.0,902.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,953.0,nan,Alcohol use brief intervention provided or offered,100.0,238.0,nan,100.0,238.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,489.0,nan,100.0,489.0,nan,Tobacco use screening,100.0,951.0,nan,Tobacco use treatment provided or offered,100.0,705.0,nan,7.0,705.0,nan,Tobacco use treatment provided or offered at discharge,0.0,705.0,nan,0.0,705.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,969.0,nan,Timely transmission of transition record (TR2),0.0,969.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,180.0,nan,47.8,180.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,499.0,23.3,20.1,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
364051,BECKETT SPRINGS,8614 SHEPHERD FARM DRIVE,WEST CHESTER,OH,45069,BUTLER,Hours of physical-restraint use,0.02,14.35,25452.0,nan,Hours of seclusion use,0.0,0.43,25452.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,47.0,nan,Screening for metabolic disorders (SMD),97.0,315.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,614.0,nan,Alcohol use brief intervention provided or offered,83.0,263.0,nan,82.0,263.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,453.0,nan,86.0,453.0,nan,Tobacco use screening,99.0,614.0,nan,Tobacco use treatment provided or offered,96.0,340.0,nan,28.0,340.0,nan,Tobacco use treatment provided or offered at discharge,75.0,331.0,nan,13.0,331.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,610.0,nan,Timely transmission of transition record (TR2),69.0,610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.0,198.0,nan,35.9,198.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,872.0,19.6,17.3,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,426.0,nan,2017-10-01,2018-03-31
364052,CLEAR VISTA HEALTH & WELLNESS,3364 KOLBE ROAD,LORAIN,OH,44053,LORAIN,Hours of physical-restraint use,0.03,6.5,9446.0,nan,Hours of seclusion use,0.03,7.5,9446.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,196.0,nan,Screening for metabolic disorders (SMD),11.0,435.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,601.0,nan,Alcohol use brief intervention provided or offered,100.0,60.0,nan,98.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,60.0,nan,98.0,60.0,nan,Tobacco use screening,100.0,601.0,nan,Tobacco use treatment provided or offered,100.0,50.0,nan,98.0,50.0,nan,Tobacco use treatment provided or offered at discharge,100.0,60.0,nan,2.0,60.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,601.0,nan,Timely transmission of transition record (TR2),88.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.6,56.0,nan,25.0,56.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,431.0,20.0,16.5,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,346.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,48.0,nan,2017-10-01,2018-03-31
364053,HIGHLAND SPRINGS,4199 MILL POND DRIVE,BEACHWOOD,OH,44122,CUYAHOGA,Hours of physical-restraint use,0.02,8.53,20445.0,nan,Hours of seclusion use,0.07,34.65,20445.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,40.0,nan,Screening for metabolic disorders (SMD),71.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,587.0,nan,Alcohol use brief intervention provided or offered,53.0,181.0,nan,52.0,181.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,294.0,nan,66.0,294.0,nan,Tobacco use screening,99.0,603.0,nan,Tobacco use treatment provided or offered,96.0,307.0,nan,6.0,307.0,nan,Tobacco use treatment provided or offered at discharge,63.0,292.0,nan,4.0,292.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),57.0,608.0,nan,Timely transmission of transition record (TR2),40.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.0,244.0,nan,27.5,244.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,481.0,22.2,19.4,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,252.0,nan,2017-10-01,2018-03-31
364054,GENERATIONS BEHAVIORAL HEALTH - GENEVA,60 WEST STREET,GENEVA,OH,44041,ASHTABULA,Hours of physical-restraint use,0.0,0.0,3347.0,nan,Hours of seclusion use,0.0,0.0,3347.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,24.0,nan,Screening for metabolic disorders (SMD),93.0,198.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,235.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,232.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,292.0,nan,Timely transmission of transition record (TR2),100.0,292.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.7,28.0,nan,25.0,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,204.0,21.0,16.7,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),53.0,103.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,52.0,nan,2017-10-01,2018-03-31
364055,SOJOURN AT SENECA,50 ST LAWRENCE DRIVE,TIFFIN,OH,44883,SENECA,Hours of physical-restraint use,0.0,0.5,4702.0,nan,Hours of seclusion use,0.0,0.5,4702.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,46.0,nan,Screening for metabolic disorders (SMD),13.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,260.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,260.0,nan,Tobacco use treatment provided or offered,65.0,34.0,nan,47.0,34.0,nan,Tobacco use treatment provided or offered at discharge,24.0,34.0,nan,12.0,34.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,260.0,nan,Timely transmission of transition record (TR2),88.0,260.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.4,39.0,nan,20.5,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,164.0,18.0,13.7,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,115.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,69.0,nan,2017-10-01,2018-03-31
364056,ASSURANCE HEALTH CINCINNATI LLC,11690 GROOMS ROAD,CINCINNATI,OH,45242,HAMILTON,Hours of physical-restraint use,0.0,0.0,10257.0,nan,Hours of seclusion use,0.0,0.0,10257.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,15.0,nan,Screening for metabolic disorders (SMD),87.0,369.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,612.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,613.0,nan,Tobacco use treatment provided or offered,88.0,41.0,nan,49.0,41.0,nan,Tobacco use treatment provided or offered at discharge,20.0,15.0,nan,7.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),72.0,663.0,nan,Timely transmission of transition record (TR2),99.0,664.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,16.0,nan,12.5,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,286.0,19.8,16.0,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,131.0,nan,2017-10-01,2018-03-31
364058,SUN BEHAVIORAL COLUMBUS,900 EAST DUBLIN GRANVILLE ROAD,COLUMBUS,OH,43229,FRANKLIN,Hours of physical-restraint use,0.0,0.3,2971.0,nan,Hours of seclusion use,0.0,0.0,2971.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,11.0,nan,Screening for metabolic disorders (SMD),26.0,77.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,151.0,nan,Alcohol use brief intervention provided or offered,93.0,70.0,nan,89.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,80.0,nan,48.0,80.0,nan,Tobacco use screening,99.0,151.0,nan,Tobacco use treatment provided or offered,96.0,81.0,nan,12.0,81.0,nan,Tobacco use treatment provided or offered at discharge,84.0,67.0,nan,0.0,67.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,153.0,nan,Timely transmission of transition record (TR2),1.0,153.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),71.0,234.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
364059,ASSURANCE HEALTH HUDSON LLC,6260 HUDSON CROSSING PKWY,HUDSON,OH,44236,SUMMIT,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
370004,INTEGRIS MIAMI HOSPITAL,200 SECOND AVENUE SOUTHWEST,MIAMI,OK,74355,OTTAWA,Hours of physical-restraint use,0.01,0.29,2300.0,nan,Hours of seclusion use,0.0,0.0,2300.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,25.0,nan,Screening for metabolic disorders (SMD),12.0,146.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,256.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,14.0,nan,21.0,14.0,nan,Tobacco use screening,96.0,256.0,nan,Tobacco use treatment provided or offered,59.0,56.0,nan,30.0,56.0,nan,Tobacco use treatment provided or offered at discharge,32.0,25.0,nan,0.0,25.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,262.0,nan,Timely transmission of transition record (TR2),0.0,262.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,24.0,nan,12.5,24.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,492.0,22.1,18.8,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,106.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,35.0,nan,2017-10-01,2018-03-31
370008,NORMAN REGIONAL,901 NORTH PORTER,NORMAN,OK,73070,CLEVELAND,Hours of physical-restraint use,0.0,0.0,14985.0,nan,Hours of seclusion use,0.0,0.0,14985.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,44.0,nan,Screening for metabolic disorders (SMD),90.0,234.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,524.0,nan,Alcohol use brief intervention provided or offered,100.0,134.0,nan,96.0,134.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,178.0,nan,80.0,178.0,nan,Tobacco use screening,100.0,541.0,nan,Tobacco use treatment provided or offered,91.0,286.0,nan,81.0,286.0,nan,Tobacco use treatment provided or offered at discharge,63.0,261.0,nan,41.0,261.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,537.0,nan,Timely transmission of transition record (TR2),89.0,537.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.6,97.0,nan,30.9,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,233.0,16.7,13.5,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,454.0,nan,2017-10-01,2018-03-31
370016,INTEGRIS BASS BAPTIST HEALTH CENTER,600 SOUTH MONROE,ENID,OK,73701,GARFIELD,Hours of physical-restraint use,25.3,881.18,1451.0,nan,Hours of seclusion use,0.0,0.0,1451.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,51.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,100.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,91.0,102.0,nan,Tobacco use treatment provided or offered,100.0,11.0,nan,100.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,107.0,nan,Timely transmission of transition record (TR2),58.0,107.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,163.0,17.9,13.4,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,40.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,14.0,nan,2017-10-01,2018-03-31
370018,"JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC",3500 EAST FRANK PHILLIPS BOULEVARD,BARTLESVILLE,OK,74006,WASHINGTON,Hours of physical-restraint use,0.23,9.0,1655.0,nan,Hours of seclusion use,0.0,0.0,139.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),33.0,139.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,11.0,139.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,95.0,139.0,nan,Tobacco use treatment provided or offered,8.0,139.0,nan,1.0,139.0,nan,Tobacco use treatment provided or offered at discharge,1.0,139.0,nan,0.0,139.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),68.0,139.0,nan,Timely transmission of transition record (TR2),68.0,139.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,193.0,16.9,12.9,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,70.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,55.0,nan,2017-10-01,2018-03-31
370019,GREAT PLAINS REGIONAL MEDICAL CENTER,1801 WEST 3RD STREET,ELK CITY,OK,73644,BECKHAM,Hours of physical-restraint use,0.0,0.0,990.0,nan,Hours of seclusion use,0.0,0.0,990.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),38.0,58.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,76.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,76.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,88.0,nan,Timely transmission of transition record (TR2),0.0,88.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,140.0,17.7,13.3,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,47.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,13.0,nan,2017-10-01,2018-03-31
370020,MERCY HOSPITAL ADA,430 NORTH MONTE VISTA,ADA,OK,74820,PONTOTOC,Hours of physical-restraint use,0.01,0.82,6494.0,nan,Hours of seclusion use,0.16,24.42,6494.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,114.0,nan,Screening for metabolic disorders (SMD),59.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,411.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,29.0,nan,7.0,29.0,nan,Tobacco use screening,92.0,413.0,nan,Tobacco use treatment provided or offered,98.0,121.0,nan,69.0,121.0,nan,Tobacco use treatment provided or offered at discharge,93.0,71.0,nan,8.0,71.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),15.0,429.0,nan,Timely transmission of transition record (TR2),20.0,429.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.6,61.0,nan,16.4,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,370.0,15.6,12.7,19.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,194.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,54.0,nan,2017-10-01,2018-03-31
370023,"DUNCAN REGIONAL HOSPITAL, INC",1407 WHISENANT DRIVE,DUNCAN,OK,73533,STEPHENS,Hours of physical-restraint use,0.0,0.0,2393.0,nan,Hours of seclusion use,0.0,0.0,2393.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,84.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,149.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,14.0,nan,7.0,14.0,nan,Tobacco use screening,100.0,149.0,nan,Tobacco use treatment provided or offered,100.0,28.0,nan,18.0,28.0,nan,Tobacco use treatment provided or offered at discharge,43.0,21.0,nan,0.0,21.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),78.0,174.0,nan,Timely transmission of transition record (TR2),76.0,174.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.5,13.0,nan,53.8,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,250.0,21.6,17.3,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,75.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,16.0,nan,2017-10-01,2018-03-31
370025,SAINT FRANCIS HOSPITAL MUSKOGEE,300 ROCKEFELLER DRIVE,MUSKOGEE,OK,74401,MUSKOGEE,Hours of physical-restraint use,0.0,0.0,4317.0,nan,Hours of seclusion use,0.04,4.5,4317.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,36.0,nan,Screening for metabolic disorders (SMD),94.0,231.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,64.0,306.0,nan,Alcohol use brief intervention provided or offered,100.0,43.0,nan,98.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,114.0,nan,52.0,114.0,nan,Tobacco use screening,100.0,307.0,nan,Tobacco use treatment provided or offered,98.0,202.0,nan,86.0,202.0,nan,Tobacco use treatment provided or offered at discharge,97.0,182.0,nan,32.0,182.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,491.0,nan,Timely transmission of transition record (TR2),74.0,491.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.5,155.0,nan,11.6,155.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,630.0,22.0,19.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,235.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
370034,MCALESTER REGIONAL HEALTH CENTER,ONE CLARK BASS BOULEVARD,MCALESTER,OK,74501,PITTSBURG,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
370037,SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY,1000 NORTH LEE AVENUE,OKLAHOMA CITY,OK,73101,OKLAHOMA,Hours of physical-restraint use,0.08,48.83,25204.0,nan,Hours of seclusion use,0.0,0.0,25204.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,44.0,nan,Screening for metabolic disorders (SMD),80.0,400.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,514.0,nan,Alcohol use brief intervention provided or offered,70.0,119.0,nan,70.0,119.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,164.0,nan,63.0,164.0,nan,Tobacco use screening,99.0,514.0,nan,Tobacco use treatment provided or offered,87.0,276.0,nan,76.0,276.0,nan,Tobacco use treatment provided or offered at discharge,94.0,263.0,nan,22.0,263.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),64.0,673.0,nan,Timely transmission of transition record (TR2),43.0,673.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.6,394.0,nan,18.0,394.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1326.0,17.1,15.3,19.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,472.0,nan,2017-10-01,2018-03-31
370039,HILLCREST HOSPITAL CLAREMORE,1202 N MUSKOGEE PLACE,CLAREMORE,OK,74017,ROGERS,Hours of physical-restraint use,0.0,0.0,2797.0,nan,Hours of seclusion use,0.0,0.0,2797.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),72.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,234.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,207.0,nan,Tobacco use treatment provided or offered,82.0,22.0,nan,64.0,22.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,253.0,nan,Timely transmission of transition record (TR2),96.0,253.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.7,31.0,nan,12.9,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,288.0,20.3,16.2,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,250.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,42.0,nan,2017-10-01,2018-03-31
370047,"MERCY HOSPITAL ARDMORE, INC","1011 FOURTEENTH AVENUE, NORTHWEST",ARDMORE,OK,73401,CARTER,Hours of physical-restraint use,0.0,0.0,2471.0,nan,Hours of seclusion use,0.0,0.0,2471.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),42.0,131.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,225.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,19.0,nan,16.0,19.0,nan,Tobacco use screening,96.0,222.0,nan,Tobacco use treatment provided or offered,75.0,40.0,nan,52.0,40.0,nan,Tobacco use treatment provided or offered at discharge,50.0,26.0,nan,27.0,26.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),15.0,239.0,nan,Timely transmission of transition record (TR2),24.0,239.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.8,22.0,nan,27.3,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,215.0,18.8,14.8,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,92.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,24.0,nan,2017-10-01,2018-03-31
370056,COMANCHE COUNTY MEMORIAL HOSPITAL,3401 WEST GORE BLVD,LAWTON,OK,73505,COMANCHE,Hours of physical-restraint use,0.0,0.0,2124.0,nan,Hours of seclusion use,0.0,0.0,2124.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,139.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,136.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,11.0,nan,18.0,11.0,nan,Tobacco use screening,94.0,136.0,nan,Tobacco use treatment provided or offered,21.0,19.0,nan,16.0,19.0,nan,Tobacco use treatment provided or offered at discharge,9.0,11.0,nan,0.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,239.0,nan,Timely transmission of transition record (TR2),1.0,239.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.5,51.0,nan,52.9,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,345.0,25.1,20.6,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,106.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,107.0,nan,2017-10-01,2018-03-31
370057,MUSCOGEE (CREEK) NATION MEDICAL CENTER,1401 MORRIS DRIVE,OKMULGEE,OK,74447,OKMULGEE,Hours of physical-restraint use,0.0,0.0,1093.0,nan,Hours of seclusion use,0.0,0.0,1093.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,15.0,nan,Screening for metabolic disorders (SMD),0.0,106.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,106.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,106.0,nan,Tobacco use treatment provided or offered,100.0,24.0,nan,100.0,24.0,nan,Tobacco use treatment provided or offered at discharge,0.0,24.0,nan,0.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,106.0,nan,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,164.0,20.7,16.0,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,49.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,10.0,nan,2017-10-01,2018-03-31
370089,NORTHEASTERN HEALTH SYSTEM,1400 EAST DOWNING STREET,TAHLEQUAH,OK,74465,CHEROKEE,Hours of physical-restraint use,0.0,0.0,2022.0,nan,Hours of seclusion use,0.0,0.0,2022.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,145.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,145.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,145.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,145.0,nan,Timely transmission of transition record (TR2),100.0,145.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,190.0,20.2,15.9,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),28.0,74.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,35.0,nan,2017-10-01,2018-03-31
370093,O U MEDICINE,700 NE 13TH STREET,OKLAHOMA CITY,OK,73104,OKLAHOMA,Hours of physical-restraint use,0.0,0.0,6318.0,nan,Hours of seclusion use,0.0,0.0,6318.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,24.0,nan,Screening for metabolic disorders (SMD),95.0,206.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,213.0,nan,Alcohol use brief intervention provided or offered,73.0,11.0,nan,73.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,215.0,nan,Tobacco use treatment provided or offered,73.0,15.0,nan,67.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,304.0,nan,Timely transmission of transition record (TR2),4.0,304.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,64.0,nan,26.6,64.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,617.0,20.6,17.3,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,215.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,54.0,nan,2017-10-01,2018-03-31
370094,ALLIANCEHEALTH MIDWEST,2825 PARKLAWN DRIVE,MIDWEST CITY,OK,73110,OKLAHOMA,Hours of physical-restraint use,0.22,31.0,5948.0,nan,Hours of seclusion use,0.11,15.83,5948.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,43.0,nan,Screening for metabolic disorders (SMD),68.0,354.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,556.0,nan,Alcohol use brief intervention provided or offered,100.0,102.0,nan,100.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,173.0,nan,25.0,173.0,nan,Tobacco use screening,100.0,552.0,nan,Tobacco use treatment provided or offered,96.0,279.0,nan,40.0,279.0,nan,Tobacco use treatment provided or offered at discharge,69.0,238.0,nan,14.0,238.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,562.0,nan,Timely transmission of transition record (TR2),54.0,562.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.2,113.0,nan,17.7,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,456.0,19.0,16.0,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,209.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,98.0,nan,2017-10-01,2018-03-31
370097,SOUTHWESTERN MEDICAL CENTER,5602 SOUTHWEST LEE BOULEVARD,LAWTON,OK,73505,COMANCHE,Hours of physical-restraint use,0.01,0.58,4811.0,nan,Hours of seclusion use,0.08,9.0,4811.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),81.0,298.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,323.0,nan,Alcohol use brief intervention provided or offered,86.0,22.0,nan,68.0,22.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,92.0,nan,7.0,92.0,nan,Tobacco use screening,100.0,323.0,nan,Tobacco use treatment provided or offered,88.0,175.0,nan,57.0,175.0,nan,Tobacco use treatment provided or offered at discharge,83.0,166.0,nan,17.0,166.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),35.0,599.0,nan,Timely transmission of transition record (TR2),33.0,599.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,272.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,86.0,nan,2017-10-01,2018-03-31
370099,HILLCREST HOSPITAL CUSHING,1027 EAST CHERRY STREET,CUSHING,OK,74023,PAYNE,Hours of physical-restraint use,0.0,0.0,2142.0,nan,Hours of seclusion use,0.0,0.08,2142.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),91.0,47.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,171.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,174.0,nan,Tobacco use treatment provided or offered,55.0,29.0,nan,45.0,29.0,nan,Tobacco use treatment provided or offered at discharge,13.0,23.0,nan,4.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,88.0,nan,Timely transmission of transition record (TR2),66.0,88.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.9,37.0,nan,27.0,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,398.0,24.9,20.9,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,68.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,22.0,nan,2017-10-01,2018-03-31
370178,MEMORIAL HOSPITAL,1401 WEST LOCUST,STILWELL,OK,74960,ADAIR,Hours of physical-restraint use,0.0,0.0,1301.0,nan,Hours of seclusion use,0.0,0.0,1301.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,12.0,nan,Screening for metabolic disorders (SMD),89.0,47.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,94.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,94.0,nan,Tobacco use treatment provided or offered,90.0,31.0,nan,90.0,31.0,nan,Tobacco use treatment provided or offered at discharge,97.0,31.0,nan,97.0,31.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,94.0,nan,Timely transmission of transition record (TR2),97.0,94.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.6,11.0,nan,9.1,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,17.7,13.9,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,58.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,19.0,nan,2017-10-01,2018-03-31
370183,HILLCREST HOSPITAL HENRYETTA,2401 W MAIN,HENRYETTA,OK,74437,OKMULGEE,Hours of physical-restraint use,0.0,0.0,2948.0,nan,Hours of seclusion use,0.0,0.0,2948.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),77.0,93.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,294.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,294.0,nan,Tobacco use treatment provided or offered,53.0,75.0,nan,45.0,75.0,nan,Tobacco use treatment provided or offered at discharge,53.0,75.0,nan,53.0,75.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,193.0,nan,Timely transmission of transition record (TR2),29.0,230.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,15.4,26.0,nan,0.0,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,442.0,24.2,20.4,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,98.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
370237,"SAINT FRANCIS HOSPITAL VINITA, INC",735 NORTH FOREMAN STREET,VINITA,OK,74301,CRAIG,Hours of physical-restraint use,0.0,0.0,738.0,nan,Hours of seclusion use,0.0,0.0,738.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,22.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,37.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,37.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),31.0,36.0,nan,Timely transmission of transition record (TR2),25.0,36.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,90.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
371337,EASTERN OKLAHOMA MEDICAL CENTER,105 WALL STREET,POTEAU,OK,74953,LE FLORE,Hours of physical-restraint use,0.0,0.0,1682.0,nan,Hours of seclusion use,0.0,0.0,1682.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,12.0,nan,Screening for metabolic disorders (SMD),64.0,94.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,201.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,11.0,nan,9.0,11.0,nan,Tobacco use screening,100.0,188.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),86.0,175.0,nan,Timely transmission of transition record (TR2),84.0,175.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,19.0,nan,0.0,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,82.0,18.9,13.9,25.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,99.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,20.0,nan,2017-10-01,2018-03-31
374000,GRIFFIN MEMORIAL HOSPITAL,900 EAST MAIN STREET,NORMAN,OK,73070,CLEVELAND,Hours of physical-restraint use,0.02,22.37,41380.0,nan,Hours of seclusion use,0.0,0.0,41380.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,28.0,98.0,nan,Screening for metabolic disorders (SMD),42.0,482.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,577.0,nan,Alcohol use brief intervention provided or offered,77.0,163.0,nan,60.0,163.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,229.0,nan,97.0,229.0,nan,Tobacco use screening,100.0,618.0,nan,Tobacco use treatment provided or offered,45.0,460.0,nan,17.0,460.0,nan,Tobacco use treatment provided or offered at discharge,1.0,377.0,nan,1.0,377.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,642.0,nan,Timely transmission of transition record (TR2),0.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.5,81.0,nan,14.8,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,184.0,15.8,12.4,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,311.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),46.0,322.0,nan,2017-10-01,2018-03-31
374001,NORTHWEST CENTER FOR BEHAVIORAL HEALTH (NCBH),1 MILE EAST US HIGHWAY 270,FORT SUPPLY,OK,73841,WOODWARD,Hours of physical-restraint use,0.01,1.0,5207.0,nan,Hours of seclusion use,0.05,6.5,5207.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,18.0,17.0,nan,Screening for metabolic disorders (SMD),54.0,74.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,557.0,nan,Alcohol use brief intervention provided or offered,91.0,123.0,nan,91.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,123.0,nan,7.0,123.0,nan,Tobacco use screening,98.0,557.0,nan,Tobacco use treatment provided or offered,93.0,123.0,nan,91.0,123.0,nan,Tobacco use treatment provided or offered at discharge,7.0,112.0,nan,7.0,112.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,557.0,nan,Timely transmission of transition record (TR2),0.0,557.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.1,38.0,nan,7.9,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,85.0,19.0,14.0,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),16.0,244.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,152.0,nan,2017-10-01,2018-03-31
374006,CARL ALBERT COMMUNITY MENTAL HEALTH CENTER,1101 EAST MONROE,MCALESTER,OK,74501,PITTSBURG,Hours of physical-restraint use,0.02,2.67,4855.0,nan,Hours of seclusion use,0.0,0.0,4855.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,96.0,nan,Screening for metabolic disorders (SMD),61.0,240.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,372.0,nan,Alcohol use brief intervention provided or offered,62.0,58.0,nan,47.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,131.0,nan,63.0,131.0,nan,Tobacco use screening,97.0,372.0,nan,Tobacco use treatment provided or offered,0.0,257.0,nan,0.0,257.0,nan,Tobacco use treatment provided or offered at discharge,0.0,257.0,nan,0.0,257.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,372.0,nan,Timely transmission of transition record (TR2),81.0,372.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.3,32.0,nan,15.6,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,89.0,17.4,13.0,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),62.0,168.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),58.0,71.0,nan,2017-10-01,2018-03-31
374008,JIM TALIAFERRO COMM MENTAL HEALTH CTR,602 SOUTHWEST 38TH STREET,LAWTON,OK,73505,COMANCHE,Hours of physical-restraint use,0.02,1.6,3999.0,nan,Hours of seclusion use,0.0,0.0,3999.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,53.0,nan,Screening for metabolic disorders (SMD),100.0,644.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,649.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,649.0,nan,Tobacco use treatment provided or offered,100.0,460.0,nan,100.0,460.0,nan,Tobacco use treatment provided or offered at discharge,100.0,460.0,nan,0.0,460.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,648.0,nan,Timely transmission of transition record (TR2),99.0,648.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.1,45.0,nan,20.0,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,85.0,19.1,14.4,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),35.0,170.0,nan,2017-10-01,2018-03-31
374012,"BROOKHAVEN HOSPITAL, INC",201 SOUTH GARNETT ROAD,TULSA,OK,74128,TULSA,Hours of physical-restraint use,0.02,10.4,18016.0,nan,Hours of seclusion use,0.44,189.73,18016.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,42.0,12.0,nan,Screening for metabolic disorders (SMD),17.0,648.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,761.0,nan,Alcohol use brief intervention provided or offered,100.0,430.0,nan,100.0,430.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,537.0,nan,73.0,537.0,nan,Tobacco use screening,99.0,742.0,nan,Tobacco use treatment provided or offered,93.0,512.0,nan,15.0,512.0,nan,Tobacco use treatment provided or offered at discharge,0.0,512.0,nan,0.0,512.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,786.0,nan,Timely transmission of transition record (TR2),1.0,786.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.1,87.0,nan,24.1,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,676.0,22.2,19.4,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,310.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,265.0,nan,2017-10-01,2018-03-31
374016,"ROLLING HILLS HOSPITAL, LLC",1000 ROLLING HILLS LANE,ADA,OK,74820,PONTOTOC,Hours of physical-restraint use,0.0,1.39,22982.0,nan,Hours of seclusion use,0.14,77.49,22982.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,50.0,nan,Screening for metabolic disorders (SMD),73.0,482.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,270.0,nan,Alcohol use brief intervention provided or offered,77.0,53.0,nan,62.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,78.0,134.0,nan,65.0,134.0,nan,Tobacco use screening,99.0,268.0,nan,Tobacco use treatment provided or offered,92.0,118.0,nan,42.0,118.0,nan,Tobacco use treatment provided or offered at discharge,66.0,99.0,nan,5.0,99.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,612.0,nan,Timely transmission of transition record (TR2),67.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.9,143.0,nan,11.2,143.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,958.0,13.7,11.9,15.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),42.0,277.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,183.0,nan,2017-10-01,2018-03-31
374020,"LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC",6655 SOUTH YALE AVENUE,TULSA,OK,74136,TULSA,Hours of physical-restraint use,0.08,50.78,26568.0,nan,Hours of seclusion use,0.06,40.3,26568.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,241.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,617.0,nan,Alcohol use brief intervention provided or offered,89.0,136.0,nan,82.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,57.0,237.0,nan,55.0,237.0,nan,Tobacco use screening,100.0,644.0,nan,Tobacco use treatment provided or offered,79.0,280.0,nan,52.0,280.0,nan,Tobacco use treatment provided or offered at discharge,58.0,265.0,nan,8.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),61.0,700.0,nan,Timely transmission of transition record (TR2),50.0,700.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.4,327.0,nan,24.5,327.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1287.0,20.0,17.9,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,357.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,574.0,nan,2017-10-01,2018-03-31
374021,"PARKSIDE, INC",1619 EAST 13TH STREET,TULSA,OK,74120,TULSA,Hours of physical-restraint use,0.03,7.1,10514.0,nan,Hours of seclusion use,0.05,12.38,10514.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,562.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,638.0,nan,Alcohol use brief intervention provided or offered,100.0,194.0,nan,100.0,194.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,58.0,nan,5.0,58.0,nan,Tobacco use screening,98.0,639.0,nan,Tobacco use treatment provided or offered,100.0,396.0,nan,10.0,396.0,nan,Tobacco use treatment provided or offered at discharge,100.0,339.0,nan,6.0,339.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,1045.0,nan,Timely transmission of transition record (TR2),97.0,1081.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.5,88.0,nan,20.5,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,20.3,16.3,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,614.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,408.0,nan,2017-10-01,2018-03-31
374023,CEDAR RIDGE,6501 NORTHEAST 50TH STREET,OKLAHOMA CITY,OK,73141,OKLAHOMA,Hours of physical-restraint use,0.18,81.28,19271.0,nan,Hours of seclusion use,0.0,0.0,19271.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,53.0,nan,Screening for metabolic disorders (SMD),52.0,357.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,246.0,nan,Alcohol use brief intervention provided or offered,55.0,51.0,nan,39.0,51.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,80.0,nan,14.0,80.0,nan,Tobacco use screening,100.0,246.0,nan,Tobacco use treatment provided or offered,58.0,85.0,nan,36.0,85.0,nan,Tobacco use treatment provided or offered at discharge,60.0,75.0,nan,8.0,75.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),73.0,715.0,nan,Timely transmission of transition record (TR2),61.0,715.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.1,270.0,nan,17.0,270.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,644.0,21.6,18.9,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,221.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,356.0,nan,2017-10-01,2018-03-31
374024,SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM,6262 SOUTH SHERIDAN ROAD,TULSA,OK,74133,TULSA,Hours of physical-restraint use,0.12,25.98,9098.0,nan,Hours of seclusion use,0.18,38.65,9098.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),79.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,204.0,nan,Alcohol use brief intervention provided or offered,100.0,35.0,nan,86.0,35.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,82.0,nan,59.0,82.0,nan,Tobacco use screening,100.0,205.0,nan,Tobacco use treatment provided or offered,96.0,114.0,nan,65.0,114.0,nan,Tobacco use treatment provided or offered at discharge,85.0,110.0,nan,10.0,110.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,668.0,nan,Timely transmission of transition record (TR2),96.0,668.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.8,80.0,nan,22.5,80.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,212.0,21.4,17.7,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,414.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,341.0,nan,2017-10-01,2018-03-31
374025,"OAKWOOD SPRINGS, LLC",13101 MEMORIAL SPRINGS CT,OKLAHOMA CITY,OK,73114,OKLAHOMA,Hours of physical-restraint use,0.01,0.98,7986.0,nan,Hours of seclusion use,0.0,0.0,7986.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,12.0,nan,Screening for metabolic disorders (SMD),64.0,192.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,504.0,nan,Alcohol use brief intervention provided or offered,78.0,144.0,nan,75.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,238.0,nan,74.0,238.0,nan,Tobacco use screening,97.0,504.0,nan,Tobacco use treatment provided or offered,88.0,252.0,nan,6.0,252.0,nan,Tobacco use treatment provided or offered at discharge,54.0,246.0,nan,0.0,246.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),72.0,527.0,nan,Timely transmission of transition record (TR2),63.0,527.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.5,37.0,nan,21.6,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,42.0,17.5,12.7,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,196.0,nan,2017-10-01,2018-03-31
380007,LEGACY EMANUEL MEDICAL CENTER,2801 N GANTENBEIN AVENUE,PORTLAND,OR,97227,MULTNOMAH,Hours of physical-restraint use,0.16,120.53,31762.0,nan,Hours of seclusion use,1.93,1471.37,31762.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,43.0,nan,Screening for metabolic disorders (SMD),51.0,343.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,308.0,nan,Alcohol use brief intervention provided or offered,50.0,36.0,nan,50.0,36.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,62.0,nan,26.0,62.0,nan,Tobacco use screening,98.0,305.0,nan,Tobacco use treatment provided or offered,51.0,148.0,nan,27.0,148.0,nan,Tobacco use treatment provided or offered at discharge,25.0,112.0,nan,13.0,112.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,632.0,nan,Timely transmission of transition record (TR2),0.0,632.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.2,65.0,nan,32.3,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,142.0,20.6,16.0,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,531.0,nan,2017-10-01,2018-03-31
380014,GOOD SAMARITAN REGIONAL MEDICAL CENTER,3600 NW SAMARITAN DRIVE,CORVALLIS,OR,97330,BENTON,Hours of physical-restraint use,0.17,24.53,6078.0,nan,Hours of seclusion use,0.17,24.32,6078.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,6.0,16.0,nan,Screening for metabolic disorders (SMD),15.0,269.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,453.0,nan,Alcohol use brief intervention provided or offered,45.0,96.0,nan,44.0,96.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,144.0,nan,15.0,144.0,nan,Tobacco use screening,99.0,453.0,nan,Tobacco use treatment provided or offered,79.0,199.0,nan,43.0,199.0,nan,Tobacco use treatment provided or offered at discharge,4.0,164.0,nan,1.0,164.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,453.0,nan,Timely transmission of transition record (TR2),0.0,453.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.7,38.0,nan,39.5,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,120.0,19.5,14.8,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,234.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),75.0,101.0,nan,2017-10-01,2018-03-31
380018,ASANTE ROGUE REGIONAL MEDICAL CENTER,2825 E BARNETT ROAD,MEDFORD,OR,97504,JACKSON,Hours of physical-restraint use,0.1,14.44,6263.0,nan,Hours of seclusion use,0.32,48.65,6263.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,48.0,nan,Screening for metabolic disorders (SMD),84.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,519.0,nan,Alcohol use brief intervention provided or offered,97.0,142.0,nan,15.0,142.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,227.0,nan,27.0,227.0,nan,Tobacco use screening,99.0,515.0,nan,Tobacco use treatment provided or offered,95.0,270.0,nan,52.0,270.0,nan,Tobacco use treatment provided or offered at discharge,96.0,227.0,nan,8.0,227.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),36.0,587.0,nan,Timely transmission of transition record (TR2),34.0,587.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.0,79.0,nan,22.8,79.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,238.0,16.5,13.2,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,282.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,81.0,nan,2017-10-01,2018-03-31
380021,TUALITY COMMUNITY HOSPITAL,335 SE 8TH AVENUE,HILLSBORO,OR,97123,WASHINGTON,Hours of physical-restraint use,0.13,19.0,6298.0,nan,Hours of seclusion use,0.4,59.8,6298.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,273.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,117.0,nan,Alcohol use brief intervention provided or offered,0.0,15.0,nan,0.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,120.0,nan,Tobacco use treatment provided or offered,85.0,27.0,nan,4.0,27.0,nan,Tobacco use treatment provided or offered at discharge,35.0,20.0,nan,15.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,215.0,nan,Timely transmission of transition record (TR2),80.0,215.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.7,30.0,nan,33.3,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,235.0,16.1,12.3,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,170.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),59.0,86.0,nan,2017-10-01,2018-03-31
380033,SACRED HEART UNIVERSITY DISTRICT,1255 HILYARD STREET,EUGENE,OR,97401,LANE,Hours of physical-restraint use,0.12,27.12,9578.0,nan,Hours of seclusion use,1.92,440.49,9578.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,147.0,nan,Screening for metabolic disorders (SMD),84.0,587.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,846.0,nan,Alcohol use brief intervention provided or offered,0.0,82.0,nan,0.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,301.0,nan,21.0,301.0,nan,Tobacco use screening,73.0,836.0,nan,Tobacco use treatment provided or offered,30.0,327.0,nan,21.0,327.0,nan,Tobacco use treatment provided or offered at discharge,4.0,281.0,nan,0.0,281.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,784.0,nan,Timely transmission of transition record (TR2),0.0,784.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.2,130.0,nan,42.3,130.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,268.0,17.6,14.3,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,100.0,nan,2017-10-01,2018-03-31
380047,ST CHARLES BEND,2500 NE NEFF ROAD,BEND,OR,97701,DESCHUTES,Hours of physical-restraint use,0.01,1.14,3460.0,nan,Hours of seclusion use,0.0,0.0,3460.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),2.0,202.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,540.0,nan,Alcohol use brief intervention provided or offered,81.0,171.0,nan,81.0,171.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,15.0,241.0,nan,14.0,241.0,nan,Tobacco use screening,99.0,541.0,nan,Tobacco use treatment provided or offered,88.0,275.0,nan,70.0,275.0,nan,Tobacco use treatment provided or offered at discharge,9.0,241.0,nan,8.0,241.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,612.0,nan,Timely transmission of transition record (TR2),0.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.6,99.0,nan,35.4,99.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,202.0,15.0,11.8,18.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),54.0,275.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,75.0,nan,2017-10-01,2018-03-31
380051,SALEM HOSPITAL,"890 OAK STREET, SE",SALEM,OR,97301,MARION,Hours of physical-restraint use,0.02,3.0,7831.0,nan,Hours of seclusion use,2.12,398.77,7831.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,67.0,nan,Screening for metabolic disorders (SMD),22.0,416.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,587.0,nan,Alcohol use brief intervention provided or offered,72.0,39.0,nan,67.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,220.0,nan,11.0,220.0,nan,Tobacco use screening,98.0,588.0,nan,Tobacco use treatment provided or offered,74.0,300.0,nan,67.0,300.0,nan,Tobacco use treatment provided or offered at discharge,16.0,282.0,nan,0.0,282.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,604.0,nan,Timely transmission of transition record (TR2),0.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.8,93.0,nan,32.3,93.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,171.0,14.3,10.7,18.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,86.0,nan,2017-10-01,2018-03-31
380061,PROVIDENCE PORTLAND MEDICAL CENTER,4805 NE GLISAN STREET,PORTLAND,OR,97213,MULTNOMAH,Hours of physical-restraint use,2.68,659.5,10250.0,nan,Hours of seclusion use,4.69,1153.9,10250.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,99.0,nan,Screening for metabolic disorders (SMD),13.0,415.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,78.0,376.0,nan,Alcohol use brief intervention provided or offered,31.0,84.0,nan,30.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,195.0,nan,35.0,195.0,nan,Tobacco use screening,86.0,373.0,nan,Tobacco use treatment provided or offered,8.0,223.0,nan,5.0,223.0,nan,Tobacco use treatment provided or offered at discharge,1.0,199.0,nan,0.0,199.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,694.0,nan,Timely transmission of transition record (TR2),0.0,694.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,63.0,nan,12.7,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,182.0,20.5,16.3,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,333.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,109.0,nan,2017-10-01,2018-03-31
380071,WILLAMETTE VALLEY MEDICAL CENTER,2700 SE STRATUS AVE.,MCMINNVILLE,OR,97128,YAMHILL,Hours of physical-restraint use,0.0,0.0,2542.0,nan,Hours of seclusion use,0.21,12.92,2542.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),93.0,60.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,102.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,102.0,nan,Tobacco use treatment provided or offered,95.0,19.0,nan,79.0,19.0,nan,Tobacco use treatment provided or offered at discharge,94.0,16.0,nan,88.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,103.0,nan,Timely transmission of transition record (TR2),92.0,103.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.3,29.0,nan,27.6,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,112.0,17.5,13.0,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,51.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,31.0,nan,2017-10-01,2018-03-31
380082,PROVIDENCE MILWAUKIE HOSPITAL,10150 SE 32ND AVENUE,MILWAUKIE,OR,97222,CLACKAMAS,Hours of physical-restraint use,1.04,125.57,5009.0,nan,Hours of seclusion use,0.62,74.23,5009.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,22.0,nan,Screening for metabolic disorders (SMD),4.0,199.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,62.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,76.0,62.0,nan,Tobacco use treatment provided or offered,8.0,12.0,nan,8.0,12.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,252.0,nan,Timely transmission of transition record (TR2),0.0,252.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,144.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,59.0,nan,2017-10-01,2018-03-31
384008,OREGON STATE HOSPITAL DISTINCT PART,2600 CENTER STREET NE,SALEM,OR,97301,MARION,Hours of physical-restraint use,0.53,1835.37,143655.0,nan,Hours of seclusion use,1.63,5627.23,143655.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,517.0,nan,Alcohol use brief intervention provided or offered,0.0,173.0,nan,0.0,173.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,218.0,nan,0.0,218.0,nan,Tobacco use screening,24.0,517.0,nan,Tobacco use treatment provided or offered,0.0,126.0,nan,0.0,126.0,nan,Tobacco use treatment provided or offered at discharge,0.0,126.0,nan,0.0,126.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,893.0,nan,Timely transmission of transition record (TR2),0.0,893.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.9,78.0,nan,11.5,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,98.0,14.6,10.7,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),23.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,2765.0,nan,2017-10-01,2018-03-31
384012,CEDAR HILLS HOSPITAL,10300 SW EASTRIDGE STREET,PORTLAND,OR,97225,WASHINGTON,Hours of physical-restraint use,0.09,66.16,29332.0,nan,Hours of seclusion use,0.17,120.2,29332.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,21.0,nan,Screening for metabolic disorders (SMD),52.0,223.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,755.0,nan,Alcohol use brief intervention provided or offered,89.0,416.0,nan,89.0,416.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,485.0,nan,82.0,485.0,nan,Tobacco use screening,87.0,755.0,nan,Tobacco use treatment provided or offered,85.0,324.0,nan,15.0,324.0,nan,Tobacco use treatment provided or offered at discharge,52.0,286.0,nan,2.0,286.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,722.0,nan,Timely transmission of transition record (TR2),54.0,722.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.4,317.0,nan,29.0,317.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1451.0,19.6,17.6,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,349.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,336.0,nan,2017-10-01,2018-03-31
390001,GEISINGER-COMMUNITY MEDICAL CENTER,1822 MULBERRY STREET,SCRANTON,PA,18510,LACKAWANNA,Hours of physical-restraint use,0.01,2.0,6758.0,nan,Hours of seclusion use,6.88,1116.0,6758.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,17.0,nan,Screening for metabolic disorders (SMD),79.0,229.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,670.0,nan,Alcohol use brief intervention provided or offered,87.0,138.0,nan,83.0,138.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,188.0,nan,20.0,188.0,nan,Tobacco use screening,97.0,661.0,nan,Tobacco use treatment provided or offered,91.0,370.0,nan,66.0,370.0,nan,Tobacco use treatment provided or offered at discharge,86.0,355.0,nan,1.0,355.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,676.0,nan,Timely transmission of transition record (TR2),95.0,676.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.4,121.0,nan,46.3,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,307.0,17.9,14.5,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,55.0,nan,2017-10-01,2018-03-31
390003,GEISINGER-BLOOMSBURG HOSPITAL,549 EAST FAIR STREET,BLOOMSBURG,PA,17815,COLUMBIA,Hours of physical-restraint use,0.2,21.4,4368.0,nan,Hours of seclusion use,0.26,26.8,4368.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),64.0,173.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,476.0,nan,Alcohol use brief intervention provided or offered,89.0,122.0,nan,87.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,190.0,nan,55.0,190.0,nan,Tobacco use screening,100.0,477.0,nan,Tobacco use treatment provided or offered,87.0,291.0,nan,56.0,291.0,nan,Tobacco use treatment provided or offered at discharge,87.0,265.0,nan,2.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,617.0,nan,Timely transmission of transition record (TR2),97.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.3,54.0,nan,24.1,54.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,150.0,20.0,15.7,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,308.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,41.0,nan,2017-10-01,2018-03-31
390004,HOLY SPIRIT HOSPITAL,503 NORTH 21ST STREET,CAMP HILL,PA,17011,CUMBERLAND,Hours of physical-restraint use,0.17,30.0,7510.0,nan,Hours of seclusion use,0.22,40.0,7510.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,16.0,nan,Screening for metabolic disorders (SMD),40.0,331.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,682.0,nan,Alcohol use brief intervention provided or offered,86.0,65.0,nan,85.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,260.0,nan,79.0,260.0,nan,Tobacco use screening,97.0,684.0,nan,Tobacco use treatment provided or offered,7.0,336.0,nan,3.0,336.0,nan,Tobacco use treatment provided or offered at discharge,13.0,309.0,nan,0.0,309.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),23.0,649.0,nan,Timely transmission of transition record (TR2),15.0,649.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.2,67.0,nan,29.9,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,197.0,20.7,16.9,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,345.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,82.0,nan,2017-10-01,2018-03-31
390006,GEISINGER MEDICAL CENTER,100 NORTH ACADEMY AVENUE,DANVILLE,PA,17822,MONTOUR,Hours of physical-restraint use,0.03,4.7,7375.0,nan,Hours of seclusion use,0.71,126.0,7375.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),62.0,160.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,633.0,nan,Alcohol use brief intervention provided or offered,85.0,167.0,nan,66.0,167.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,72.0,220.0,nan,32.0,220.0,nan,Tobacco use screening,100.0,637.0,nan,Tobacco use treatment provided or offered,85.0,330.0,nan,72.0,330.0,nan,Tobacco use treatment provided or offered at discharge,87.0,303.0,nan,1.0,303.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,651.0,nan,Timely transmission of transition record (TR2),96.0,651.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.9,122.0,nan,34.4,122.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,331.0,19.5,16.1,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,325.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,100.0,nan,2017-10-01,2018-03-31
390008,ELLWOOD CITY MEDICAL CENTER,724 PERSHING STREET,ELLWOOD CITY,PA,16117,LAWRENCE,Hours of physical-restraint use,0.15,9.75,2726.0,nan,Hours of seclusion use,0.0,0.0,2726.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,11.0,nan,Screening for metabolic disorders (SMD),78.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,231.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,231.0,nan,Tobacco use treatment provided or offered,77.0,26.0,nan,42.0,26.0,nan,Tobacco use treatment provided or offered at discharge,81.0,16.0,nan,12.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,239.0,nan,Timely transmission of transition record (TR2),66.0,239.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,152.0,17.1,12.9,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,99.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,174.0,nan,2017-10-01,2018-03-31
390009,SAINT VINCENT HOSPITAL,232 WEST 25TH STREET,ERIE,PA,16544,ERIE,Hours of physical-restraint use,0.09,3.52,1649.0,nan,Hours of seclusion use,0.0,0.0,1649.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,12.0,nan,Screening for metabolic disorders (SMD),82.0,73.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,133.0,nan,Alcohol use brief intervention provided or offered,73.0,15.0,nan,40.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,133.0,nan,Tobacco use treatment provided or offered,88.0,24.0,nan,46.0,24.0,nan,Tobacco use treatment provided or offered at discharge,76.0,17.0,nan,0.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),15.0,138.0,nan,Timely transmission of transition record (TR2),13.0,138.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.1,19.0,nan,26.3,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,146.0,22.6,17.3,29.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,82.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,13.0,nan,2017-10-01,2018-03-31
390026,CHESTNUT HILL HOSPITAL,8835 GERMANTOWN AVE,PHILADELPHIA,PA,19118,PHILADELPHIA,Hours of physical-restraint use,0.0,0.0,5258.0,nan,Hours of seclusion use,0.0,0.0,5258.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,185.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,269.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,267.0,nan,Tobacco use treatment provided or offered,87.0,23.0,nan,43.0,23.0,nan,Tobacco use treatment provided or offered at discharge,73.0,11.0,nan,36.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,290.0,nan,Timely transmission of transition record (TR2),0.0,290.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,21.0,nan,19.0,21.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,328.0,20.2,16.6,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,138.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,59.0,nan,2017-10-01,2018-03-31
390027,TEMPLE UNIVERSITY HOSPITAL,3401 NORTH BROAD STREET,PHILADELPHIA,PA,19140,PHILADELPHIA,Hours of physical-restraint use,2.99,3070.0,42770.0,nan,Hours of seclusion use,0.0,0.0,42770.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,11.0,nan,Screening for metabolic disorders (SMD),23.0,372.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,387.0,nan,Alcohol use brief intervention provided or offered,7.0,81.0,nan,7.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,199.0,nan,33.0,199.0,nan,Tobacco use screening,91.0,383.0,nan,Tobacco use treatment provided or offered,82.0,224.0,nan,33.0,224.0,nan,Tobacco use treatment provided or offered at discharge,4.0,208.0,nan,1.0,208.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,613.0,nan,Timely transmission of transition record (TR2),0.0,613.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.9,225.0,nan,12.9,225.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,616.0,23.3,20.5,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,849.0,nan,2017-10-01,2018-03-31
390032,ALLEGHENY VALLEY HOSPITAL,1301 CARLISLE ST,NATRONA,PA,15065,ALLEGHENY,Hours of physical-restraint use,3.56,542.91,6353.0,nan,Hours of seclusion use,0.63,95.82,6353.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,16.0,nan,Screening for metabolic disorders (SMD),82.0,379.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,660.0,nan,Alcohol use brief intervention provided or offered,77.0,171.0,nan,46.0,171.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,246.0,nan,48.0,246.0,nan,Tobacco use screening,100.0,659.0,nan,Tobacco use treatment provided or offered,97.0,392.0,nan,79.0,392.0,nan,Tobacco use treatment provided or offered at discharge,66.0,329.0,nan,1.0,329.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),63.0,704.0,nan,Timely transmission of transition record (TR2),68.0,704.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.7,46.0,nan,28.3,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,166.0,23.2,18.8,28.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,59.0,nan,2017-10-01,2018-03-31
390036,HERITAGE VALLEY BEAVER,1000 DUTCH RIDGE ROAD,BEAVER,PA,15009,BEAVER,Hours of physical-restraint use,0.06,15.0,10109.0,nan,Hours of seclusion use,1.21,292.87,10109.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,71.0,nan,Screening for metabolic disorders (SMD),85.0,386.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,680.0,nan,Alcohol use brief intervention provided or offered,99.0,127.0,nan,99.0,127.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,279.0,nan,76.0,279.0,nan,Tobacco use screening,100.0,682.0,nan,Tobacco use treatment provided or offered,97.0,471.0,nan,82.0,471.0,nan,Tobacco use treatment provided or offered at discharge,99.0,318.0,nan,0.0,318.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),65.0,573.0,nan,Timely transmission of transition record (TR2),57.0,573.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.0,50.0,nan,20.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,177.0,24.1,19.3,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,281.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,73.0,nan,2017-10-01,2018-03-31
390037,HERITAGE VALLEY SEWICKLEY,720 BLACKBURN ROAD,SEWICKLEY,PA,15143,ALLEGHENY,Hours of physical-restraint use,0.07,8.28,4787.0,nan,Hours of seclusion use,0.01,1.63,4787.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,47.0,nan,Screening for metabolic disorders (SMD),87.0,286.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,613.0,nan,Alcohol use brief intervention provided or offered,93.0,124.0,nan,93.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,218.0,nan,33.0,218.0,nan,Tobacco use screening,100.0,613.0,nan,Tobacco use treatment provided or offered,97.0,351.0,nan,72.0,351.0,nan,Tobacco use treatment provided or offered at discharge,99.0,311.0,nan,0.0,311.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),84.0,615.0,nan,Timely transmission of transition record (TR2),84.0,615.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.1,39.0,nan,38.5,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,93.0,19.5,14.8,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,53.0,nan,2017-10-01,2018-03-31
390039,UPMC SOMERSET,225 SOUTH CENTER AVENUE,SOMERSET,PA,15501,SOMERSET,Hours of physical-restraint use,1.78,193.87,4534.0,nan,Hours of seclusion use,2.34,255.0,4534.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,13.0,nan,Screening for metabolic disorders (SMD),53.0,260.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,472.0,nan,Alcohol use brief intervention provided or offered,93.0,74.0,nan,85.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,141.0,nan,20.0,141.0,nan,Tobacco use screening,100.0,477.0,nan,Tobacco use treatment provided or offered,86.0,242.0,nan,19.0,242.0,nan,Tobacco use treatment provided or offered at discharge,3.0,198.0,nan,2.0,198.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,492.0,nan,Timely transmission of transition record (TR2),35.0,492.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.6,42.0,nan,21.4,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,153.0,19.5,15.1,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,256.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,30.0,nan,2017-10-01,2018-03-31
390042,"WASHINGTON HOSPITAL, THE",155 WILSON AVENUE,WASHINGTON,PA,15301,WASHINGTON,Hours of physical-restraint use,0.26,28.16,4475.0,nan,Hours of seclusion use,0.06,6.92,4475.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,31.0,nan,Screening for metabolic disorders (SMD),21.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,592.0,nan,Alcohol use brief intervention provided or offered,48.0,86.0,nan,19.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,182.0,nan,35.0,182.0,nan,Tobacco use screening,98.0,592.0,nan,Tobacco use treatment provided or offered,77.0,357.0,nan,13.0,357.0,nan,Tobacco use treatment provided or offered at discharge,34.0,262.0,nan,0.0,262.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),24.0,586.0,nan,Timely transmission of transition record (TR2),24.0,586.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.9,55.0,nan,38.2,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,129.0,19.5,15.2,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,229.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,42.0,nan,2017-10-01,2018-03-31
390044,READING HOSPITAL,420 S 5TH AVENUE,WEST READING,PA,19611,BERKS,Hours of physical-restraint use,2.32,689.05,12349.0,nan,Hours of seclusion use,0.0,0.0,12349.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,68.0,nan,Screening for metabolic disorders (SMD),41.0,570.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,404.0,nan,Alcohol use brief intervention provided or offered,45.0,78.0,nan,44.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,157.0,nan,27.0,157.0,nan,Tobacco use screening,95.0,408.0,nan,Tobacco use treatment provided or offered,64.0,196.0,nan,52.0,196.0,nan,Tobacco use treatment provided or offered at discharge,14.0,192.0,nan,2.0,192.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1107.0,nan,Timely transmission of transition record (TR2),0.0,1107.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.3,153.0,nan,29.4,153.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,426.0,17.8,15.0,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,329.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,104.0,nan,2017-10-01,2018-03-31
390046,YORK HOSPITAL,1001 SOUTH GEORGE STREET,YORK,PA,17403,YORK,Hours of physical-restraint use,0.05,22.56,19765.0,nan,Hours of seclusion use,0.73,347.16,19765.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,22.0,nan,Screening for metabolic disorders (SMD),74.0,313.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,562.0,nan,Alcohol use brief intervention provided or offered,9.0,105.0,nan,9.0,105.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,23.0,274.0,nan,21.0,274.0,nan,Tobacco use screening,100.0,568.0,nan,Tobacco use treatment provided or offered,63.0,337.0,nan,41.0,337.0,nan,Tobacco use treatment provided or offered at discharge,19.0,316.0,nan,5.0,316.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,616.0,nan,Timely transmission of transition record (TR2),0.0,616.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.0,272.0,nan,15.8,272.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,712.0,17.9,15.5,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,1138.0,nan,2017-10-01,2018-03-31
390048,GEISINGER-LEWISTOWN HOSPITAL,400 HIGHLAND AVENUE,LEWISTOWN,PA,17044,MIFFLIN,Hours of physical-restraint use,0.07,7.0,4001.0,nan,Hours of seclusion use,0.26,25.2,4001.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,70.0,20.0,nan,Screening for metabolic disorders (SMD),75.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,298.0,nan,Alcohol use brief intervention provided or offered,79.0,70.0,nan,79.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,102.0,nan,39.0,102.0,nan,Tobacco use screening,100.0,296.0,nan,Tobacco use treatment provided or offered,93.0,195.0,nan,76.0,195.0,nan,Tobacco use treatment provided or offered at discharge,92.0,184.0,nan,10.0,184.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,501.0,nan,Timely transmission of transition record (TR2),91.0,501.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.8,71.0,nan,33.8,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,207.0,19.2,15.3,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
390049,ST LUKE'S HOSPITAL BETHLEHEM,801 OSTRUM STREET,BETHLEHEM,PA,18015,NORTHAMPTON,Hours of physical-restraint use,0.85,254.77,12476.0,nan,Hours of seclusion use,0.08,25.23,12476.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,31.0,nan,Screening for metabolic disorders (SMD),72.0,370.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,598.0,nan,Alcohol use brief intervention provided or offered,65.0,79.0,nan,54.0,79.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,237.0,nan,32.0,237.0,nan,Tobacco use screening,98.0,599.0,nan,Tobacco use treatment provided or offered,82.0,294.0,nan,62.0,294.0,nan,Tobacco use treatment provided or offered at discharge,49.0,278.0,nan,3.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),13.0,604.0,nan,Timely transmission of transition record (TR2),13.0,604.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.7,150.0,nan,27.3,150.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,487.0,21.1,18.2,24.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,45.0,nan,2017-10-01,2018-03-31
390052,PENN HIGHLANDS CLEARFIELD,809 TURNPIKE AVE,CLEARFIELD,PA,16830,CLEARFIELD,Hours of physical-restraint use,0.0,0.0,1492.0,nan,Hours of seclusion use,0.0,0.0,1492.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),41.0,108.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,47.0,125.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,11.0,nan,0.0,11.0,nan,Tobacco use screening,99.0,136.0,nan,Tobacco use treatment provided or offered,81.0,26.0,nan,0.0,26.0,nan,Tobacco use treatment provided or offered at discharge,64.0,22.0,nan,0.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),8.0,168.0,nan,Timely transmission of transition record (TR2),7.0,168.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.0,25.0,nan,20.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,173.0,22.4,17.1,28.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,81.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,23.0,nan,2017-10-01,2018-03-31
390056,PENN HIGHLANDS HUNTINDON,1225 WARM SPRINGS AVE,HUNTINGDON,PA,16652,HUNTINGDON,Hours of physical-restraint use,0.36,33.23,3852.0,nan,Hours of seclusion use,0.0,0.0,3852.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,38.0,nan,Screening for metabolic disorders (SMD),32.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,80.0,335.0,nan,Alcohol use brief intervention provided or offered,89.0,91.0,nan,33.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,138.0,nan,27.0,138.0,nan,Tobacco use screening,98.0,345.0,nan,Tobacco use treatment provided or offered,70.0,230.0,nan,60.0,230.0,nan,Tobacco use treatment provided or offered at discharge,67.0,212.0,nan,0.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,456.0,nan,Timely transmission of transition record (TR2),0.0,456.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.9,70.0,nan,42.9,70.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,145.0,18.6,14.5,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,104.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,72.0,nan,2017-10-01,2018-03-31
390061,UPMC PINNACLE LANCASTER,250 COLLEGE AVENUE,LANCASTER,PA,17604,LANCASTER,Hours of physical-restraint use,0.25,27.75,4640.0,nan,Hours of seclusion use,0.43,47.83,4640.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),56.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,448.0,nan,Alcohol use brief intervention provided or offered,89.0,103.0,nan,80.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,178.0,nan,51.0,178.0,nan,Tobacco use screening,100.0,454.0,nan,Tobacco use treatment provided or offered,82.0,265.0,nan,40.0,265.0,nan,Tobacco use treatment provided or offered at discharge,91.0,230.0,nan,13.0,230.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,463.0,nan,Timely transmission of transition record (TR2),39.0,463.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.6,32.0,nan,25.0,32.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,111.0,16.9,12.7,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,184.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,33.0,nan,2017-10-01,2018-03-31
390070,LOWER BUCKS HOSPITAL,501 BATH ROAD,BRISTOL,PA,19007,BUCKS,Hours of physical-restraint use,0.09,24.75,10989.0,nan,Hours of seclusion use,0.22,58.54,10989.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,406.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,549.0,nan,Alcohol use brief intervention provided or offered,100.0,84.0,nan,94.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,162.0,nan,99.0,162.0,nan,Tobacco use screening,100.0,553.0,nan,Tobacco use treatment provided or offered,100.0,233.0,nan,98.0,233.0,nan,Tobacco use treatment provided or offered at discharge,98.0,202.0,nan,98.0,202.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,642.0,nan,Timely transmission of transition record (TR2),99.0,642.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.8,159.0,nan,24.5,159.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,529.0,22.5,19.5,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,344.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,98.0,nan,2017-10-01,2018-03-31
390072,BERWICK HOSPITAL CENTER,701 EAST 16TH STREET,BERWICK,PA,18603,COLUMBIA,Hours of physical-restraint use,0.0,0.0,3748.0,nan,Hours of seclusion use,0.0,0.0,3748.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,14.0,nan,Screening for metabolic disorders (SMD),29.0,105.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,164.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,165.0,nan,Tobacco use treatment provided or offered,93.0,15.0,nan,13.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,172.0,nan,Timely transmission of transition record (TR2),82.0,172.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,35.0,nan,20.0,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,193.0,17.8,13.6,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,63.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,23.0,nan,2017-10-01,2018-03-31
390076,BRANDYWINE HOSPITAL,201 REECEVILLE ROAD,COATESVILLE,PA,19320,CHESTER,Hours of physical-restraint use,0.11,49.27,18278.0,nan,Hours of seclusion use,0.1,45.78,18278.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),23.0,112.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,166.0,nan,Alcohol use brief intervention provided or offered,33.0,27.0,nan,33.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,17.0,nan,24.0,17.0,nan,Tobacco use screening,94.0,159.0,nan,Tobacco use treatment provided or offered,46.0,37.0,nan,16.0,37.0,nan,Tobacco use treatment provided or offered at discharge,36.0,28.0,nan,7.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),18.0,219.0,nan,Timely transmission of transition record (TR2),18.0,219.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.0,51.0,nan,31.4,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,249.0,18.4,14.5,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,85.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,143.0,nan,2017-10-01,2018-03-31
390091,UPMC NORTHWEST,100 FAIRFIELD DRIVE,SENECA,PA,16346,VENANGO,Hours of physical-restraint use,0.06,7.0,5139.0,nan,Hours of seclusion use,0.0,0.0,5139.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),81.0,171.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,382.0,nan,Alcohol use brief intervention provided or offered,3.0,89.0,nan,3.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,40.0,87.0,nan,36.0,87.0,nan,Tobacco use screening,91.0,382.0,nan,Tobacco use treatment provided or offered,1.0,235.0,nan,0.0,235.0,nan,Tobacco use treatment provided or offered at discharge,0.0,199.0,nan,0.0,199.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),43.0,373.0,nan,Timely transmission of transition record (TR2),42.0,373.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.6,57.0,nan,15.8,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,179.0,17.3,13.8,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,193.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,97.0,nan,2017-10-01,2018-03-31
390097,HOLY REDEEMER HOSPITAL AND MEDICAL CENTER,1648 HUNTINGDON PIKE,MEADOWBROOK,PA,19046,MONTGOMERY,Hours of physical-restraint use,0.0,0.0,7686.0,nan,Hours of seclusion use,0.0,0.0,7686.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,13.0,nan,Screening for metabolic disorders (SMD),68.0,267.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,209.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,208.0,nan,Tobacco use treatment provided or offered,96.0,24.0,nan,50.0,24.0,nan,Tobacco use treatment provided or offered at discharge,70.0,20.0,nan,10.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),75.0,446.0,nan,Timely transmission of transition record (TR2),81.0,447.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.4,48.0,nan,45.8,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,444.0,19.4,15.9,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,214.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,48.0,nan,2017-10-01,2018-03-31
390100,LANCASTER GENERAL HOSPITAL,555 NORTH DUKE STREET,LANCASTER,PA,17604,LANCASTER,Hours of physical-restraint use,0.63,42.0,2762.0,nan,Hours of seclusion use,1.12,74.0,2762.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),61.0,122.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,178.0,nan,Alcohol use brief intervention provided or offered,90.0,20.0,nan,75.0,20.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,39.0,nan,38.0,39.0,nan,Tobacco use screening,100.0,184.0,nan,Tobacco use treatment provided or offered,71.0,77.0,nan,55.0,77.0,nan,Tobacco use treatment provided or offered at discharge,65.0,75.0,nan,1.0,75.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),38.0,192.0,nan,Timely transmission of transition record (TR2),19.0,192.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.7,136.0,nan,30.1,136.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,313.0,18.7,15.4,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,87.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,96.0,nan,2017-10-01,2018-03-31
390110,CONEMAUGH MEMORIAL MEDICAL CENTER,1086 FRANKLIN STREET,JOHNSTOWN,PA,15905,CAMBRIA,Hours of physical-restraint use,0.11,8.63,3245.0,nan,Hours of seclusion use,0.0,0.0,3245.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,14.0,nan,Screening for metabolic disorders (SMD),14.0,189.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,134.0,nan,Alcohol use brief intervention provided or offered,64.0,11.0,nan,64.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,24.0,nan,62.0,24.0,nan,Tobacco use screening,98.0,128.0,nan,Tobacco use treatment provided or offered,90.0,51.0,nan,37.0,51.0,nan,Tobacco use treatment provided or offered at discharge,32.0,47.0,nan,2.0,47.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,275.0,nan,Timely transmission of transition record (TR2),1.0,275.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.0,30.0,nan,10.0,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,141.0,20.4,15.7,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,144.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,160.0,nan,2017-10-01,2018-03-31
390116,SUBURBAN COMMUNITY HOSPITAL,2701 DEKALB PIKE,NORRISTOWN,PA,19401,MONTGOMERY,Hours of physical-restraint use,0.0,0.0,3364.0,nan,Hours of seclusion use,0.0,0.0,3364.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,75.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,85.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.3,22.0,nan,13.6,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,152.0,21.5,16.4,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,82.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,15.0,nan,2017-10-01,2018-03-31
390119,MOSES TAYLOR HOSPITAL,700 QUINCY AVENUE,SCRANTON,PA,18510,LACKAWANNA,Hours of physical-restraint use,0.0,1.22,603300.0,nan,Hours of seclusion use,0.0,0.52,603300.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),93.0,213.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,191.0,nan,Alcohol use brief intervention provided or offered,83.0,12.0,nan,67.0,12.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,178.0,nan,Tobacco use treatment provided or offered,100.0,55.0,nan,49.0,55.0,nan,Tobacco use treatment provided or offered at discharge,100.0,51.0,nan,0.0,51.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),68.0,295.0,nan,Timely transmission of transition record (TR2),68.0,295.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.9,113.0,nan,31.9,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,383.0,16.7,13.5,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,116.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,40.0,nan,2017-10-01,2018-03-31
390123,POTTSTOWN HOSPITAL,1600 EAST HIGH STREET,POTTSTOWN,PA,19464,MONTGOMERY,Hours of physical-restraint use,0.16,31.0,8250.0,nan,Hours of seclusion use,0.0,0.0,8250.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,37.0,19.0,nan,Screening for metabolic disorders (SMD),91.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,554.0,nan,Alcohol use brief intervention provided or offered,75.0,141.0,nan,67.0,141.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,56.0,186.0,nan,40.0,186.0,nan,Tobacco use screening,99.0,554.0,nan,Tobacco use treatment provided or offered,99.0,322.0,nan,71.0,322.0,nan,Tobacco use treatment provided or offered at discharge,88.0,279.0,nan,0.0,279.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),27.0,647.0,nan,Timely transmission of transition record (TR2),25.0,647.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.9,147.0,nan,32.7,147.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,394.0,20.3,17.1,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,50.0,nan,2017-10-01,2018-03-31
390133,LEHIGH VALLEY HOSPITAL,1200 SOUTH CEDAR CREST BOULEVARD,ALLENTOWN,PA,18105,LEHIGH,Hours of physical-restraint use,5.31,2411.0,18917.0,nan,Hours of seclusion use,1.26,570.86,18917.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),36.0,294.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,446.0,nan,Alcohol use brief intervention provided or offered,66.0,94.0,nan,50.0,94.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,154.0,nan,47.0,154.0,nan,Tobacco use screening,97.0,446.0,nan,Tobacco use treatment provided or offered,72.0,167.0,nan,30.0,167.0,nan,Tobacco use treatment provided or offered at discharge,42.0,165.0,nan,16.0,165.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),47.0,612.0,nan,Timely transmission of transition record (TR2),47.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.1,183.0,nan,42.6,183.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,496.0,19.0,16.1,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,367.0,nan,2017-10-01,2018-03-31
390139,MAIN LINE HOSPITAL BRYN MAWR CAMPUS,130 SOUTH BRYN MAWR AVE,BRYN MAWR,PA,19010,MONTGOMERY,Hours of physical-restraint use,0.63,93.15,6206.0,nan,Hours of seclusion use,0.0,0.0,6206.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,90.0,20.0,nan,Screening for metabolic disorders (SMD),42.0,400.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,593.0,nan,Alcohol use brief intervention provided or offered,15.0,112.0,nan,13.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,270.0,nan,17.0,270.0,nan,Tobacco use screening,98.0,594.0,nan,Tobacco use treatment provided or offered,8.0,167.0,nan,2.0,167.0,nan,Tobacco use treatment provided or offered at discharge,4.0,155.0,nan,3.0,155.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),20.0,586.0,nan,Timely transmission of transition record (TR2),19.0,586.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.2,84.0,nan,58.3,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,219.0,18.8,14.9,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,286.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,62.0,nan,2017-10-01,2018-03-31
390142,ALBERT EINSTEIN MEDICAL CENTER,5501 OLD YORK ROAD,PHILADELPHIA,PA,19141,PHILADELPHIA,Hours of physical-restraint use,0.67,249.97,15590.0,nan,Hours of seclusion use,0.0,0.0,15590.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,15.0,nan,Screening for metabolic disorders (SMD),9.0,101.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,224.0,nan,Alcohol use brief intervention provided or offered,2.0,58.0,nan,2.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,93.0,nan,46.0,93.0,nan,Tobacco use screening,93.0,220.0,nan,Tobacco use treatment provided or offered,28.0,124.0,nan,23.0,124.0,nan,Tobacco use treatment provided or offered at discharge,0.0,107.0,nan,0.0,107.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,661.0,nan,Timely transmission of transition record (TR2),0.0,661.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,152.0,nan,11.2,152.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,397.0,19.8,16.9,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,149.0,nan,2017-10-01,2018-03-31
390147,MONONGAHELA VALLEY HOSPITAL,1163 COUNTRY CLUB ROAD,MONONGAHELA,PA,15063,WASHINGTON,Hours of physical-restraint use,1.22,156.98,5362.0,nan,Hours of seclusion use,0.01,1.38,5362.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,97.0,75.0,nan,Screening for metabolic disorders (SMD),57.0,374.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,676.0,nan,Alcohol use brief intervention provided or offered,92.0,157.0,nan,88.0,157.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,201.0,nan,56.0,201.0,nan,Tobacco use screening,100.0,676.0,nan,Tobacco use treatment provided or offered,81.0,401.0,nan,45.0,401.0,nan,Tobacco use treatment provided or offered at discharge,93.0,269.0,nan,3.0,269.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,542.0,nan,Timely transmission of transition record (TR2),92.0,542.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.7,48.0,nan,29.2,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,102.0,23.3,18.1,29.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,249.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,66.0,nan,2017-10-01,2018-03-31
390150,WASHINGTON HEALTH SYSTEM GREENE,350 BONAR AVENUE,WAYNESBURG,PA,15370,GREENE,Hours of physical-restraint use,1.26,136.0,4497.0,nan,Hours of seclusion use,0.08,8.78,4497.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,393.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,582.0,nan,Alcohol use brief intervention provided or offered,93.0,68.0,nan,88.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,256.0,nan,73.0,256.0,nan,Tobacco use screening,99.0,582.0,nan,Tobacco use treatment provided or offered,88.0,361.0,nan,41.0,361.0,nan,Tobacco use treatment provided or offered at discharge,80.0,304.0,nan,5.0,304.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),34.0,621.0,nan,Timely transmission of transition record (TR2),34.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.0,46.0,nan,30.4,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,146.0,19.0,15.0,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,272.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,41.0,nan,2017-10-01,2018-03-31
390151,CHAMBERSBURG HOSPITAL,112 NORTH SEVENTH STREET,CHAMBERSBURG,PA,17201,FRANKLIN,Hours of physical-restraint use,0.06,9.28,5987.0,nan,Hours of seclusion use,0.0,0.0,5987.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,11.0,nan,Screening for metabolic disorders (SMD),34.0,205.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,586.0,nan,Alcohol use brief intervention provided or offered,100.0,61.0,nan,89.0,61.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,188.0,nan,49.0,188.0,nan,Tobacco use screening,99.0,585.0,nan,Tobacco use treatment provided or offered,90.0,253.0,nan,59.0,253.0,nan,Tobacco use treatment provided or offered at discharge,71.0,238.0,nan,61.0,238.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),19.0,648.0,nan,Timely transmission of transition record (TR2),16.0,648.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.3,150.0,nan,38.0,150.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,391.0,18.1,14.9,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,350.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,86.0,nan,2017-10-01,2018-03-31
390156,MERCY FITZGERALD HOSPITAL,1500 LANSDOWNE  AVE,DARBY,PA,19023,DELAWARE,Hours of physical-restraint use,0.42,95.52,9580.0,nan,Hours of seclusion use,0.0,0.0,9580.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,53.0,nan,Screening for metabolic disorders (SMD),38.0,663.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,898.0,nan,Alcohol use brief intervention provided or offered,96.0,137.0,nan,89.0,137.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,249.0,nan,76.0,249.0,nan,Tobacco use screening,100.0,900.0,nan,Tobacco use treatment provided or offered,90.0,390.0,nan,27.0,390.0,nan,Tobacco use treatment provided or offered at discharge,89.0,368.0,nan,1.0,368.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,900.0,nan,Timely transmission of transition record (TR2),67.0,900.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.3,104.0,nan,22.1,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,308.0,22.1,18.4,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,431.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,244.0,nan,2017-10-01,2018-03-31
390157,OHIO VALLEY GENERAL HOSPITAL,25 HECKEL ROAD,MCKEES ROCKS,PA,15136,ALLEGHENY,Hours of physical-restraint use,0.37,37.56,4261.0,nan,Hours of seclusion use,0.49,49.92,4261.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,81.0,16.0,nan,Screening for metabolic disorders (SMD),84.0,217.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,290.0,nan,Alcohol use brief intervention provided or offered,60.0,15.0,nan,60.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,17.0,nan,41.0,17.0,nan,Tobacco use screening,99.0,289.0,nan,Tobacco use treatment provided or offered,67.0,66.0,nan,35.0,66.0,nan,Tobacco use treatment provided or offered at discharge,2.0,48.0,nan,0.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,295.0,nan,Timely transmission of transition record (TR2),0.0,295.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.4,28.0,nan,28.6,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,118.0,21.9,17.2,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,121.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,52.0,nan,2017-10-01,2018-03-31
390162,EASTON HOSPITAL,250 SOUTH 21ST STREET,EASTON,PA,18042,NORTHAMPTON,Hours of physical-restraint use,0.0,0.0,408.0,nan,Hours of seclusion use,0.0,0.0,408.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,27.0,nan,Screening for metabolic disorders (SMD),60.0,309.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,407.0,nan,Alcohol use brief intervention provided or offered,73.0,49.0,nan,59.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,71.0,nan,11.0,71.0,nan,Tobacco use screening,97.0,405.0,nan,Tobacco use treatment provided or offered,69.0,106.0,nan,43.0,106.0,nan,Tobacco use treatment provided or offered at discharge,34.0,87.0,nan,7.0,87.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),32.0,419.0,nan,Timely transmission of transition record (TR2),29.0,419.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.2,98.0,nan,37.8,98.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,351.0,20.2,16.8,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,187.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,46.0,nan,2017-10-01,2018-03-31
390164,UPMC PRESBYTERIAN SHADYSIDE,200 LOTHROP STREET,PITTSBURGH,PA,15213,ALLEGHENY,Hours of physical-restraint use,0.09,207.23,97366.0,nan,Hours of seclusion use,1.85,4312.67,97366.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,66.0,182.0,nan,Screening for metabolic disorders (SMD),82.0,2632.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,4153.0,nan,Alcohol use brief intervention provided or offered,79.0,523.0,nan,79.0,523.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,1313.0,nan,18.0,1313.0,nan,Tobacco use screening,72.0,4294.0,nan,Tobacco use treatment provided or offered,77.0,1733.0,nan,11.0,1733.0,nan,Tobacco use treatment provided or offered at discharge,12.0,1430.0,nan,1.0,1430.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),29.0,5887.0,nan,Timely transmission of transition record (TR2),21.0,5887.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.4,327.0,nan,35.8,327.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,891.0,17.7,15.6,20.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,3176.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,2316.0,nan,2017-10-01,2018-03-31
390168,BUTLER MEMORIAL HOSPITAL,ONE HOSPITAL WAY,BUTLER,PA,16001,BUTLER,Hours of physical-restraint use,0.0,0.2,4190.0,nan,Hours of seclusion use,0.09,9.25,4190.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,178.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,327.0,nan,Alcohol use brief intervention provided or offered,100.0,53.0,nan,100.0,53.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,55.0,nan,80.0,55.0,nan,Tobacco use screening,100.0,327.0,nan,Tobacco use treatment provided or offered,93.0,103.0,nan,67.0,103.0,nan,Tobacco use treatment provided or offered at discharge,89.0,81.0,nan,27.0,81.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,364.0,nan,Timely transmission of transition record (TR2),96.0,364.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.6,29.0,nan,10.3,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,155.0,20.3,15.8,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,163.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,197.0,nan,2017-10-01,2018-03-31
390173,INDIANA REGIONAL MEDICAL CENTER,835 HOSPITAL ROAD,INDIANA,PA,15701,INDIANA,Hours of physical-restraint use,11.34,837.72,3079.0,nan,Hours of seclusion use,0.0,0.0,3079.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,23.0,nan,Screening for metabolic disorders (SMD),90.0,228.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,286.0,nan,Alcohol use brief intervention provided or offered,29.0,14.0,nan,29.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,30.0,nan,20.0,30.0,nan,Tobacco use screening,99.0,283.0,nan,Tobacco use treatment provided or offered,5.0,37.0,nan,5.0,37.0,nan,Tobacco use treatment provided or offered at discharge,4.0,27.0,nan,0.0,27.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),4.0,290.0,nan,Timely transmission of transition record (TR2),1.0,290.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.9,13.0,nan,38.5,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,145.0,18.4,14.3,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,128.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,29.0,nan,2017-10-01,2018-03-31
390174,THOMAS JEFFERSON UNIVERSITY HOSPITAL,111 SOUTH 11TH STREET,PHILADELPHIA,PA,19107,PHILADELPHIA,Hours of physical-restraint use,2.08,336.06,6724.0,nan,Hours of seclusion use,4.13,666.79,6724.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,12.0,nan,Screening for metabolic disorders (SMD),80.0,347.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,31.0,762.0,nan,Alcohol use brief intervention provided or offered,73.0,112.0,nan,72.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,247.0,nan,38.0,247.0,nan,Tobacco use screening,95.0,766.0,nan,Tobacco use treatment provided or offered,56.0,253.0,nan,48.0,253.0,nan,Tobacco use treatment provided or offered at discharge,0.0,244.0,nan,0.0,244.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,846.0,nan,Timely transmission of transition record (TR2),0.0,846.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.2,124.0,nan,26.6,124.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,389.0,20.9,17.5,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,45.0,nan,2017-10-01,2018-03-31
390180,CROZER CHESTER MEDICAL CENTER,ONE MEDICAL CENTER BOULEVARD,UPLAND,PA,19013,DELAWARE,Hours of physical-restraint use,0.82,315.4,16115.0,nan,Hours of seclusion use,6.52,2520.6,16115.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,25.0,nan,Screening for metabolic disorders (SMD),13.0,358.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,575.0,nan,Alcohol use brief intervention provided or offered,96.0,98.0,nan,96.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,250.0,nan,40.0,250.0,nan,Tobacco use screening,100.0,596.0,nan,Tobacco use treatment provided or offered,86.0,308.0,nan,68.0,308.0,nan,Tobacco use treatment provided or offered at discharge,44.0,248.0,nan,0.0,248.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),11.0,595.0,nan,Timely transmission of transition record (TR2),10.0,595.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.9,243.0,nan,29.2,243.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,625.0,24.1,21.5,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,292.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,59.0,nan,2017-10-01,2018-03-31
390194,ST LUKE'S HOSPITAL-GNADEN HUETTEN CAMPUS,211 NORTH 12TH STREET,LEHIGHTON,PA,18235,CARBON,Hours of physical-restraint use,0.0,0.0,6370.0,nan,Hours of seclusion use,0.0,0.0,6370.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,17.0,12.0,nan,Screening for metabolic disorders (SMD),8.0,262.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,403.0,nan,Alcohol use brief intervention provided or offered,91.0,45.0,nan,64.0,45.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,46.0,nan,48.0,46.0,nan,Tobacco use screening,100.0,384.0,nan,Tobacco use treatment provided or offered,97.0,98.0,nan,82.0,98.0,nan,Tobacco use treatment provided or offered at discharge,92.0,75.0,nan,7.0,75.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,418.0,nan,Timely transmission of transition record (TR2),60.0,317.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.8,82.0,nan,29.3,82.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,161.0,22.8,17.8,28.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,194.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,366.0,nan,2017-10-01,2018-03-31
390197,SACRED HEART HOSPITAL,421 CHEW STREET,ALLENTOWN,PA,18102,LEHIGH,Hours of physical-restraint use,0.04,7.95,8846.0,nan,Hours of seclusion use,0.0,0.0,8846.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,38.0,nan,Screening for metabolic disorders (SMD),96.0,429.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,562.0,nan,Alcohol use brief intervention provided or offered,96.0,56.0,nan,88.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,65.0,nan,35.0,65.0,nan,Tobacco use screening,96.0,561.0,nan,Tobacco use treatment provided or offered,94.0,118.0,nan,66.0,118.0,nan,Tobacco use treatment provided or offered at discharge,60.0,98.0,nan,6.0,98.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),59.0,565.0,nan,Timely transmission of transition record (TR2),58.0,565.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.8,85.0,nan,30.6,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,437.0,18.6,15.4,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,232.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,158.0,nan,2017-10-01,2018-03-31
390198,MILLCREEK COMMUNITY HOSPITAL,5515 PEACH STREET,ERIE,PA,16509,ERIE,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
390201,LEHIGH VALLEY HOSPITAL - POCONO,206 EAST BROWN STREET,EAST STROUDSBURG,PA,18301,MONROE,Hours of physical-restraint use,3.6,402.92,4669.0,nan,Hours of seclusion use,0.62,69.67,4669.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,39.0,nan,Screening for metabolic disorders (SMD),60.0,220.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,362.0,nan,Alcohol use brief intervention provided or offered,100.0,33.0,nan,100.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,172.0,nan,24.0,172.0,nan,Tobacco use screening,100.0,361.0,nan,Tobacco use treatment provided or offered,94.0,192.0,nan,81.0,192.0,nan,Tobacco use treatment provided or offered at discharge,26.0,180.0,nan,19.0,180.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,368.0,nan,Timely transmission of transition record (TR2),30.0,368.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.7,71.0,nan,28.2,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,221.0,17.7,14.1,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,179.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),73.0,33.0,nan,2017-10-01,2018-03-31
390223,PENN PRESBYTERIAN MEDICAL CENTER,51 NORTH 39TH STREET,PHILADELPHIA,PA,19104,PHILADELPHIA,Hours of physical-restraint use,0.0,0.0,6321.0,nan,Hours of seclusion use,0.0,0.0,6321.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),52.0,365.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,566.0,nan,Alcohol use brief intervention provided or offered,100.0,133.0,nan,75.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,341.0,nan,69.0,341.0,nan,Tobacco use screening,100.0,571.0,nan,Tobacco use treatment provided or offered,66.0,380.0,nan,31.0,380.0,nan,Tobacco use treatment provided or offered at discharge,1.0,283.0,nan,1.0,283.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,549.0,nan,Timely transmission of transition record (TR2),93.0,549.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,44.0,nan,11.4,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,119.0,21.8,17.3,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,268.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,3201.0,nan,2017-10-01,2018-03-31
390225,WELLSPAN EPHRATA COMMUNITY HOSPITAL,169 MARTIN AVENUE,EPHRATA,PA,17522,LANCASTER,Hours of physical-restraint use,0.0,0.0,161.0,nan,Hours of seclusion use,0.86,3.33,161.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),65.0,75.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,155.0,nan,Alcohol use brief intervention provided or offered,83.0,29.0,nan,83.0,29.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,49.0,nan,24.0,49.0,nan,Tobacco use screening,99.0,156.0,nan,Tobacco use treatment provided or offered,97.0,74.0,nan,69.0,74.0,nan,Tobacco use treatment provided or offered at discharge,28.0,69.0,nan,1.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,158.0,nan,Timely transmission of transition record (TR2),0.0,158.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.7,12.0,nan,25.0,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,45.0,17.2,12.3,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,101.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,530.0,nan,2017-10-01,2018-03-31
390226,PENNSYLVANIA HOSPITAL,800 SPRUCE STREET,PHILADELPHIA,PA,19107,PHILADELPHIA,Hours of physical-restraint use,0.42,128.71,12857.0,nan,Hours of seclusion use,0.39,119.68,12857.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,22.0,nan,Screening for metabolic disorders (SMD),84.0,512.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,322.0,nan,Alcohol use brief intervention provided or offered,91.0,33.0,nan,48.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,80.0,nan,52.0,80.0,nan,Tobacco use screening,97.0,323.0,nan,Tobacco use treatment provided or offered,83.0,107.0,nan,43.0,107.0,nan,Tobacco use treatment provided or offered at discharge,65.0,100.0,nan,44.0,100.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,660.0,nan,Timely transmission of transition record (TR2),34.0,660.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.4,125.0,nan,22.4,125.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,303.0,21.7,18.1,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),71.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,3806.0,nan,2017-10-01,2018-03-31
390228,ST CLAIR HOSPITAL,1000 BOWER HILL ROAD,PITTSBURGH,PA,15243,ALLEGHENY,Hours of physical-restraint use,1.29,229.1,7420.0,nan,Hours of seclusion use,1.02,181.3,7420.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,31.0,nan,Screening for metabolic disorders (SMD),52.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,523.0,nan,Alcohol use brief intervention provided or offered,46.0,93.0,nan,44.0,93.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,189.0,nan,41.0,189.0,nan,Tobacco use screening,95.0,517.0,nan,Tobacco use treatment provided or offered,86.0,258.0,nan,42.0,258.0,nan,Tobacco use treatment provided or offered at discharge,1.0,230.0,nan,0.0,230.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,611.0,nan,Timely transmission of transition record (TR2),0.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.7,66.0,nan,33.3,66.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,147.0,16.7,12.6,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,326.0,nan,2017-10-01,2018-03-31
390231,ABINGTON MEMORIAL HOSPITAL,1200 OLD YORK ROAD,ABINGTON,PA,19001,MONTGOMERY,Hours of physical-restraint use,13.0,1587.0,5085.0,nan,Hours of seclusion use,0.68,83.0,5085.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,13.0,nan,Screening for metabolic disorders (SMD),95.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,359.0,nan,Alcohol use brief intervention provided or offered,89.0,27.0,nan,81.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,52.0,nan,77.0,52.0,nan,Tobacco use screening,99.0,351.0,nan,Tobacco use treatment provided or offered,97.0,87.0,nan,84.0,87.0,nan,Tobacco use treatment provided or offered at discharge,89.0,79.0,nan,80.0,79.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,376.0,nan,Timely transmission of transition record (TR2),68.0,376.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.7,88.0,nan,44.3,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,240.0,18.7,15.0,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,198.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
390265,JEFFERSON HOSPITAL,565 COAL VALLEY ROAD,JEFFERSON HILLS,PA,15025,ALLEGHENY,Hours of physical-restraint use,0.51,64.98,5267.0,nan,Hours of seclusion use,0.04,4.5,5267.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,22.0,nan,Screening for metabolic disorders (SMD),90.0,284.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,607.0,nan,Alcohol use brief intervention provided or offered,49.0,100.0,nan,46.0,100.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,35.0,259.0,nan,15.0,259.0,nan,Tobacco use screening,98.0,614.0,nan,Tobacco use treatment provided or offered,67.0,350.0,nan,43.0,350.0,nan,Tobacco use treatment provided or offered at discharge,49.0,334.0,nan,4.0,334.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,652.0,nan,Timely transmission of transition record (TR2),0.0,652.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.6,77.0,nan,29.9,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,140.0,18.1,14.3,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,40.0,nan,2017-10-01,2018-03-31
390267,FORBES HOSPITAL,2570 HAYMAKER ROAD,MONROEVILLE,PA,15146,ALLEGHENY,Hours of physical-restraint use,0.6,138.6,9627.0,nan,Hours of seclusion use,0.24,56.1,9627.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,20.0,nan,Screening for metabolic disorders (SMD),67.0,567.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,673.0,nan,Alcohol use brief intervention provided or offered,31.0,141.0,nan,28.0,141.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,332.0,nan,50.0,332.0,nan,Tobacco use screening,96.0,669.0,nan,Tobacco use treatment provided or offered,83.0,372.0,nan,67.0,372.0,nan,Tobacco use treatment provided or offered at discharge,78.0,337.0,nan,10.0,337.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),29.0,1130.0,nan,Timely transmission of transition record (TR2),41.0,1130.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.2,69.0,nan,30.4,69.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,200.0,21.0,17.2,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,341.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,50.0,nan,2017-10-01,2018-03-31
390268,MOUNT NITTANY MEDICAL CENTER,1800 EAST PARK AVE,STATE COLLEGE,PA,16803,CENTRE,Hours of physical-restraint use,0.0,0.0,3158.0,nan,Hours of seclusion use,0.0,0.0,3158.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,27.0,nan,Screening for metabolic disorders (SMD),89.0,173.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,463.0,nan,Alcohol use brief intervention provided or offered,64.0,73.0,nan,62.0,73.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,171.0,nan,26.0,171.0,nan,Tobacco use screening,100.0,474.0,nan,Tobacco use treatment provided or offered,90.0,187.0,nan,1.0,187.0,nan,Tobacco use treatment provided or offered at discharge,63.0,175.0,nan,3.0,175.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,489.0,nan,Timely transmission of transition record (TR2),0.0,489.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.1,46.0,nan,52.2,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,126.0,20.0,15.7,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,50.0,nan,2017-10-01,2018-03-31
390278,EAGLEVILLE HOSPITAL,100 EAGLEVILLE RD,EAGLEVILLE,PA,19408,MONTGOMERY,Hours of physical-restraint use,0.03,5.8,8634.0,nan,Hours of seclusion use,0.0,0.17,8634.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,52.0,nan,Screening for metabolic disorders (SMD),99.0,383.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,693.0,nan,Alcohol use brief intervention provided or offered,100.0,254.0,nan,61.0,254.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,448.0,nan,79.0,448.0,nan,Tobacco use screening,100.0,693.0,nan,Tobacco use treatment provided or offered,49.0,493.0,nan,43.0,493.0,nan,Tobacco use treatment provided or offered at discharge,2.0,295.0,nan,0.0,295.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,716.0,nan,Timely transmission of transition record (TR2),100.0,716.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.4,68.0,nan,33.8,68.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,282.0,20.8,17.2,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,365.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,450.0,nan,2017-10-01,2018-03-31
390290,HAHNEMANN UNIVERSITY HOSPITAL,230 NORTH BROAD STREET,PHILADELPHIA,PA,19102,PHILADELPHIA,Hours of physical-restraint use,0.0,0.0,3483.0,nan,Hours of seclusion use,0.0,0.0,3483.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),95.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,429.0,nan,Alcohol use brief intervention provided or offered,94.0,81.0,nan,93.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,239.0,nan,73.0,239.0,nan,Tobacco use screening,100.0,431.0,nan,Tobacco use treatment provided or offered,98.0,278.0,nan,97.0,278.0,nan,Tobacco use treatment provided or offered at discharge,24.0,255.0,nan,23.0,255.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),55.0,482.0,nan,Timely transmission of transition record (TR2),37.0,482.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,21.8,55.0,nan,12.7,55.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,162.0,24.1,19.9,28.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,288.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,89.0,nan,2017-10-01,2018-03-31
390304,ROXBOROUGH MEMORIAL HOSPITAL,5800 RIDGE AVE,PHILADELPHIA,PA,19128,PHILADELPHIA,Hours of physical-restraint use,0.0,0.0,7144.0,nan,Hours of seclusion use,0.0,0.0,7144.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),89.0,375.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,45.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,47.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,550.0,nan,Timely transmission of transition record (TR2),88.0,550.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,36.0,nan,8.3,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,472.0,20.3,17.2,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,183.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,67.0,nan,2017-10-01,2018-03-31
391312,PENN HIGHLANDS BROOKVILLE,100 HOSPITAL ROAD,BROOKVILLE,PA,15825,JEFFERSON,Hours of physical-restraint use,0.0,0.0,2463.0,nan,Hours of seclusion use,0.0,0.0,2463.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),69.0,118.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,148.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,159.0,nan,Tobacco use treatment provided or offered,89.0,19.0,nan,0.0,19.0,nan,Tobacco use treatment provided or offered at discharge,93.0,15.0,nan,0.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),47.0,179.0,nan,Timely transmission of transition record (TR2),42.0,179.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.6,27.0,nan,14.8,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,208.0,22.5,18.1,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,73.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,24.0,nan,2017-10-01,2018-03-31
391315,PENN HIGHLANDS ELK,763 JOHNSONBURG ROAD,SAINT MARYS,PA,15857,ELK,Hours of physical-restraint use,0.0,0.0,2194.0,nan,Hours of seclusion use,0.0,0.0,2194.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,125.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,167.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,167.0,nan,Tobacco use treatment provided or offered,100.0,28.0,nan,64.0,28.0,nan,Tobacco use treatment provided or offered at discharge,95.0,20.0,nan,15.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),89.0,177.0,nan,Timely transmission of transition record (TR2),92.0,171.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,19.0,nan,15.8,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,209.0,17.5,13.5,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,78.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,28.0,nan,2017-10-01,2018-03-31
394001,NORRISTOWN STATE HOSPITAL,1001 STERIGERE STREET,NORRISTOWN,PA,19401,MONTGOMERY,Hours of physical-restraint use,0.0,5.05,480433.0,nan,Hours of seclusion use,0.0,0.0,480433.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,27.0,nan,Screening for metabolic disorders (SMD),67.0,122.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,228.0,nan,Alcohol use brief intervention provided or offered,48.0,98.0,nan,33.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,98.0,nan,0.0,98.0,nan,Tobacco use screening,100.0,228.0,nan,Tobacco use treatment provided or offered,0.0,23.0,nan,0.0,23.0,nan,Tobacco use treatment provided or offered at discharge,0.0,110.0,nan,0.0,110.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,122.0,nan,Timely transmission of transition record (TR2),100.0,122.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),55.0,78.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,791.0,nan,2017-10-01,2018-03-31
394004,DANVILLE STATE HOSPITAL,50 KIRKBRIDE DRIVE,DANVILLE,PA,17821,MONTOUR,Hours of physical-restraint use,0.0,4.55,56749.0,nan,Hours of seclusion use,0.0,0.0,56749.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,28.0,nan,Screening for metabolic disorders (SMD),100.0,28.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),58.0,69.0,nan,Timely transmission of transition record (TR2),0.0,69.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),65.0,609.0,nan,2017-10-01,2018-03-31
394007,KIRKBRIDE CENTER,111 N 49TH ST,PHILADELPHIA,PA,19139,PHILADELPHIA,Hours of physical-restraint use,0.0,0.47,5234.0,nan,Hours of seclusion use,0.01,1.0,5234.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,39.0,23.0,nan,Screening for metabolic disorders (SMD),25.0,449.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,652.0,nan,Alcohol use brief intervention provided or offered,91.0,175.0,nan,83.0,175.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,175.0,nan,0.0,175.0,nan,Tobacco use screening,99.0,652.0,nan,Tobacco use treatment provided or offered,86.0,540.0,nan,52.0,540.0,nan,Tobacco use treatment provided or offered at discharge,16.0,539.0,nan,5.0,539.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,762.0,nan,Timely transmission of transition record (TR2),0.0,762.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.0,25.0,nan,4.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,61.0,19.9,15.4,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,382.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,420.0,nan,2017-10-01,2018-03-31
394008,FRIENDS HOSPITAL,4641 ROOSEVELT BOULEVARD,PHILADELPHIA,PA,19124,PHILADELPHIA,Hours of physical-restraint use,0.07,94.76,55226.0,nan,Hours of seclusion use,0.0,0.0,55226.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,22.0,nan,Screening for metabolic disorders (SMD),85.0,648.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,729.0,nan,Alcohol use brief intervention provided or offered,77.0,129.0,nan,60.0,129.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,390.0,nan,56.0,390.0,nan,Tobacco use screening,97.0,729.0,nan,Tobacco use treatment provided or offered,71.0,407.0,nan,40.0,407.0,nan,Tobacco use treatment provided or offered at discharge,61.0,361.0,nan,1.0,361.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,957.0,nan,Timely transmission of transition record (TR2),36.0,957.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.7,359.0,nan,17.8,359.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,977.0,21.1,18.9,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),5.0,476.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,603.0,nan,2017-10-01,2018-03-31
394012,CLARKS SUMMIT STATE HOSPITAL,1451 HILLSIDE DRIVE,CLARKS SUMMIT,PA,18411,LACKAWANNA,Hours of physical-restraint use,0.0,5.32,64523.0,nan,Hours of seclusion use,0.0,0.0,64523.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,24.0,nan,Screening for metabolic disorders (SMD),96.0,27.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,69.0,nan,Timely transmission of transition record (TR2),81.0,69.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),53.0,688.0,nan,2017-10-01,2018-03-31
394014,WERNERSVILLE STATE HOSPITAL,160 MAIN STREET,WERNERSVILLE,PA,19565,BERKS,Hours of physical-restraint use,0.0,4.63,92921.0,nan,Hours of seclusion use,0.0,0.0,92921.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,36.0,nan,Screening for metabolic disorders (SMD),95.0,59.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,59.0,nan,Timely transmission of transition record (TR2),100.0,59.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,51.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,712.0,nan,2017-10-01,2018-03-31
394016,WARREN STATE HOSPITAL,33 MAIN DRIVE,NORTH WARREN,PA,16365,WARREN,Hours of physical-restraint use,0.04,11.33,12472.0,nan,Hours of seclusion use,0.0,0.0,12472.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,24.0,nan,Screening for metabolic disorders (SMD),100.0,53.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,21.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,21.0,nan,Tobacco use treatment provided or offered,71.0,21.0,nan,43.0,21.0,nan,Tobacco use treatment provided or offered at discharge,0.0,15.0,nan,0.0,15.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,81.0,nan,Timely transmission of transition record (TR2),0.0,81.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),33.0,36.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,410.0,nan,2017-10-01,2018-03-31
394020,PHILHAVEN HOSPITAL,283 SOUTH BUTLER ROAD,MT GRETNA,PA,17064,LEBANON,Hours of physical-restraint use,0.17,132.76,32615.0,nan,Hours of seclusion use,0.29,227.0,32615.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,54.0,nan,Screening for metabolic disorders (SMD),86.0,1011.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1339.0,nan,Alcohol use brief intervention provided or offered,55.0,196.0,nan,55.0,196.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,400.0,nan,39.0,400.0,nan,Tobacco use screening,98.0,1352.0,nan,Tobacco use treatment provided or offered,70.0,518.0,nan,30.0,518.0,nan,Tobacco use treatment provided or offered at discharge,65.0,474.0,nan,15.0,474.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,2148.0,nan,Timely transmission of transition record (TR2),85.0,2148.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.5,97.0,nan,25.8,97.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,210.0,19.1,15.3,23.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,1082.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,1610.0,nan,2017-10-01,2018-03-31
394023,BELMONT BEHAVIORAL HOSPITAL,4200 MONUMENT AVENUE,PHILADELPHIA,PA,19131,PHILADELPHIA,Hours of physical-restraint use,0.31,624.2,84607.0,nan,Hours of seclusion use,0.0,0.0,84607.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),45.0,400.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,76.0,559.0,nan,Alcohol use brief intervention provided or offered,88.0,67.0,nan,82.0,67.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,274.0,nan,84.0,274.0,nan,Tobacco use screening,97.0,557.0,nan,Tobacco use treatment provided or offered,90.0,220.0,nan,28.0,220.0,nan,Tobacco use treatment provided or offered at discharge,80.0,184.0,nan,1.0,184.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),40.0,778.0,nan,Timely transmission of transition record (TR2),36.0,778.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.7,317.0,nan,25.9,317.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,753.0,22.5,20.0,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,381.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,704.0,nan,2017-10-01,2018-03-31
394026,TORRANCE STATE HOSPITAL,121 LONGVIEW DRIVE,TORRANCE,PA,15779,WESTMORELAND,Hours of physical-restraint use,0.01,24.6,112716.0,nan,Hours of seclusion use,0.0,0.0,112716.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,116.0,nan,Screening for metabolic disorders (SMD),96.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,80.0,nan,Alcohol use brief intervention provided or offered,80.0,40.0,nan,78.0,40.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,91.0,80.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),30.0,245.0,nan,Timely transmission of transition record (TR2),29.0,245.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),42.0,38.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),49.0,918.0,nan,2017-10-01,2018-03-31
394027,FAIRMOUNT BEHAVIORAL HEALTH SYSTEM,561 FAIRTHORNE AVENUE,PHILADELPHIA,PA,19128,PHILADELPHIA,Hours of physical-restraint use,0.06,88.48,60217.0,nan,Hours of seclusion use,0.0,0.0,60217.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,61.0,nan,Screening for metabolic disorders (SMD),100.0,459.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,571.0,nan,Alcohol use brief intervention provided or offered,92.0,157.0,nan,85.0,157.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,331.0,nan,79.0,331.0,nan,Tobacco use screening,100.0,571.0,nan,Tobacco use treatment provided or offered,96.0,346.0,nan,72.0,346.0,nan,Tobacco use treatment provided or offered at discharge,86.0,278.0,nan,0.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),81.0,1009.0,nan,Timely transmission of transition record (TR2),83.0,1009.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.6,235.0,nan,15.3,235.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,588.0,21.0,18.5,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),52.0,498.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),55.0,564.0,nan,2017-10-01,2018-03-31
394033,"MONTGOMERY COUNTY EMERGENCY SERVICE, INC",50 BEECH DRIVE,NORRISTOWN,PA,19403,MONTGOMERY,Hours of physical-restraint use,0.09,33.55,16271.0,nan,Hours of seclusion use,0.04,14.4,16271.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,8.0,50.0,nan,Screening for metabolic disorders (SMD),81.0,412.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,599.0,nan,Alcohol use brief intervention provided or offered,94.0,144.0,nan,93.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,282.0,nan,86.0,282.0,nan,Tobacco use screening,99.0,600.0,nan,Tobacco use treatment provided or offered,67.0,351.0,nan,45.0,351.0,nan,Tobacco use treatment provided or offered at discharge,0.0,300.0,nan,0.0,300.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),15.0,607.0,nan,Timely transmission of transition record (TR2),2.0,607.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.5,155.0,nan,38.1,155.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,414.0,19.0,15.8,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,284.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),37.0,256.0,nan,2017-10-01,2018-03-31
394034,HORSHAM CLINIC,722 EAST BUTLER PIKE,AMBLER,PA,19002,MONTGOMERY,Hours of physical-restraint use,0.11,174.4,68775.0,nan,Hours of seclusion use,0.16,261.4,68775.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,23.0,nan,Screening for metabolic disorders (SMD),57.0,626.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,684.0,nan,Alcohol use brief intervention provided or offered,69.0,212.0,nan,67.0,212.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,343.0,nan,45.0,343.0,nan,Tobacco use screening,94.0,684.0,nan,Tobacco use treatment provided or offered,91.0,426.0,nan,70.0,426.0,nan,Tobacco use treatment provided or offered at discharge,60.0,354.0,nan,4.0,354.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),67.0,1151.0,nan,Timely transmission of transition record (TR2),44.0,1151.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.1,318.0,nan,35.8,318.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,693.0,20.5,18.1,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),71.0,513.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,538.0,nan,2017-10-01,2018-03-31
394038,FOUNDATIONS BEHAVIORAL HEALTH,833 EAST BUTLER AVE,DOYLESTOWN,PA,18901,BUCKS,Hours of physical-restraint use,0.13,61.33,19295.0,nan,Hours of seclusion use,0.0,0.0,19295.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,358.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,45.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,45.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,641.0,nan,Timely transmission of transition record (TR2),93.0,641.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,538.0,nan,2017-10-01,2018-03-31
394039,FIRST HOSPITAL OF WYOMING VALLEY,562 WYOMING AVENUE,KINGSTON,PA,18704,LUZERNE,Hours of physical-restraint use,0.93,136.45,6122.0,nan,Hours of seclusion use,0.39,56.7,6122.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,16.0,19.0,nan,Screening for metabolic disorders (SMD),95.0,403.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,714.0,nan,Alcohol use brief intervention provided or offered,97.0,197.0,nan,97.0,197.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,466.0,nan,2.0,466.0,nan,Tobacco use screening,100.0,714.0,nan,Tobacco use treatment provided or offered,99.0,490.0,nan,4.0,490.0,nan,Tobacco use treatment provided or offered at discharge,97.0,466.0,nan,2.0,466.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,814.0,nan,Timely transmission of transition record (TR2),0.0,814.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.4,335.0,nan,34.9,335.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,689.0,18.1,15.6,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,338.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,369.0,nan,2017-10-01,2018-03-31
394040,MEADOWS PSYCHIATRIC CENTER,132 MEADOWS DRIVE,CENTRE HALL,PA,16828,CENTRE,Hours of physical-restraint use,0.38,350.2,38638.0,nan,Hours of seclusion use,0.0,0.0,38638.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),91.0,337.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,264.0,nan,Alcohol use brief intervention provided or offered,64.0,42.0,nan,62.0,42.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,81.0,nan,31.0,81.0,nan,Tobacco use screening,100.0,264.0,nan,Tobacco use treatment provided or offered,99.0,150.0,nan,40.0,150.0,nan,Tobacco use treatment provided or offered at discharge,90.0,141.0,nan,0.0,141.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),78.0,745.0,nan,Timely transmission of transition record (TR2),66.0,745.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.0,161.0,nan,38.5,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,385.0,17.4,14.6,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,351.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,412.0,nan,2017-10-01,2018-03-31
394043,CLARION PSYCHIATRIC CENTER,TWO HOSPITAL DR RD#3 BOX 188,CLARION,PA,16214,CLARION,Hours of physical-restraint use,0.06,39.21,25447.0,nan,Hours of seclusion use,0.0,1.2,25447.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,19.0,nan,Screening for metabolic disorders (SMD),94.0,519.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,433.0,nan,Alcohol use brief intervention provided or offered,97.0,133.0,nan,95.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,216.0,nan,23.0,216.0,nan,Tobacco use screening,99.0,433.0,nan,Tobacco use treatment provided or offered,96.0,303.0,nan,11.0,303.0,nan,Tobacco use treatment provided or offered at discharge,98.0,279.0,nan,0.0,279.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),86.0,728.0,nan,Timely transmission of transition record (TR2),83.0,728.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.7,123.0,nan,30.1,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,311.0,14.4,11.7,17.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,353.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,185.0,nan,2017-10-01,2018-03-31
394048,DIVINE PROVIDENCE HOSPITAL,1100 GRAMPIAN BOULEVARD,WILLIAMSPORT,PA,17701,LYCOMING,Hours of physical-restraint use,0.16,20.38,5286.0,nan,Hours of seclusion use,0.03,3.28,5286.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,28.0,nan,Screening for metabolic disorders (SMD),15.0,276.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,407.0,nan,Alcohol use brief intervention provided or offered,96.0,80.0,nan,96.0,80.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,157.0,nan,62.0,157.0,nan,Tobacco use screening,98.0,408.0,nan,Tobacco use treatment provided or offered,97.0,230.0,nan,63.0,230.0,nan,Tobacco use treatment provided or offered at discharge,36.0,220.0,nan,14.0,220.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,602.0,nan,Timely transmission of transition record (TR2),87.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,108.0,nan,33.3,108.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,254.0,19.4,15.7,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,1228.0,nan,2017-10-01,2018-03-31
394049,BROOKE GLEN BEHAVIORAL HOSPITAL,7170 LAFAYETTE AVENUE,FORT WASHINGTON,PA,19034,MONTGOMERY,Hours of physical-restraint use,0.06,66.45,48605.0,nan,Hours of seclusion use,0.09,102.5,48605.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,30.0,nan,Screening for metabolic disorders (SMD),92.0,418.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,610.0,nan,Alcohol use brief intervention provided or offered,88.0,171.0,nan,66.0,171.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,341.0,nan,37.0,341.0,nan,Tobacco use screening,100.0,610.0,nan,Tobacco use treatment provided or offered,90.0,334.0,nan,49.0,334.0,nan,Tobacco use treatment provided or offered at discharge,77.0,274.0,nan,1.0,274.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,831.0,nan,Timely transmission of transition record (TR2),44.0,831.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.3,232.0,nan,25.4,232.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,591.0,19.8,17.3,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,363.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,423.0,nan,2017-10-01,2018-03-31
394050,ROXBURY TREATMENT CENTER,601 ROXBURY ROAD,SHIPPENSBURG,PA,17257,CUMBERLAND,Hours of physical-restraint use,0.14,53.3,15790.0,nan,Hours of seclusion use,0.03,10.38,15790.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,241.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,473.0,nan,Alcohol use brief intervention provided or offered,58.0,144.0,nan,58.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,248.0,nan,76.0,248.0,nan,Tobacco use screening,100.0,473.0,nan,Tobacco use treatment provided or offered,95.0,338.0,nan,7.0,338.0,nan,Tobacco use treatment provided or offered at discharge,89.0,260.0,nan,0.0,260.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,692.0,nan,Timely transmission of transition record (TR2),90.0,692.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.4,66.0,nan,18.2,66.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,132.0,17.7,14.1,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,294.0,nan,2017-10-01,2018-03-31
394051,PENNSYLVANIA PSYCHIATRIC INSTITUTE,2501 NORTH THIRD STREET,HARRISBURG,PA,17110,DAUPHIN,Hours of physical-restraint use,0.08,42.82,23463.0,nan,Hours of seclusion use,0.29,164.67,23463.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,77.0,nan,Screening for metabolic disorders (SMD),52.0,1058.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1500.0,nan,Alcohol use brief intervention provided or offered,97.0,431.0,nan,57.0,431.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,653.0,nan,23.0,653.0,nan,Tobacco use screening,82.0,1502.0,nan,Tobacco use treatment provided or offered,52.0,685.0,nan,31.0,685.0,nan,Tobacco use treatment provided or offered at discharge,1.0,636.0,nan,0.0,636.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),33.0,1902.0,nan,Timely transmission of transition record (TR2),34.0,1902.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.2,161.0,nan,31.7,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,324.0,21.2,17.7,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,984.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,607.0,nan,2017-10-01,2018-03-31
394052,HAVEN BEHAVIORAL HOSPITAL OF EASTERN PENNSYLVANIA,145 NORTH 6TH STREET,READING,PA,19601,BERKS,Hours of physical-restraint use,0.04,23.06,22636.0,nan,Hours of seclusion use,0.01,7.72,22636.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,66.0,nan,Screening for metabolic disorders (SMD),31.0,419.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,600.0,nan,Alcohol use brief intervention provided or offered,29.0,63.0,nan,29.0,63.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,2.0,185.0,nan,2.0,185.0,nan,Tobacco use screening,100.0,602.0,nan,Tobacco use treatment provided or offered,83.0,261.0,nan,69.0,261.0,nan,Tobacco use treatment provided or offered at discharge,2.0,257.0,nan,2.0,257.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),15.0,605.0,nan,Timely transmission of transition record (TR2),5.0,605.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.3,253.0,nan,29.6,253.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,619.0,21.2,18.5,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,289.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,215.0,nan,2017-10-01,2018-03-31
394053,HAVEN BEHAVIORAL HOSPITAL OF PHILADELPHIA,"3301 SCOTTS LANE, FOUR FALLS BUILDING",PHILADELPHIA,PA,19129,PHILADELPHIA,Hours of physical-restraint use,0.0,1.12,11547.0,nan,Hours of seclusion use,0.0,0.0,11547.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,17.0,nan,Screening for metabolic disorders (SMD),50.0,398.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,49.0,604.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,22.0,nan,18.0,22.0,nan,Tobacco use screening,99.0,604.0,nan,Tobacco use treatment provided or offered,75.0,108.0,nan,39.0,108.0,nan,Tobacco use treatment provided or offered at discharge,3.0,73.0,nan,3.0,73.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),11.0,603.0,nan,Timely transmission of transition record (TR2),8.0,603.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.1,122.0,nan,23.8,122.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,726.0,23.9,20.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,285.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,131.0,nan,2017-10-01,2018-03-31
394054,LIFECARE BEHAVIORAL HEALTH HOSPITAL,225 PENN AVENUE 2ND FLOOR,PITTSBURGH,PA,15221,ALLEGHENY,Hours of physical-restraint use,14.14,3405.73,10036.0,nan,Hours of seclusion use,0.5,119.53,10036.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,26.0,nan,Screening for metabolic disorders (SMD),91.0,309.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,423.0,nan,Alcohol use brief intervention provided or offered,91.0,33.0,nan,91.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,64.0,nan,55.0,64.0,nan,Tobacco use screening,100.0,424.0,nan,Tobacco use treatment provided or offered,58.0,118.0,nan,11.0,118.0,nan,Tobacco use treatment provided or offered at discharge,26.0,82.0,nan,1.0,82.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,483.0,nan,Timely transmission of transition record (TR2),98.0,483.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,46.0,nan,21.7,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,140.0,19.5,15.4,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,208.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,230.0,nan,2017-10-01,2018-03-31
400110,HOSPITAL METROPOLITANO DR TITO MATTEI,ROAD 128 KM 1.0,YAUCO,PR,00698,YAUCO,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.3,26.0,nan,42.3,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,62.0,26.7,21.1,33.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
400128,"HOSPITAL PAVIA HATO REY, INC",AVE PONCE DE LEON 435,HATO REY,PR,00919,SAN JUAN,Hours of physical-restraint use,0.4,12.0,1259.0,nan,Hours of seclusion use,0.0,0.0,1259.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),32.0,157.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,211.0,nan,Alcohol use brief intervention provided or offered,91.0,11.0,nan,91.0,11.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,13.0,nan,92.0,13.0,nan,Tobacco use screening,100.0,212.0,nan,Tobacco use treatment provided or offered,23.0,71.0,nan,21.0,71.0,nan,Tobacco use treatment provided or offered at discharge,17.0,71.0,nan,15.0,71.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),20.0,218.0,nan,Timely transmission of transition record (TR2),4.0,218.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.0,25.0,nan,28.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,63.0,19.8,14.5,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,169.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
400130,HOSPITAL METROPOLITANO DE LA MONTANA,CALLE ISAAC GONZALEZ ESQUINA LEDESMA,BDA NUEVA,PR,00641,UTUADO,Hours of physical-restraint use,1.99,388.0,8128.0,nan,Hours of seclusion use,0.0,0.0,8128.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,25.0,nan,Screening for metabolic disorders (SMD),0.0,590.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,1456.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,42.0,1456.0,nan,Tobacco use treatment provided or offered,0.0,109.0,nan,0.0,109.0,nan,Tobacco use treatment provided or offered at discharge,0.0,109.0,nan,0.0,109.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1456.0,nan,Timely transmission of transition record (TR2),0.0,1456.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.7,15.0,nan,6.7,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,29.0,22.9,16.2,31.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,694.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
404004,FIRST HOSPITAL PANAMERICANO,STATE ROAD 787 KM 1  5,CIDRA,PR,00739,CIDRA,Hours of physical-restraint use,0.18,272.7,62693.0,nan,Hours of seclusion use,0.0,3.03,62693.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),64.0,841.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,1202.0,nan,Alcohol use brief intervention provided or offered,86.0,179.0,nan,86.0,179.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,351.0,nan,45.0,351.0,nan,Tobacco use screening,97.0,1202.0,nan,Tobacco use treatment provided or offered,71.0,324.0,nan,65.0,324.0,nan,Tobacco use treatment provided or offered at discharge,14.0,318.0,nan,6.0,318.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,1483.0,nan,Timely transmission of transition record (TR2),59.0,1483.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.3,68.0,nan,42.6,68.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,146.0,17.0,12.6,22.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),60.0,716.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,557.0,nan,2017-10-01,2018-03-31
404005,SAN JUAN CAPESTRANO  HOSPITAL INC,CARR 877 KM 1 6 CAMINO LAS LOMAS RR2,RIO PIEDRAS,PR,00928,SAN JUAN,Hours of physical-restraint use,0.08,104.2,53769.0,nan,Hours of seclusion use,0.0,5.96,53769.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,15.0,nan,Screening for metabolic disorders (SMD),36.0,807.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,1029.0,nan,Alcohol use brief intervention provided or offered,100.0,114.0,nan,97.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,311.0,nan,95.0,311.0,nan,Tobacco use screening,96.0,1004.0,nan,Tobacco use treatment provided or offered,81.0,133.0,nan,37.0,133.0,nan,Tobacco use treatment provided or offered at discharge,69.0,126.0,nan,7.0,126.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),27.0,1159.0,nan,Timely transmission of transition record (TR2),27.0,1159.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.2,76.0,nan,47.4,76.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,149.0,20.1,14.9,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),58.0,559.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),39.0,603.0,nan,2017-10-01,2018-03-31
404007,HOSPITAL PSIQUIATRICO METROPOLITANO CABO ROJO,108 MUNOZ RIVERA STREET,BO BALLAJA,PR,00623,CABO ROJO,Hours of physical-restraint use,0.54,93.0,7114.0,nan,Hours of seclusion use,0.04,6.0,7114.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),0.0,1244.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1244.0,nan,Alcohol use brief intervention provided or offered,100.0,28.0,nan,100.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,105.0,nan,100.0,105.0,nan,Tobacco use screening,100.0,1244.0,nan,Tobacco use treatment provided or offered,100.0,115.0,nan,100.0,115.0,nan,Tobacco use treatment provided or offered at discharge,100.0,115.0,nan,100.0,115.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1244.0,nan,Timely transmission of transition record (TR2),0.0,1244.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,16.7,12.0,nan,8.3,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,28.0,20.6,14.5,29.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,699.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,145.0,nan,2017-10-01,2018-03-31
404008,INSPIRA BEHAVIOR CARE CORP,CALLE GUADALUPE 184 (ANTIGUO HOSPITAL SAN LUCAS),PONCE,PR,00733,PONCE,Hours of physical-restraint use,0.3,40.38,5671.0,nan,Hours of seclusion use,0.0,0.0,5671.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),13.0,478.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,579.0,nan,Alcohol use brief intervention provided or offered,100.0,115.0,nan,100.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,3.0,95.0,nan,3.0,95.0,nan,Tobacco use screening,100.0,579.0,nan,Tobacco use treatment provided or offered,15.0,188.0,nan,15.0,188.0,nan,Tobacco use treatment provided or offered at discharge,0.0,188.0,nan,0.0,188.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),71.0,609.0,nan,Timely transmission of transition record (TR2),71.0,609.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,95.0,nan,2017-10-01,2018-03-31
404009,CENTRO DE SALUD CONDUCTUAL MENONITA-CIMA,CARR ESTATAL 14 INTERIOR SARGENTO GERARDO SANTIAGO,AIBONITO,PR,00705,AIBONITO,Hours of physical-restraint use,0.44,147.2,13845.0,nan,Hours of seclusion use,0.0,0.0,13845.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),6.0,828.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,1321.0,nan,Alcohol use brief intervention provided or offered,44.0,90.0,nan,44.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,408.0,nan,0.0,408.0,nan,Tobacco use screening,98.0,1321.0,nan,Tobacco use treatment provided or offered,41.0,342.0,nan,41.0,342.0,nan,Tobacco use treatment provided or offered at discharge,5.0,339.0,nan,5.0,339.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1404.0,nan,Timely transmission of transition record (TR2),0.0,1404.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,24.0,25.0,nan,20.0,25.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,72.0,29.7,22.4,38.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),6.0,733.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
410004,ROGER WILLIAMS MEDICAL CENTER,825 CHALKSTONE AVENUE,PROVIDENCE,RI,02908,PROVIDENCE,Hours of physical-restraint use,0.0,0.0,3193.0,nan,Hours of seclusion use,0.0,0.0,3193.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),52.0,161.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,322.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,322.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),63.0,307.0,nan,Timely transmission of transition record (TR2),63.0,307.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,21.4,14.0,nan,7.1,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,287.0,21.1,16.8,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,152.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,343.0,nan,2017-10-01,2018-03-31
410005,OUR LADY OF FATIMA HOSPITAL,200 HIGH SERVICE AVENUE,NORTH PROVIDENCE,RI,02904,PROVIDENCE,Hours of physical-restraint use,0.0,1.98,20645.0,nan,Hours of seclusion use,0.01,3.58,20645.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,20.0,25.0,nan,Screening for metabolic disorders (SMD),58.0,304.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,577.0,nan,Alcohol use brief intervention provided or offered,80.0,75.0,nan,80.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,147.0,nan,69.0,147.0,nan,Tobacco use screening,100.0,551.0,nan,Tobacco use treatment provided or offered,76.0,213.0,nan,16.0,213.0,nan,Tobacco use treatment provided or offered at discharge,4.0,193.0,nan,2.0,193.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,616.0,nan,Timely transmission of transition record (TR2),0.0,616.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.2,206.0,nan,36.9,206.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1129.0,21.8,19.7,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,520.0,nan,2017-10-01,2018-03-31
410006,NEWPORT HOSPITAL,FRIENDSHIP STREET,NEWPORT,RI,02840,NEWPORT,Hours of physical-restraint use,1.11,96.05,3597.0,nan,Hours of seclusion use,0.34,29.68,3597.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,37.0,nan,Screening for metabolic disorders (SMD),66.0,279.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,428.0,nan,Alcohol use brief intervention provided or offered,93.0,56.0,nan,93.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,228.0,nan,71.0,228.0,nan,Tobacco use screening,99.0,434.0,nan,Tobacco use treatment provided or offered,97.0,218.0,nan,65.0,218.0,nan,Tobacco use treatment provided or offered at discharge,56.0,215.0,nan,3.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),70.0,744.0,nan,Timely transmission of transition record (TR2),68.0,744.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,88.0,nan,35.2,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,288.0,27.3,23.4,31.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,342.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,31.0,nan,2017-10-01,2018-03-31
410007,RHODE ISLAND HOSPITAL,593 EDDY STREET,PROVIDENCE,RI,02903,PROVIDENCE,Hours of physical-restraint use,1.2,355.48,12325.0,nan,Hours of seclusion use,1.92,568.82,12325.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,12.0,nan,Screening for metabolic disorders (SMD),60.0,283.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,164.0,nan,Alcohol use brief intervention provided or offered,88.0,33.0,nan,88.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,96.0,nan,56.0,96.0,nan,Tobacco use screening,99.0,164.0,nan,Tobacco use treatment provided or offered,57.0,72.0,nan,49.0,72.0,nan,Tobacco use treatment provided or offered at discharge,4.0,69.0,nan,1.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),67.0,619.0,nan,Timely transmission of transition record (TR2),64.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.8,272.0,nan,31.6,272.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1045.0,28.2,25.8,30.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,46.0,nan,2017-10-01,2018-03-31
410011,LANDMARK MEDICAL CENTER,115 CASS AVENUE,WOONSOCKET,RI,02895,PROVIDENCE,Hours of physical-restraint use,0.0,0.0,4713.0,nan,Hours of seclusion use,0.0,0.0,4713.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,16.0,nan,Screening for metabolic disorders (SMD),41.0,258.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,436.0,nan,Alcohol use brief intervention provided or offered,100.0,111.0,nan,95.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,207.0,nan,73.0,207.0,nan,Tobacco use screening,100.0,445.0,nan,Tobacco use treatment provided or offered,98.0,260.0,nan,96.0,260.0,nan,Tobacco use treatment provided or offered at discharge,91.0,212.0,nan,88.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,655.0,nan,Timely transmission of transition record (TR2),52.0,655.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.3,37.0,nan,35.1,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,137.0,21.0,16.7,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),77.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,33.0,nan,2017-10-01,2018-03-31
414000,BUTLER HOSPITAL,345 BLACKSTONE BLVD,PROVIDENCE,RI,02906,PROVIDENCE,Hours of physical-restraint use,0.15,185.88,50009.0,nan,Hours of seclusion use,0.13,155.5,50009.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,14.0,nan,Screening for metabolic disorders (SMD),53.0,531.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1320.0,nan,Alcohol use brief intervention provided or offered,87.0,454.0,nan,87.0,454.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,707.0,nan,91.0,707.0,nan,Tobacco use screening,100.0,1301.0,nan,Tobacco use treatment provided or offered,81.0,711.0,nan,10.0,711.0,nan,Tobacco use treatment provided or offered at discharge,5.0,624.0,nan,0.0,624.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1478.0,nan,Timely transmission of transition record (TR2),0.0,1478.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,592.0,nan,37.3,592.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,2488.0,24.1,22.4,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,685.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,1245.0,nan,2017-10-01,2018-03-31
414003,EMMA PENDLETON BRADLEY HOSPITAL,1011 VETERANS MEMORIAL PARKWAY,EAST PROVIDENCE,RI,02915,PROVIDENCE,Hours of physical-restraint use,2.65,1055.09,16559.0,nan,Hours of seclusion use,1.34,531.41,16559.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,380.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,34.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,35.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),72.0,1160.0,nan,Timely transmission of transition record (TR2),70.0,1160.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,606.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,1361.0,nan,2017-10-01,2018-03-31
420002,PIEDMONT MEDICAL CENTER,222 S HERLONG AVE,ROCK HILL,SC,29730,YORK,Hours of physical-restraint use,1.35,5.78,178.0,nan,Hours of seclusion use,0.0,0.0,178.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,323.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,395.0,nan,Alcohol use brief intervention provided or offered,79.0,78.0,nan,77.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,207.0,nan,72.0,207.0,nan,Tobacco use screening,97.0,392.0,nan,Tobacco use treatment provided or offered,95.0,206.0,nan,48.0,206.0,nan,Tobacco use treatment provided or offered at discharge,65.0,171.0,nan,29.0,171.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),68.0,565.0,nan,Timely transmission of transition record (TR2),77.0,567.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.2,44.0,nan,25.0,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,120.0,17.2,12.9,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,54.0,nan,2017-10-01,2018-03-31
420004,MUSC MEDICAL CENTER,169 ASHLEY AVE,CHARLESTON,SC,29425,CHARLESTON,Hours of physical-restraint use,0.15,129.0,34760.0,nan,Hours of seclusion use,0.82,688.0,34760.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,56.0,nan,Screening for metabolic disorders (SMD),52.0,843.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,58.0,1378.0,nan,Alcohol use brief intervention provided or offered,6.0,393.0,nan,5.0,393.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,45.0,885.0,nan,43.0,885.0,nan,Tobacco use screening,93.0,1444.0,nan,Tobacco use treatment provided or offered,32.0,807.0,nan,20.0,807.0,nan,Tobacco use treatment provided or offered at discharge,15.0,753.0,nan,11.0,753.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,2638.0,nan,Timely transmission of transition record (TR2),0.0,2638.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.3,246.0,nan,24.4,246.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,796.0,20.8,18.4,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,645.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,426.0,nan,2017-10-01,2018-03-31
420018,PALMETTO HEALTH RICHLAND,5 RICHLAND MEDICAL PARK,COLUMBIA,SC,29203,RICHLAND,Hours of physical-restraint use,0.0,0.0,11522.0,nan,Hours of seclusion use,0.53,147.6,11522.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),34.0,273.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,378.0,nan,Alcohol use brief intervention provided or offered,98.0,124.0,nan,98.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,213.0,nan,93.0,213.0,nan,Tobacco use screening,99.0,374.0,nan,Tobacco use treatment provided or offered,98.0,208.0,nan,74.0,208.0,nan,Tobacco use treatment provided or offered at discharge,45.0,207.0,nan,44.0,207.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),13.0,582.0,nan,Timely transmission of transition record (TR2),12.0,582.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.9,61.0,nan,23.0,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,152.0,15.1,11.4,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,126.0,nan,2017-10-01,2018-03-31
420027,ANMED HEALTH,800 N FANT ST,ANDERSON,SC,29621,ANDERSON,Hours of physical-restraint use,0.0,0.0,6404.0,nan,Hours of seclusion use,0.04,6.05,6404.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,76.0,nan,Screening for metabolic disorders (SMD),99.0,507.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,817.0,nan,Alcohol use brief intervention provided or offered,88.0,136.0,nan,88.0,136.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,252.0,nan,76.0,252.0,nan,Tobacco use screening,100.0,811.0,nan,Tobacco use treatment provided or offered,95.0,468.0,nan,74.0,468.0,nan,Tobacco use treatment provided or offered at discharge,75.0,445.0,nan,16.0,445.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),87.0,809.0,nan,Timely transmission of transition record (TR2),83.0,809.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.8,89.0,nan,23.6,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,281.0,21.0,17.2,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,391.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,279.0,nan,2017-10-01,2018-03-31
420030,COLLETON MEDICAL CENTER,501 ROBERTSON BOULEVARD,WALTERBORO,SC,29488,COLLETON,Hours of physical-restraint use,0.96,146.55,6350.0,nan,Hours of seclusion use,1.86,283.87,6350.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),90.0,377.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,613.0,nan,Alcohol use brief intervention provided or offered,100.0,147.0,nan,99.0,147.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,251.0,nan,93.0,251.0,nan,Tobacco use screening,100.0,614.0,nan,Tobacco use treatment provided or offered,99.0,382.0,nan,79.0,382.0,nan,Tobacco use treatment provided or offered at discharge,98.0,376.0,nan,48.0,376.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,628.0,nan,Timely transmission of transition record (TR2),99.0,628.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.3,47.0,nan,17.0,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,108.0,20.0,15.5,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,514.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,42.0,nan,2017-10-01,2018-03-31
420036,MUSC HEALTH LANCASTER MEDICAL CENTER,800 W MEETING ST,LANCASTER,SC,29720,LANCASTER,Hours of physical-restraint use,0.04,2.18,2155.0,nan,Hours of seclusion use,0.04,2.0,2155.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,11.0,nan,Screening for metabolic disorders (SMD),85.0,110.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,128.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,139.0,nan,Tobacco use treatment provided or offered,89.0,35.0,nan,29.0,35.0,nan,Tobacco use treatment provided or offered at discharge,69.0,29.0,nan,3.0,29.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,144.0,nan,Timely transmission of transition record (TR2),36.0,144.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,121.0,25.0,19.2,31.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,89.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,35.0,nan,2017-10-01,2018-03-31
420057,MCLEOD MEDICAL CENTER - DARLINGTON,701 CASHUA FERRY ROAD,DARLINGTON,SC,29540,DARLINGTON,Hours of physical-restraint use,0.02,3.67,6839.0,nan,Hours of seclusion use,0.18,29.92,6839.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,18.0,nan,Screening for metabolic disorders (SMD),2.0,301.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,604.0,nan,Alcohol use brief intervention provided or offered,78.0,94.0,nan,74.0,94.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,277.0,nan,69.0,277.0,nan,Tobacco use screening,99.0,604.0,nan,Tobacco use treatment provided or offered,88.0,325.0,nan,10.0,325.0,nan,Tobacco use treatment provided or offered at discharge,19.0,322.0,nan,2.0,322.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,606.0,nan,Timely transmission of transition record (TR2),0.0,606.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.9,92.0,nan,18.5,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,202.0,18.4,14.4,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,68.0,nan,2017-10-01,2018-03-31
420067,BEAUFORT COUNTY MEMORIAL HOSPITAL,955 RIBAUT RD,BEAUFORT,SC,29902,BEAUFORT,Hours of physical-restraint use,0.11,9.2,3352.0,nan,Hours of seclusion use,2.06,165.37,3352.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,29.0,nan,Screening for metabolic disorders (SMD),84.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,599.0,nan,Alcohol use brief intervention provided or offered,97.0,140.0,nan,95.0,140.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,193.0,nan,76.0,193.0,nan,Tobacco use screening,100.0,596.0,nan,Tobacco use treatment provided or offered,100.0,225.0,nan,12.0,225.0,nan,Tobacco use treatment provided or offered at discharge,98.0,217.0,nan,6.0,217.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,577.0,nan,Timely transmission of transition record (TR2),99.0,577.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.2,37.0,nan,48.6,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,94.0,20.1,15.2,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,262.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,25.0,nan,2017-10-01,2018-03-31
420068,TRMC OF ORANGEBURG & CALHOUN,3000 ST MATTHEWS RD BOX 1806,ORANGEBURG,SC,29115,ORANGEBURG,Hours of physical-restraint use,2.99,185.32,2579.0,nan,Hours of seclusion use,0.0,0.0,2579.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,64.0,nan,Screening for metabolic disorders (SMD),97.0,238.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,419.0,nan,Alcohol use brief intervention provided or offered,80.0,15.0,nan,80.0,15.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,122.0,nan,82.0,122.0,nan,Tobacco use screening,100.0,417.0,nan,Tobacco use treatment provided or offered,99.0,211.0,nan,89.0,211.0,nan,Tobacco use treatment provided or offered at discharge,74.0,202.0,nan,74.0,202.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),89.0,431.0,nan,Timely transmission of transition record (TR2),81.0,431.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.5,44.0,nan,43.2,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,82.0,19.8,15.0,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,232.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,20.0,nan,2017-10-01,2018-03-31
420071,SELF REGIONAL HEALTHCARE,1325 SPRING STREET,GREENWOOD,SC,29646,GREENWOOD,Hours of physical-restraint use,0.05,6.67,5791.0,nan,Hours of seclusion use,0.14,19.45,5791.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,18.0,nan,Screening for metabolic disorders (SMD),87.0,291.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,598.0,nan,Alcohol use brief intervention provided or offered,99.0,102.0,nan,99.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,218.0,nan,98.0,218.0,nan,Tobacco use screening,98.0,584.0,nan,Tobacco use treatment provided or offered,100.0,65.0,nan,92.0,65.0,nan,Tobacco use treatment provided or offered at discharge,76.0,249.0,nan,45.0,249.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,659.0,nan,Timely transmission of transition record (TR2),88.0,659.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.5,43.0,nan,14.0,43.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,237.0,19.1,15.2,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,182.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,34.0,nan,2017-10-01,2018-03-31
420078,GHS GREENVILLE MEMORIAL HOSPITAL,701 GROVE RD,GREENVILLE,SC,29605,GREENVILLE,Hours of physical-restraint use,0.07,20.07,11566.0,nan,Hours of seclusion use,0.18,49.65,11566.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,22.0,nan,Screening for metabolic disorders (SMD),30.0,280.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,389.0,nan,Alcohol use brief intervention provided or offered,0.0,71.0,nan,0.0,71.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,185.0,nan,8.0,185.0,nan,Tobacco use screening,91.0,409.0,nan,Tobacco use treatment provided or offered,4.0,204.0,nan,4.0,204.0,nan,Tobacco use treatment provided or offered at discharge,51.0,196.0,nan,0.0,196.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,702.0,nan,Timely transmission of transition record (TR2),0.0,702.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.8,120.0,nan,29.2,120.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,328.0,15.8,12.7,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),69.0,350.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,182.0,nan,2017-10-01,2018-03-31
420079,TRIDENT MEDICAL CENTER,9330 MEDICAL PLAZA DR,CHARLESTON,SC,29406,CHARLESTON,Hours of physical-restraint use,0.0,0.95,8767.0,nan,Hours of seclusion use,0.03,7.17,8767.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,95.0,20.0,nan,Screening for metabolic disorders (SMD),97.0,186.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,700.0,nan,Alcohol use brief intervention provided or offered,99.0,181.0,nan,99.0,181.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,304.0,nan,95.0,304.0,nan,Tobacco use screening,99.0,700.0,nan,Tobacco use treatment provided or offered,100.0,402.0,nan,73.0,402.0,nan,Tobacco use treatment provided or offered at discharge,99.0,396.0,nan,7.0,396.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),97.0,382.0,nan,Timely transmission of transition record (TR2),96.0,382.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.2,110.0,nan,21.8,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,296.0,26.0,22.0,30.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,352.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,102.0,nan,2017-10-01,2018-03-31
420082,AIKEN REGIONAL MEDICAL CENTER,302 UNIVERSITY PARKWAY,AIKEN,SC,29801,AIKEN,Hours of physical-restraint use,0.02,7.7,15062.0,nan,Hours of seclusion use,0.0,0.17,15062.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,15.0,20.0,nan,Screening for metabolic disorders (SMD),45.0,229.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,180.0,nan,Alcohol use brief intervention provided or offered,51.0,49.0,nan,49.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,95.0,nan,16.0,95.0,nan,Tobacco use screening,88.0,182.0,nan,Tobacco use treatment provided or offered,70.0,98.0,nan,30.0,98.0,nan,Tobacco use treatment provided or offered at discharge,41.0,97.0,nan,14.0,97.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,566.0,nan,Timely transmission of transition record (TR2),0.0,566.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.2,159.0,nan,26.4,159.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,525.0,19.8,16.7,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,288.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,142.0,nan,2017-10-01,2018-03-31
420083,MARY BLACK HEALTH SYSTEM SPARTANBURG,1700 SKYLYN DR PO BOX 3217,SPARTANBURG,SC,29307,SPARTANBURG,Hours of physical-restraint use,0.0,0.0,3747.0,nan,Hours of seclusion use,0.0,0.0,3747.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,234.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,307.0,nan,Alcohol use brief intervention provided or offered,91.0,22.0,nan,86.0,22.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,31.0,nan,94.0,31.0,nan,Tobacco use screening,100.0,307.0,nan,Tobacco use treatment provided or offered,93.0,69.0,nan,25.0,69.0,nan,Tobacco use treatment provided or offered at discharge,92.0,52.0,nan,6.0,52.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),94.0,312.0,nan,Timely transmission of transition record (TR2),94.0,312.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.0,30.0,nan,6.7,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,292.0,20.5,16.4,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,143.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,33.0,nan,2017-10-01,2018-03-31
420086,PALMETTO HEALTH BAPTIST,1330 TAYLOR AT MARION ST,COLUMBIA,SC,29220,RICHLAND,Hours of physical-restraint use,0.06,14.87,10559.0,nan,Hours of seclusion use,0.03,8.55,10559.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,14.0,14.0,nan,Screening for metabolic disorders (SMD),1.0,208.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,294.0,nan,Alcohol use brief intervention provided or offered,100.0,57.0,nan,100.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,51.0,nan,69.0,51.0,nan,Tobacco use screening,98.0,296.0,nan,Tobacco use treatment provided or offered,97.0,100.0,nan,78.0,100.0,nan,Tobacco use treatment provided or offered at discharge,59.0,98.0,nan,58.0,98.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,623.0,nan,Timely transmission of transition record (TR2),4.0,623.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,72.0,nan,41.7,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,172.0,15.5,11.9,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,119.0,nan,2017-10-01,2018-03-31
424002,LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL,152 WACCAMAW MEDICAL PARK DRIVE,CONWAY,SC,29526,HORRY,Hours of physical-restraint use,0.02,14.31,28075.0,nan,Hours of seclusion use,0.0,0.0,28075.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,20.0,nan,Screening for metabolic disorders (SMD),87.0,467.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,364.0,nan,Alcohol use brief intervention provided or offered,92.0,59.0,nan,88.0,59.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,283.0,nan,61.0,283.0,nan,Tobacco use screening,99.0,371.0,nan,Tobacco use treatment provided or offered,92.0,236.0,nan,84.0,236.0,nan,Tobacco use treatment provided or offered at discharge,24.0,233.0,nan,5.0,233.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,769.0,nan,Timely transmission of transition record (TR2),99.0,769.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.4,531.0,nan,12.1,531.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1781.0,19.4,17.7,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),50.0,389.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),78.0,392.0,nan,2017-10-01,2018-03-31
424005,G WERBER BRYAN PSYCH HOSP,220 FAISON DR,COLUMBIA,SC,29203,RICHLAND,Hours of physical-restraint use,0.27,873.5,134363.0,nan,Hours of seclusion use,0.19,618.5,134363.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,29.0,nan,Screening for metabolic disorders (SMD),99.0,259.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,60.0,275.0,nan,Alcohol use brief intervention provided or offered,74.0,98.0,nan,61.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,13.0,nan,54.0,13.0,nan,Tobacco use screening,92.0,261.0,nan,Tobacco use treatment provided or offered,45.0,239.0,nan,39.0,239.0,nan,Tobacco use treatment provided or offered at discharge,10.0,239.0,nan,6.0,239.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,634.0,nan,Timely transmission of transition record (TR2),99.0,634.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),38.0,207.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,529.0,nan,2017-10-01,2018-03-31
424006,PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH,2777 SPEISSEGGER DRIVE,CHARLESTON,SC,29405,CHARLESTON,Hours of physical-restraint use,0.01,6.08,23728.0,nan,Hours of seclusion use,0.01,7.18,23728.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,18.0,nan,Screening for metabolic disorders (SMD),73.0,261.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,490.0,nan,Alcohol use brief intervention provided or offered,84.0,225.0,nan,79.0,225.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,260.0,nan,51.0,260.0,nan,Tobacco use screening,98.0,490.0,nan,Tobacco use treatment provided or offered,83.0,286.0,nan,55.0,286.0,nan,Tobacco use treatment provided or offered at discharge,61.0,267.0,nan,0.0,267.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,748.0,nan,Timely transmission of transition record (TR2),45.0,748.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.9,265.0,nan,26.8,265.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,786.0,22.2,19.6,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,382.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,362.0,nan,2017-10-01,2018-03-31
424007,SPRINGBROOK BEHAVIORAL HEALTH SYSTEM,ONE HAVENWOOD LANE  PO BOX 1005,TRAVELERS REST,SC,29690,GREENVILLE,Hours of physical-restraint use,0.01,4.08,12114.0,nan,Hours of seclusion use,0.02,7.25,12114.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,82.0,nan,Screening for metabolic disorders (SMD),23.0,560.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,1013.0,nan,Alcohol use brief intervention provided or offered,98.0,257.0,nan,82.0,257.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,390.0,nan,52.0,390.0,nan,Tobacco use screening,79.0,1017.0,nan,Tobacco use treatment provided or offered,80.0,559.0,nan,4.0,559.0,nan,Tobacco use treatment provided or offered at discharge,47.0,459.0,nan,0.0,459.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,1033.0,nan,Timely transmission of transition record (TR2),66.0,1033.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.3,221.0,nan,19.0,221.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,518.0,18.3,15.6,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,470.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,259.0,nan,2017-10-01,2018-03-31
424008,THREE RIVERS BEHAVIORAL HEALTH,2900 SUNSET BOULEVARD,WEST COLUMBIA,SC,29169,LEXINGTON,Hours of physical-restraint use,0.07,50.33,29003.0,nan,Hours of seclusion use,0.29,202.7,29003.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,29.0,nan,Screening for metabolic disorders (SMD),73.0,260.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,464.0,nan,Alcohol use brief intervention provided or offered,82.0,114.0,nan,81.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,219.0,nan,40.0,219.0,nan,Tobacco use screening,98.0,463.0,nan,Tobacco use treatment provided or offered,93.0,148.0,nan,74.0,148.0,nan,Tobacco use treatment provided or offered at discharge,31.0,139.0,nan,7.0,139.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,744.0,nan,Timely transmission of transition record (TR2),73.0,744.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,365.0,nan,20.0,365.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1203.0,16.9,14.9,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,370.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,462.0,nan,2017-10-01,2018-03-31
424010,"CAROLINA CTR FOR BEHAVIORAL HEALTH,THE",2700 E PHILLIPS RD,GREER,SC,29650,GREENVILLE,Hours of physical-restraint use,0.02,18.38,40394.0,nan,Hours of seclusion use,0.03,32.5,40394.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,16.0,nan,Screening for metabolic disorders (SMD),84.0,261.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,643.0,nan,Alcohol use brief intervention provided or offered,85.0,233.0,nan,73.0,233.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,342.0,nan,52.0,342.0,nan,Tobacco use screening,100.0,643.0,nan,Tobacco use treatment provided or offered,94.0,397.0,nan,5.0,397.0,nan,Tobacco use treatment provided or offered at discharge,60.0,393.0,nan,1.0,393.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),94.0,911.0,nan,Timely transmission of transition record (TR2),77.0,911.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.2,480.0,nan,24.0,480.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1988.0,18.6,16.9,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,453.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,483.0,nan,2017-10-01,2018-03-31
424011,PATRICK B HARRIS PSYCHIATRIC HOSPITAL,130 HIGHWAY 252,ANDERSON,SC,29622,ANDERSON,Hours of physical-restraint use,0.02,16.76,41969.0,nan,Hours of seclusion use,0.38,384.73,41969.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,70.0,23.0,nan,Screening for metabolic disorders (SMD),99.0,263.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,367.0,nan,Alcohol use brief intervention provided or offered,87.0,192.0,nan,86.0,192.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,192.0,nan,0.0,192.0,nan,Tobacco use screening,94.0,345.0,nan,Tobacco use treatment provided or offered,75.0,226.0,nan,12.0,226.0,nan,Tobacco use treatment provided or offered at discharge,0.0,226.0,nan,0.0,226.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,371.0,nan,Timely transmission of transition record (TR2),86.0,371.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.8,16.0,nan,25.0,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,26.0,17.7,12.5,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),31.0,86.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,227.0,nan,2017-10-01,2018-03-31
424014,REBOUND BEHAVIORAL HEALTH,134 EAST REBOUND ROAD,LANCASTER,SC,29720,LANCASTER,Hours of physical-restraint use,0.17,53.77,13154.0,nan,Hours of seclusion use,0.03,9.67,13154.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,4.0,24.0,nan,Screening for metabolic disorders (SMD),84.0,361.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,566.0,nan,Alcohol use brief intervention provided or offered,89.0,195.0,nan,87.0,195.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,344.0,nan,47.0,344.0,nan,Tobacco use screening,97.0,568.0,nan,Tobacco use treatment provided or offered,78.0,219.0,nan,3.0,219.0,nan,Tobacco use treatment provided or offered at discharge,68.0,213.0,nan,1.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),63.0,617.0,nan,Timely transmission of transition record (TR2),63.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.7,167.0,nan,24.0,167.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,545.0,17.9,15.3,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),60.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,130.0,nan,2017-10-01,2018-03-31
430014,AVERA ST LUKES,305 S STATE ST  POST OFFICE BOX 4450,ABERDEEN,SD,57401,BROWN,Hours of physical-restraint use,0.0,0.0,2195.0,nan,Hours of seclusion use,0.0,0.0,2195.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,14.0,nan,Screening for metabolic disorders (SMD),90.0,138.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,370.0,nan,Alcohol use brief intervention provided or offered,98.0,98.0,nan,62.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,172.0,nan,63.0,172.0,nan,Tobacco use screening,100.0,410.0,nan,Tobacco use treatment provided or offered,97.0,259.0,nan,16.0,259.0,nan,Tobacco use treatment provided or offered at discharge,94.0,224.0,nan,0.0,224.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),86.0,624.0,nan,Timely transmission of transition record (TR2),85.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.5,73.0,nan,12.3,73.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,208.0,20.4,16.3,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,99.0,nan,2017-10-01,2018-03-31
430016,AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER,1325 S CLIFF AVE  POST OFFICE BOX 5045,SIOUX FALLS,SD,57117,MINNEHAHA,Hours of physical-restraint use,0.09,7.5,3518.0,nan,Hours of seclusion use,0.0,0.0,3518.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,142.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,63.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,93.0,105.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,195.0,nan,Timely transmission of transition record (TR2),0.0,195.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.8,65.0,nan,23.1,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,354.0,17.7,14.2,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,85.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,328.0,nan,2017-10-01,2018-03-31
430077,REGIONAL HEALTH RAPID CITY HOSPITAL,353 FAIRMONT BLVD  POST OFFICE BOX 6000,RAPID CITY,SD,57701,PENNINGTON,Hours of physical-restraint use,1.01,16.63,689.0,nan,Hours of seclusion use,55.06,910.4,689.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,11.0,nan,Screening for metabolic disorders (SMD),14.0,137.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,272.0,nan,Alcohol use brief intervention provided or offered,48.0,90.0,nan,31.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,125.0,nan,26.0,125.0,nan,Tobacco use screening,96.0,278.0,nan,Tobacco use treatment provided or offered,70.0,188.0,nan,32.0,188.0,nan,Tobacco use treatment provided or offered at discharge,34.0,174.0,nan,5.0,174.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),32.0,638.0,nan,Timely transmission of transition record (TR2),24.0,638.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,47.2,72.0,nan,23.6,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,269.0,22.8,18.9,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),61.0,318.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,89.0,nan,2017-10-01,2018-03-31
434003,SOUTH DAKOTA HUMAN SERVICES CENTER,3515 BROADWAY AVE   POST OFFICE BOX 7600,YANKTON,SD,57078,YANKTON,Hours of physical-restraint use,0.13,51.7,17201.0,nan,Hours of seclusion use,0.71,292.58,17201.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,41.0,46.0,nan,Screening for metabolic disorders (SMD),91.0,317.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,534.0,nan,Alcohol use brief intervention provided or offered,43.0,184.0,nan,43.0,184.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,17.0,344.0,nan,17.0,344.0,nan,Tobacco use screening,86.0,562.0,nan,Tobacco use treatment provided or offered,83.0,246.0,nan,36.0,246.0,nan,Tobacco use treatment provided or offered at discharge,20.0,224.0,nan,0.0,224.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,498.0,nan,Timely transmission of transition record (TR2),45.0,498.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.9,87.0,nan,16.1,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,359.0,19.8,16.5,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1156.0,nan,2017-10-01,2018-03-31
440003,SUMNER REGIONAL MEDICAL CENTER,555 HARTSVILLE PIKE,GALLATIN,TN,37066,SUMNER,Hours of physical-restraint use,0.0,0.0,2544.0,nan,Hours of seclusion use,0.0,0.0,2544.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,11.0,nan,Screening for metabolic disorders (SMD),45.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,157.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,152.0,nan,Tobacco use treatment provided or offered,83.0,12.0,nan,75.0,12.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,162.0,nan,Timely transmission of transition record (TR2),23.0,162.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,13.0,nan,15.4,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,147.0,20.3,15.2,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,71.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,23.0,nan,2017-10-01,2018-03-31
440006,TRISTAR SKYLINE MEDICAL CENTER,3441 DICKERSON PIKE,NASHVILLE,TN,37207,DAVIDSON,Hours of physical-restraint use,0.01,0.87,3702.0,nan,Hours of seclusion use,0.01,1.23,3702.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,201.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,58.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,13.0,nan,0.0,13.0,nan,Tobacco use screening,95.0,60.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),7.0,303.0,nan,Timely transmission of transition record (TR2),6.0,303.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.0,46.0,nan,13.0,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,87.0,19.2,14.2,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,134.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,359.0,nan,2017-10-01,2018-03-31
440011,BLOUNT MEMORIAL HOSPITAL,907 E LAMAR ALEXANDER PARKWAY,MARYVILLE,TN,37804,BLOUNT,Hours of physical-restraint use,0.0,0.0,5322.0,nan,Hours of seclusion use,0.19,23.75,5322.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),47.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,529.0,nan,Alcohol use brief intervention provided or offered,99.0,177.0,nan,97.0,177.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,292.0,nan,54.0,292.0,nan,Tobacco use screening,100.0,531.0,nan,Tobacco use treatment provided or offered,98.0,276.0,nan,66.0,276.0,nan,Tobacco use treatment provided or offered at discharge,83.0,253.0,nan,5.0,253.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,541.0,nan,Timely transmission of transition record (TR2),0.0,542.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.2,65.0,nan,21.5,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,269.0,22.0,17.8,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,283.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),48.0,48.0,nan,2017-10-01,2018-03-31
440012,BRISTOL REGIONAL MEDICAL CENTER,ONE MEDICAL PARK BLVD,BRISTOL,TN,37620,SULLIVAN,Hours of physical-restraint use,0.0,0.0,6195.0,nan,Hours of seclusion use,0.19,27.6,6195.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,308.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,488.0,nan,Alcohol use brief intervention provided or offered,93.0,90.0,nan,92.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,122.0,nan,84.0,122.0,nan,Tobacco use screening,99.0,485.0,nan,Tobacco use treatment provided or offered,96.0,287.0,nan,85.0,287.0,nan,Tobacco use treatment provided or offered at discharge,89.0,270.0,nan,16.0,270.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),92.0,612.0,nan,Timely transmission of transition record (TR2),88.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.1,111.0,nan,16.2,111.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,500.0,24.1,20.7,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,65.0,nan,2017-10-01,2018-03-31
440016,BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY,631 RB WILSON DR,HUNTINGDON,TN,38344,CARROLL,Hours of physical-restraint use,0.0,0.0,1533.0,nan,Hours of seclusion use,0.0,0.0,1533.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,69.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,132.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,132.0,nan,Tobacco use treatment provided or offered,71.0,21.0,nan,48.0,21.0,nan,Tobacco use treatment provided or offered at discharge,75.0,12.0,nan,33.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,134.0,nan,Timely transmission of transition record (TR2),99.0,134.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,81.8,11.0,nan,36.4,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,178.0,20.7,16.0,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,69.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,237.0,nan,2017-10-01,2018-03-31
440018,SYCAMORE SHOALS HOSPITAL,1501 WEST ELK AVENUE,ELIZABETHTON,TN,37643,CARTER,Hours of physical-restraint use,54.0,4918.6,3795.0,nan,Hours of seclusion use,0.0,0.0,3795.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,317.0,nan,Alcohol use brief intervention provided or offered,89.0,19.0,nan,89.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,50.0,nan,20.0,50.0,nan,Tobacco use screening,95.0,317.0,nan,Tobacco use treatment provided or offered,94.0,79.0,nan,8.0,79.0,nan,Tobacco use treatment provided or offered at discharge,83.0,48.0,nan,0.0,48.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),73.0,337.0,nan,Timely transmission of transition record (TR2),69.0,337.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.9,19.0,nan,26.3,19.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,205.0,18.3,14.6,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,101.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,33.0,nan,2017-10-01,2018-03-31
440020,SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI,1265 E COLLEGE ST,PULASKI,TN,38478,GILES,Hours of physical-restraint use,0.0,0.0,2920.0,nan,Hours of seclusion use,0.0,0.0,2920.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),82.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,168.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,169.0,nan,Tobacco use treatment provided or offered,48.0,25.0,nan,24.0,25.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),79.0,170.0,nan,Timely transmission of transition record (TR2),78.0,170.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,12.0,nan,41.7,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,273.0,22.6,18.1,27.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,70.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,111.0,nan,2017-10-01,2018-03-31
440030,MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION,908 W 4TH NORTH ST,MORRISTOWN,TN,37814,HAMBLEN,Hours of physical-restraint use,0.0,0.0,3740.0,nan,Hours of seclusion use,0.0,0.0,3740.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),75.0,202.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),41.0,292.0,nan,Timely transmission of transition record (TR2),38.0,292.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,322.0,18.7,15.0,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,125.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,63.0,nan,2017-10-01,2018-03-31
440033,TENNOVA HEALTHCARE-LAFOLLETT MEDICAL CENTER,923 EAST CENTRAL AVENUE,LA FOLLETTE,TN,37766,CAMPBELL,Hours of physical-restraint use,0.25,20.52,3392.0,nan,Hours of seclusion use,0.0,0.0,3392.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,22.0,nan,Screening for metabolic disorders (SMD),31.0,190.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,210.0,nan,Alcohol use brief intervention provided or offered,0.0,14.0,nan,0.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,7.0,15.0,nan,0.0,15.0,nan,Tobacco use screening,98.0,210.0,nan,Tobacco use treatment provided or offered,78.0,50.0,nan,8.0,50.0,nan,Tobacco use treatment provided or offered at discharge,75.0,28.0,nan,0.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),34.0,256.0,nan,Timely transmission of transition record (TR2),34.0,256.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.0,30.0,nan,16.7,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,299.0,20.0,16.3,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,111.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,27.0,nan,2017-10-01,2018-03-31
440039,VANDERBILT UNIVERSITY MEDICAL CENTER,1211 MEDICAL CENTER DRIVE,NASHVILLE,TN,37232,DAVIDSON,Hours of physical-restraint use,0.09,61.65,28991.0,nan,Hours of seclusion use,0.12,81.72,28991.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),20.0,314.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,529.0,nan,Alcohol use brief intervention provided or offered,58.0,190.0,nan,46.0,190.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,244.0,nan,80.0,244.0,nan,Tobacco use screening,99.0,529.0,nan,Tobacco use treatment provided or offered,78.0,244.0,nan,66.0,244.0,nan,Tobacco use treatment provided or offered at discharge,30.0,220.0,nan,2.0,220.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),13.0,693.0,nan,Timely transmission of transition record (TR2),6.0,693.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.4,205.0,nan,33.7,205.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,607.0,22.4,19.6,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,338.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,829.0,nan,2017-10-01,2018-03-31
440040,PERRY COMMUNITY HOSPITAL,2718 SQUIRREL HOLLOW DRIVE,LINDEN,TN,37096,PERRY,Hours of physical-restraint use,0.0,0.0,2191.0,nan,Hours of seclusion use,0.0,0.0,2191.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,158.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,158.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,158.0,nan,Timely transmission of transition record (TR2),100.0,158.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,280.0,21.1,16.8,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,77.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,32.0,nan,2017-10-01,2018-03-31
440049,METHODIST HEALTHCARE MEMPHIS HOSPITALS,1265 UNION AVE SUITE 700,MEMPHIS,TN,38104,SHELBY,Hours of physical-restraint use,0.06,10.0,7037.0,nan,Hours of seclusion use,0.0,0.0,7037.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),46.0,257.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,18.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,17.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,310.0,nan,Timely transmission of transition record (TR2),0.0,310.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,23.5,200.0,nan,8.5,200.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,514.0,17.7,15.3,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,121.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,33.0,nan,2017-10-01,2018-03-31
440050,GREENEVILLE COMMUNITY HOSPITAL,1420 TUSCULUM BOULEVARD,GREENEVILLE,TN,37745,GREENE,Hours of physical-restraint use,0.0,0.0,1875.0,nan,Hours of seclusion use,0.0,0.0,1875.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,23.0,nan,Screening for metabolic disorders (SMD),57.0,134.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,186.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,180.0,nan,Tobacco use treatment provided or offered,35.0,17.0,nan,29.0,17.0,nan,Tobacco use treatment provided or offered at discharge,12.0,16.0,nan,0.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),4.0,199.0,nan,Timely transmission of transition record (TR2),4.0,199.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.9,28.0,nan,21.4,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,201.0,24.6,19.5,30.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,135.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,20.0,nan,2017-10-01,2018-03-31
440058,SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER,185 HOSPITAL ROAD,WINCHESTER,TN,37398,FRANKLIN,Hours of physical-restraint use,0.0,0.0,3428.0,nan,Hours of seclusion use,0.0,0.0,3428.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,171.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,192.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,192.0,nan,Tobacco use treatment provided or offered,100.0,32.0,nan,44.0,32.0,nan,Tobacco use treatment provided or offered at discharge,67.0,12.0,nan,8.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,205.0,nan,Timely transmission of transition record (TR2),100.0,205.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,11.8,17.0,nan,5.9,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,330.0,18.8,15.2,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,103.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,249.0,nan,2017-10-01,2018-03-31
440063,JOHNSON CITY MEDICAL CENTER,400 N STATE OF FRANKLIN RD,JOHNSON CITY,TN,37604,WASHINGTON,Hours of physical-restraint use,0.29,192.05,27860.0,nan,Hours of seclusion use,0.0,0.0,27860.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,11.0,44.0,nan,Screening for metabolic disorders (SMD),51.0,545.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,955.0,nan,Alcohol use brief intervention provided or offered,11.0,193.0,nan,11.0,193.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,521.0,nan,64.0,521.0,nan,Tobacco use screening,100.0,954.0,nan,Tobacco use treatment provided or offered,98.0,698.0,nan,10.0,698.0,nan,Tobacco use treatment provided or offered at discharge,95.0,585.0,nan,0.0,585.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),31.0,1137.0,nan,Timely transmission of transition record (TR2),31.0,1137.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.1,72.0,nan,16.7,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,265.0,20.8,17.5,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,525.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,4621.0,nan,2017-10-01,2018-03-31
440068,STARR REGIONAL MEDICAL CENTER ATHENS,1114 W MADISON AVE,ATHENS,TN,37371,MC MINN,Hours of physical-restraint use,0.0,0.0,3837.0,nan,Hours of seclusion use,0.0,0.0,3837.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),75.0,181.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,208.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,208.0,nan,Tobacco use treatment provided or offered,72.0,25.0,nan,52.0,25.0,nan,Tobacco use treatment provided or offered at discharge,15.0,13.0,nan,8.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,278.0,nan,Timely transmission of transition record (TR2),93.0,278.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,31.3,16.0,nan,6.3,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,317.0,17.3,13.7,21.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,135.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,28.0,nan,2017-10-01,2018-03-31
440082,SAINT THOMAS WEST HOSPITAL,"4220 HARDING RD, PO BOX 380",NASHVILLE,TN,37205,DAVIDSON,Hours of physical-restraint use,94.55,6612.28,2914.0,nan,Hours of seclusion use,0.0,0.0,2914.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),18.0,93.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,37.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,31.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),42.0,130.0,nan,Timely transmission of transition record (TR2),42.0,130.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,18.0,nan,38.9,18.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,168.0,16.9,13.0,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,61.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,4152.0,nan,2017-10-01,2018-03-31
440102,LINCOLN MEDICAL CENTER,106 MEDICAL CENTER BLVD,FAYETTEVILLE,TN,37334,LINCOLN,Hours of physical-restraint use,0.0,0.0,411.0,nan,Hours of seclusion use,0.0,0.0,411.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,22.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,29.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,29.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,20.0,nan,Timely transmission of transition record (TR2),35.0,20.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
440104,ERLANGER MEDICAL CENTER,975 E 3RD ST,CHATTANOOGA,TN,37403,HAMILTON,Hours of physical-restraint use,0.0,0.0,3877.0,nan,Hours of seclusion use,0.0,0.0,3877.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,218.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,216.0,nan,Timely transmission of transition record (TR2),100.0,216.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,16.7,12.0,nan,0.0,12.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,355.0,18.2,14.8,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),70.0,101.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,21.0,nan,2017-10-01,2018-03-31
440120,TENNOVA HEALTHCARE-NORTH KNOXVILLE MEDICAL CENTER,7565 DANNAHER WAY POWELL,POWELL,TN,37849,KNOX,Hours of physical-restraint use,0.03,4.25,6838.0,nan,Hours of seclusion use,0.09,15.43,6838.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,57.0,28.0,nan,Screening for metabolic disorders (SMD),5.0,364.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,643.0,nan,Alcohol use brief intervention provided or offered,82.0,180.0,nan,82.0,180.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,295.0,nan,80.0,295.0,nan,Tobacco use screening,96.0,656.0,nan,Tobacco use treatment provided or offered,97.0,360.0,nan,85.0,360.0,nan,Tobacco use treatment provided or offered at discharge,69.0,303.0,nan,46.0,303.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,666.0,nan,Timely transmission of transition record (TR2),0.0,666.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.9,142.0,nan,28.9,142.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,626.0,23.1,20.1,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,321.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,171.0,nan,2017-10-01,2018-03-31
440132,HENRY COUNTY MEDICAL CENTER,301 TYSON AV,PARIS,TN,38242,HENRY,Hours of physical-restraint use,0.0,0.0,3641.0,nan,Hours of seclusion use,0.08,6.6,3641.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,187.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,383.0,nan,Alcohol use brief intervention provided or offered,78.0,18.0,nan,78.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,59.0,nan,20.0,59.0,nan,Tobacco use screening,100.0,386.0,nan,Tobacco use treatment provided or offered,86.0,189.0,nan,77.0,189.0,nan,Tobacco use treatment provided or offered at discharge,68.0,160.0,nan,36.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),33.0,392.0,nan,Timely transmission of transition record (TR2),76.0,392.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,66.0,nan,30.3,66.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,248.0,22.0,17.7,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,171.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,32.0,nan,2017-10-01,2018-03-31
440151,SAINT THOMAS RIVER PARK HOSPITAL,1559 SPARTA STREET,MC MINNVILLE,TN,37110,WARREN,Hours of physical-restraint use,0.01,0.68,2335.0,nan,Hours of seclusion use,0.0,0.0,2335.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),81.0,129.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,28.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,25.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),43.0,176.0,nan,Timely transmission of transition record (TR2),41.0,176.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,18.8,16.0,nan,6.3,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,177.0,18.6,14.6,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,79.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,609.0,nan,2017-10-01,2018-03-31
440156,PARKRIDGE MEDICAL CENTER,2333 MCCALLIE AVE,CHATTANOOGA,TN,37404,HAMILTON,Hours of physical-restraint use,0.01,1.77,9351.0,nan,Hours of seclusion use,0.3,66.68,9351.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),72.0,553.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,159.0,nan,Alcohol use brief intervention provided or offered,84.0,25.0,nan,84.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,34.0,nan,44.0,34.0,nan,Tobacco use screening,100.0,160.0,nan,Tobacco use treatment provided or offered,97.0,60.0,nan,93.0,60.0,nan,Tobacco use treatment provided or offered at discharge,83.0,58.0,nan,3.0,58.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),46.0,792.0,nan,Timely transmission of transition record (TR2),42.0,792.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,223.0,nan,14.3,223.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,641.0,21.9,19.0,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,389.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,437.0,nan,2017-10-01,2018-03-31
440159,DELTA MEDICAL CENTER,3000 GETWELL RD,MEMPHIS,TN,38118,SHELBY,Hours of physical-restraint use,0.18,169.55,39294.0,nan,Hours of seclusion use,0.0,0.0,39294.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,39.0,nan,Screening for metabolic disorders (SMD),100.0,412.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,596.0,nan,Alcohol use brief intervention provided or offered,100.0,113.0,nan,100.0,113.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,226.0,nan,85.0,226.0,nan,Tobacco use screening,99.0,596.0,nan,Tobacco use treatment provided or offered,100.0,11.0,nan,82.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,612.0,nan,Timely transmission of transition record (TR2),26.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,27.1,350.0,nan,12.9,350.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1383.0,22.5,20.6,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,251.0,nan,2017-10-01,2018-03-31
440161,TRISTAR CENTENNIAL MEDICAL CENTER,2300 PATTERSON STREET,NASHVILLE,TN,37203,DAVIDSON,Hours of physical-restraint use,0.01,8.27,38541.0,nan,Hours of seclusion use,0.04,37.05,38541.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,16.0,nan,Screening for metabolic disorders (SMD),84.0,427.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,350.0,nan,Alcohol use brief intervention provided or offered,84.0,123.0,nan,84.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,178.0,nan,77.0,178.0,nan,Tobacco use screening,97.0,350.0,nan,Tobacco use treatment provided or offered,85.0,203.0,nan,14.0,203.0,nan,Tobacco use treatment provided or offered at discharge,99.0,180.0,nan,0.0,180.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),10.0,852.0,nan,Timely transmission of transition record (TR2),9.0,852.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.1,460.0,nan,24.8,460.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1888.0,25.1,23.4,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,409.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,8014.0,nan,2017-10-01,2018-03-31
440173,PARKWEST MEDICAL CENTER,9352 PARK WEST BLVD,KNOXVILLE,TN,37923,KNOX,Hours of physical-restraint use,0.0,0.0,5386.0,nan,Hours of seclusion use,0.0,0.0,5386.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),49.0,290.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,180.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,181.0,nan,Tobacco use treatment provided or offered,54.0,13.0,nan,46.0,13.0,nan,Tobacco use treatment provided or offered at discharge,27.0,11.0,nan,9.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,415.0,nan,Timely transmission of transition record (TR2),11.0,415.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,27.0,nan,22.2,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,534.0,21.2,17.8,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,218.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,96.0,nan,2017-10-01,2018-03-31
440183,ST FRANCIS HOSPITAL,5959 PARK AVE,MEMPHIS,TN,38119,SHELBY,Hours of physical-restraint use,0.25,13.53,2242.0,nan,Hours of seclusion use,0.0,0.0,2242.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,263.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,586.0,nan,Alcohol use brief intervention provided or offered,97.0,72.0,nan,96.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,143.0,nan,38.0,143.0,nan,Tobacco use screening,100.0,585.0,nan,Tobacco use treatment provided or offered,95.0,184.0,nan,83.0,184.0,nan,Tobacco use treatment provided or offered at discharge,66.0,173.0,nan,60.0,173.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,621.0,nan,Timely transmission of transition record (TR2),40.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.7,92.0,nan,14.1,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,480.0,18.4,15.4,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,306.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,84.0,nan,2017-10-01,2018-03-31
440187,LIVINGSTON REGIONAL HOSPITAL,315 OAK ST BOX 550,LIVINGSTON,TN,38570,OVERTON,Hours of physical-restraint use,0.0,0.05,2947.0,nan,Hours of seclusion use,0.0,0.0,2947.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,18.0,nan,Screening for metabolic disorders (SMD),51.0,172.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,230.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,9.0,11.0,nan,0.0,11.0,nan,Tobacco use screening,100.0,227.0,nan,Tobacco use treatment provided or offered,52.0,48.0,nan,38.0,48.0,nan,Tobacco use treatment provided or offered at discharge,42.0,33.0,nan,3.0,33.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,228.0,nan,Timely transmission of transition record (TR2),0.0,228.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.2,37.0,nan,13.5,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,291.0,19.6,15.8,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,102.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,399.0,nan,2017-10-01,2018-03-31
440192,SAINT THOMAS HIGHLANDS HOSPITAL,401 SEWELL DR,SPARTA,TN,38583,WHITE,Hours of physical-restraint use,0.01,0.75,3067.0,nan,Hours of seclusion use,0.0,0.0,3067.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),52.0,109.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,29.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,29.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),58.0,220.0,nan,Timely transmission of transition record (TR2),57.0,220.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,17.4,23.0,nan,8.7,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,358.0,23.5,19.3,28.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,106.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,381.0,nan,2017-10-01,2018-03-31
440193,TENNOVA HEALTHCARE-LEBANON,1411 BADDOUR PARKWAY,LEBANON,TN,37087,WILSON,Hours of physical-restraint use,0.0,0.0,7728.0,nan,Hours of seclusion use,1.06,196.85,7728.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,31.0,nan,Screening for metabolic disorders (SMD),85.0,459.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,672.0,nan,Alcohol use brief intervention provided or offered,83.0,179.0,nan,47.0,179.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,354.0,nan,9.0,354.0,nan,Tobacco use screening,100.0,681.0,nan,Tobacco use treatment provided or offered,94.0,494.0,nan,77.0,494.0,nan,Tobacco use treatment provided or offered at discharge,99.0,475.0,nan,0.0,475.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),29.0,681.0,nan,Timely transmission of transition record (TR2),11.0,681.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.7,117.0,nan,23.1,117.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,282.0,23.3,19.7,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,338.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,35.0,nan,2017-10-01,2018-03-31
440200,SAINT THOMAS STONES RIVER HOSPITAL,324 DOOLITTLE ROAD,WOODBURY,TN,37190,CANNON,Hours of physical-restraint use,0.0,0.0,2830.0,nan,Hours of seclusion use,0.0,0.0,2830.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),45.0,152.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,35.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,97.0,33.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),47.0,197.0,nan,Timely transmission of transition record (TR2),43.0,197.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,18.5,27.0,nan,0.0,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,301.0,17.5,14.0,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,84.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,280.0,nan,2017-10-01,2018-03-31
440231,TRUSTPOINT HOSPITAL,1009 NORTH THOMPSON LANE,MURFREESBORO,TN,37129,RUTHERFORD,Hours of physical-restraint use,0.25,165.4,27263.0,nan,Hours of seclusion use,0.53,345.5,27263.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,22.0,23.0,nan,Screening for metabolic disorders (SMD),78.0,346.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,88.0,593.0,nan,Alcohol use brief intervention provided or offered,44.0,87.0,nan,44.0,87.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,182.0,nan,99.0,182.0,nan,Tobacco use screening,100.0,552.0,nan,Tobacco use treatment provided or offered,97.0,247.0,nan,81.0,247.0,nan,Tobacco use treatment provided or offered at discharge,72.0,236.0,nan,15.0,236.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),34.0,592.0,nan,Timely transmission of transition record (TR2),32.0,592.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.7,326.0,nan,20.2,326.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1153.0,21.3,19.1,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),33.0,310.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,352.0,nan,2017-10-01,2018-03-31
441307,RIVERVIEW REGIONAL MEDICAL CENTER,158 HOSPITAL DRIVE,CARTHAGE,TN,37030,SMITH,Hours of physical-restraint use,0.0,0.0,2472.0,nan,Hours of seclusion use,0.0,0.0,2472.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,114.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,149.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,14.0,nan,7.0,14.0,nan,Tobacco use screening,100.0,146.0,nan,Tobacco use treatment provided or offered,93.0,29.0,nan,72.0,29.0,nan,Tobacco use treatment provided or offered at discharge,86.0,22.0,nan,14.0,22.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),83.0,150.0,nan,Timely transmission of transition record (TR2),83.0,150.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,12.9,31.0,nan,6.5,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,264.0,19.2,15.4,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,64.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,23.0,nan,2017-10-01,2018-03-31
441319,CUMBERLAND RIVER HOSPITAL,100 OLD JEFFERSON ST,CELINA,TN,38551,CLAY,Hours of physical-restraint use,0.0,0.0,1457.0,nan,Hours of seclusion use,0.0,0.0,1457.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,53.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,130.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,22.0,nan,0.0,22.0,nan,Tobacco use screening,98.0,130.0,nan,Tobacco use treatment provided or offered,71.0,31.0,nan,65.0,31.0,nan,Tobacco use treatment provided or offered at discharge,8.0,24.0,nan,0.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),72.0,129.0,nan,Timely transmission of transition record (TR2),71.0,129.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,22.7,22.0,nan,9.1,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,214.0,24.0,19.3,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,75.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,19.0,nan,2017-10-01,2018-03-31
444001,MEMPHIS MENTAL HEALTH INSTITUTE,951 COURT AVENUE,MEMPHIS,TN,38103,SHELBY,Hours of physical-restraint use,0.42,185.78,18439.0,nan,Hours of seclusion use,0.14,60.9,18439.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),38.0,237.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,629.0,nan,Alcohol use brief intervention provided or offered,97.0,115.0,nan,86.0,115.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,31.0,295.0,nan,21.0,295.0,nan,Tobacco use screening,98.0,628.0,nan,Tobacco use treatment provided or offered,66.0,383.0,nan,31.0,383.0,nan,Tobacco use treatment provided or offered at discharge,35.0,347.0,nan,2.0,347.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,681.0,nan,Timely transmission of transition record (TR2),95.0,681.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,5.9,34.0,nan,0.0,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,121.0,23.2,18.8,28.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,449.0,nan,2017-10-01,2018-03-31
444002,MOCCASSIN BEND MENTAL HEALTH INSTITUTE,100 MOCCASIN BEND ROAD,CHATTANOOGA,TN,37405,HAMILTON,Hours of physical-restraint use,0.78,633.72,33675.0,nan,Hours of seclusion use,0.1,77.57,33675.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),77.0,273.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,565.0,nan,Alcohol use brief intervention provided or offered,88.0,95.0,nan,75.0,95.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,367.0,nan,20.0,367.0,nan,Tobacco use screening,95.0,559.0,nan,Tobacco use treatment provided or offered,61.0,378.0,nan,50.0,378.0,nan,Tobacco use treatment provided or offered at discharge,31.0,348.0,nan,0.0,348.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,602.0,nan,Timely transmission of transition record (TR2),6.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.5,103.0,nan,16.5,103.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,356.0,18.0,15.2,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),40.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,874.0,nan,2017-10-01,2018-03-31
444003,RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER,240 W TYRONE RD,OAK RIDGE,TN,37830,ANDERSON,Hours of physical-restraint use,0.0,0.0,4822.0,nan,Hours of seclusion use,0.06,6.43,4822.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,28.0,nan,Screening for metabolic disorders (SMD),27.0,230.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,611.0,nan,Alcohol use brief intervention provided or offered,100.0,124.0,nan,95.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,124.0,nan,56.0,124.0,nan,Tobacco use screening,100.0,611.0,nan,Tobacco use treatment provided or offered,88.0,433.0,nan,8.0,433.0,nan,Tobacco use treatment provided or offered at discharge,88.0,433.0,nan,8.0,433.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,611.0,nan,Timely transmission of transition record (TR2),92.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.4,44.0,nan,36.4,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,96.0,18.9,14.4,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),26.0,390.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,321.0,nan,2017-10-01,2018-03-31
444004,LAKESIDE BEHAVIORAL HEALTH SYSTEM,2911 BRUNSWICK RD,MEMPHIS,TN,38133,SHELBY,Hours of physical-restraint use,0.07,143.0,88150.0,nan,Hours of seclusion use,0.06,128.6,88150.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,85.0,13.0,nan,Screening for metabolic disorders (SMD),85.0,715.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,843.0,nan,Alcohol use brief intervention provided or offered,97.0,188.0,nan,52.0,188.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,367.0,nan,5.0,367.0,nan,Tobacco use screening,100.0,843.0,nan,Tobacco use treatment provided or offered,100.0,504.0,nan,8.0,504.0,nan,Tobacco use treatment provided or offered at discharge,97.0,444.0,nan,0.0,444.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),91.0,1384.0,nan,Timely transmission of transition record (TR2),86.0,1384.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.1,730.0,nan,22.1,730.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,2316.0,19.9,18.3,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,598.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,773.0,nan,2017-10-01,2018-03-31
444005,BEHAVIORAL HEALTHCARE CENTER AT MARTIN,"458 HANNINGS LANE, P O BOX 1006",MARTIN,TN,38237,WEAKLEY,Hours of physical-restraint use,0.04,3.83,3750.0,nan,Hours of seclusion use,0.0,0.0,3750.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),90.0,162.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,200.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,206.0,nan,Tobacco use treatment provided or offered,79.0,19.0,nan,79.0,19.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,194.0,nan,Timely transmission of transition record (TR2),92.0,194.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.0,16.0,nan,0.0,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,360.0,16.5,13.2,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,90.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,58.0,nan,2017-10-01,2018-03-31
444007,ROLLING HILLS PSYCHIATRIC HOSPITAL,2014 QUAIL HOLLOW CIRCLE,FRANKLIN,TN,37067,WILLIAMSON,Hours of physical-restraint use,0.03,23.81,33721.0,nan,Hours of seclusion use,0.0,1.93,33721.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,73.0,nan,Screening for metabolic disorders (SMD),50.0,386.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,701.0,nan,Alcohol use brief intervention provided or offered,95.0,132.0,nan,86.0,132.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,326.0,nan,40.0,326.0,nan,Tobacco use screening,100.0,703.0,nan,Tobacco use treatment provided or offered,86.0,402.0,nan,79.0,402.0,nan,Tobacco use treatment provided or offered at discharge,43.0,322.0,nan,11.0,322.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),38.0,932.0,nan,Timely transmission of transition record (TR2),30.0,932.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.2,264.0,nan,25.0,264.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,680.0,20.0,17.6,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,471.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,492.0,nan,2017-10-01,2018-03-31
444008,WESTERN MENTAL HEALTH INSTITUTE,11100 OLD HWY 64 WEST,BOLIVAR,TN,38008,HARDEMAN,Hours of physical-restraint use,1.6,569.8,14867.0,nan,Hours of seclusion use,0.33,118.68,14867.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,370.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,623.0,nan,Alcohol use brief intervention provided or offered,95.0,110.0,nan,81.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,311.0,nan,86.0,311.0,nan,Tobacco use screening,100.0,622.0,nan,Tobacco use treatment provided or offered,98.0,451.0,nan,84.0,451.0,nan,Tobacco use treatment provided or offered at discharge,71.0,391.0,nan,1.0,391.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,648.0,nan,Timely transmission of transition record (TR2),91.0,648.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.9,39.0,nan,17.9,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,105.0,17.1,13.2,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,238.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,582.0,nan,2017-10-01,2018-03-31
444010,"PATHWAYS OF TENNESSEE, INC",238 SUMMAR DR,JACKSON,TN,38301,MADISON,Hours of physical-restraint use,0.0,0.0,3902.0,nan,Hours of seclusion use,0.0,0.0,3902.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),100.0,37.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,929.0,nan,Alcohol use brief intervention provided or offered,89.0,917.0,nan,89.0,917.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,812.0,nan,89.0,812.0,nan,Tobacco use screening,100.0,929.0,nan,Tobacco use treatment provided or offered,100.0,697.0,nan,78.0,697.0,nan,Tobacco use treatment provided or offered at discharge,0.0,697.0,nan,0.0,697.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,929.0,nan,Timely transmission of transition record (TR2),0.0,929.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.6,17.0,nan,52.9,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,75.0,19.3,14.0,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),1.0,513.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,237.0,nan,2017-10-01,2018-03-31
444014,MIDDLE TN MENTAL HEALTH INSTITUTE,221 STEWARTS FERRY PIKE,NASHVILLE,TN,37214,DAVIDSON,Hours of physical-restraint use,0.35,165.18,19502.0,nan,Hours of seclusion use,0.17,80.85,19502.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),62.0,168.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,521.0,nan,Alcohol use brief intervention provided or offered,95.0,117.0,nan,94.0,117.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,8.0,288.0,nan,7.0,288.0,nan,Tobacco use screening,100.0,520.0,nan,Tobacco use treatment provided or offered,100.0,355.0,nan,97.0,355.0,nan,Tobacco use treatment provided or offered at discharge,82.0,265.0,nan,0.0,265.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,633.0,nan,Timely transmission of transition record (TR2),97.0,633.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.5,87.0,nan,23.0,87.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,252.0,25.2,21.6,29.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,663.0,nan,2017-10-01,2018-03-31
444019,BEHAVIORAL HEALTHCARE CENTER AT CLARKSVILLE,930 PROFESSIONAL PARK DRIVE,CLARKSVILLE,TN,37040,MONTGOMERY,Hours of physical-restraint use,0.0,0.0,4856.0,nan,Hours of seclusion use,0.0,0.0,4856.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,106.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,271.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,270.0,nan,Tobacco use treatment provided or offered,100.0,15.0,nan,93.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,278.0,nan,Timely transmission of transition record (TR2),100.0,278.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,402.0,22.2,18.3,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,104.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,54.0,nan,2017-10-01,2018-03-31
444021,BEHAVIORAL HEALTHCARE CENTER AT COLUMBIA,1400 ROSEWOOD DRIVE,COLUMBIA,TN,38401,MAURY,Hours of physical-restraint use,0.45,35.37,3305.0,nan,Hours of seclusion use,0.0,0.0,3305.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),84.0,154.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,311.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,316.0,nan,Tobacco use treatment provided or offered,0.0,20.0,nan,0.0,20.0,nan,Tobacco use treatment provided or offered at discharge,0.0,12.0,nan,0.0,12.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,316.0,nan,Timely transmission of transition record (TR2),97.0,316.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,85.0,20.0,nan,25.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,390.0,21.5,17.7,26.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,120.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),50.0,80.0,nan,2017-10-01,2018-03-31
444022,TEN BROECK TENNESSEE,1 MEDICAL CENTER BLVD 5 WEST,COOKEVILLE,TN,38501,PUTNAM,Hours of physical-restraint use,0.21,47.95,9516.0,nan,Hours of seclusion use,0.58,133.1,9516.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,41.0,34.0,nan,Screening for metabolic disorders (SMD),69.0,379.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,618.0,nan,Alcohol use brief intervention provided or offered,90.0,128.0,nan,42.0,128.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,288.0,nan,56.0,288.0,nan,Tobacco use screening,98.0,618.0,nan,Tobacco use treatment provided or offered,92.0,424.0,nan,7.0,424.0,nan,Tobacco use treatment provided or offered at discharge,59.0,348.0,nan,2.0,348.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,626.0,nan,Timely transmission of transition record (TR2),68.0,626.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.2,166.0,nan,22.9,166.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,407.0,21.8,18.7,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,331.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,229.0,nan,2017-10-01,2018-03-31
444023,OAK HILLS BEHAVIORAL CENTER,49 OLD HICKORY BLVD,JACKSON,TN,38305,MADISON,Hours of physical-restraint use,0.0,0.0,4847.0,nan,Hours of seclusion use,0.0,0.0,4847.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,192.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,255.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,253.0,nan,Tobacco use treatment provided or offered,69.0,36.0,nan,0.0,36.0,nan,Tobacco use treatment provided or offered at discharge,80.0,20.0,nan,0.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,265.0,nan,Timely transmission of transition record (TR2),52.0,265.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.3,28.0,nan,10.7,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,237.0,23.4,18.7,29.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,115.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),28.0,102.0,nan,2017-10-01,2018-03-31
444024,"BEHAVIORAL HEALTHCARE CENTER AT MEMPHIS, INC",1505 N SECOND STREET,MEMPHIS,TN,38107,SHELBY,Hours of physical-restraint use,0.89,87.22,4106.0,nan,Hours of seclusion use,0.0,0.0,4106.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,24.0,29.0,nan,Screening for metabolic disorders (SMD),72.0,117.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,248.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,98.0,249.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,248.0,nan,Timely transmission of transition record (TR2),79.0,248.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,82.0,22.7,17.0,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,141.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,50.0,nan,2017-10-01,2018-03-31
444025,CRESTWYN BEHAVIORAL HEALTH,9485 CRESTWYN HILLS COVE,MEMPHIS,TN,38125,SHELBY,Hours of physical-restraint use,0.12,51.25,18016.0,nan,Hours of seclusion use,0.18,77.88,18016.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,12.0,nan,Screening for metabolic disorders (SMD),77.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,412.0,nan,Alcohol use brief intervention provided or offered,95.0,85.0,nan,92.0,85.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,82.0,176.0,nan,56.0,176.0,nan,Tobacco use screening,99.0,409.0,nan,Tobacco use treatment provided or offered,89.0,131.0,nan,7.0,131.0,nan,Tobacco use treatment provided or offered at discharge,83.0,123.0,nan,1.0,123.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),85.0,618.0,nan,Timely transmission of transition record (TR2),85.0,618.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.6,114.0,nan,22.8,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,130.0,20.1,15.7,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,224.0,nan,2017-10-01,2018-03-31
450002,THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS,2001 N OREGON ST,EL PASO,TX,79902,EL PASO,Hours of physical-restraint use,0.0,0.0,3212.0,nan,Hours of seclusion use,0.0,0.0,3212.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),88.0,249.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,358.0,nan,Alcohol use brief intervention provided or offered,92.0,13.0,nan,46.0,13.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,32.0,nan,47.0,32.0,nan,Tobacco use screening,100.0,354.0,nan,Tobacco use treatment provided or offered,77.0,35.0,nan,40.0,35.0,nan,Tobacco use treatment provided or offered at discharge,37.0,27.0,nan,19.0,27.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,371.0,nan,Timely transmission of transition record (TR2),68.0,371.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,42.0,nan,16.7,42.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,19.3,15.3,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,162.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,21.0,nan,2017-10-01,2018-03-31
450015,PARKLAND HEALTH AND HOSPITAL SYSTEM,5200 HARRY HINES BLVD,DALLAS,TX,75235,DALLAS,Hours of physical-restraint use,0.29,30.04,4384.0,nan,Hours of seclusion use,1.16,121.62,4384.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,19.0,nan,Screening for metabolic disorders (SMD),87.0,211.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,271.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,79.0,nan,96.0,79.0,nan,Tobacco use screening,99.0,277.0,nan,Tobacco use treatment provided or offered,98.0,133.0,nan,74.0,133.0,nan,Tobacco use treatment provided or offered at discharge,88.0,113.0,nan,19.0,113.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),66.0,322.0,nan,Timely transmission of transition record (TR2),69.0,332.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.9,57.0,nan,17.5,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,120.0,19.1,14.9,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,150.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,63.0,nan,2017-10-01,2018-03-31
450033,VHS HARLINGEN HOSPITAL COMPANY LLC,2101 PEASE ST,HARLINGEN,TX,78550,CAMERON,Hours of physical-restraint use,0.0,0.0,363.0,nan,Hours of seclusion use,0.07,0.58,363.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,21.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,33.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,85.0,33.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),11.0,45.0,nan,Timely transmission of transition record (TR2),11.0,45.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,33.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,14.0,nan,2017-10-01,2018-03-31
450035,ST JOSEPH MEDICAL CENTER,1401 ST. JOSEPH PARKWAY,HOUSTON,TX,77002,HARRIS,Hours of physical-restraint use,0.02,12.31,20823.0,nan,Hours of seclusion use,0.26,129.33,20823.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,70.0,nan,Screening for metabolic disorders (SMD),32.0,414.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,61.0,591.0,nan,Alcohol use brief intervention provided or offered,51.0,90.0,nan,50.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,292.0,nan,38.0,292.0,nan,Tobacco use screening,83.0,592.0,nan,Tobacco use treatment provided or offered,30.0,302.0,nan,10.0,302.0,nan,Tobacco use treatment provided or offered at discharge,3.0,297.0,nan,2.0,297.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),19.0,653.0,nan,Timely transmission of transition record (TR2),17.0,653.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.9,344.0,nan,28.2,344.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,786.0,19.9,17.6,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,320.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,139.0,nan,2017-10-01,2018-03-31
450039,JPS HEALTH NETWORK,1500 S MAIN ST,FORT WORTH,TX,76104,TARRANT,Hours of physical-restraint use,0.04,47.06,45527.0,nan,Hours of seclusion use,0.19,211.62,45527.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,73.0,22.0,nan,Screening for metabolic disorders (SMD),82.0,471.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,735.0,nan,Alcohol use brief intervention provided or offered,96.0,123.0,nan,96.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,40.0,311.0,nan,29.0,311.0,nan,Tobacco use screening,100.0,735.0,nan,Tobacco use treatment provided or offered,76.0,382.0,nan,45.0,382.0,nan,Tobacco use treatment provided or offered at discharge,60.0,296.0,nan,15.0,296.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),64.0,746.0,nan,Timely transmission of transition record (TR2),61.0,746.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.5,114.0,nan,36.0,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,311.0,16.3,13.4,19.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,417.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
450042,PROVIDENCE HEALTH CENTER,6901 MEDICAL PARKWAY,WACO,TX,76712,MC LENNAN,Hours of physical-restraint use,0.06,9.93,7085.0,nan,Hours of seclusion use,0.0,0.0,7085.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,19.0,16.0,nan,Screening for metabolic disorders (SMD),0.0,100.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,217.0,nan,Alcohol use brief intervention provided or offered,100.0,76.0,nan,100.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,100.0,217.0,nan,Tobacco use treatment provided or offered,43.0,95.0,nan,40.0,95.0,nan,Tobacco use treatment provided or offered at discharge,0.0,91.0,nan,0.0,91.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,233.0,nan,Timely transmission of transition record (TR2),0.0,233.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,61.7,154.0,nan,37.0,154.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,482.0,22.2,19.0,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),46.0,324.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,96.0,nan,2017-10-01,2018-03-31
450046,CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI,600 ELIZABETH STREET,CORPUS CHRISTI,TX,78404,NUECES,Hours of physical-restraint use,0.01,2.82,8043.0,nan,Hours of seclusion use,0.1,19.98,8043.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),94.0,262.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,524.0,nan,Alcohol use brief intervention provided or offered,78.0,131.0,nan,69.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,286.0,nan,80.0,286.0,nan,Tobacco use screening,95.0,523.0,nan,Tobacco use treatment provided or offered,73.0,262.0,nan,69.0,262.0,nan,Tobacco use treatment provided or offered at discharge,80.0,241.0,nan,80.0,241.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),45.0,622.0,nan,Timely transmission of transition record (TR2),43.0,622.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,30.3,33.0,nan,12.1,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,18.1,13.8,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
450054,BAYLOR SCOTT & WHITE  CLINIC - TEMPLE,2401 S  31ST ST,TEMPLE,TX,76508,BELL,Hours of physical-restraint use,0.06,10.28,7305.0,nan,Hours of seclusion use,0.03,4.57,7305.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),30.0,128.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,390.0,nan,Alcohol use brief intervention provided or offered,93.0,60.0,nan,93.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,214.0,nan,11.0,214.0,nan,Tobacco use screening,100.0,389.0,nan,Tobacco use treatment provided or offered,72.0,136.0,nan,42.0,136.0,nan,Tobacco use treatment provided or offered at discharge,0.0,129.0,nan,0.0,129.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,639.0,nan,Timely transmission of transition record (TR2),0.0,639.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.7,92.0,nan,47.8,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,351.0,22.6,19.0,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,322.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,74.0,nan,2017-10-01,2018-03-31
450058,BAPTIST MEDICAL CENTER,111 DALLAS STREET,SAN ANTONIO,TX,78205,BEXAR,Hours of physical-restraint use,0.0,0.0,3905.0,nan,Hours of seclusion use,0.0,0.0,3905.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,19.0,nan,Screening for metabolic disorders (SMD),88.0,260.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,240.0,nan,Alcohol use brief intervention provided or offered,0.0,46.0,nan,0.0,46.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,4.0,70.0,nan,4.0,70.0,nan,Tobacco use screening,98.0,240.0,nan,Tobacco use treatment provided or offered,56.0,97.0,nan,55.0,97.0,nan,Tobacco use treatment provided or offered at discharge,0.0,81.0,nan,0.0,81.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,405.0,nan,Timely transmission of transition record (TR2),0.0,405.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.1,68.0,nan,26.5,68.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,265.0,25.7,21.1,30.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,177.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,18.0,nan,2017-10-01,2018-03-31
450064,TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL,800 W RANDOL MILL RD,ARLINGTON,TX,76012,TARRANT,Hours of physical-restraint use,0.02,4.05,9223.0,nan,Hours of seclusion use,0.04,9.8,9223.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,36.0,33.0,nan,Screening for metabolic disorders (SMD),74.0,351.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,376.0,nan,Alcohol use brief intervention provided or offered,88.0,121.0,nan,75.0,121.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,173.0,nan,30.0,173.0,nan,Tobacco use screening,100.0,376.0,nan,Tobacco use treatment provided or offered,94.0,178.0,nan,42.0,178.0,nan,Tobacco use treatment provided or offered at discharge,51.0,164.0,nan,1.0,164.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),5.0,682.0,nan,Timely transmission of transition record (TR2),1.0,682.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.7,61.0,nan,21.3,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,160.0,23.4,19.2,28.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,328.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,66.0,nan,2017-10-01,2018-03-31
450080,TITUS REGIONAL MEDICAL CENTER,2001 N JEFFERSON,MOUNT PLEASANT,TX,75455,TITUS,Hours of physical-restraint use,0.0,0.0,3714.0,nan,Hours of seclusion use,0.0,0.0,3714.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),43.0,174.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,213.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,217.0,nan,Tobacco use treatment provided or offered,100.0,21.0,nan,71.0,21.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),52.0,215.0,nan,Timely transmission of transition record (TR2),52.0,215.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.6,27.0,nan,7.4,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,339.0,19.6,16.0,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,106.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,28.0,nan,2017-10-01,2018-03-31
450087,MEDICAL CITY NORTH HILLS,4401 BOOTH CALLOWAY ROAD,NORTH RICHLAND HILLS,TX,76180,TARRANT,Hours of physical-restraint use,0.01,0.93,3434.0,nan,Hours of seclusion use,0.0,0.08,3434.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,239.0,nan,Alcohol use brief intervention provided or offered,86.0,21.0,nan,81.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,29.0,nan,79.0,29.0,nan,Tobacco use screening,99.0,249.0,nan,Tobacco use treatment provided or offered,98.0,61.0,nan,64.0,61.0,nan,Tobacco use treatment provided or offered at discharge,72.0,47.0,nan,53.0,47.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),74.0,266.0,nan,Timely transmission of transition record (TR2),72.0,266.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.7,28.0,nan,17.9,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,143.0,22.0,17.3,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,112.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,49.0,nan,2017-10-01,2018-03-31
450097,HCA HOUSTON HEALTHCARE SOUTHEAST,4000 SPENCER HWY,PASADENA,TX,77504,HARRIS,Hours of physical-restraint use,0.0,0.28,6285.0,nan,Hours of seclusion use,0.06,8.37,6285.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,56.0,27.0,nan,Screening for metabolic disorders (SMD),85.0,272.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,322.0,nan,Alcohol use brief intervention provided or offered,83.0,24.0,nan,75.0,24.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,15.0,20.0,nan,5.0,20.0,nan,Tobacco use screening,98.0,327.0,nan,Tobacco use treatment provided or offered,87.0,61.0,nan,23.0,61.0,nan,Tobacco use treatment provided or offered at discharge,68.0,34.0,nan,12.0,34.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),16.0,369.0,nan,Timely transmission of transition record (TR2),16.0,369.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.2,44.0,nan,20.5,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,399.0,22.2,18.6,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,201.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,59.0,nan,2017-10-01,2018-03-31
450099,PAMPA REGIONAL MEDICAL CENTER,1 MEDICAL PLAZA,PAMPA,TX,79065,GRAY,Hours of physical-restraint use,0.0,0.0,1722.0,nan,Hours of seclusion use,0.0,0.0,1722.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),93.0,86.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,38.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,40.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,118.0,nan,Timely transmission of transition record (TR2),69.0,118.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.7,15.0,nan,33.3,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,167.0,18.1,13.7,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,56.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,21.0,nan,2017-10-01,2018-03-31
450119,SOUTH TEXAS HEALTH SYSTEM,1102 W TRENTON ROAD,EDINBURG,TX,78539,HIDALGO,Hours of physical-restraint use,0.01,2.82,13854.0,nan,Hours of seclusion use,0.07,24.78,13854.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),84.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,537.0,nan,Alcohol use brief intervention provided or offered,95.0,123.0,nan,93.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,87.0,206.0,nan,87.0,206.0,nan,Tobacco use screening,100.0,537.0,nan,Tobacco use treatment provided or offered,87.0,259.0,nan,27.0,259.0,nan,Tobacco use treatment provided or offered at discharge,87.0,254.0,nan,0.0,254.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),89.0,635.0,nan,Timely transmission of transition record (TR2),79.0,635.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.7,85.0,nan,20.0,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,208.0,25.2,21.1,30.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,312.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,245.0,nan,2017-10-01,2018-03-31
450130,NIX HEALTH CARE SYSTEM,"414 NAVARRO, SUITE 600",SAN ANTONIO,TX,78205,BEXAR,Hours of physical-restraint use,0.06,13.88,9060.0,nan,Hours of seclusion use,0.0,0.0,9060.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,49.0,nan,Screening for metabolic disorders (SMD),77.0,418.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,592.0,nan,Alcohol use brief intervention provided or offered,100.0,50.0,nan,4.0,50.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,33.0,106.0,nan,29.0,106.0,nan,Tobacco use screening,99.0,588.0,nan,Tobacco use treatment provided or offered,65.0,170.0,nan,19.0,170.0,nan,Tobacco use treatment provided or offered at discharge,6.0,124.0,nan,2.0,124.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,621.0,nan,Timely transmission of transition record (TR2),0.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.7,104.0,nan,13.5,104.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,509.0,21.6,18.5,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,288.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,346.0,nan,2017-10-01,2018-03-31
450200,WADLEY REGIONAL MEDICAL CENTER,1000 PINE STREET,TEXARKANA,TX,75501,BOWIE,Hours of physical-restraint use,0.0,0.0,997.0,nan,Hours of seclusion use,0.0,0.0,997.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,120.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,78.0,194.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,93.0,194.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,201.0,nan,Timely transmission of transition record (TR2),2.0,201.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.2,45.0,nan,15.6,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,315.0,20.4,16.4,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,93.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,284.0,nan,2017-10-01,2018-03-31
450209,NORTHWEST TEXAS HOSPITAL,1501 S  COULTER ST,AMARILLO,TX,79106,POTTER,Hours of physical-restraint use,0.0,1.76,14695.0,nan,Hours of seclusion use,0.06,21.01,14695.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),50.0,199.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,483.0,nan,Alcohol use brief intervention provided or offered,73.0,111.0,nan,64.0,111.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,238.0,nan,47.0,238.0,nan,Tobacco use screening,98.0,475.0,nan,Tobacco use treatment provided or offered,80.0,246.0,nan,61.0,246.0,nan,Tobacco use treatment provided or offered at discharge,19.0,236.0,nan,10.0,236.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),96.0,630.0,nan,Timely transmission of transition record (TR2),92.0,630.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,308.0,nan,26.0,308.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,847.0,23.3,20.9,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,791.0,nan,2017-10-01,2018-03-31
450237,CHRISTUS SANTA ROSA MEDICAL CENTER,2827 BABCOCK ROAD,SAN ANTONIO,TX,78229,BEXAR,Hours of physical-restraint use,0.02,2.0,3660.0,nan,Hours of seclusion use,0.0,0.0,3660.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,28.0,nan,Screening for metabolic disorders (SMD),96.0,207.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,81.0,47.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,51.0,nan,Tobacco use treatment provided or offered,91.0,11.0,nan,73.0,11.0,nan,Tobacco use treatment provided or offered at discharge,18.0,11.0,nan,9.0,11.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,128.0,nan,Timely transmission of transition record (TR2),88.0,128.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.3,47.0,nan,25.5,47.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,395.0,16.3,13.0,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,122.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,859.0,nan,2017-10-01,2018-03-31
450271,WISE REGIONAL HEALTH SYSTEM,609 MEDICAL CENTER DRIVE,DECATUR,TX,76234,WISE,Hours of physical-restraint use,0.0,0.24,4580.0,nan,Hours of seclusion use,0.0,0.0,4580.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,77.0,39.0,nan,Screening for metabolic disorders (SMD),40.0,371.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,478.0,nan,Alcohol use brief intervention provided or offered,87.0,60.0,nan,62.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,166.0,nan,70.0,166.0,nan,Tobacco use screening,98.0,479.0,nan,Tobacco use treatment provided or offered,43.0,214.0,nan,18.0,214.0,nan,Tobacco use treatment provided or offered at discharge,68.0,160.0,nan,6.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),24.0,458.0,nan,Timely transmission of transition record (TR2),24.0,458.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.5,82.0,nan,37.8,82.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,310.0,16.3,13.2,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,214.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,48.0,nan,2017-10-01,2018-03-31
450272,CENTRAL TEXAS MEDICAL CENTER,1301 WONDER WORLD DRIVE,SAN MARCOS,TX,78666,HAYS,Hours of physical-restraint use,0.0,0.0,1216.0,nan,Hours of seclusion use,0.0,0.0,1216.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),79.0,56.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,83.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,83.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,96.0,nan,Timely transmission of transition record (TR2),46.0,96.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),71.0,82.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,3.0,nan,2017-10-01,2018-03-31
450289,HARRIS HEALTH SYSTEM,2525 HOLLY HALL,HOUSTON,TX,77054,HARRIS,Hours of physical-restraint use,0.01,2.02,6454.0,nan,Hours of seclusion use,0.43,67.15,6454.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,384.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,574.0,nan,Alcohol use brief intervention provided or offered,100.0,72.0,nan,94.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,305.0,nan,99.0,305.0,nan,Tobacco use screening,100.0,577.0,nan,Tobacco use treatment provided or offered,96.0,306.0,nan,67.0,306.0,nan,Tobacco use treatment provided or offered at discharge,98.0,302.0,nan,22.0,302.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,661.0,nan,Timely transmission of transition record (TR2),98.0,661.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,27.0,nan,18.5,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,81.0,22.1,17.0,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,329.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,59.0,nan,2017-10-01,2018-03-31
450324,TEXOMA MEDICAL CENTER,5016 S US HIGHWAY 75,DENISON,TX,75020,GRAYSON,Hours of physical-restraint use,0.02,2.22,4631.0,nan,Hours of seclusion use,0.0,0.1,4631.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,21.0,nan,Screening for metabolic disorders (SMD),68.0,164.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,233.0,nan,Alcohol use brief intervention provided or offered,92.0,39.0,nan,87.0,39.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,78.0,nan,17.0,78.0,nan,Tobacco use screening,100.0,229.0,nan,Tobacco use treatment provided or offered,95.0,142.0,nan,79.0,142.0,nan,Tobacco use treatment provided or offered at discharge,38.0,131.0,nan,1.0,131.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),91.0,337.0,nan,Timely transmission of transition record (TR2),83.0,337.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.3,232.0,nan,32.3,232.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,627.0,18.0,15.6,20.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,188.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,118.0,nan,2017-10-01,2018-03-31
450330,OAKBEND MEDICAL CENTER,1705 JACKSON ST,RICHMOND,TX,77469,FORT BEND,Hours of physical-restraint use,0.0,0.0,4403.0,nan,Hours of seclusion use,0.0,0.0,4403.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,83.0,12.0,nan,Screening for metabolic disorders (SMD),95.0,222.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,231.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,256.0,nan,Tobacco use treatment provided or offered,95.0,44.0,nan,84.0,44.0,nan,Tobacco use treatment provided or offered at discharge,92.0,24.0,nan,79.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,270.0,nan,Timely transmission of transition record (TR2),89.0,270.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.9,49.0,nan,20.4,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,258.0,20.6,16.5,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,132.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
450346,BAPTIST BEAUMONT HOSPITAL,3080 COLLEGE STREET,BEAUMONT,TX,77701,JEFFERSON,Hours of physical-restraint use,0.69,170.0,10270.0,nan,Hours of seclusion use,0.54,132.73,10270.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,310.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,544.0,nan,Alcohol use brief intervention provided or offered,100.0,56.0,nan,98.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,112.0,nan,98.0,112.0,nan,Tobacco use screening,100.0,564.0,nan,Tobacco use treatment provided or offered,99.0,300.0,nan,96.0,300.0,nan,Tobacco use treatment provided or offered at discharge,98.0,205.0,nan,96.0,205.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,641.0,nan,Timely transmission of transition record (TR2),97.0,641.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,51.0,nan,23.5,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,253.0,20.3,16.2,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,372.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,252.0,nan,2017-10-01,2018-03-31
450352,HUNT REGIONAL MEDICAL CENTER,4215 JOE RAMSEY BLVD,GREENVILLE,TX,75401,HUNT,Hours of physical-restraint use,0.0,0.25,4006.0,nan,Hours of seclusion use,0.0,0.45,4006.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,24.0,nan,Screening for metabolic disorders (SMD),60.0,319.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,486.0,nan,Alcohol use brief intervention provided or offered,65.0,66.0,nan,50.0,66.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,156.0,nan,20.0,156.0,nan,Tobacco use screening,97.0,489.0,nan,Tobacco use treatment provided or offered,85.0,165.0,nan,50.0,165.0,nan,Tobacco use treatment provided or offered at discharge,74.0,148.0,nan,2.0,148.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),54.0,489.0,nan,Timely transmission of transition record (TR2),51.0,489.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.0,114.0,nan,23.7,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,418.0,18.6,15.6,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,113.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,39.0,nan,2017-10-01,2018-03-31
450358,HOUSTON METHODIST HOSPITAL,6565 FANNIN,HOUSTON,TX,77030,HARRIS,Hours of physical-restraint use,0.0,0.6,6323.0,nan,Hours of seclusion use,0.26,39.95,6323.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,12.0,nan,Screening for metabolic disorders (SMD),86.0,262.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,599.0,nan,Alcohol use brief intervention provided or offered,98.0,144.0,nan,91.0,144.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,235.0,nan,95.0,235.0,nan,Tobacco use screening,99.0,599.0,nan,Tobacco use treatment provided or offered,97.0,255.0,nan,67.0,255.0,nan,Tobacco use treatment provided or offered at discharge,86.0,243.0,nan,19.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,644.0,nan,Timely transmission of transition record (TR2),1.0,644.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.2,58.0,nan,43.1,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,155.0,21.5,17.1,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,337.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,67.0,nan,2017-10-01,2018-03-31
450388,METHODIST HOSPITAL,7700 FLOYD CURL DR,SAN ANTONIO,TX,78229,BEXAR,Hours of physical-restraint use,0.0,0.0,3315.0,nan,Hours of seclusion use,0.0,0.0,3315.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,12.0,nan,Screening for metabolic disorders (SMD),81.0,118.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,243.0,nan,Alcohol use brief intervention provided or offered,97.0,33.0,nan,97.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,59.0,nan,64.0,59.0,nan,Tobacco use screening,98.0,242.0,nan,Tobacco use treatment provided or offered,97.0,68.0,nan,74.0,68.0,nan,Tobacco use treatment provided or offered at discharge,61.0,64.0,nan,47.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,273.0,nan,Timely transmission of transition record (TR2),48.0,273.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.9,122.0,nan,18.9,122.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,256.0,22.5,18.6,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,139.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,222.0,nan,2017-10-01,2018-03-31
450400,PARKVIEW REGIONAL HOSPITAL,600 SOUTH BONHAM STREET,MEXIA,TX,76667,LIMESTONE,Hours of physical-restraint use,0.0,0.0,797.0,nan,Hours of seclusion use,0.0,0.0,797.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),58.0,45.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,66.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,66.0,nan,Tobacco use treatment provided or offered,67.0,12.0,nan,33.0,12.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),25.0,68.0,nan,Timely transmission of transition record (TR2),25.0,68.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,15.4,13.0,nan,0.0,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,117.0,17.2,12.5,22.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,31.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,13.0,nan,2017-10-01,2018-03-31
450403,MEDICAL CITY MCKINNEY,4500 MEDICAL CENTER DRIVE,MCKINNEY,TX,75069,COLLIN,Hours of physical-restraint use,0.01,2.43,11327.0,nan,Hours of seclusion use,0.0,0.0,11327.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,99.0,96.0,nan,Screening for metabolic disorders (SMD),100.0,441.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,684.0,nan,Alcohol use brief intervention provided or offered,100.0,131.0,nan,100.0,131.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,99.0,194.0,nan,99.0,194.0,nan,Tobacco use screening,100.0,690.0,nan,Tobacco use treatment provided or offered,100.0,340.0,nan,56.0,340.0,nan,Tobacco use treatment provided or offered at discharge,97.0,302.0,nan,31.0,302.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),100.0,699.0,nan,Timely transmission of transition record (TR2),100.0,699.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.7,238.0,nan,29.8,238.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,923.0,27.6,25.3,30.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,338.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,110.0,nan,2017-10-01,2018-03-31
450462,TEXAS HEALTH PRESBYTERIAN HOSPITAL  DALLAS,8200 WALNUT HILL LANE,DALLAS,TX,75231,DALLAS,Hours of physical-restraint use,0.05,8.4,7093.0,nan,Hours of seclusion use,0.0,0.0,7093.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,35.0,nan,Screening for metabolic disorders (SMD),23.0,300.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,533.0,nan,Alcohol use brief intervention provided or offered,84.0,152.0,nan,69.0,152.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,212.0,nan,47.0,212.0,nan,Tobacco use screening,100.0,532.0,nan,Tobacco use treatment provided or offered,89.0,237.0,nan,53.0,237.0,nan,Tobacco use treatment provided or offered at discharge,17.0,215.0,nan,0.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,678.0,nan,Timely transmission of transition record (TR2),4.0,678.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.1,127.0,nan,37.0,127.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,454.0,25.2,22.1,28.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,336.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,141.0,nan,2017-10-01,2018-03-31
450465,MATAGORDA REGIONAL MEDICAL CENTER,104 7TH STREET,BAY CITY,TX,77414,MATAGORDA,Hours of physical-restraint use,0.01,0.8,2628.0,nan,Hours of seclusion use,0.0,0.0,2628.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),67.0,100.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,96.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,96.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,139.0,nan,Timely transmission of transition record (TR2),0.0,139.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,28.0,nan,14.3,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,214.0,19.2,15.1,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,55.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,24.0,nan,2017-10-01,2018-03-31
450469,WILSON N JONES REGIONAL MEDICAL CENTER,500 N HIGHLAND AVENUE,SHERMAN,TX,75091,GRAYSON,Hours of physical-restraint use,0.12,8.17,2891.0,nan,Hours of seclusion use,0.0,0.0,2891.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,67.0,nan,Screening for metabolic disorders (SMD),69.0,240.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,380.0,nan,Alcohol use brief intervention provided or offered,94.0,33.0,nan,70.0,33.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,160.0,nan,48.0,160.0,nan,Tobacco use screening,100.0,381.0,nan,Tobacco use treatment provided or offered,99.0,242.0,nan,82.0,242.0,nan,Tobacco use treatment provided or offered at discharge,97.0,226.0,nan,1.0,226.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),56.0,366.0,nan,Timely transmission of transition record (TR2),55.0,366.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.3,71.0,nan,25.4,71.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,230.0,18.5,15.2,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,1245.0,nan,2017-10-01,2018-03-31
450518,THE MEDICAL CENTER OF SOUTHEAST TEXAS,2555 JIMMY JOHNSON BLVD,PORT ARTHUR,TX,77640,JEFFERSON,Hours of physical-restraint use,0.0,0.37,4417.0,nan,Hours of seclusion use,0.04,4.75,4417.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,16.0,nan,Screening for metabolic disorders (SMD),30.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,466.0,nan,Alcohol use brief intervention provided or offered,59.0,44.0,nan,52.0,44.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,189.0,nan,75.0,189.0,nan,Tobacco use screening,99.0,482.0,nan,Tobacco use treatment provided or offered,71.0,248.0,nan,8.0,248.0,nan,Tobacco use treatment provided or offered at discharge,62.0,228.0,nan,60.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,480.0,nan,Timely transmission of transition record (TR2),0.0,480.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.8,61.0,nan,32.8,61.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,238.0,21.7,17.7,26.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,204.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),57.0,23.0,nan,2017-10-01,2018-03-31
450537,METHODIST RICHARDSON MEDICAL CENTER,2831 E PRESIDENT GEORGE BUSH HIGHWAY,RICHARDSON,TX,75082,COLLIN,Hours of physical-restraint use,0.02,17.1,34911.0,nan,Hours of seclusion use,0.01,6.65,34911.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,13.0,nan,Screening for metabolic disorders (SMD),4.0,279.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,623.0,nan,Alcohol use brief intervention provided or offered,49.0,146.0,nan,49.0,146.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,228.0,nan,29.0,228.0,nan,Tobacco use screening,98.0,627.0,nan,Tobacco use treatment provided or offered,65.0,254.0,nan,57.0,254.0,nan,Tobacco use treatment provided or offered at discharge,13.0,235.0,nan,7.0,235.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,715.0,nan,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.5,216.0,nan,25.0,216.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,715.0,24.6,22.0,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,361.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,197.0,nan,2017-10-01,2018-03-31
450584,WILBARGER GENERAL HOSPITAL,920 HILLCREST DR,VERNON,TX,76384,WILBARGER,Hours of physical-restraint use,,,,7.0,Hours of seclusion use,,,,7.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,26.0,19.0,13.0,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
450605,CARE REGIONAL MEDICAL CENTER,1711 W WHEELER AVENUE,ARANSAS PASS,TX,78336,SAN PATRICIO,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.5,11.0,nan,9.1,11.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,132.0,18.9,14.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
450617,HCA HOUSTON HEALTHCARE CLEAR LAKE,500 MEDICAL CENTER BLVD,WEBSTER,TX,77598,HARRIS,Hours of physical-restraint use,0.0,0.0,7658.0,nan,Hours of seclusion use,0.0,0.0,7658.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,210.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,141.0,nan,Alcohol use brief intervention provided or offered,100.0,14.0,nan,100.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,74.0,31.0,nan,74.0,31.0,nan,Tobacco use screening,100.0,141.0,nan,Tobacco use treatment provided or offered,100.0,30.0,nan,93.0,30.0,nan,Tobacco use treatment provided or offered at discharge,100.0,26.0,nan,100.0,26.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),80.0,296.0,nan,Timely transmission of transition record (TR2),80.0,296.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,67.2,58.0,nan,43.1,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,478.0,20.6,17.3,24.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,252.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,57.0,nan,2017-10-01,2018-03-31
450639,TEXAS HEALTH HEB,1600 HOSPITAL PARKWAY,BEDFORD,TX,76022,TARRANT,Hours of physical-restraint use,0.01,0.5,3485.0,nan,Hours of seclusion use,0.0,0.0,3485.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),44.0,52.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,95.0,nan,Alcohol use brief intervention provided or offered,78.0,32.0,nan,66.0,32.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,46.0,nan,65.0,46.0,nan,Tobacco use screening,98.0,95.0,nan,Tobacco use treatment provided or offered,80.0,41.0,nan,37.0,41.0,nan,Tobacco use treatment provided or offered at discharge,11.0,35.0,nan,0.0,35.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,162.0,nan,Timely transmission of transition record (TR2),1.0,162.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.0,51.0,nan,33.3,51.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,221.0,22.8,18.7,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,217.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,1994.0,nan,2017-10-01,2018-03-31
450644,HCA HOUSTON HEALTHCARE WEST,12141 RICHMOND AVE,HOUSTON,TX,77082,HARRIS,Hours of physical-restraint use,0.0,0.0,4884.0,nan,Hours of seclusion use,0.0,0.0,4884.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,69.0,nan,Screening for metabolic disorders (SMD),99.0,212.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,202.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,201.0,nan,Tobacco use treatment provided or offered,100.0,23.0,nan,83.0,23.0,nan,Tobacco use treatment provided or offered at discharge,94.0,16.0,nan,94.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),81.0,268.0,nan,Timely transmission of transition record (TR2),81.0,268.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.9,34.0,nan,20.6,34.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,221.0,16.9,13.0,21.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,126.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,77.0,nan,2017-10-01,2018-03-31
450670,HCA HOUSTON HEALTHCARE TOMBALL,605 HOLDERRIETH,TOMBALL,TX,77375,HARRIS,Hours of physical-restraint use,0.0,0.0,3063.0,nan,Hours of seclusion use,0.0,0.0,3063.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,13.0,nan,Screening for metabolic disorders (SMD),96.0,201.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,269.0,nan,Alcohol use brief intervention provided or offered,96.0,57.0,nan,81.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,46.0,13.0,nan,15.0,13.0,nan,Tobacco use screening,99.0,269.0,nan,Tobacco use treatment provided or offered,100.0,19.0,nan,42.0,19.0,nan,Tobacco use treatment provided or offered at discharge,96.0,46.0,nan,0.0,46.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),57.0,274.0,nan,Timely transmission of transition record (TR2),57.0,274.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.3,88.0,nan,19.3,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,223.0,20.4,16.2,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,45.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,34.0,nan,2017-10-01,2018-03-31
450690,UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER,11937 US HIGHWAY 271,TYLER,TX,75708,SMITH,Hours of physical-restraint use,0.0,0.05,5642.0,nan,Hours of seclusion use,0.0,0.0,5642.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),29.0,135.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,245.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,17.0,nan,59.0,17.0,nan,Tobacco use screening,100.0,252.0,nan,Tobacco use treatment provided or offered,80.0,49.0,nan,55.0,49.0,nan,Tobacco use treatment provided or offered at discharge,62.0,32.0,nan,9.0,32.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),91.0,253.0,nan,Timely transmission of transition record (TR2),91.0,253.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.7,67.0,nan,46.3,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,475.0,20.2,16.7,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,139.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,99.0,nan,2017-10-01,2018-03-31
450697,SOUTHWEST GENERAL HOSPITAL,7400 BARLITE BLVD,SAN ANTONIO,TX,78224,BEXAR,Hours of physical-restraint use,0.01,3.58,12987.0,nan,Hours of seclusion use,0.05,15.45,12987.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,13.0,nan,Screening for metabolic disorders (SMD),35.0,646.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,1122.0,nan,Alcohol use brief intervention provided or offered,62.0,128.0,nan,48.0,128.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,519.0,nan,78.0,519.0,nan,Tobacco use screening,95.0,1119.0,nan,Tobacco use treatment provided or offered,47.0,465.0,nan,19.0,465.0,nan,Tobacco use treatment provided or offered at discharge,19.0,447.0,nan,18.0,447.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),10.0,1223.0,nan,Timely transmission of transition record (TR2),9.0,1223.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.0,135.0,nan,14.8,135.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,352.0,24.4,21.2,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,561.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,295.0,nan,2017-10-01,2018-03-31
450747,PALESTINE REGIONAL MEDICAL CENTER,2900 S LOOP 256,PALESTINE,TX,75801,ANDERSON,Hours of physical-restraint use,0.02,1.6,4408.0,nan,Hours of seclusion use,0.0,0.0,4408.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,13.0,114.0,nan,Screening for metabolic disorders (SMD),74.0,302.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,45.0,519.0,nan,Alcohol use brief intervention provided or offered,64.0,84.0,nan,61.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,197.0,nan,18.0,197.0,nan,Tobacco use screening,100.0,526.0,nan,Tobacco use treatment provided or offered,89.0,313.0,nan,21.0,313.0,nan,Tobacco use treatment provided or offered at discharge,67.0,278.0,nan,4.0,278.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,546.0,nan,Timely transmission of transition record (TR2),0.0,546.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.5,31.0,nan,16.1,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,240.0,22.8,18.6,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,267.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,19.0,nan,2017-10-01,2018-03-31
450766,UT SOUTHWESTERN UNIVERSITY HOSPITAL-ZALE LIPSHY,5151 HARRY HINES BLVD,DALLAS,TX,75390,DALLAS,Hours of physical-restraint use,0.0,0.27,4703.0,nan,Hours of seclusion use,0.0,0.0,4703.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,18.0,nan,Screening for metabolic disorders (SMD),62.0,329.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,685.0,nan,Alcohol use brief intervention provided or offered,85.0,60.0,nan,83.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,67.0,226.0,nan,65.0,226.0,nan,Tobacco use screening,100.0,691.0,nan,Tobacco use treatment provided or offered,80.0,186.0,nan,52.0,186.0,nan,Tobacco use treatment provided or offered at discharge,67.0,176.0,nan,7.0,176.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),72.0,754.0,nan,Timely transmission of transition record (TR2),59.0,754.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.7,129.0,nan,49.6,129.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,294.0,18.1,14.7,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,372.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,63.0,nan,2017-10-01,2018-03-31
450771,TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO,6200 W PARKER RD,PLANO,TX,75093,COLLIN,Hours of physical-restraint use,0.06,4.48,2878.0,nan,Hours of seclusion use,0.0,0.0,2878.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,48.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,83.0,63.0,nan,Alcohol use brief intervention provided or offered,84.0,19.0,nan,58.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,23.0,nan,35.0,23.0,nan,Tobacco use screening,100.0,62.0,nan,Tobacco use treatment provided or offered,65.0,26.0,nan,38.0,26.0,nan,Tobacco use treatment provided or offered at discharge,12.0,24.0,nan,0.0,24.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,173.0,nan,Timely transmission of transition record (TR2),0.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,32.0,20.8,15.4,27.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,340.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,86.0,nan,2017-10-01,2018-03-31
450788,"CORPUS CHRISTI MEDICAL CENTER,THE",6629 WOODRIDGE ROAD,CORPUS CHRISTI,TX,78414,NUECES,Hours of physical-restraint use,,,,7.0,Hours of seclusion use,,,,7.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,7.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,7.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,7.0,Influenza vaccination coverage among healthcare personnel (HCP),100.0,41.0,nan,2017-10-01,2018-03-31
450828,CHRISTUS SPOHN HOSPITAL ALICE,2500 E MAIN STREET,ALICE,TX,78332,JIM WELLS,Hours of physical-restraint use,0.0,0.0,483.0,nan,Hours of seclusion use,0.0,0.0,483.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),59.0,37.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,54.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,96.0,54.0,nan,Tobacco use treatment provided or offered,91.0,11.0,nan,91.0,11.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,49.0,nan,Timely transmission of transition record (TR2),90.0,49.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,17.6,17.0,nan,0.0,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,161.0,18.6,14.2,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,35.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,0.0,5.0,2017-10-01,2018-03-31
450869,DOCTORS HOSPITAL AT RENAISSANCE,5501 SOUTH MCCOLL,EDINBURG,TX,78539,HIDALGO,Hours of physical-restraint use,0.01,4.48,16691.0,nan,Hours of seclusion use,0.01,2.6,16691.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),11.0,310.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,0.0,385.0,nan,Alcohol use brief intervention provided or offered,3.0,34.0,nan,3.0,34.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,145.0,nan,1.0,145.0,nan,Tobacco use screening,95.0,389.0,nan,Tobacco use treatment provided or offered,1.0,142.0,nan,0.0,142.0,nan,Tobacco use treatment provided or offered at discharge,0.0,136.0,nan,0.0,136.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,734.0,nan,Timely transmission of transition record (TR2),0.0,734.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.5,40.0,nan,20.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,230.0,17.5,13.7,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,354.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,5019.0,nan,2017-10-01,2018-03-31
454000,BIG SPRING STATE HOSPITAL,1901 NORTH HIGHWAY 87,BIG SPRING,TX,79721,HOWARD,Hours of physical-restraint use,0.61,197.27,13499.0,nan,Hours of seclusion use,0.0,0.0,13499.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,21.0,nan,Screening for metabolic disorders (SMD),41.0,94.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,79.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,38.0,nan,16.0,38.0,nan,Tobacco use screening,93.0,85.0,nan,Tobacco use treatment provided or offered,86.0,21.0,nan,62.0,21.0,nan,Tobacco use treatment provided or offered at discharge,0.0,20.0,nan,0.0,20.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),75.0,120.0,nan,Timely transmission of transition record (TR2),36.0,120.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,7.7,13.0,nan,0.0,13.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,45.0,16.5,11.8,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,32.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,942.0,nan,2017-10-01,2018-03-31
454006,TERRELL STATE HOSPITAL,1200 E BRIN STREET,TERRELL,TX,75160,KAUFMAN,Hours of physical-restraint use,0.06,27.7,19578.0,nan,Hours of seclusion use,0.0,0.0,19578.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,19.0,nan,Screening for metabolic disorders (SMD),91.0,243.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,280.0,nan,Alcohol use brief intervention provided or offered,88.0,32.0,nan,81.0,32.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,139.0,nan,9.0,139.0,nan,Tobacco use screening,99.0,307.0,nan,Tobacco use treatment provided or offered,100.0,139.0,nan,73.0,139.0,nan,Tobacco use treatment provided or offered at discharge,19.0,136.0,nan,0.0,136.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),77.0,321.0,nan,Timely transmission of transition record (TR2),68.0,321.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,40.0,nan,30.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,105.0,17.8,13.3,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,156.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,1529.0,nan,2017-10-01,2018-03-31
454008,NORTH TEXAS STATE HOSPITAL,6515 KEMP BLVD,WICHITA FALLS,TX,76308,WICHITA,Hours of physical-restraint use,0.45,214.45,19724.0,nan,Hours of seclusion use,0.03,15.63,19724.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,22.0,nan,Screening for metabolic disorders (SMD),86.0,353.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,494.0,nan,Alcohol use brief intervention provided or offered,3.0,76.0,nan,3.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,247.0,nan,17.0,247.0,nan,Tobacco use screening,94.0,498.0,nan,Tobacco use treatment provided or offered,99.0,92.0,nan,53.0,92.0,nan,Tobacco use treatment provided or offered at discharge,53.0,83.0,nan,0.0,83.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),57.0,533.0,nan,Timely transmission of transition record (TR2),20.0,533.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.0,50.0,nan,14.0,50.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,225.0,13.3,10.2,17.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),55.0,274.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,2257.0,nan,2017-10-01,2018-03-31
454009,RUSK STATE HOSP,805 N DICKINSON DR,RUSK,TX,75785,CHEROKEE,Hours of physical-restraint use,0.24,57.13,9770.0,nan,Hours of seclusion use,0.0,0.0,9770.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,31.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,28.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,13.0,nan,38.0,13.0,nan,Tobacco use screening,94.0,31.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),63.0,43.0,nan,Timely transmission of transition record (TR2),65.0,43.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,51.0,17.2,12.6,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),53.0,17.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),81.0,2189.0,nan,2017-10-01,2018-03-31
454011,SAN ANTONIO STATE HOSPITAL,6711 S NEW BRAUNFELS AVE,SAN ANTONIO,TX,78223,BEXAR,Hours of physical-restraint use,0.75,929.25,51729.0,nan,Hours of seclusion use,0.03,36.73,51729.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,32.0,nan,Screening for metabolic disorders (SMD),50.0,366.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,409.0,nan,Alcohol use brief intervention provided or offered,14.0,49.0,nan,14.0,49.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,54.0,170.0,nan,22.0,170.0,nan,Tobacco use screening,97.0,420.0,nan,Tobacco use treatment provided or offered,98.0,158.0,nan,68.0,158.0,nan,Tobacco use treatment provided or offered at discharge,32.0,142.0,nan,1.0,142.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,521.0,nan,Timely transmission of transition record (TR2),7.0,521.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,45.0,nan,15.6,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,107.0,17.3,13.2,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,163.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,1415.0,nan,2017-10-01,2018-03-31
454012,MILLWOOD HOSPITAL,1011 NORTH COOPER STREET,ARLINGTON,TX,76011,TARRANT,Hours of physical-restraint use,0.01,9.37,39212.0,nan,Hours of seclusion use,0.04,34.95,39212.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,33.0,nan,Screening for metabolic disorders (SMD),97.0,528.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,411.0,nan,Alcohol use brief intervention provided or offered,88.0,122.0,nan,55.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,212.0,nan,84.0,212.0,nan,Tobacco use screening,100.0,411.0,nan,Tobacco use treatment provided or offered,99.0,248.0,nan,5.0,248.0,nan,Tobacco use treatment provided or offered at discharge,95.0,235.0,nan,1.0,235.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),68.0,909.0,nan,Timely transmission of transition record (TR2),55.0,909.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.5,191.0,nan,22.0,191.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,639.0,19.4,16.8,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,470.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,388.0,nan,2017-10-01,2018-03-31
454014,KERRVILLE STATE HOSP,721 THOMPSON DR,KERRVILLE,TX,78028,KERR,Hours of physical-restraint use,0.0,0.73,18173.0,nan,Hours of seclusion use,0.0,0.0,18173.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,23.0,nan,Timely transmission of transition record (TR2),0.0,23.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,1.0,Influenza vaccination coverage among healthcare personnel (HCP),77.0,629.0,nan,2017-10-01,2018-03-31
454018,RED RIVER HOSPITAL,1505 8TH ST,WICHITA FALLS,TX,76301,WICHITA,Hours of physical-restraint use,0.02,9.52,24149.0,nan,Hours of seclusion use,0.03,14.63,24149.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,15.0,nan,Screening for metabolic disorders (SMD),77.0,186.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,474.0,nan,Alcohol use brief intervention provided or offered,85.0,114.0,nan,78.0,114.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,221.0,nan,56.0,221.0,nan,Tobacco use screening,94.0,473.0,nan,Tobacco use treatment provided or offered,89.0,95.0,nan,9.0,95.0,nan,Tobacco use treatment provided or offered at discharge,76.0,92.0,nan,5.0,92.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,621.0,nan,Timely transmission of transition record (TR2),58.0,621.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.2,305.0,nan,27.5,305.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,934.0,22.1,19.8,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),73.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,333.0,nan,2017-10-01,2018-03-31
454026,WEST OAKS HOSPITAL,6500 HORNWOOD,HOUSTON,TX,77074,HARRIS,Hours of physical-restraint use,0.03,31.08,46116.0,nan,Hours of seclusion use,0.09,97.7,46116.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,90.0,87.0,nan,Screening for metabolic disorders (SMD),86.0,796.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,611.0,nan,Alcohol use brief intervention provided or offered,93.0,155.0,nan,86.0,155.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,316.0,nan,59.0,316.0,nan,Tobacco use screening,99.0,611.0,nan,Tobacco use treatment provided or offered,74.0,356.0,nan,47.0,356.0,nan,Tobacco use treatment provided or offered at discharge,57.0,329.0,nan,18.0,329.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),42.0,1119.0,nan,Timely transmission of transition record (TR2),40.0,1119.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.0,298.0,nan,25.8,298.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,802.0,20.9,18.7,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,547.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,424.0,nan,2017-10-01,2018-03-31
454029,SETON SHOAL CREEK HOSPITAL,3501 MILLS AVE,AUSTIN,TX,78731,TRAVIS,Hours of physical-restraint use,0.25,126.7,21248.0,nan,Hours of seclusion use,0.12,58.8,21248.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,287.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,513.0,nan,Alcohol use brief intervention provided or offered,90.0,162.0,nan,86.0,162.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,238.0,nan,83.0,238.0,nan,Tobacco use screening,100.0,514.0,nan,Tobacco use treatment provided or offered,91.0,220.0,nan,75.0,220.0,nan,Tobacco use treatment provided or offered at discharge,40.0,212.0,nan,26.0,212.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),60.0,773.0,nan,Timely transmission of transition record (TR2),56.0,773.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.6,129.0,nan,37.2,129.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,347.0,16.6,13.6,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,363.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,411.0,nan,2017-10-01,2018-03-31
454050,GLEN OAKS HOSPITAL,301 E DIVISION BOX 1885,GREENVILLE,TX,75401,HUNT,Hours of physical-restraint use,0.02,5.4,13748.0,nan,Hours of seclusion use,0.04,11.76,13748.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),72.0,320.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,613.0,nan,Alcohol use brief intervention provided or offered,72.0,145.0,nan,52.0,145.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,30.0,311.0,nan,19.0,311.0,nan,Tobacco use screening,99.0,613.0,nan,Tobacco use treatment provided or offered,90.0,398.0,nan,10.0,398.0,nan,Tobacco use treatment provided or offered at discharge,67.0,373.0,nan,1.0,373.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,732.0,nan,Timely transmission of transition record (TR2),59.0,732.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.3,225.0,nan,23.6,225.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,483.0,17.8,15.1,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,385.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,255.0,nan,2017-10-01,2018-03-31
454060,LAUREL RIDGE TREATMENT CENTER,17720 CORPORATE WOODS DRIVE,SAN ANTONIO,TX,78259,BEXAR,Hours of physical-restraint use,0.02,37.5,66248.0,nan,Hours of seclusion use,0.09,147.8,66248.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,494.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,826.0,nan,Alcohol use brief intervention provided or offered,98.0,197.0,nan,95.0,197.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,91.0,420.0,nan,87.0,420.0,nan,Tobacco use screening,100.0,826.0,nan,Tobacco use treatment provided or offered,99.0,388.0,nan,24.0,388.0,nan,Tobacco use treatment provided or offered at discharge,84.0,361.0,nan,1.0,361.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),83.0,1454.0,nan,Timely transmission of transition record (TR2),82.0,1454.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.8,306.0,nan,21.6,306.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,936.0,20.3,17.9,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,711.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,669.0,nan,2017-10-01,2018-03-31
454064,RIVER CREST HOSP,1636 HUNTERS GLEN ROAD,SAN ANGELO,TX,76901,TOM GREEN,Hours of physical-restraint use,0.02,7.93,19135.0,nan,Hours of seclusion use,0.08,34.7,19135.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,297.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,332.0,nan,Alcohol use brief intervention provided or offered,76.0,112.0,nan,52.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,182.0,nan,57.0,182.0,nan,Tobacco use screening,100.0,332.0,nan,Tobacco use treatment provided or offered,65.0,214.0,nan,9.0,214.0,nan,Tobacco use treatment provided or offered at discharge,63.0,202.0,nan,1.0,202.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),88.0,773.0,nan,Timely transmission of transition record (TR2),75.0,773.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.4,173.0,nan,15.0,173.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,525.0,16.0,13.6,18.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,386.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,238.0,nan,2017-10-01,2018-03-31
454065,HICKORY TRAIL HOSPITAL,2000 N OLD HICKORY TRAIL,DESOTO,TX,75115,DALLAS,Hours of physical-restraint use,0.03,16.15,21671.0,nan,Hours of seclusion use,0.04,21.73,21671.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,99.0,71.0,nan,Screening for metabolic disorders (SMD),59.0,376.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,267.0,nan,Alcohol use brief intervention provided or offered,79.0,58.0,nan,57.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,42.0,142.0,nan,35.0,142.0,nan,Tobacco use screening,100.0,267.0,nan,Tobacco use treatment provided or offered,97.0,181.0,nan,7.0,181.0,nan,Tobacco use treatment provided or offered at discharge,95.0,156.0,nan,4.0,156.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,761.0,nan,Timely transmission of transition record (TR2),70.0,761.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.2,193.0,nan,30.1,193.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,620.0,19.8,17.1,22.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),52.0,386.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,318.0,nan,2017-10-01,2018-03-31
454069,AUSTIN LAKES HOSPITAL,1025 EAST 32ND STREET,AUSTIN,TX,78705,TRAVIS,Hours of physical-restraint use,0.04,15.01,17231.0,nan,Hours of seclusion use,0.18,74.35,17231.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,87.0,89.0,nan,Screening for metabolic disorders (SMD),42.0,402.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,710.0,nan,Alcohol use brief intervention provided or offered,77.0,218.0,nan,38.0,218.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,324.0,nan,16.0,324.0,nan,Tobacco use screening,94.0,710.0,nan,Tobacco use treatment provided or offered,94.0,360.0,nan,71.0,360.0,nan,Tobacco use treatment provided or offered at discharge,36.0,340.0,nan,1.0,340.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,719.0,nan,Timely transmission of transition record (TR2),49.0,719.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.0,273.0,nan,24.5,273.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,729.0,23.8,21.2,26.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,337.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,232.0,nan,2017-10-01,2018-03-31
454076,HARRIS CTY PSYCHIATRIC CTR,2800 MACGREGOR WAY,HOUSTON,TX,77021,HARRIS,Hours of physical-restraint use,0.02,24.88,64810.0,nan,Hours of seclusion use,0.39,607.63,64810.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,13.0,31.0,nan,Screening for metabolic disorders (SMD),50.0,834.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,1010.0,nan,Alcohol use brief intervention provided or offered,98.0,204.0,nan,73.0,204.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,417.0,nan,19.0,417.0,nan,Tobacco use screening,87.0,1019.0,nan,Tobacco use treatment provided or offered,100.0,322.0,nan,46.0,322.0,nan,Tobacco use treatment provided or offered at discharge,75.0,299.0,nan,30.0,299.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),59.0,1205.0,nan,Timely transmission of transition record (TR2),62.0,1205.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.5,174.0,nan,23.6,174.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,380.0,23.5,19.8,27.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),46.0,606.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,1423.0,nan,2017-10-01,2018-03-31
454083,INTRACARE NORTH HOSPITAL,1120 CYPRESS STATION DR,HOUSTON,TX,77090,HARRIS,Hours of physical-restraint use,0.1,48.97,20608.0,nan,Hours of seclusion use,0.7,346.23,20608.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,51.0,37.0,nan,Screening for metabolic disorders (SMD),89.0,519.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,289.0,nan,Alcohol use brief intervention provided or offered,62.0,45.0,nan,62.0,45.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,122.0,nan,20.0,122.0,nan,Tobacco use screening,99.0,290.0,nan,Tobacco use treatment provided or offered,44.0,137.0,nan,7.0,137.0,nan,Tobacco use treatment provided or offered at discharge,0.0,133.0,nan,0.0,133.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,657.0,nan,Timely transmission of transition record (TR2),0.0,657.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.4,210.0,nan,39.5,210.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,425.0,20.3,17.5,23.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),84.0,325.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,350.0,nan,2017-10-01,2018-03-31
454084,AUSTIN STATE HOSPITAL,4110 GUADALUPE,AUSTIN,TX,78751,TRAVIS,Hours of physical-restraint use,0.07,781.7,491138.0,nan,Hours of seclusion use,0.0,0.0,49138.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,92.0,38.0,nan,Screening for metabolic disorders (SMD),67.0,338.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,315.0,nan,Alcohol use brief intervention provided or offered,79.0,14.0,nan,43.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,102.0,nan,26.0,102.0,nan,Tobacco use screening,91.0,321.0,nan,Tobacco use treatment provided or offered,96.0,68.0,nan,62.0,68.0,nan,Tobacco use treatment provided or offered at discharge,38.0,64.0,nan,0.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,409.0,nan,Timely transmission of transition record (TR2),82.0,409.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.4,27.0,nan,25.9,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,133.0,13.1,9.7,17.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,179.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),64.0,938.0,nan,2017-10-01,2018-03-31
454085,DEVEREUX TEXAS TREATMENT NETWORK,1150 DEVEREUX DR,LEAGUE CITY,TX,77573,GALVESTON,Hours of physical-restraint use,0.0,8.92,241872.0,nan,Hours of seclusion use,0.01,69.91,241872.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,61.0,nan,Screening for metabolic disorders (SMD),0.0,61.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,15.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,15.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,61.0,nan,Timely transmission of transition record (TR2),0.0,61.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),5.0,38.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,232.0,nan,2017-10-01,2018-03-31
454088,RIO GRANDE STATE CENTER,1401 RANGERVILLE ROAD,HARLINGEN,TX,78550,CAMERON,Hours of physical-restraint use,0.31,142.75,19167.0,nan,Hours of seclusion use,0.0,2.2,19167.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),15.0,13.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,665.0,nan,Alcohol use brief intervention provided or offered,0.0,44.0,nan,0.0,44.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,318.0,nan,85.0,318.0,nan,Tobacco use screening,89.0,671.0,nan,Tobacco use treatment provided or offered,100.0,242.0,nan,80.0,242.0,nan,Tobacco use treatment provided or offered at discharge,26.0,236.0,nan,0.0,236.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),62.0,737.0,nan,Timely transmission of transition record (TR2),45.0,737.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,48.0,18.9,14.1,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,332.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,536.0,nan,2017-10-01,2018-03-31
454093,SUNRISE CANYON HOSPITAL,1950 ASPEN AVENUE,LUBBOCK,TX,79408,LUBBOCK,Hours of physical-restraint use,0.02,4.35,10337.0,nan,Hours of seclusion use,0.03,6.98,10337.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,75.0,nan,Screening for metabolic disorders (SMD),87.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,55.0,519.0,nan,Alcohol use brief intervention provided or offered,78.0,83.0,nan,42.0,83.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,290.0,nan,10.0,290.0,nan,Tobacco use screening,98.0,525.0,nan,Tobacco use treatment provided or offered,74.0,269.0,nan,10.0,269.0,nan,Tobacco use treatment provided or offered at discharge,13.0,262.0,nan,3.0,262.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,549.0,nan,Timely transmission of transition record (TR2),8.0,549.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.6,33.0,nan,33.3,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,86.0,19.4,14.6,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),79.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,147.0,nan,2017-10-01,2018-03-31
454094,GREEN OAKS HOSPITAL,7808 CLODUS FIELDS DRIVE,DALLAS,TX,75251,DALLAS,Hours of physical-restraint use,0.1,129.68,54315.0,nan,Hours of seclusion use,0.06,74.25,54315.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,99.0,80.0,nan,Screening for metabolic disorders (SMD),95.0,722.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1032.0,nan,Alcohol use brief intervention provided or offered,100.0,225.0,nan,100.0,225.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,414.0,nan,100.0,414.0,nan,Tobacco use screening,100.0,1032.0,nan,Tobacco use treatment provided or offered,98.0,552.0,nan,69.0,552.0,nan,Tobacco use treatment provided or offered at discharge,99.0,510.0,nan,95.0,510.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),98.0,1158.0,nan,Timely transmission of transition record (TR2),97.0,1158.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.8,560.0,nan,33.2,560.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,1372.0,21.5,19.6,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,543.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,490.0,nan,2017-10-01,2018-03-31
454100,EL PASO PSYCHIATRIC CENTER,4615 ALAMEDA AVENUE,EL PASO,TX,79905,EL PASO,Hours of physical-restraint use,1.54,517.17,13976.0,nan,Hours of seclusion use,0.29,96.13,13976.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,54.0,13.0,nan,Screening for metabolic disorders (SMD),0.0,418.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,500.0,nan,Alcohol use brief intervention provided or offered,93.0,54.0,nan,70.0,54.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,64.0,143.0,nan,48.0,143.0,nan,Tobacco use screening,95.0,503.0,nan,Tobacco use treatment provided or offered,95.0,106.0,nan,60.0,106.0,nan,Tobacco use treatment provided or offered at discharge,2.0,105.0,nan,1.0,105.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,526.0,nan,Timely transmission of transition record (TR2),22.0,526.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.1,22.0,nan,22.7,22.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,51.0,21.8,16.0,28.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,211.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,312.0,nan,2017-10-01,2018-03-31
454101,ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW,"2601 DIMMITT ROAD, SUITE 400",PLAINVIEW,TX,79072,HALE,Hours of physical-restraint use,0.0,0.0,4106.0,nan,Hours of seclusion use,0.0,0.0,4106.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,130.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,218.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,218.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,301.0,nan,Timely transmission of transition record (TR2),99.0,301.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,28.6,14.0,nan,0.0,14.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,409.0,19.9,16.4,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,149.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,84.0,nan,2017-10-01,2018-03-31
454103,KINGWOOD PINES HOSPITAL,2001 LADBROOK,KINGWOOD,TX,77339,HARRIS,Hours of physical-restraint use,0.03,20.95,34304.0,nan,Hours of seclusion use,0.23,187.5,34304.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,14.0,nan,Screening for metabolic disorders (SMD),99.0,591.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,363.0,nan,Alcohol use brief intervention provided or offered,89.0,110.0,nan,87.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,58.0,130.0,nan,37.0,130.0,nan,Tobacco use screening,100.0,365.0,nan,Tobacco use treatment provided or offered,90.0,206.0,nan,4.0,206.0,nan,Tobacco use treatment provided or offered at discharge,78.0,188.0,nan,1.0,188.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),35.0,947.0,nan,Timely transmission of transition record (TR2),30.0,947.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.5,164.0,nan,29.9,164.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,339.0,18.3,15.2,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,485.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,422.0,nan,2017-10-01,2018-03-31
454104,UNIVERSITY BEHAVIORAL HEALTH,2026 WEST UNIVERSITY DRIVE,DENTON,TX,76201,DENTON,Hours of physical-restraint use,0.04,23.36,25401.0,nan,Hours of seclusion use,0.0,0.05,25401.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),60.0,281.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,451.0,nan,Alcohol use brief intervention provided or offered,98.0,146.0,nan,78.0,146.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,200.0,nan,88.0,200.0,nan,Tobacco use screening,99.0,451.0,nan,Tobacco use treatment provided or offered,88.0,254.0,nan,7.0,254.0,nan,Tobacco use treatment provided or offered at discharge,84.0,219.0,nan,0.0,219.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),64.0,711.0,nan,Timely transmission of transition record (TR2),65.0,711.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.5,120.0,nan,50.8,120.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,286.0,18.4,15.1,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,348.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,339.0,nan,2017-10-01,2018-03-31
454107,BEHAVIORAL HOSPITAL OF BELLAIRE,"5314 DASHWOOD, SUITE 200",HOUSTON,TX,77081,HARRIS,Hours of physical-restraint use,0.03,23.53,31746.0,nan,Hours of seclusion use,0.08,59.38,31746.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,84.0,51.0,nan,Screening for metabolic disorders (SMD),89.0,409.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,482.0,nan,Alcohol use brief intervention provided or offered,100.0,98.0,nan,97.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,81.0,206.0,nan,37.0,206.0,nan,Tobacco use screening,100.0,482.0,nan,Tobacco use treatment provided or offered,99.0,197.0,nan,73.0,197.0,nan,Tobacco use treatment provided or offered at discharge,91.0,175.0,nan,28.0,175.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,793.0,nan,Timely transmission of transition record (TR2),93.0,793.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.4,294.0,nan,28.2,294.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,709.0,21.1,18.8,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,398.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,317.0,nan,2017-10-01,2018-03-31
454108,CYPRESS CREEK HOSPITAL,17750 CALI DRIVE,HOUSTON,TX,77090,HARRIS,Hours of physical-restraint use,0.02,12.06,30712.0,nan,Hours of seclusion use,0.0,0.0,30712.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,30.0,nan,Screening for metabolic disorders (SMD),92.0,538.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,577.0,nan,Alcohol use brief intervention provided or offered,60.0,124.0,nan,53.0,124.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,27.0,213.0,nan,23.0,213.0,nan,Tobacco use screening,96.0,577.0,nan,Tobacco use treatment provided or offered,88.0,336.0,nan,9.0,336.0,nan,Tobacco use treatment provided or offered at discharge,61.0,313.0,nan,5.0,313.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,843.0,nan,Timely transmission of transition record (TR2),50.0,843.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.8,278.0,nan,29.9,278.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,642.0,17.1,14.8,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,430.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),77.0,639.0,nan,2017-10-01,2018-03-31
454109,EL PASO BEHAVIORAL HEALTH SYSTEM,1900 DENVER AVE,EL PASO,TX,79902,EL PASO,Hours of physical-restraint use,0.07,84.86,52289.0,nan,Hours of seclusion use,0.0,0.0,52289.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,47.0,nan,Screening for metabolic disorders (SMD),54.0,719.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,706.0,nan,Alcohol use brief intervention provided or offered,79.0,240.0,nan,74.0,240.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,61.0,397.0,nan,28.0,397.0,nan,Tobacco use screening,99.0,706.0,nan,Tobacco use treatment provided or offered,78.0,418.0,nan,11.0,418.0,nan,Tobacco use treatment provided or offered at discharge,68.0,396.0,nan,1.0,396.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),7.0,1196.0,nan,Timely transmission of transition record (TR2),7.0,1196.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,43.2,271.0,nan,29.9,271.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,632.0,23.0,20.3,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,579.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),68.0,642.0,nan,2017-10-01,2018-03-31
454110,OCEANS BEHAVIORAL  HOSPITAL OF PERMIAN BASIN,3300 S FM 1788,MIDLAND,TX,79706,MIDLAND,Hours of physical-restraint use,0.01,5.37,17352.0,nan,Hours of seclusion use,0.06,26.45,17352.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),8.0,248.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,395.0,nan,Alcohol use brief intervention provided or offered,71.0,48.0,nan,71.0,48.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,3.0,115.0,nan,3.0,115.0,nan,Tobacco use screening,91.0,395.0,nan,Tobacco use treatment provided or offered,95.0,91.0,nan,90.0,91.0,nan,Tobacco use treatment provided or offered at discharge,22.0,78.0,nan,21.0,78.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,589.0,nan,Timely transmission of transition record (TR2),0.0,589.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.4,92.0,nan,20.7,92.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,544.0,20.2,16.9,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),5.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,146.0,nan,2017-10-01,2018-03-31
454111,TEXAS STAR RECOVERY,1106  WEST DITTMAR RD,AUSTIN,TX,78745,TRAVIS,Hours of physical-restraint use,0.0,0.03,6814.0,nan,Hours of seclusion use,0.0,0.0,6814.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),99.0,111.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,609.0,nan,Alcohol use brief intervention provided or offered,97.0,415.0,nan,93.0,415.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,383.0,nan,85.0,383.0,nan,Tobacco use screening,99.0,609.0,nan,Tobacco use treatment provided or offered,99.0,371.0,nan,7.0,371.0,nan,Tobacco use treatment provided or offered at discharge,88.0,228.0,nan,3.0,228.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),71.0,630.0,nan,Timely transmission of transition record (TR2),68.0,630.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,365.0,15.8,12.7,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,275.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,168.0,nan,2017-10-01,2018-03-31
454113,SUNDANCE HOSPITAL,7000 US HIGHWAY 287,ARLINGTON,TX,76001,TARRANT,Hours of physical-restraint use,0.0,8.12,69712.0,nan,Hours of seclusion use,0.05,84.02,69712.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,22.0,nan,Screening for metabolic disorders (SMD),3.0,246.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,62.0,1213.0,nan,Alcohol use brief intervention provided or offered,63.0,122.0,nan,63.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,3.0,35.0,nan,3.0,35.0,nan,Tobacco use screening,98.0,1201.0,nan,Tobacco use treatment provided or offered,1.0,388.0,nan,0.0,388.0,nan,Tobacco use treatment provided or offered at discharge,0.0,379.0,nan,0.0,379.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,1229.0,nan,Timely transmission of transition record (TR2),2.0,1229.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.0,205.0,nan,17.6,205.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,477.0,24.6,21.6,28.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),9.0,626.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
454114,CEDAR CREST HOSPITAL & RTC,3500 SOUTH IH-35,BELTON,TX,76513,BELL,Hours of physical-restraint use,0.01,7.2,24291.0,nan,Hours of seclusion use,0.35,205.97,24291.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,74.0,19.0,nan,Screening for metabolic disorders (SMD),46.0,362.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,79.0,304.0,nan,Alcohol use brief intervention provided or offered,53.0,55.0,nan,35.0,55.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,126.0,nan,29.0,126.0,nan,Tobacco use screening,92.0,305.0,nan,Tobacco use treatment provided or offered,88.0,115.0,nan,6.0,115.0,nan,Tobacco use treatment provided or offered at discharge,86.0,109.0,nan,0.0,109.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),44.0,624.0,nan,Timely transmission of transition record (TR2),39.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.7,168.0,nan,16.1,168.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,438.0,20.2,17.3,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),30.0,301.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),51.0,247.0,nan,2017-10-01,2018-03-31
454117,OCEANS BEHAVIORAL HOSPITAL OF LONGVIEW,615 CLINIC DR,LONGVIEW,TX,75605,GREGG,Hours of physical-restraint use,0.0,0.1,7220.0,nan,Hours of seclusion use,0.29,50.25,7220.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),5.0,129.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,569.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,8.0,60.0,nan,7.0,60.0,nan,Tobacco use screening,99.0,571.0,nan,Tobacco use treatment provided or offered,94.0,139.0,nan,3.0,139.0,nan,Tobacco use treatment provided or offered at discharge,1.0,111.0,nan,1.0,111.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),50.0,576.0,nan,Timely transmission of transition record (TR2),23.0,576.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.7,110.0,nan,27.3,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,686.0,20.4,17.3,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,269.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,104.0,nan,2017-10-01,2018-03-31
454118,LONE STAR BEHAVIORAL HEALTH CYPRESS,16303 GRANT ROAD,CYPRESS,TX,77429,HARRIS,Hours of physical-restraint use,0.0,0.42,4855.0,nan,Hours of seclusion use,0.05,5.92,4855.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,169.0,nan,Screening for metabolic disorders (SMD),99.0,314.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,412.0,nan,Alcohol use brief intervention provided or offered,100.0,36.0,nan,94.0,36.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,94.0,36.0,nan,42.0,36.0,nan,Tobacco use screening,99.0,412.0,nan,Tobacco use treatment provided or offered,100.0,181.0,nan,5.0,181.0,nan,Tobacco use treatment provided or offered at discharge,99.0,181.0,nan,2.0,181.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,412.0,nan,Timely transmission of transition record (TR2),97.0,412.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,85.8,155.0,nan,77.4,155.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,288.0,21.2,17.3,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,332.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,66.0,nan,2017-10-01,2018-03-31
454119,CARROLLTON SPRINGS,2225 PARKER ROAD,CARROLLTON,TX,75010,DENTON,Hours of physical-restraint use,0.01,3.42,16933.0,nan,Hours of seclusion use,0.0,0.6,16933.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,299.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,613.0,nan,Alcohol use brief intervention provided or offered,89.0,211.0,nan,89.0,211.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,298.0,nan,100.0,298.0,nan,Tobacco use screening,100.0,613.0,nan,Tobacco use treatment provided or offered,100.0,289.0,nan,4.0,289.0,nan,Tobacco use treatment provided or offered at discharge,100.0,256.0,nan,0.0,256.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,601.0,nan,Timely transmission of transition record (TR2),56.0,601.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.3,112.0,nan,46.4,112.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,330.0,17.8,14.6,21.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,323.0,nan,2017-10-01,2018-03-31
454121,AUSTIN OAKS HOSPITAL,1407 WEST STASSNEY LANE,AUSTIN,TX,78745,TRAVIS,Hours of physical-restraint use,0.02,9.68,19490.0,nan,Hours of seclusion use,0.18,84.96,19490.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,238.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,211.0,nan,Alcohol use brief intervention provided or offered,91.0,43.0,nan,79.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,76.0,85.0,nan,64.0,85.0,nan,Tobacco use screening,100.0,211.0,nan,Tobacco use treatment provided or offered,99.0,76.0,nan,64.0,76.0,nan,Tobacco use treatment provided or offered at discharge,90.0,69.0,nan,19.0,69.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,692.0,nan,Timely transmission of transition record (TR2),100.0,692.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.0,131.0,nan,19.8,131.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,308.0,21.8,18.6,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),52.0,243.0,nan,2017-10-01,2018-03-31
454122,OCEANS BEHAVIORAL HOSPITAL OF ABILENE,6401 DIRECTORS PARKWAY,ABILENE,TX,79606,TAYLOR,Hours of physical-restraint use,0.07,38.5,22758.0,nan,Hours of seclusion use,0.06,34.61,22758.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,101.0,nan,Screening for metabolic disorders (SMD),56.0,664.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,965.0,nan,Alcohol use brief intervention provided or offered,70.0,264.0,nan,70.0,264.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,313.0,nan,0.0,313.0,nan,Tobacco use screening,97.0,931.0,nan,Tobacco use treatment provided or offered,100.0,480.0,nan,1.0,480.0,nan,Tobacco use treatment provided or offered at discharge,5.0,464.0,nan,0.0,464.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),22.0,1253.0,nan,Timely transmission of transition record (TR2),22.0,1253.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.4,172.0,nan,34.9,172.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,566.0,18.8,15.9,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),74.0,247.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,331.0,nan,2017-10-01,2018-03-31
454123,OCEANS BEHAVIORAL HOSPITAL OF LUFKIN LLC,302 GOBBLERS KNOB RD,LUFKIN,TX,75904,ANGELINA,Hours of physical-restraint use,0.0,0.17,6792.0,nan,Hours of seclusion use,0.0,0.02,6792.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,33.0,nan,Screening for metabolic disorders (SMD),69.0,271.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,83.0,465.0,nan,Alcohol use brief intervention provided or offered,86.0,22.0,nan,82.0,22.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,19.0,nan,21.0,19.0,nan,Tobacco use screening,99.0,466.0,nan,Tobacco use treatment provided or offered,97.0,134.0,nan,7.0,134.0,nan,Tobacco use treatment provided or offered at discharge,64.0,103.0,nan,5.0,103.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),26.0,460.0,nan,Timely transmission of transition record (TR2),26.0,460.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.5,101.0,nan,30.7,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,527.0,20.8,17.6,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,220.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,109.0,nan,2017-10-01,2018-03-31
454124,MESA SPRINGS,5560 MESA SPRINGS DRIVE,FORT WORTH,TX,76123,TARRANT,Hours of physical-restraint use,0.03,13.98,23101.0,nan,Hours of seclusion use,0.05,27.5,23101.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,16.0,nan,Screening for metabolic disorders (SMD),97.0,312.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,305.0,nan,Alcohol use brief intervention provided or offered,86.0,107.0,nan,86.0,107.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,158.0,nan,99.0,158.0,nan,Tobacco use screening,100.0,305.0,nan,Tobacco use treatment provided or offered,100.0,156.0,nan,1.0,156.0,nan,Tobacco use treatment provided or offered at discharge,90.0,152.0,nan,1.0,152.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,611.0,nan,Timely transmission of transition record (TR2),93.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.4,129.0,nan,32.6,129.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,355.0,22.4,18.9,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,290.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,521.0,nan,2017-10-01,2018-03-31
454125,ROCK PRAIRIE BEHAVIORAL HEALTH,3550 NORMAND DRIVE,COLLEGE STATION,TX,77845,BRAZOS,Hours of physical-restraint use,0.07,28.37,16190.0,nan,Hours of seclusion use,0.1,39.57,16190.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,12.0,17.0,nan,Screening for metabolic disorders (SMD),35.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,507.0,nan,Alcohol use brief intervention provided or offered,91.0,108.0,nan,84.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,138.0,nan,48.0,138.0,nan,Tobacco use screening,100.0,512.0,nan,Tobacco use treatment provided or offered,89.0,273.0,nan,17.0,273.0,nan,Tobacco use treatment provided or offered at discharge,28.0,255.0,nan,1.0,255.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,825.0,nan,Timely transmission of transition record (TR2),41.0,825.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.9,172.0,nan,26.2,172.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,455.0,21.0,17.7,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,232.0,nan,2017-10-01,2018-03-31
454126,DALLAS BEHAVIORAL HEALTHCARE HOSPITAL LLC,800 KIRNWOOD DRIVE,DE SOTO,TX,75115,DALLAS,Hours of physical-restraint use,0.04,32.44,36203.0,nan,Hours of seclusion use,0.46,397.2,36203.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,1.0,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,528.0,nan,Alcohol use brief intervention provided or offered,98.0,55.0,nan,98.0,55.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,153.0,nan,49.0,153.0,nan,Tobacco use screening,100.0,528.0,nan,Tobacco use treatment provided or offered,100.0,105.0,nan,98.0,105.0,nan,Tobacco use treatment provided or offered at discharge,35.0,105.0,nan,25.0,105.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),80.0,97.0,nan,Timely transmission of transition record (TR2),80.0,97.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.6,157.0,nan,16.6,157.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,368.0,23.2,19.9,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,511.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,379.0,nan,2017-10-01,2018-03-31
454127,ROCK SPRINGS,700 SOUTHEAST INNER LOOP,GEORGETOWN,TX,78626,WILLIAMSON,Hours of physical-restraint use,0.01,6.2,19938.0,nan,Hours of seclusion use,0.01,5.2,19938.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,602.0,nan,Alcohol use brief intervention provided or offered,94.0,226.0,nan,92.0,226.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,315.0,nan,72.0,315.0,nan,Tobacco use screening,98.0,602.0,nan,Tobacco use treatment provided or offered,95.0,334.0,nan,31.0,334.0,nan,Tobacco use treatment provided or offered at discharge,30.0,282.0,nan,1.0,282.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),32.0,598.0,nan,Timely transmission of transition record (TR2),31.0,598.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.5,101.0,nan,28.7,101.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,365.0,21.7,18.6,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,299.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),80.0,318.0,nan,2017-10-01,2018-03-31
454128,OCEANS BEHAVIORAL HOSPITAL OF FORT WORTH,6200 OVERTON RIDGE BLVD,FORT WORTH,TX,76132,TARRANT,Hours of physical-restraint use,0.0,0.1,12048.0,nan,Hours of seclusion use,0.15,43.14,12048.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,23.0,31.0,nan,Screening for metabolic disorders (SMD),71.0,601.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,850.0,nan,Alcohol use brief intervention provided or offered,93.0,54.0,nan,93.0,54.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,56.0,nan,61.0,56.0,nan,Tobacco use screening,96.0,853.0,nan,Tobacco use treatment provided or offered,66.0,260.0,nan,2.0,260.0,nan,Tobacco use treatment provided or offered at discharge,12.0,238.0,nan,0.0,238.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,869.0,nan,Timely transmission of transition record (TR2),1.0,869.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.8,153.0,nan,27.5,153.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,717.0,22.2,19.1,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,362.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),40.0,169.0,nan,2017-10-01,2018-03-31
454129,GEORGETOWN BEHAVIORAL HEALTH INSTITUTE,3101 S AUSTIN AVENUE,GEORGETOWN,TX,78626,WILLIAMSON,Hours of physical-restraint use,0.08,54.5,26807.0,nan,Hours of seclusion use,0.06,39.77,26807.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,15.0,nan,Screening for metabolic disorders (SMD),62.0,385.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,500.0,nan,Alcohol use brief intervention provided or offered,100.0,119.0,nan,97.0,119.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,185.0,nan,41.0,185.0,nan,Tobacco use screening,99.0,108.0,nan,Tobacco use treatment provided or offered,75.0,55.0,nan,15.0,55.0,nan,Tobacco use treatment provided or offered at discharge,62.0,47.0,nan,4.0,47.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),38.0,736.0,nan,Timely transmission of transition record (TR2),10.0,736.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.7,175.0,nan,25.7,175.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,364.0,18.5,15.2,22.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,324.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,283.0,nan,2017-10-01,2018-03-31
454130,WELLBRIDGE HEALTHCARE OF PLANO,4301 MAPLESHADE LANE,PLANO,TX,75093,COLLIN,Hours of physical-restraint use,0.0,0.3,9111.0,nan,Hours of seclusion use,0.0,0.0,9111.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),85.0,270.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,436.0,nan,Alcohol use brief intervention provided or offered,100.0,18.0,nan,94.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,436.0,nan,Tobacco use treatment provided or offered,100.0,41.0,nan,0.0,41.0,nan,Tobacco use treatment provided or offered at discharge,100.0,41.0,nan,7.0,41.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,426.0,nan,Timely transmission of transition record (TR2),92.0,426.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.6,63.0,nan,23.8,63.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,591.0,21.4,18.0,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),2.0,188.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),66.0,90.0,nan,2017-10-01,2018-03-31
454131,WESTPARK SPRINGS LLC,6902 S PEEK ROAD,RICHMOND,TX,77407,FORT BEND,Hours of physical-restraint use,0.01,6.03,21143.0,nan,Hours of seclusion use,0.05,25.91,21143.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,20.0,nan,Screening for metabolic disorders (SMD),46.0,292.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,334.0,nan,Alcohol use brief intervention provided or offered,64.0,94.0,nan,61.0,94.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,183.0,nan,64.0,183.0,nan,Tobacco use screening,99.0,335.0,nan,Tobacco use treatment provided or offered,84.0,167.0,nan,4.0,167.0,nan,Tobacco use treatment provided or offered at discharge,31.0,162.0,nan,1.0,162.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),32.0,624.0,nan,Timely transmission of transition record (TR2),28.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.5,138.0,nan,38.4,138.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,410.0,18.2,15.3,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),88.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),45.0,360.0,nan,2017-10-01,2018-03-31
454132,SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL,8550 HUEBNER ROAD,SAN ANTONIO,TX,78240,BEXAR,Hours of physical-restraint use,0.04,26.49,30065.0,nan,Hours of seclusion use,0.06,46.87,30065.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,64.0,11.0,nan,Screening for metabolic disorders (SMD),0.0,479.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,502.0,nan,Alcohol use brief intervention provided or offered,81.0,118.0,nan,80.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,167.0,nan,24.0,167.0,nan,Tobacco use screening,96.0,504.0,nan,Tobacco use treatment provided or offered,89.0,194.0,nan,15.0,194.0,nan,Tobacco use treatment provided or offered at discharge,70.0,187.0,nan,0.0,187.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),61.0,895.0,nan,Timely transmission of transition record (TR2),34.0,895.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,156.0,nan,20.5,156.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,375.0,23.0,19.8,26.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),8.0,398.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),72.0,357.0,nan,2017-10-01,2018-03-31
454133,CROSS CREEK HOSPITAL,8402 CROSS PARK DRIVE,AUSTIN,TX,78754,TRAVIS,Hours of physical-restraint use,0.02,9.58,18986.0,nan,Hours of seclusion use,0.12,53.35,18986.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,31.0,nan,Screening for metabolic disorders (SMD),25.0,370.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,396.0,nan,Alcohol use brief intervention provided or offered,84.0,98.0,nan,76.0,98.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,173.0,nan,14.0,173.0,nan,Tobacco use screening,96.0,397.0,nan,Tobacco use treatment provided or offered,92.0,131.0,nan,17.0,131.0,nan,Tobacco use treatment provided or offered at discharge,74.0,124.0,nan,0.0,124.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,619.0,nan,Timely transmission of transition record (TR2),56.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.4,119.0,nan,19.3,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,299.0,23.5,19.8,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),41.0,277.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),46.0,208.0,nan,2017-10-01,2018-03-31
454134,HAVEN BEHAVIORAL HOSPITAL OF FRISCO,"5680 FRISCO SQUARE BLVD, SUITE 3000",FRISCO,TX,75034,DENTON,Hours of physical-restraint use,0.0,0.32,9479.0,nan,Hours of seclusion use,0.0,0.73,9479.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,440.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,576.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,19.0,16.0,nan,19.0,16.0,nan,Tobacco use screening,100.0,576.0,nan,Tobacco use treatment provided or offered,65.0,54.0,nan,20.0,54.0,nan,Tobacco use treatment provided or offered at discharge,52.0,23.0,nan,4.0,23.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,577.0,nan,Timely transmission of transition record (TR2),19.0,577.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.9,46.0,nan,28.3,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,629.0,23.2,19.6,26.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,256.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),63.0,131.0,nan,2017-10-01,2018-03-31
454135,HOUSTON BEHAVIORAL HEALTHCARE HOSPITAL LLC,2801 GESSNER ROAD,HOUSTON,TX,77080,HARRIS,Hours of physical-restraint use,0.01,6.96,23077.0,nan,Hours of seclusion use,0.04,22.17,23077.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,43.0,46.0,nan,Screening for metabolic disorders (SMD),71.0,498.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,395.0,nan,Alcohol use brief intervention provided or offered,46.0,96.0,nan,38.0,96.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,4.0,168.0,nan,1.0,168.0,nan,Tobacco use screening,94.0,401.0,nan,Tobacco use treatment provided or offered,16.0,177.0,nan,3.0,177.0,nan,Tobacco use treatment provided or offered at discharge,4.0,168.0,nan,1.0,168.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),10.0,746.0,nan,Timely transmission of transition record (TR2),2.0,746.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,119.0,nan,37.0,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,255.0,17.7,14.3,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),44.0,407.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),56.0,287.0,nan,2017-10-01,2018-03-31
454136,OCEANS BEHAVIORAL HOSPITAL OF KATY,455 PARK GROVE LANE,KATY,TX,77450,HARRIS,Hours of physical-restraint use,0.0,0.27,13151.0,nan,Hours of seclusion use,0.08,23.73,13151.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,87.0,53.0,nan,Screening for metabolic disorders (SMD),27.0,402.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,585.0,nan,Alcohol use brief intervention provided or offered,28.0,29.0,nan,28.0,29.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,12.0,25.0,nan,8.0,25.0,nan,Tobacco use screening,88.0,584.0,nan,Tobacco use treatment provided or offered,61.0,123.0,nan,11.0,123.0,nan,Tobacco use treatment provided or offered at discharge,13.0,100.0,nan,0.0,100.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,593.0,nan,Timely transmission of transition record (TR2),8.0,593.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.0,153.0,nan,28.8,153.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,588.0,21.2,18.2,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,267.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,139.0,nan,2017-10-01,2018-03-31
454137,OCEANS BEHAVIORAL HOSPITAL OF SAN MARCOS,1106 N IH 35,SAN MARCOS,TX,78666,HAYS,Hours of physical-restraint use,0.01,0.87,5401.0,nan,Hours of seclusion use,0.29,38.07,5401.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,174.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,219.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,220.0,nan,Tobacco use treatment provided or offered,87.0,15.0,nan,73.0,15.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),53.0,222.0,nan,Timely transmission of transition record (TR2),56.0,222.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,77.3,44.0,nan,50.0,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,277.0,18.2,14.6,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,93.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,74.0,nan,2017-10-01,2018-03-31
454138,GARLAND BEHAVIORAL HOSPITAL,2300 MARIE CURIE BLVD 5TH FLOOR,GARLAND,TX,75042,DALLAS,Hours of physical-restraint use,0.02,6.78,12675.0,nan,Hours of seclusion use,0.09,26.08,12675.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),51.0,476.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,792.0,nan,Alcohol use brief intervention provided or offered,92.0,158.0,nan,63.0,158.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,238.0,nan,69.0,238.0,nan,Tobacco use screening,99.0,794.0,nan,Tobacco use treatment provided or offered,91.0,290.0,nan,42.0,290.0,nan,Tobacco use treatment provided or offered at discharge,77.0,250.0,nan,7.0,250.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,806.0,nan,Timely transmission of transition record (TR2),87.0,806.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.4,117.0,nan,27.4,117.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,287.0,21.2,17.3,25.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,343.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),85.0,170.0,nan,2017-10-01,2018-03-31
454139,SUN BEHAVIORAL HOUSTON,7601 FANNIN STREET,HOUSTON,TX,77054,HARRIS,Hours of physical-restraint use,0.03,17.8,22981.0,nan,Hours of seclusion use,0.06,35.05,22981.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,496.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,338.0,nan,Alcohol use brief intervention provided or offered,99.0,84.0,nan,99.0,84.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,129.0,nan,74.0,129.0,nan,Tobacco use screening,99.0,345.0,nan,Tobacco use treatment provided or offered,83.0,181.0,nan,16.0,181.0,nan,Tobacco use treatment provided or offered at discharge,18.0,176.0,nan,1.0,176.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),75.0,718.0,nan,Timely transmission of transition record (TR2),74.0,718.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.1,91.0,nan,25.3,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,101.0,19.6,15.1,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,376.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),54.0,347.0,nan,2017-10-01,2018-03-31
454141,PALMS BEHAVIORAL HEALTH,613 VICTORIA LANE,HARLINGEN,TX,78550,CAMERON,Hours of physical-restraint use,0.01,12.0,38206.0,nan,Hours of seclusion use,0.0,1.0,38206.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),36.0,92.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,104.0,nan,Alcohol use brief intervention provided or offered,0.0,18.0,nan,0.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,62.0,13.0,nan,62.0,13.0,nan,Tobacco use screening,100.0,106.0,nan,Tobacco use treatment provided or offered,8.0,48.0,nan,4.0,48.0,nan,Tobacco use treatment provided or offered at discharge,2.0,46.0,nan,0.0,46.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),1.0,216.0,nan,Timely transmission of transition record (TR2),0.0,216.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.6,35.0,nan,45.7,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,54.0,23.0,17.2,29.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),16.0,149.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,316.0,nan,2017-10-01,2018-03-31
454142,SACRED OAK MEDICAL CENTER,11500 SPACE CENTER BLVD,HOUSTON,TX,77059,HARRIS,Hours of physical-restraint use,0.0,0.0,518.0,nan,Hours of seclusion use,0.0,0.0,518.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),36.0,36.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,72.0,nan,Alcohol use brief intervention provided or offered,21.0,14.0,nan,7.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,100.0,72.0,nan,Tobacco use treatment provided or offered,51.0,37.0,nan,16.0,37.0,nan,Tobacco use treatment provided or offered at discharge,41.0,37.0,nan,0.0,37.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,73.0,nan,Timely transmission of transition record (TR2),45.0,73.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,5.0,,,5.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Not Available,,,,,5.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,232.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
460001,UTAH VALLEY HOSPITAL,1034 NORTH 500 WEST,PROVO,UT,84604,UTAH,Hours of physical-restraint use,0.05,8.66,7673.0,nan,Hours of seclusion use,0.03,5.8,7673.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),73.0,172.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,586.0,nan,Alcohol use brief intervention provided or offered,99.0,81.0,nan,91.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,253.0,nan,97.0,253.0,nan,Tobacco use screening,100.0,591.0,nan,Tobacco use treatment provided or offered,100.0,270.0,nan,81.0,270.0,nan,Tobacco use treatment provided or offered at discharge,92.0,259.0,nan,90.0,259.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),14.0,614.0,nan,Timely transmission of transition record (TR2),10.0,614.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.2,68.0,nan,33.8,68.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,163.0,18.1,14.4,22.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,339.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,95.0,nan,2017-10-01,2018-03-31
460003,SALT LAKE REGIONAL MEDICAL CENTER,1050 EAST SOUTH TEMPLE,SALT LAKE CITY,UT,84102,SALT LAKE,Hours of physical-restraint use,0.1,11.12,4770.0,nan,Hours of seclusion use,0.01,1.08,4770.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),86.0,242.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,419.0,nan,Alcohol use brief intervention provided or offered,94.0,18.0,nan,78.0,18.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,31.0,nan,26.0,31.0,nan,Tobacco use screening,96.0,428.0,nan,Tobacco use treatment provided or offered,100.0,61.0,nan,21.0,61.0,nan,Tobacco use treatment provided or offered at discharge,48.0,27.0,nan,44.0,27.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),53.0,430.0,nan,Timely transmission of transition record (TR2),53.0,430.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,40.0,nan,30.0,40.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,313.0,18.1,14.5,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,199.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,31.0,nan,2017-10-01,2018-03-31
460004,MCKAY DEE HOSPITAL,4401 HARRISON BOULEVARD,OGDEN,UT,84403,WEBER,Hours of physical-restraint use,0.08,28.86,14220.0,nan,Hours of seclusion use,0.12,39.82,14220.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,12.0,nan,Screening for metabolic disorders (SMD),60.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,531.0,nan,Alcohol use brief intervention provided or offered,95.0,123.0,nan,93.0,123.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,261.0,nan,92.0,261.0,nan,Tobacco use screening,100.0,535.0,nan,Tobacco use treatment provided or offered,96.0,279.0,nan,77.0,279.0,nan,Tobacco use treatment provided or offered at discharge,92.0,261.0,nan,92.0,261.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),22.0,633.0,nan,Timely transmission of transition record (TR2),31.0,633.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.2,151.0,nan,39.1,151.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,356.0,23.4,19.9,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,370.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,225.0,nan,2017-10-01,2018-03-31
460006,LDS HOSPITAL,8TH AVENUE AND C STREET,SALT LAKE CITY,UT,84143,SALT LAKE,Hours of physical-restraint use,0.1,31.33,12692.0,nan,Hours of seclusion use,0.2,62.3,12692.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),46.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,84.0,604.0,nan,Alcohol use brief intervention provided or offered,65.0,133.0,nan,42.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,71.0,366.0,nan,70.0,366.0,nan,Tobacco use screening,98.0,611.0,nan,Tobacco use treatment provided or offered,66.0,321.0,nan,44.0,321.0,nan,Tobacco use treatment provided or offered at discharge,20.0,310.0,nan,19.0,310.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),14.0,615.0,nan,Timely transmission of transition record (TR2),9.0,615.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.8,130.0,nan,59.2,130.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,315.0,16.3,13.3,19.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,217.0,nan,2017-10-01,2018-03-31
460009,UNIVERSITY OF UTAH HOSPITALS AND CLINICS,50 NORTH MEDICAL DRIVE,SALT LAKE CITY,UT,84132,SALT LAKE,Hours of physical-restraint use,0.46,75.85,6932.0,nan,Hours of seclusion use,0.76,127.09,6932.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,15.0,nan,Screening for metabolic disorders (SMD),76.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,310.0,nan,Alcohol use brief intervention provided or offered,85.0,74.0,nan,85.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,162.0,nan,66.0,162.0,nan,Tobacco use screening,97.0,373.0,nan,Tobacco use treatment provided or offered,70.0,215.0,nan,53.0,215.0,nan,Tobacco use treatment provided or offered at discharge,56.0,192.0,nan,20.0,192.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),5.0,437.0,nan,Timely transmission of transition record (TR2),6.0,437.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.8,23.0,nan,17.4,23.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,86.0,20.2,16.0,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,195.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,88.0,nan,2017-10-01,2018-03-31
460015,LOGAN REGIONAL HOSPITAL,500 EAST 1400 NORTH,LOGAN,UT,84341,CACHE,Hours of physical-restraint use,0.02,1.25,2173.0,nan,Hours of seclusion use,0.3,15.75,2173.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),89.0,133.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,429.0,nan,Alcohol use brief intervention provided or offered,99.0,97.0,nan,99.0,97.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,197.0,nan,96.0,197.0,nan,Tobacco use screening,100.0,439.0,nan,Tobacco use treatment provided or offered,100.0,222.0,nan,91.0,222.0,nan,Tobacco use treatment provided or offered at discharge,94.0,213.0,nan,93.0,213.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),60.0,465.0,nan,Timely transmission of transition record (TR2),60.0,465.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.4,29.0,nan,37.9,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,79.0,21.2,16.0,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,223.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,41.0,nan,2017-10-01,2018-03-31
460021,DIXIE REGIONAL MEDICAL CENTER,1380 EAST MEDICAL CENTER DRIVE,ST GEORGE,UT,84790,WASHINGTON,Hours of physical-restraint use,0.31,32.0,4267.0,nan,Hours of seclusion use,0.77,79.0,4267.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,45.0,11.0,nan,Screening for metabolic disorders (SMD),83.0,236.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,636.0,nan,Alcohol use brief intervention provided or offered,89.0,85.0,nan,89.0,85.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,292.0,nan,97.0,292.0,nan,Tobacco use screening,100.0,648.0,nan,Tobacco use treatment provided or offered,74.0,294.0,nan,71.0,294.0,nan,Tobacco use treatment provided or offered at discharge,77.0,276.0,nan,77.0,276.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),47.0,617.0,nan,Timely transmission of transition record (TR2),69.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,68.2,44.0,nan,61.4,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,154.0,22.7,18.2,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,335.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,59.0,nan,2017-10-01,2018-03-31
460041,DAVIS HOSPITAL AND MEDICAL CENTER,1600 WEST ANTELOPE DRIVE,LAYTON,UT,84041,DAVIS,Hours of physical-restraint use,0.04,4.22,4113.0,nan,Hours of seclusion use,0.15,14.89,4113.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,68.0,19.0,nan,Screening for metabolic disorders (SMD),94.0,346.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,558.0,nan,Alcohol use brief intervention provided or offered,64.0,72.0,nan,61.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,241.0,nan,89.0,241.0,nan,Tobacco use screening,99.0,570.0,nan,Tobacco use treatment provided or offered,95.0,236.0,nan,56.0,236.0,nan,Tobacco use treatment provided or offered at discharge,85.0,203.0,nan,57.0,203.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,582.0,nan,Timely transmission of transition record (TR2),81.0,582.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.7,35.0,nan,40.0,35.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,94.0,19.6,15.3,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,278.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,52.0,nan,2017-10-01,2018-03-31
460042,LAKEVIEW HOSPITAL,630 EAST MEDICAL DRIVE,BOUNTIFUL,UT,84010,DAVIS,Hours of physical-restraint use,0.01,0.68,2291.0,nan,Hours of seclusion use,0.0,0.0,2291.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,108.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,36.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,36.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),15.0,162.0,nan,Timely transmission of transition record (TR2),13.0,162.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.3,17.0,nan,17.6,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,126.0,17.3,12.7,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,90.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,234.0,nan,2017-10-01,2018-03-31
460047,ST MARK'S HOSPITAL,1200 EAST 3900 SOUTH,SALT LAKE CITY,UT,84124,SALT LAKE,Hours of physical-restraint use,0.01,0.65,5265.0,nan,Hours of seclusion use,0.06,7.97,5265.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,59.0,34.0,nan,Screening for metabolic disorders (SMD),71.0,316.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,395.0,nan,Alcohol use brief intervention provided or offered,100.0,122.0,nan,98.0,122.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,193.0,nan,81.0,193.0,nan,Tobacco use screening,100.0,395.0,nan,Tobacco use treatment provided or offered,97.0,199.0,nan,77.0,199.0,nan,Tobacco use treatment provided or offered at discharge,53.0,190.0,nan,32.0,190.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),44.0,841.0,nan,Timely transmission of transition record (TR2),28.0,841.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.1,45.0,nan,26.7,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,118.0,22.9,18.5,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,415.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,44.0,nan,2017-10-01,2018-03-31
460051,JORDAN VALLEY MEDICAL CENTER,3580 WEST 9000 SOUTH,WEST JORDAN,UT,84088,SALT LAKE,Hours of physical-restraint use,0.06,9.26,6001.0,nan,Hours of seclusion use,0.0,0.0,6001.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,53.0,19.0,nan,Screening for metabolic disorders (SMD),75.0,433.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,810.0,nan,Alcohol use brief intervention provided or offered,96.0,169.0,nan,96.0,169.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,55.0,478.0,nan,55.0,478.0,nan,Tobacco use screening,100.0,815.0,nan,Tobacco use treatment provided or offered,89.0,455.0,nan,25.0,455.0,nan,Tobacco use treatment provided or offered at discharge,50.0,446.0,nan,49.0,446.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),47.0,908.0,nan,Timely transmission of transition record (TR2),41.0,908.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.9,78.0,nan,10.3,78.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,195.0,17.2,14.0,20.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,438.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,70.0,nan,2017-10-01,2018-03-31
464001,UTAH STATE HOSPITAL,1300 EAST CENTER STREET,PROVO,UT,84605,UTAH,Hours of physical-restraint use,4.72,11864.57,104819.0,nan,Hours of seclusion use,0.86,2162.68,104819.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,57.0,nan,Screening for metabolic disorders (SMD),46.0,147.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,52.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,19.0,nan,63.0,19.0,nan,Tobacco use screening,98.0,52.0,nan,Tobacco use treatment provided or offered,95.0,22.0,nan,5.0,22.0,nan,Tobacco use treatment provided or offered at discharge,94.0,17.0,nan,0.0,17.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),90.0,260.0,nan,Timely transmission of transition record (TR2),88.0,260.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,39.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,1487.0,nan,2017-10-01,2018-03-31
464009,UNIVERSITY OF UTAH NEUROPSYCHIATRIC INSTITUTE,501 CHIPETA WAY,SALT LAKE CITY,UT,84108,SALT LAKE,Hours of physical-restraint use,0.24,271.3,47042.0,nan,Hours of seclusion use,0.35,392.71,47042.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,15.0,nan,Screening for metabolic disorders (SMD),79.0,378.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,519.0,nan,Alcohol use brief intervention provided or offered,97.0,178.0,nan,97.0,178.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,228.0,nan,82.0,228.0,nan,Tobacco use screening,98.0,559.0,nan,Tobacco use treatment provided or offered,96.0,272.0,nan,61.0,272.0,nan,Tobacco use treatment provided or offered at discharge,69.0,215.0,nan,36.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),32.0,955.0,nan,Timely transmission of transition record (TR2),31.0,955.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,150.0,nan,33.3,150.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,442.0,17.4,14.6,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),78.0,468.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,1052.0,nan,2017-10-01,2018-03-31
464012,MARIAN CENTER,451 EAST BISHOP FEDERAL LANE,SALT LAKE CITY,UT,84115,SALT LAKE,Hours of physical-restraint use,0.0,0.0,3366.0,nan,Hours of seclusion use,0.0,0.0,3366.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),49.0,180.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,73.0,267.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,73.0,267.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,267.0,nan,Timely transmission of transition record (TR2),96.0,267.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.6,28.0,nan,32.1,28.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,167.0,17.6,13.2,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,139.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,42.0,nan,2017-10-01,2018-03-31
464013,SALT LAKE BEHAVIORAL HEALTH,3802 SOUTH 700 EAST,SALT LAKE CITY,UT,84106,SALT LAKE,Hours of physical-restraint use,0.01,2.87,22433.0,nan,Hours of seclusion use,0.02,11.43,22433.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,26.0,nan,Screening for metabolic disorders (SMD),98.0,325.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,703.0,nan,Alcohol use brief intervention provided or offered,100.0,274.0,nan,95.0,274.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,430.0,nan,100.0,430.0,nan,Tobacco use screening,100.0,703.0,nan,Tobacco use treatment provided or offered,95.0,365.0,nan,12.0,365.0,nan,Tobacco use treatment provided or offered at discharge,100.0,305.0,nan,33.0,305.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,702.0,nan,Timely transmission of transition record (TR2),99.0,702.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.8,170.0,nan,36.5,170.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,582.0,18.8,16.3,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,304.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,254.0,nan,2017-10-01,2018-03-31
464014,PROVO CANYON BEHAVIORAL HOSPITAL,1350 EAST 750 NORTH,OREM,UT,84097,UTAH,Hours of physical-restraint use,0.07,35.18,20751.0,nan,Hours of seclusion use,0.11,56.25,20751.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,19.0,nan,Screening for metabolic disorders (SMD),80.0,481.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,416.0,nan,Alcohol use brief intervention provided or offered,86.0,140.0,nan,41.0,140.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,108.0,nan,73.0,108.0,nan,Tobacco use screening,99.0,416.0,nan,Tobacco use treatment provided or offered,100.0,219.0,nan,12.0,219.0,nan,Tobacco use treatment provided or offered at discharge,85.0,156.0,nan,0.0,156.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),76.0,676.0,nan,Timely transmission of transition record (TR2),71.0,676.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.1,91.0,nan,40.7,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,356.0,19.1,15.6,23.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),82.0,316.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,237.0,nan,2017-10-01,2018-03-31
464015,HIGHLAND RIDGE HOSPITAL,7309 SOUTH 180 WEST,MIDVALE,UT,84047,SALT LAKE,Hours of physical-restraint use,0.01,3.08,13490.0,nan,Hours of seclusion use,0.08,27.17,13490.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,80.0,20.0,nan,Screening for metabolic disorders (SMD),77.0,315.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,399.0,nan,Alcohol use brief intervention provided or offered,92.0,119.0,nan,51.0,119.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,197.0,nan,78.0,197.0,nan,Tobacco use screening,98.0,410.0,nan,Tobacco use treatment provided or offered,92.0,205.0,nan,6.0,205.0,nan,Tobacco use treatment provided or offered at discharge,82.0,182.0,nan,2.0,182.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),70.0,619.0,nan,Timely transmission of transition record (TR2),66.0,619.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,36.0,75.0,nan,24.0,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,314.0,16.3,13.5,19.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,280.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,177.0,nan,2017-10-01,2018-03-31
471306,SPRINGFIELD HOSPITAL,PO BOX 2003,SPRINGFIELD,VT,05156,WINDSOR,Hours of physical-restraint use,0.0,0.0,2566.0,nan,Hours of seclusion use,0.0,0.0,2566.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,20.0,nan,Screening for metabolic disorders (SMD),14.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,75.0,302.0,nan,Alcohol use brief intervention provided or offered,2.0,57.0,nan,0.0,57.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,106.0,nan,53.0,106.0,nan,Tobacco use screening,98.0,301.0,nan,Tobacco use treatment provided or offered,59.0,153.0,nan,0.0,153.0,nan,Tobacco use treatment provided or offered at discharge,14.0,145.0,nan,0.0,145.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,325.0,nan,Timely transmission of transition record (TR2),0.0,325.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.7,76.0,nan,50.0,76.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,173.0,18.6,14.5,23.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),66.0,148.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,57.0,nan,2017-10-01,2018-03-31
474001,BRATTLEBORO RETREAT,ANNA MARSH LANE PO BOX 803,BRATTLEBORO,VT,05301,WINDHAM,Hours of physical-restraint use,0.23,198.9,36501.0,nan,Hours of seclusion use,0.5,434.67,36501.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,11.0,38.0,nan,Screening for metabolic disorders (SMD),15.0,422.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,69.0,606.0,nan,Alcohol use brief intervention provided or offered,99.0,209.0,nan,98.0,209.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,65.0,221.0,nan,60.0,221.0,nan,Tobacco use screening,94.0,605.0,nan,Tobacco use treatment provided or offered,40.0,372.0,nan,2.0,372.0,nan,Tobacco use treatment provided or offered at discharge,5.0,354.0,nan,1.0,354.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),66.0,996.0,nan,Timely transmission of transition record (TR2),65.0,996.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.8,336.0,nan,36.6,336.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1252.0,22.6,20.5,24.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),55.0,530.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,942.0,nan,2017-10-01,2018-03-31
474004,VERMONT PSYCHIATRIC CARE HOSPITAL,350 FISHER ROAD,BERLIN,VT,05602,WASHINGTON,Hours of physical-restraint use,0.39,83.87,8954.0,nan,Hours of seclusion use,0.1,21.17,8954.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),8.0,60.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,2.0,43.0,nan,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,0.0,43.0,nan,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,69.0,nan,Timely transmission of transition record (TR2),0.0,69.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,17.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),34.0,247.0,nan,2017-10-01,2018-03-31
490002,RUSSELL COUNTY HOSPITAL,58 CARROLL STREET,LEBANON,VA,24266,RUSSELL,Hours of physical-restraint use,0.0,0.0,4235.0,nan,Hours of seclusion use,0.0,0.0,4235.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,89.0,19.0,nan,Screening for metabolic disorders (SMD),99.0,314.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,536.0,nan,Alcohol use brief intervention provided or offered,91.0,56.0,nan,91.0,56.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,251.0,nan,88.0,251.0,nan,Tobacco use screening,100.0,536.0,nan,Tobacco use treatment provided or offered,99.0,377.0,nan,31.0,377.0,nan,Tobacco use treatment provided or offered at discharge,99.0,357.0,nan,8.0,357.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),98.0,527.0,nan,Timely transmission of transition record (TR2),98.0,527.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.9,113.0,nan,24.8,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,241.0,15.7,12.8,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,257.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,36.0,nan,2017-10-01,2018-03-31
490005,WINCHESTER MEDICAL CENTER,1840 AMHERST ST,WINCHESTER,VA,22601,WINCHESTER CITY,Hours of physical-restraint use,0.09,18.38,8264.0,nan,Hours of seclusion use,0.03,6.77,8264.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,12.0,nan,Screening for metabolic disorders (SMD),48.0,292.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,615.0,nan,Alcohol use brief intervention provided or offered,71.0,113.0,nan,65.0,113.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,281.0,nan,91.0,281.0,nan,Tobacco use screening,96.0,614.0,nan,Tobacco use treatment provided or offered,76.0,347.0,nan,52.0,347.0,nan,Tobacco use treatment provided or offered at discharge,36.0,331.0,nan,8.0,331.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,636.0,nan,Timely transmission of transition record (TR2),0.0,636.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.2,205.0,nan,37.1,205.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,484.0,18.6,15.8,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),85.0,307.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,78.0,nan,2017-10-01,2018-03-31
490007,SENTARA NORFOLK GENERAL HOSPITAL,600 GRESHAM DR,NORFOLK,VA,23507,NORFOLK CITY,Hours of physical-restraint use,0.0,0.0,7885.0,nan,Hours of seclusion use,0.02,4.0,7885.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,13.0,nan,Screening for metabolic disorders (SMD),92.0,507.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,84.0,1043.0,nan,Alcohol use brief intervention provided or offered,86.0,231.0,nan,84.0,231.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,21.0,536.0,nan,21.0,536.0,nan,Tobacco use screening,97.0,1039.0,nan,Tobacco use treatment provided or offered,26.0,607.0,nan,14.0,607.0,nan,Tobacco use treatment provided or offered at discharge,10.0,571.0,nan,1.0,571.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1052.0,nan,Timely transmission of transition record (TR2),0.0,1052.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.1,102.0,nan,21.6,102.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,349.0,22.0,18.7,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,510.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),71.0,48.0,nan,2017-10-01,2018-03-31
490009,UNIVERSITY OF VIRGINIA MEDICAL CENTER,1215 LEE STREET,CHARLOTTESVILLE,VA,22908,CHARLOTTESVILLE CITY,Hours of physical-restraint use,0.16,24.49,6308.0,nan,Hours of seclusion use,0.0,0.0,6308.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,12.0,nan,Screening for metabolic disorders (SMD),52.0,271.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,523.0,nan,Alcohol use brief intervention provided or offered,100.0,118.0,nan,100.0,118.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,200.0,nan,85.0,200.0,nan,Tobacco use screening,100.0,523.0,nan,Tobacco use treatment provided or offered,89.0,202.0,nan,88.0,202.0,nan,Tobacco use treatment provided or offered at discharge,18.0,182.0,nan,18.0,182.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,705.0,nan,Timely transmission of transition record (TR2),0.0,705.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.5,130.0,nan,36.9,130.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,351.0,18.4,15.1,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,293.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,287.0,nan,2017-10-01,2018-03-31
490018,AUGUSTA HEALTH,78 MEDICAL CENTER DRIVE,FISHERSVILLE,VA,22939,AUGUSTA,Hours of physical-restraint use,1.38,151.83,4583.0,nan,Hours of seclusion use,0.0,0.0,4583.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,23.0,nan,Screening for metabolic disorders (SMD),58.0,298.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,568.0,nan,Alcohol use brief intervention provided or offered,85.0,81.0,nan,72.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,60.0,183.0,nan,56.0,183.0,nan,Tobacco use screening,99.0,573.0,nan,Tobacco use treatment provided or offered,90.0,248.0,nan,2.0,248.0,nan,Tobacco use treatment provided or offered at discharge,80.0,216.0,nan,6.0,216.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,597.0,nan,Timely transmission of transition record (TR2),0.0,597.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.8,38.0,nan,52.6,38.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,178.0,18.8,14.7,24.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,295.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),76.0,185.0,nan,2017-10-01,2018-03-31
490020,JOHN RANDOLPH MEDICAL CENTER,411 WEST RANDOLPH ROAD,HOPEWELL,VA,23860,HOPEWELL CITY,Hours of physical-restraint use,0.04,11.32,12445.0,nan,Hours of seclusion use,0.18,53.57,12445.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),98.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1083.0,nan,Alcohol use brief intervention provided or offered,100.0,307.0,nan,100.0,307.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,446.0,nan,97.0,446.0,nan,Tobacco use screening,100.0,1083.0,nan,Tobacco use treatment provided or offered,100.0,720.0,nan,87.0,720.0,nan,Tobacco use treatment provided or offered at discharge,100.0,655.0,nan,93.0,655.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,338.0,nan,Timely transmission of transition record (TR2),100.0,338.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,41.5,118.0,nan,16.1,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,321.0,22.1,18.9,25.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,498.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),83.0,787.0,nan,2017-10-01,2018-03-31
490021,"CENTRA  HEALTH, INC",1901 TATE SPRINGS ROAD,LYNCHBURG,VA,24501,LYNCHBURG CITY,Hours of physical-restraint use,0.09,26.4,12196.0,nan,Hours of seclusion use,0.02,6.78,12196.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,46.0,35.0,nan,Screening for metabolic disorders (SMD),64.0,819.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1180.0,nan,Alcohol use brief intervention provided or offered,96.0,354.0,nan,96.0,354.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,43.0,583.0,nan,38.0,583.0,nan,Tobacco use screening,100.0,1177.0,nan,Tobacco use treatment provided or offered,81.0,673.0,nan,8.0,673.0,nan,Tobacco use treatment provided or offered at discharge,47.0,611.0,nan,2.0,611.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),36.0,1844.0,nan,Timely transmission of transition record (TR2),16.0,1844.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,42.4,231.0,nan,17.7,231.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,770.0,18.9,16.4,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,1042.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,106.0,nan,2017-10-01,2018-03-31
490024,CARILION ROANOKE MEMORIAL HOSPITAL,"1906 BELLEVIEW AVENUE, SE",ROANOKE,VA,24014,ROANOKE CITY,Hours of physical-restraint use,0.58,44.55,3212.0,nan,Hours of seclusion use,0.0,0.0,3212.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),21.0,701.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,474.0,nan,Alcohol use brief intervention provided or offered,28.0,121.0,nan,26.0,121.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,40.0,261.0,nan,39.0,261.0,nan,Tobacco use screening,100.0,475.0,nan,Tobacco use treatment provided or offered,57.0,290.0,nan,23.0,290.0,nan,Tobacco use treatment provided or offered at discharge,5.0,272.0,nan,0.0,272.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,2378.0,nan,Timely transmission of transition record (TR2),0.0,2378.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,49.2,193.0,nan,21.8,193.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,626.0,24.2,21.4,27.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,330.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),74.0,8094.0,nan,2017-10-01,2018-03-31
490032,MEDICAL COLLEGE OF VIRGINIA HOSPITALS,BOX 980510   1250 EAST MARSHALL STREET,RICHMOND,VA,23298,RICHMOND CITY,Hours of physical-restraint use,1.19,516.35,18033.0,nan,Hours of seclusion use,0.0,0.0,18033.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,47.0,15.0,nan,Screening for metabolic disorders (SMD),55.0,235.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,197.0,nan,Alcohol use brief intervention provided or offered,0.0,30.0,nan,0.0,30.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,68.0,112.0,nan,63.0,112.0,nan,Tobacco use screening,92.0,198.0,nan,Tobacco use treatment provided or offered,30.0,96.0,nan,21.0,96.0,nan,Tobacco use treatment provided or offered at discharge,0.0,95.0,nan,0.0,95.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,645.0,nan,Timely transmission of transition record (TR2),0.0,645.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.1,174.0,nan,31.6,174.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,547.0,22.1,19.2,25.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,339.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,308.0,nan,2017-10-01,2018-03-31
490042,CARILION NEW RIVER VALLEY MEDICAL CENTER,2900 LAMB CIRCLE,CHRISTIANSBURG,VA,24073,MONTGOMERY,Hours of physical-restraint use,0.54,23.37,1817.0,nan,Hours of seclusion use,0.0,0.0,1817.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),24.0,554.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,611.0,nan,Alcohol use brief intervention provided or offered,19.0,201.0,nan,18.0,201.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,32.0,385.0,nan,32.0,385.0,nan,Tobacco use screening,100.0,613.0,nan,Tobacco use treatment provided or offered,52.0,374.0,nan,23.0,374.0,nan,Tobacco use treatment provided or offered at discharge,11.0,364.0,nan,0.0,364.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1588.0,nan,Timely transmission of transition record (TR2),0.0,1588.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.1,170.0,nan,25.9,170.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,562.0,19.8,17.2,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,341.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),84.0,272.0,nan,2017-10-01,2018-03-31
490043,INOVA LOUDOUN HOSPITAL,44045 RIVERSIDE PARKWAY,LEESBURG,VA,20176,LOUDOUN,Hours of physical-restraint use,0.0,0.0,5270.0,nan,Hours of seclusion use,0.59,74.18,5270.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,14.0,nan,Screening for metabolic disorders (SMD),73.0,251.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,555.0,nan,Alcohol use brief intervention provided or offered,99.0,71.0,nan,94.0,71.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,93.0,176.0,nan,89.0,176.0,nan,Tobacco use screening,95.0,553.0,nan,Tobacco use treatment provided or offered,94.0,174.0,nan,81.0,174.0,nan,Tobacco use treatment provided or offered at discharge,82.0,160.0,nan,52.0,160.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),84.0,614.0,nan,Timely transmission of transition record (TR2),61.0,614.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.5,85.0,nan,23.5,85.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,249.0,21.0,17.3,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,284.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,65.0,nan,2017-10-01,2018-03-31
490044,SENTARA OBICI HOSPITAL,2800 GODWIN BOULEVARD,SUFFOLK,VA,23439,SUFFOLK CITY,Hours of physical-restraint use,0.04,3.42,3195.0,nan,Hours of seclusion use,0.03,2.17,3195.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),58.0,211.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,470.0,nan,Alcohol use brief intervention provided or offered,70.0,108.0,nan,69.0,108.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,16.0,212.0,nan,14.0,212.0,nan,Tobacco use screening,98.0,471.0,nan,Tobacco use treatment provided or offered,3.0,270.0,nan,1.0,270.0,nan,Tobacco use treatment provided or offered at discharge,11.0,247.0,nan,11.0,247.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,444.0,nan,Timely transmission of transition record (TR2),0.0,444.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,52.0,nan,28.8,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,80.0,20.5,15.4,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,232.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,28.0,nan,2017-10-01,2018-03-31
490045,NOVANT HEALTH UVA  PRINCE WILLIAM MEDICAL CENTER,8700 SUDLEY RD,MANASSAS,VA,20110,MANASSAS CITY,Hours of physical-restraint use,0.02,3.17,7721.0,nan,Hours of seclusion use,0.0,0.0,7721.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),81.0,407.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,682.0,nan,Alcohol use brief intervention provided or offered,86.0,249.0,nan,86.0,249.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,280.0,nan,78.0,280.0,nan,Tobacco use screening,99.0,687.0,nan,Tobacco use treatment provided or offered,97.0,363.0,nan,87.0,363.0,nan,Tobacco use treatment provided or offered at discharge,77.0,295.0,nan,77.0,295.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,980.0,nan,Timely transmission of transition record (TR2),50.0,973.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.7,73.0,nan,42.5,73.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,238.0,22.8,18.9,27.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,317.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,22.0,nan,2017-10-01,2018-03-31
490050,VIRGINIA HOSPITAL CENTER,1701 NORTH GEORGE MASON DRIVE,ARLINGTON,VA,22205,ARLINGTON,Hours of physical-restraint use,0.0,0.0,6683.0,nan,Hours of seclusion use,0.2,32.78,6683.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,39.0,nan,Screening for metabolic disorders (SMD),68.0,266.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,535.0,nan,Alcohol use brief intervention provided or offered,88.0,247.0,nan,82.0,247.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,302.0,nan,48.0,302.0,nan,Tobacco use screening,98.0,542.0,nan,Tobacco use treatment provided or offered,91.0,218.0,nan,33.0,218.0,nan,Tobacco use treatment provided or offered at discharge,66.0,183.0,nan,3.0,183.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),6.0,592.0,nan,Timely transmission of transition record (TR2),5.0,592.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.6,64.0,nan,26.6,64.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,264.0,22.5,18.8,26.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,77.0,nan,2017-10-01,2018-03-31
490057,SENTARA VIRGINIA BEACH GENERAL HOSPITAL,1060 FIRST COLONIAL ROAD,VIRGINIA BEACH,VA,23454,VIRGINIA BEACH CITY,Hours of physical-restraint use,0.02,3.92,7010.0,nan,Hours of seclusion use,0.03,5.5,7010.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),87.0,479.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,1112.0,nan,Alcohol use brief intervention provided or offered,97.0,273.0,nan,97.0,273.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,26.0,537.0,nan,26.0,537.0,nan,Tobacco use screening,99.0,1110.0,nan,Tobacco use treatment provided or offered,7.0,537.0,nan,2.0,537.0,nan,Tobacco use treatment provided or offered at discharge,0.0,502.0,nan,0.0,502.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1127.0,nan,Timely transmission of transition record (TR2),0.0,1127.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.9,112.0,nan,30.4,112.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,323.0,21.3,18.0,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,625.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,36.0,nan,2017-10-01,2018-03-31
490059,BON SECOURS ST MARYS HOSPITAL,5801 BREMO RD,RICHMOND,VA,23226,RICHMOND CITY,Hours of physical-restraint use,0.96,177.9,7717.0,nan,Hours of seclusion use,0.0,0.0,7717.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,11.0,nan,Screening for metabolic disorders (SMD),96.0,184.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,502.0,nan,Alcohol use brief intervention provided or offered,88.0,86.0,nan,84.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,223.0,nan,50.0,223.0,nan,Tobacco use screening,97.0,502.0,nan,Tobacco use treatment provided or offered,78.0,223.0,nan,48.0,223.0,nan,Tobacco use treatment provided or offered at discharge,71.0,210.0,nan,3.0,210.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),51.0,577.0,nan,Timely transmission of transition record (TR2),49.0,577.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.0,119.0,nan,32.8,119.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,370.0,22.6,19.0,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,294.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,72.0,nan,2017-10-01,2018-03-31
490063,INOVA FAIRFAX HOSPITAL,3300 GALLOWS ROAD,FALLS CHURCH,VA,22042,FAIRFAX,Hours of physical-restraint use,0.0,0.0,15499.0,nan,Hours of seclusion use,1.64,610.98,15499.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),76.0,181.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,567.0,nan,Alcohol use brief intervention provided or offered,100.0,270.0,nan,100.0,270.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,95.0,393.0,nan,87.0,393.0,nan,Tobacco use screening,98.0,567.0,nan,Tobacco use treatment provided or offered,99.0,289.0,nan,90.0,289.0,nan,Tobacco use treatment provided or offered at discharge,92.0,266.0,nan,45.0,266.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,615.0,nan,Timely transmission of transition record (TR2),63.0,615.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,66.1,121.0,nan,36.4,121.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,387.0,20.3,17.3,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,277.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,248.0,nan,2017-10-01,2018-03-31
490075,SOVAH HEALTH DANVILLE,142 SOUTH MAIN STREET,DANVILLE,VA,24541,DANVILLE CITY,Hours of physical-restraint use,0.01,1.33,5572.0,nan,Hours of seclusion use,0.23,30.18,5572.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,6.0,48.0,nan,Screening for metabolic disorders (SMD),91.0,305.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,90.0,617.0,nan,Alcohol use brief intervention provided or offered,49.0,112.0,nan,22.0,112.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,297.0,nan,33.0,297.0,nan,Tobacco use screening,99.0,617.0,nan,Tobacco use treatment provided or offered,89.0,368.0,nan,65.0,368.0,nan,Tobacco use treatment provided or offered at discharge,14.0,342.0,nan,1.0,342.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,628.0,nan,Timely transmission of transition record (TR2),38.0,628.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.4,91.0,nan,25.3,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,214.0,14.2,11.3,17.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,351.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,97.0,nan,2017-10-01,2018-03-31
490097,SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER,727 NORTH MAIN STREET,EMPORIA,VA,23847,EMPORIA CITY,Hours of physical-restraint use,0.0,0.0,2063.0,nan,Hours of seclusion use,0.15,7.65,2063.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,20.0,nan,Screening for metabolic disorders (SMD),90.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,276.0,nan,Alcohol use brief intervention provided or offered,100.0,43.0,nan,98.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,81.0,nan,16.0,81.0,nan,Tobacco use screening,100.0,276.0,nan,Tobacco use treatment provided or offered,99.0,164.0,nan,70.0,164.0,nan,Tobacco use treatment provided or offered at discharge,100.0,157.0,nan,0.0,157.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),90.0,281.0,nan,Timely transmission of transition record (TR2),89.0,281.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,50.0,60.0,nan,15.0,60.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,149.0,24.7,19.7,30.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,133.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),44.0,18.0,nan,2017-10-01,2018-03-31
490112,CJW MEDICAL CENTER,7101 JAHNKE ROAD,RICHMOND,VA,23235,CHESTERFIELD,Hours of physical-restraint use,0.05,70.17,55074.0,nan,Hours of seclusion use,0.16,206.17,55074.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,18.0,nan,Screening for metabolic disorders (SMD),84.0,538.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,920.0,nan,Alcohol use brief intervention provided or offered,100.0,267.0,nan,96.0,267.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,456.0,nan,98.0,456.0,nan,Tobacco use screening,100.0,930.0,nan,Tobacco use treatment provided or offered,100.0,503.0,nan,76.0,503.0,nan,Tobacco use treatment provided or offered at discharge,100.0,494.0,nan,39.0,494.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),89.0,1351.0,nan,Timely transmission of transition record (TR2),89.0,1351.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.2,511.0,nan,28.4,511.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,1365.0,24.2,22.3,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,595.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,407.0,nan,2017-10-01,2018-03-31
490118,HENRICO DOCTORS' HOSPITAL,1602 SKIPWITH ROAD,RICHMOND,VA,23229,HENRICO,Hours of physical-restraint use,0.04,11.68,11291.0,nan,Hours of seclusion use,0.05,13.57,11291.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,17.0,nan,Screening for metabolic disorders (SMD),95.0,208.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,657.0,nan,Alcohol use brief intervention provided or offered,100.0,239.0,nan,100.0,239.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,397.0,nan,71.0,397.0,nan,Tobacco use screening,100.0,660.0,nan,Tobacco use treatment provided or offered,98.0,394.0,nan,72.0,394.0,nan,Tobacco use treatment provided or offered at discharge,95.0,364.0,nan,92.0,364.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),73.0,417.0,nan,Timely transmission of transition record (TR2),72.0,417.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.4,84.0,nan,29.8,84.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,211.0,24.8,20.8,29.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,327.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,55.0,nan,2017-10-01,2018-03-31
490122,INOVA MOUNT VERNON HOSPITAL,2501 PARKERS LANE,ALEXANDRIA,VA,22306,FAIRFAX,Hours of physical-restraint use,0.0,0.5,7488.0,nan,Hours of seclusion use,0.41,74.15,7488.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,86.0,21.0,nan,Screening for metabolic disorders (SMD),76.0,250.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,547.0,nan,Alcohol use brief intervention provided or offered,100.0,75.0,nan,100.0,75.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,228.0,nan,86.0,228.0,nan,Tobacco use screening,97.0,547.0,nan,Tobacco use treatment provided or offered,99.0,231.0,nan,75.0,231.0,nan,Tobacco use treatment provided or offered at discharge,79.0,216.0,nan,61.0,216.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),88.0,622.0,nan,Timely transmission of transition record (TR2),68.0,622.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.3,114.0,nan,39.5,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,288.0,20.9,17.4,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,285.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,66.0,nan,2017-10-01,2018-03-31
490126,LEWISGALE HOSPITAL ALLEGHANY,ONE ARH LANE - PO BOX 7,LOW MOOR,VA,24457,ALLEGHANY,Hours of physical-restraint use,0.02,1.88,4360.0,nan,Hours of seclusion use,0.0,0.0,4360.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,145.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,307.0,nan,Alcohol use brief intervention provided or offered,100.0,25.0,nan,100.0,25.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,44.0,nan,100.0,44.0,nan,Tobacco use screening,100.0,308.0,nan,Tobacco use treatment provided or offered,99.0,68.0,nan,81.0,68.0,nan,Tobacco use treatment provided or offered at discharge,100.0,56.0,nan,88.0,56.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,289.0,nan,Timely transmission of transition record (TR2),98.0,289.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.7,68.0,nan,17.6,68.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,371.0,20.2,16.5,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,139.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,31.0,nan,2017-10-01,2018-03-31
490141,SPOTSYLVANIA REGIONAL MEDICAL CENTER,4600 SPOTSYLVANIA PARKWAY,FREDERICKSBURG,VA,22408,SPOTSYLVANIA,Hours of physical-restraint use,0.0,0.18,8147.0,nan,Hours of seclusion use,0.0,0.0,8147.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,11.0,nan,Screening for metabolic disorders (SMD),96.0,158.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,1030.0,nan,Alcohol use brief intervention provided or offered,100.0,322.0,nan,100.0,322.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,490.0,nan,98.0,490.0,nan,Tobacco use screening,100.0,1033.0,nan,Tobacco use treatment provided or offered,100.0,560.0,nan,69.0,560.0,nan,Tobacco use treatment provided or offered at discharge,99.0,538.0,nan,7.0,538.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),95.0,307.0,nan,Timely transmission of transition record (TR2),95.0,307.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.9,88.0,nan,17.0,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,192.0,21.2,17.0,25.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,501.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,53.0,nan,2017-10-01,2018-03-31
491303,DICKENSON COMMUNITY HOSPITAL,312 HOSPITAL DRIVE,CLINTWOOD,VA,24228,DICKENSON,Hours of physical-restraint use,0.0,0.0,2470.0,nan,Hours of seclusion use,0.0,0.0,2470.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,209.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,98.0,209.0,nan,Tobacco use treatment provided or offered,93.0,55.0,nan,38.0,55.0,nan,Tobacco use treatment provided or offered at discharge,93.0,55.0,nan,22.0,55.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),37.0,227.0,nan,Timely transmission of transition record (TR2),36.0,227.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.7,39.0,nan,15.4,39.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,134.0,18.8,14.4,23.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,29.0,nan,2017-10-01,2018-03-31
491308,RAPPAHANNOCK GENERAL HOSPITAL,101 HARRIS ROAD,KILMARNOCK,VA,22482,LANCASTER,Hours of physical-restraint use,0.0,0.0,1888.0,nan,Hours of seclusion use,0.16,7.25,1888.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,31.0,16.0,nan,Screening for metabolic disorders (SMD),100.0,99.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,173.0,nan,Alcohol use brief intervention provided or offered,86.0,14.0,nan,86.0,14.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,53.0,nan,55.0,53.0,nan,Tobacco use screening,100.0,174.0,nan,Tobacco use treatment provided or offered,91.0,82.0,nan,79.0,82.0,nan,Tobacco use treatment provided or offered at discharge,31.0,80.0,nan,26.0,80.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),49.0,173.0,nan,Timely transmission of transition record (TR2),47.0,173.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.6,33.0,nan,36.4,33.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,106.0,21.1,16.2,27.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),86.0,122.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,14.0,nan,2017-10-01,2018-03-31
494010,NORTHERN VIRGINIA MENTAL HEALTH INSTI,3302 GALLOWS RD,FALLS CHURCH,VA,22042,FAIRFAX,Hours of physical-restraint use,0.6,390.7,27245.0,nan,Hours of seclusion use,0.51,330.73,27245.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,55.0,105.0,nan,Screening for metabolic disorders (SMD),35.0,680.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,91.0,946.0,nan,Alcohol use brief intervention provided or offered,48.0,102.0,nan,42.0,102.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,335.0,nan,17.0,335.0,nan,Tobacco use screening,92.0,1056.0,nan,Tobacco use treatment provided or offered,59.0,392.0,nan,26.0,392.0,nan,Tobacco use treatment provided or offered at discharge,5.0,389.0,nan,1.0,389.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),25.0,1030.0,nan,Timely transmission of transition record (TR2),8.0,1030.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.4,37.0,nan,35.1,37.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,81.0,21.0,15.8,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),81.0,640.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,425.0,nan,2017-10-01,2018-03-31
494017,SOUTHERN VIRGINIA MENTAL HEALTH INSTITUTE,382 TAYLOR DRIVE,DANVILLE,VA,24541,DANVILLE CITY,Hours of physical-restraint use,0.04,20.13,23300.0,nan,Hours of seclusion use,0.85,474.3,23300.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,98.0,112.0,nan,Screening for metabolic disorders (SMD),93.0,303.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,68.0,325.0,nan,Alcohol use brief intervention provided or offered,48.0,29.0,nan,48.0,29.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,75.0,202.0,nan,64.0,202.0,nan,Tobacco use screening,97.0,328.0,nan,Tobacco use treatment provided or offered,90.0,206.0,nan,62.0,206.0,nan,Tobacco use treatment provided or offered at discharge,72.0,200.0,nan,6.0,200.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),74.0,386.0,nan,Timely transmission of transition record (TR2),73.0,386.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.1,27.0,nan,18.5,27.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,93.0,15.2,11.2,20.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),45.0,185.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),70.0,238.0,nan,2017-10-01,2018-03-31
494021,WESTERN STATE HOSPITAL,1301 RICHMOND ROAD,STAUNTON,VA,24402,STAUNTON CITY,Hours of physical-restraint use,6.26,2942.37,19580.0,nan,Hours of seclusion use,0.56,263.53,19580.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,57.0,42.0,nan,Screening for metabolic disorders (SMD),66.0,437.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,650.0,nan,Alcohol use brief intervention provided or offered,77.0,110.0,nan,62.0,110.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,79.0,230.0,nan,63.0,230.0,nan,Tobacco use screening,99.0,653.0,nan,Tobacco use treatment provided or offered,77.0,346.0,nan,8.0,346.0,nan,Tobacco use treatment provided or offered at discharge,74.0,312.0,nan,0.0,312.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),81.0,559.0,nan,Timely transmission of transition record (TR2),81.0,559.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.2,65.0,nan,44.6,65.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,202.0,15.1,11.9,19.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),39.0,315.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,898.0,nan,2017-10-01,2018-03-31
494022,POPLAR SPRINGS HOSPITAL,350 POPLAR DRIVE  PO BOX 3060,PETERSBURG,VA,23805,PETERSBURG CITY,Hours of physical-restraint use,0.03,16.56,26230.0,nan,Hours of seclusion use,0.11,70.63,26230.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),45.0,103.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,389.0,nan,Alcohol use brief intervention provided or offered,100.0,52.0,nan,29.0,52.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,86.0,166.0,nan,0.0,166.0,nan,Tobacco use screening,100.0,389.0,nan,Tobacco use treatment provided or offered,90.0,141.0,nan,5.0,141.0,nan,Tobacco use treatment provided or offered at discharge,82.0,137.0,nan,0.0,137.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,743.0,nan,Timely transmission of transition record (TR2),80.0,743.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.2,256.0,nan,24.2,256.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,578.0,19.3,16.7,22.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),80.0,342.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),82.0,524.0,nan,2017-10-01,2018-03-31
494023,DOMINION HOSPITAL,2960 SLEEPY HOLLOW ROAD,FALLS CHURCH,VA,22044,FAIRFAX,Hours of physical-restraint use,0.05,42.63,37149.0,nan,Hours of seclusion use,0.06,53.8,37149.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,79.0,19.0,nan,Screening for metabolic disorders (SMD),93.0,530.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,431.0,nan,Alcohol use brief intervention provided or offered,94.0,103.0,nan,90.0,103.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,98.0,nan,47.0,98.0,nan,Tobacco use screening,100.0,441.0,nan,Tobacco use treatment provided or offered,95.0,154.0,nan,82.0,154.0,nan,Tobacco use treatment provided or offered at discharge,73.0,125.0,nan,72.0,125.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),69.0,990.0,nan,Timely transmission of transition record (TR2),57.0,990.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.0,89.0,nan,40.4,89.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,228.0,20.1,16.5,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,509.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,420.0,nan,2017-10-01,2018-03-31
494025,VIRGINIA BEACH PSYCHIATRIC CENTER,1100 FIRST COLONIAL ROAD,VIRGINIA BEACH,VA,23454,VIRGINIA BEACH CITY,Hours of physical-restraint use,0.15,97.23,27625.0,nan,Hours of seclusion use,0.0,2.62,27625.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,65.0,94.0,nan,Screening for metabolic disorders (SMD),81.0,493.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,909.0,nan,Alcohol use brief intervention provided or offered,92.0,278.0,nan,86.0,278.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,39.0,446.0,nan,36.0,446.0,nan,Tobacco use screening,100.0,909.0,nan,Tobacco use treatment provided or offered,98.0,520.0,nan,41.0,520.0,nan,Tobacco use treatment provided or offered at discharge,92.0,458.0,nan,1.0,458.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),96.0,878.0,nan,Timely transmission of transition record (TR2),44.0,878.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.3,300.0,nan,28.3,300.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,885.0,23.0,20.5,25.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,426.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),29.0,440.0,nan,2017-10-01,2018-03-31
494029,SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE,340 BAGLEY CIRCLE,MARION,VA,24354,SMYTH,Hours of physical-restraint use,0.46,317.35,28587.0,nan,Hours of seclusion use,1.29,885.12,28587.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,57.0,nan,Screening for metabolic disorders (SMD),48.0,428.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,752.0,nan,Alcohol use brief intervention provided or offered,36.0,106.0,nan,25.0,106.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,88.0,293.0,nan,87.0,293.0,nan,Tobacco use screening,95.0,756.0,nan,Tobacco use treatment provided or offered,30.0,423.0,nan,26.0,423.0,nan,Tobacco use treatment provided or offered at discharge,75.0,380.0,nan,2.0,380.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),97.0,694.0,nan,Timely transmission of transition record (TR2),95.0,694.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,51.9,81.0,nan,29.6,81.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,219.0,15.5,12.3,19.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,349.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,786.0,nan,2017-10-01,2018-03-31
494032,THE PAVILION AT WILLIAMSBURG PLACE,5483 MOORETOWN ROAD,WILLIAMSBURG,VA,23188,JAMES CITY,Hours of physical-restraint use,0.03,13.1,19336.0,nan,Hours of seclusion use,0.03,15.68,19336.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,19.0,nan,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,650.0,nan,Alcohol use brief intervention provided or offered,92.0,133.0,nan,89.0,133.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,53.0,15.0,nan,47.0,15.0,nan,Tobacco use screening,99.0,651.0,nan,Tobacco use treatment provided or offered,90.0,316.0,nan,77.0,316.0,nan,Tobacco use treatment provided or offered at discharge,59.0,291.0,nan,32.0,291.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,1948.0,nan,Timely transmission of transition record (TR2),0.0,1948.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.2,240.0,nan,26.3,240.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,698.0,19.9,17.1,23.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),63.0,211.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,175.0,nan,2017-10-01,2018-03-31
500001,NORTHWEST HOSPITAL,1550 NORTH 115TH STREET,SEATTLE,WA,98133,KING,Hours of physical-restraint use,1.92,440.77,9564.0,nan,Hours of seclusion use,0.0,0.0,9564.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,11.0,nan,Screening for metabolic disorders (SMD),95.0,216.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,218.0,nan,Alcohol use brief intervention provided or offered,100.0,17.0,nan,12.0,17.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,16.0,nan,44.0,16.0,nan,Tobacco use screening,100.0,220.0,nan,Tobacco use treatment provided or offered,95.0,21.0,nan,38.0,21.0,nan,Tobacco use treatment provided or offered at discharge,94.0,16.0,nan,50.0,16.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),56.0,272.0,nan,Timely transmission of transition record (TR2),82.0,272.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.2,49.0,nan,32.7,49.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,338.0,15.1,11.9,19.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,120.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,215.0,nan,2017-10-01,2018-03-31
500008,UNIVERSITY OF WASHINGTON MEDICAL CTR,1959 NE PACIFIC ST  BOX 356151,SEATTLE,WA,98195,KING,Hours of physical-restraint use,1.41,114.75,3390.0,nan,Hours of seclusion use,0.0,0.0,3390.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),92.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,365.0,nan,Alcohol use brief intervention provided or offered,64.0,116.0,nan,59.0,116.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,149.0,nan,36.0,149.0,nan,Tobacco use screening,100.0,356.0,nan,Tobacco use treatment provided or offered,98.0,127.0,nan,43.0,127.0,nan,Tobacco use treatment provided or offered at discharge,56.0,120.0,nan,2.0,120.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,352.0,nan,Timely transmission of transition record (TR2),0.0,352.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.8,52.0,nan,34.6,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,124.0,15.6,11.8,20.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,171.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,87.0,nan,2017-10-01,2018-03-31
500015,MULTICARE AUBURN MEDICAL CENTER,202 NORTH DIVISION STREET PLAZA ONE,AUBURN,WA,98001,KING,Hours of physical-restraint use,0.1,34.0,14358.0,nan,Hours of seclusion use,0.3,102.0,14358.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),5.0,368.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,446.0,nan,Alcohol use brief intervention provided or offered,95.0,41.0,nan,80.0,41.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,44.0,95.0,nan,26.0,95.0,nan,Tobacco use screening,98.0,281.0,nan,Tobacco use treatment provided or offered,88.0,102.0,nan,31.0,102.0,nan,Tobacco use treatment provided or offered at discharge,73.0,95.0,nan,2.0,95.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,522.0,nan,Timely transmission of transition record (TR2),0.0,522.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,32.5,83.0,nan,13.3,83.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,420.0,17.2,14.1,21.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,221.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,423.0,nan,2017-10-01,2018-03-31
500024,PROVIDENCE ST PETER HOSPITAL,413 LILLY ROAD NE,OLYMPIA,WA,98506,THURSTON,Hours of physical-restraint use,0.2,27.9,5747.0,nan,Hours of seclusion use,0.02,3.05,5747.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,58.0,nan,Screening for metabolic disorders (SMD),93.0,354.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,567.0,nan,Alcohol use brief intervention provided or offered,52.0,137.0,nan,52.0,137.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,51.0,274.0,nan,50.0,274.0,nan,Tobacco use screening,93.0,562.0,nan,Tobacco use treatment provided or offered,13.0,227.0,nan,12.0,227.0,nan,Tobacco use treatment provided or offered at discharge,17.0,201.0,nan,16.0,201.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,549.0,nan,Timely transmission of transition record (TR2),0.0,549.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.3,110.0,nan,29.1,110.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,220.0,13.5,10.4,17.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,282.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,51.0,nan,2017-10-01,2018-03-31
500027,SWEDISH MEDICAL CENTER,747 BROADWAY,SEATTLE,WA,98122,KING,Hours of physical-restraint use,0.11,17.12,6653.0,nan,Hours of seclusion use,0.15,23.95,6653.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,71.0,17.0,nan,Screening for metabolic disorders (SMD),50.0,300.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,55.0,467.0,nan,Alcohol use brief intervention provided or offered,88.0,82.0,nan,70.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,24.0,187.0,nan,15.0,187.0,nan,Tobacco use screening,97.0,474.0,nan,Tobacco use treatment provided or offered,71.0,168.0,nan,38.0,168.0,nan,Tobacco use treatment provided or offered at discharge,2.0,157.0,nan,1.0,157.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),64.0,504.0,nan,Timely transmission of transition record (TR2),51.0,504.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,45.2,31.0,nan,29.0,31.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,35.0,18.8,13.7,25.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,270.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,71.0,nan,2017-10-01,2018-03-31
500030,ST JOSEPH HOSPITAL,2901 SQUALICUM PARKWAY,BELLINGHAM,WA,98225,WHATCOM,Hours of physical-restraint use,0.34,37.62,4657.0,nan,Hours of seclusion use,0.43,47.95,4657.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,26.0,80.0,nan,Screening for metabolic disorders (SMD),55.0,286.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,363.0,nan,Alcohol use brief intervention provided or offered,0.0,60.0,nan,0.0,60.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,15.0,156.0,nan,15.0,156.0,nan,Tobacco use screening,68.0,408.0,nan,Tobacco use treatment provided or offered,61.0,142.0,nan,49.0,142.0,nan,Tobacco use treatment provided or offered at discharge,0.0,129.0,nan,0.0,129.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,410.0,nan,Timely transmission of transition record (TR2),0.0,410.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,59.3,59.0,nan,33.9,59.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,178.0,16.1,12.4,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,178.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),88.0,56.0,nan,2017-10-01,2018-03-31
500036,YAKIMA VALLEY MEMORIAL HOSPITAL,2811 TIETON DRIVE,YAKIMA,WA,98902,YAKIMA,Hours of physical-restraint use,0.0,0.0,3798.0,nan,Hours of seclusion use,0.0,0.0,3798.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,32.0,25.0,nan,Screening for metabolic disorders (SMD),65.0,132.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,55.0,165.0,nan,Alcohol use brief intervention provided or offered,38.0,21.0,nan,29.0,21.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,4.0,26.0,nan,0.0,26.0,nan,Tobacco use screening,97.0,189.0,nan,Tobacco use treatment provided or offered,49.0,76.0,nan,36.0,76.0,nan,Tobacco use treatment provided or offered at discharge,12.0,64.0,nan,2.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.2,45.0,nan,28.9,45.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,153.0,15.8,11.8,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,107.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,37.0,nan,2017-10-01,2018-03-31
500051,OVERLAKE HOSPITAL MEDICAL CENTER,1035-116TH AVE NE,BELLEVUE,WA,98004,KING,Hours of physical-restraint use,0.0,0.0,3690.0,nan,Hours of seclusion use,0.0,0.0,3690.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,193.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,523.0,nan,Alcohol use brief intervention provided or offered,94.0,62.0,nan,92.0,62.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,34.0,167.0,nan,8.0,167.0,nan,Tobacco use screening,99.0,526.0,nan,Tobacco use treatment provided or offered,78.0,151.0,nan,21.0,151.0,nan,Tobacco use treatment provided or offered at discharge,47.0,143.0,nan,1.0,143.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),10.0,608.0,nan,Timely transmission of transition record (TR2),8.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.2,67.0,nan,35.8,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,124.0,16.4,12.3,21.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,300.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,37.0,nan,2017-10-01,2018-03-31
500054,PROV SACRED HRT MED CTR & CHILDS HOSP.,101 WEST 8TH AVENUE,SPOKANE,WA,99204,SPOKANE,Hours of physical-restraint use,6.75,2158.25,13319.0,nan,Hours of seclusion use,23.48,7504.55,13319.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,43.0,nan,Screening for metabolic disorders (SMD),27.0,341.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,552.0,nan,Alcohol use brief intervention provided or offered,57.0,65.0,nan,48.0,65.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,268.0,nan,22.0,268.0,nan,Tobacco use screening,100.0,146.0,nan,Tobacco use treatment provided or offered,100.0,68.0,nan,6.0,68.0,nan,Tobacco use treatment provided or offered at discharge,7.0,61.0,nan,7.0,61.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),68.0,146.0,nan,Timely transmission of transition record (TR2),17.0,585.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.0,134.0,nan,17.9,134.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,293.0,12.6,10.0,15.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,291.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,240.0,nan,2017-10-01,2018-03-31
500064,HARBORVIEW MEDICAL CENTER,325 9TH AVENUE,SEATTLE,WA,98104,KING,Hours of physical-restraint use,3.85,2204.2,23878.0,nan,Hours of seclusion use,13.19,7560.8,23878.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,94.0,95.0,nan,Screening for metabolic disorders (SMD),82.0,699.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,476.0,nan,Alcohol use brief intervention provided or offered,65.0,81.0,nan,53.0,81.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,37.0,205.0,nan,30.0,205.0,nan,Tobacco use screening,98.0,486.0,nan,Tobacco use treatment provided or offered,88.0,180.0,nan,24.0,180.0,nan,Tobacco use treatment provided or offered at discharge,43.0,135.0,nan,2.0,135.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,564.0,nan,Timely transmission of transition record (TR2),0.0,564.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.5,161.0,nan,20.5,161.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,454.0,16.4,14.0,19.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,275.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,374.0,nan,2017-10-01,2018-03-31
504002,BHC FAIRFAX HOSPITAL,10200 NE 132ND ST,KIRKLAND,WA,98034,KING,Hours of physical-restraint use,0.06,83.7,63183.0,nan,Hours of seclusion use,0.06,85.66,63183.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,28.0,58.0,nan,Screening for metabolic disorders (SMD),23.0,622.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,85.0,816.0,nan,Alcohol use brief intervention provided or offered,39.0,218.0,nan,33.0,218.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,15.0,334.0,nan,13.0,334.0,nan,Tobacco use screening,94.0,816.0,nan,Tobacco use treatment provided or offered,77.0,386.0,nan,37.0,386.0,nan,Tobacco use treatment provided or offered at discharge,5.0,313.0,nan,0.0,313.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),21.0,1064.0,nan,Timely transmission of transition record (TR2),10.0,1064.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,40.4,436.0,nan,23.9,436.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,881.0,15.3,13.3,17.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),72.0,485.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,825.0,nan,2017-10-01,2018-03-31
504003,WESTERN STATE HOSPITAL,9601 STEILACOOM BLVD SW,TACOMA,WA,98498,PIERCE,Hours of physical-restraint use,1.28,8293.64,270706.0,nan,Hours of seclusion use,0.44,2882.34,270706.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,154.0,nan,Screening for metabolic disorders (SMD),47.0,780.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,648.0,nan,Alcohol use brief intervention provided or offered,79.0,91.0,nan,22.0,91.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,1.0,281.0,nan,1.0,281.0,nan,Tobacco use screening,99.0,647.0,nan,Tobacco use treatment provided or offered,78.0,116.0,nan,3.0,116.0,nan,Tobacco use treatment provided or offered at discharge,11.0,114.0,nan,0.0,114.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),16.0,1064.0,nan,Timely transmission of transition record (TR2),19.0,1064.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,13.8,29.0,nan,10.3,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,187.0,15.5,11.8,20.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),20.0,261.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,2906.0,nan,2017-10-01,2018-03-31
504004,EASTERN STATE HOSPITAL,850 MAPLE STREET - P O BOX  A,MEDICAL LAKE,WA,99022,SPOKANE,Hours of physical-restraint use,0.08,190.93,101375.0,nan,Hours of seclusion use,1.36,3317.2,101375.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,88.0,120.0,nan,Screening for metabolic disorders (SMD),90.0,424.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,367.0,nan,Alcohol use brief intervention provided or offered,1.0,82.0,nan,1.0,82.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,18.0,293.0,nan,15.0,293.0,nan,Tobacco use screening,99.0,368.0,nan,Tobacco use treatment provided or offered,50.0,139.0,nan,27.0,139.0,nan,Tobacco use treatment provided or offered at discharge,1.0,139.0,nan,1.0,139.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),7.0,555.0,nan,Timely transmission of transition record (TR2),8.0,555.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,16.7,36.0,nan,11.1,36.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,115.0,12.7,9.3,17.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),75.0,167.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
504008,LOURDES COUNSELING CENTER,1175 CARONDELET DRIVE,RICHLAND,WA,99352,BENTON,Hours of physical-restraint use,0.26,25.52,4094.0,nan,Hours of seclusion use,1.59,156.48,4094.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,24.0,97.0,nan,Screening for metabolic disorders (SMD),56.0,398.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,37.0,486.0,nan,Alcohol use brief intervention provided or offered,0.0,76.0,nan,0.0,76.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,11.0,219.0,nan,9.0,219.0,nan,Tobacco use screening,95.0,496.0,nan,Tobacco use treatment provided or offered,12.0,258.0,nan,1.0,258.0,nan,Tobacco use treatment provided or offered at discharge,1.0,215.0,nan,0.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),9.0,494.0,nan,Timely transmission of transition record (TR2),9.0,494.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,71.9,57.0,nan,45.6,57.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,146.0,17.2,13.3,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,248.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,61.0,nan,2017-10-01,2018-03-31
504009,NAVOS,2600 SOUTHWEST HOLDEN,SEATTLE,WA,98126,KING,Hours of physical-restraint use,0.53,309.17,24196.0,nan,Hours of seclusion use,0.81,470.8,24196.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,33.0,12.0,nan,Screening for metabolic disorders (SMD),47.0,463.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,584.0,nan,Alcohol use brief intervention provided or offered,99.0,74.0,nan,97.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,7.0,74.0,nan,5.0,74.0,nan,Tobacco use screening,99.0,578.0,nan,Tobacco use treatment provided or offered,70.0,312.0,nan,37.0,312.0,nan,Tobacco use treatment provided or offered at discharge,55.0,164.0,nan,5.0,164.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,1.0,Timely transmission of transition record (TR2),,,1.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,26.1,88.0,nan,15.9,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,134.0,17.0,13.5,21.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),16.0,173.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,893.0,nan,2017-10-01,2018-03-31
504011,CASCADE BEHAVIORAL HOSPITAL,12844 MILITARY ROAD SOUTH,TUKWILA,WA,98168,KING,Hours of physical-restraint use,0.06,63.02,41164.0,nan,Hours of seclusion use,0.06,57.43,41164.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,22.0,nan,Screening for metabolic disorders (SMD),4.0,246.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,570.0,nan,Alcohol use brief intervention provided or offered,91.0,181.0,nan,73.0,181.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,47.0,372.0,nan,41.0,372.0,nan,Tobacco use screening,98.0,583.0,nan,Tobacco use treatment provided or offered,69.0,284.0,nan,46.0,284.0,nan,Tobacco use treatment provided or offered at discharge,43.0,243.0,nan,0.0,243.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),2.0,613.0,nan,Timely transmission of transition record (TR2),0.0,613.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,29.9,187.0,nan,14.4,187.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,1014.0,17.5,15.4,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,261.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),95.0,300.0,nan,2017-10-01,2018-03-31
510001,WEST VIRGINIA UNIVERSITY HOSPITALS,MEDICAL CENTER DRIVE,MORGANTOWN,WV,26506,MONONGALIA,Hours of physical-restraint use,0.46,38.55,3466.0,nan,Hours of seclusion use,0.0,0.0,3466.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),42.0,142.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,92.0,449.0,nan,Alcohol use brief intervention provided or offered,94.0,134.0,nan,88.0,134.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,84.0,262.0,nan,82.0,262.0,nan,Tobacco use screening,93.0,459.0,nan,Tobacco use treatment provided or offered,93.0,239.0,nan,92.0,239.0,nan,Tobacco use treatment provided or offered at discharge,0.0,224.0,nan,0.0,224.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),1.0,597.0,nan,Timely transmission of transition record (TR2),1.0,597.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,63.4,123.0,nan,39.0,123.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,461.0,19.9,16.9,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,297.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,201.0,nan,2017-10-01,2018-03-31
510007,ST MARY'S MEDICAL CENTER,2900 1ST AVENUE,HUNTINGTON,WV,25702,CABELL,Hours of physical-restraint use,0.34,25.1,3043.0,nan,Hours of seclusion use,0.0,0.0,3043.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),66.0,101.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,87.0,194.0,nan,Alcohol use brief intervention provided or offered,100.0,43.0,nan,88.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,57.0,nan,89.0,57.0,nan,Tobacco use screening,98.0,198.0,nan,Tobacco use treatment provided or offered,95.0,94.0,nan,76.0,94.0,nan,Tobacco use treatment provided or offered at discharge,61.0,76.0,nan,0.0,76.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),31.0,195.0,nan,Timely transmission of transition record (TR2),20.0,195.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,37.3,67.0,nan,4.5,67.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,108.0,16.2,12.3,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,51.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,54.0,nan,2017-10-01,2018-03-31
510008,BERKELEY MEDICAL CENTER,2500 HOSPITAL DRIVE,MARTINSBURG,WV,25401,BERKELEY,Hours of physical-restraint use,0.02,2.0,4050.0,nan,Hours of seclusion use,0.08,8.0,4050.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),56.0,163.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,663.0,nan,Alcohol use brief intervention provided or offered,65.0,152.0,nan,65.0,152.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,50.0,356.0,nan,49.0,356.0,nan,Tobacco use screening,99.0,665.0,nan,Tobacco use treatment provided or offered,88.0,408.0,nan,77.0,408.0,nan,Tobacco use treatment provided or offered at discharge,11.0,402.0,nan,7.0,402.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),2.0,758.0,nan,Timely transmission of transition record (TR2),2.0,758.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.4,73.0,nan,30.1,73.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,232.0,21.4,17.7,25.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,367.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,38.0,nan,2017-10-01,2018-03-31
510022,CHARLESTON AREA MEDICAL CENTER,501 MORRIS STREET,CHARLESTON,WV,25301,KANAWHA,Hours of physical-restraint use,0.0,0.0,5019.0,nan,Hours of seclusion use,3.77,453.67,5019.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),47.0,215.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,257.0,nan,Alcohol use brief intervention provided or offered,71.0,55.0,nan,71.0,55.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,59.0,110.0,nan,45.0,110.0,nan,Tobacco use screening,95.0,269.0,nan,Tobacco use treatment provided or offered,74.0,133.0,nan,63.0,133.0,nan,Tobacco use treatment provided or offered at discharge,78.0,118.0,nan,76.0,118.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),4.0,608.0,nan,Timely transmission of transition record (TR2),4.0,608.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,48.4,62.0,nan,14.5,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,237.0,19.7,15.7,24.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,797.0,nan,2017-10-01,2018-03-31
510029,THOMAS MEMORIAL HOSPITAL,4605 MACCORKLE AVENUE SW,SOUTH CHARLESTON,WV,25309,KANAWHA,Hours of physical-restraint use,0.0,0.0,2337.0,nan,Hours of seclusion use,0.0,0.0,2337.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),51.0,97.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,242.0,nan,Alcohol use brief intervention provided or offered,77.0,70.0,nan,77.0,70.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,91.0,nan,67.0,91.0,nan,Tobacco use screening,100.0,242.0,nan,Tobacco use treatment provided or offered,95.0,130.0,nan,91.0,130.0,nan,Tobacco use treatment provided or offered at discharge,10.0,111.0,nan,6.0,111.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,241.0,nan,Timely transmission of transition record (TR2),0.0,241.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.3,30.0,nan,26.7,30.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,241.0,19.9,16.1,24.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,15.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,61.0,nan,2017-10-01,2018-03-31
510039,OHIO VALLEY MEDICAL CENTER,2000 EOFF STREET,WHEELING,WV,26003,OHIO,Hours of physical-restraint use,0.02,4.61,12230.0,nan,Hours of seclusion use,0.03,7.58,12230.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),83.0,453.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,94.0,689.0,nan,Alcohol use brief intervention provided or offered,92.0,155.0,nan,91.0,155.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,407.0,nan,89.0,407.0,nan,Tobacco use screening,99.0,687.0,nan,Tobacco use treatment provided or offered,98.0,445.0,nan,85.0,445.0,nan,Tobacco use treatment provided or offered at discharge,89.0,428.0,nan,1.0,428.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),92.0,1126.0,nan,Timely transmission of transition record (TR2),90.0,1126.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.3,120.0,nan,27.5,120.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,331.0,22.3,18.9,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,696.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,302.0,nan,2017-10-01,2018-03-31
510046,PRINCETON COMMUNITY HOSPITAL,122 12TH STREET,PRINCETON,WV,24740,MERCER,Hours of physical-restraint use,0.1,41.9,16749.0,nan,Hours of seclusion use,0.15,59.21,16749.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,62.0,24.0,nan,Screening for metabolic disorders (SMD),83.0,361.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,639.0,nan,Alcohol use brief intervention provided or offered,48.0,89.0,nan,27.0,89.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,85.0,314.0,nan,18.0,314.0,nan,Tobacco use screening,98.0,653.0,nan,Tobacco use treatment provided or offered,95.0,399.0,nan,88.0,399.0,nan,Tobacco use treatment provided or offered at discharge,95.0,390.0,nan,0.0,390.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),56.0,670.0,nan,Timely transmission of transition record (TR2),56.0,670.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,33.3,297.0,nan,11.8,297.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,894.0,20.7,18.3,23.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),91.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,184.0,nan,2017-10-01,2018-03-31
510047,FAIRMONT REGIONAL MEDICAL CENTER,1325 LOCUST AVENUE,FAIRMONT,WV,26554,MARION,Hours of physical-restraint use,0.02,3.99,10191.0,nan,Hours of seclusion use,0.07,17.72,10191.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),96.0,301.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,594.0,nan,Alcohol use brief intervention provided or offered,99.0,247.0,nan,99.0,247.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,98.0,264.0,nan,96.0,264.0,nan,Tobacco use screening,99.0,596.0,nan,Tobacco use treatment provided or offered,96.0,404.0,nan,87.0,404.0,nan,Tobacco use treatment provided or offered at discharge,92.0,373.0,nan,2.0,373.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,634.0,nan,Timely transmission of transition record (TR2),94.0,634.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,44.3,158.0,nan,17.7,158.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,537.0,21.2,18.2,24.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,305.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,83.0,nan,2017-10-01,2018-03-31
510058,CAMDEN CLARK MEDICAL CENTER,800 GARFIELD AVE,PARKERSBURG,WV,26101,WOOD,Hours of physical-restraint use,0.05,5.67,5221.0,nan,Hours of seclusion use,0.0,0.0,5221.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,27.0,nan,Screening for metabolic disorders (SMD),40.0,328.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,21.0,564.0,nan,Alcohol use brief intervention provided or offered,8.0,37.0,nan,3.0,37.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,29.0,253.0,nan,24.0,253.0,nan,Tobacco use screening,97.0,563.0,nan,Tobacco use treatment provided or offered,62.0,380.0,nan,3.0,380.0,nan,Tobacco use treatment provided or offered at discharge,7.0,321.0,nan,3.0,321.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,545.0,nan,Timely transmission of transition record (TR2),0.0,545.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.3,103.0,nan,23.3,103.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,220.0,16.7,13.4,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,169.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,43.0,nan,2017-10-01,2018-03-31
510062,BECKLEY ARH HOSPITAL,306 STANAFORD ROAD,BECKLEY,WV,25801,RALEIGH,Hours of physical-restraint use,0.0,0.0,18412.0,nan,Hours of seclusion use,0.0,0.0,18412.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,67.0,24.0,nan,Screening for metabolic disorders (SMD),88.0,309.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,451.0,nan,Alcohol use brief intervention provided or offered,74.0,68.0,nan,68.0,68.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,36.0,141.0,nan,30.0,141.0,nan,Tobacco use screening,96.0,448.0,nan,Tobacco use treatment provided or offered,82.0,257.0,nan,68.0,257.0,nan,Tobacco use treatment provided or offered at discharge,73.0,215.0,nan,70.0,215.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),23.0,961.0,nan,Timely transmission of transition record (TR2),21.0,961.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,55.0,260.0,nan,8.1,260.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,891.0,20.9,18.5,23.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),92.0,262.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,103.0,nan,2017-10-01,2018-03-31
514001,HIGHLAND HOSPITAL,300 56TH ST SE,CHARLESTON,WV,25304,KANAWHA,Hours of physical-restraint use,0.47,291.53,25782.0,nan,Hours of seclusion use,0.16,96.85,25782.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,7.0,15.0,nan,Screening for metabolic disorders (SMD),95.0,237.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,362.0,nan,Alcohol use brief intervention provided or offered,100.0,52.0,nan,94.0,52.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,73.0,nan,56.0,73.0,nan,Tobacco use screening,100.0,363.0,nan,Tobacco use treatment provided or offered,96.0,237.0,nan,55.0,237.0,nan,Tobacco use treatment provided or offered at discharge,89.0,224.0,nan,0.0,224.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),82.0,857.0,nan,Timely transmission of transition record (TR2),19.0,857.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,35.4,113.0,nan,15.0,113.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,373.0,19.9,16.5,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),93.0,424.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,496.0,nan,2017-10-01,2018-03-31
514008,RIVER PARK HOSPITAL,1230 SIXTH AVENUE,HUNTINGTON,WV,25701,CABELL,Hours of physical-restraint use,0.05,30.56,28242.0,nan,Hours of seclusion use,0.01,3.5,28242.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,14.0,nan,Screening for metabolic disorders (SMD),100.0,340.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,456.0,nan,Alcohol use brief intervention provided or offered,96.0,72.0,nan,96.0,72.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,202.0,nan,62.0,202.0,nan,Tobacco use screening,100.0,456.0,nan,Tobacco use treatment provided or offered,100.0,202.0,nan,97.0,202.0,nan,Tobacco use treatment provided or offered at discharge,100.0,196.0,nan,2.0,196.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,762.0,nan,Timely transmission of transition record (TR2),100.0,762.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,39.0,118.0,nan,16.1,118.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,434.0,16.8,13.8,19.9,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,349.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),48.0,396.0,nan,2017-10-01,2018-03-31
514009,MILDRED MITCHELL-BATEMAN HOSPITAL,1530 NORWAY AVENUE,HUNTINGTON,WV,25709,CABELL,Hours of physical-restraint use,0.06,50.38,34593.0,nan,Hours of seclusion use,0.01,4.6,34593.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,93.0,116.0,nan,Screening for metabolic disorders (SMD),100.0,360.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,493.0,nan,Alcohol use brief intervention provided or offered,82.0,125.0,nan,77.0,125.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,314.0,nan,96.0,314.0,nan,Tobacco use screening,100.0,501.0,nan,Tobacco use treatment provided or offered,95.0,374.0,nan,61.0,374.0,nan,Tobacco use treatment provided or offered at discharge,73.0,364.0,nan,1.0,364.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),93.0,526.0,nan,Timely transmission of transition record (TR2),90.0,526.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,25.8,62.0,nan,9.7,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,186.0,16.6,13.2,20.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,206.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),90.0,678.0,nan,2017-10-01,2018-03-31
514010,"WILLIAM R SHARPE, JR HOSPITAL",936 SHARPE HOSPITAL ROAD,WESTON,WV,26452,LEWIS,Hours of physical-restraint use,0.37,424.03,48049.0,nan,Hours of seclusion use,0.03,35.43,48049.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,82.0,56.0,nan,Screening for metabolic disorders (SMD),89.0,302.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,305.0,nan,Alcohol use brief intervention provided or offered,96.0,27.0,nan,93.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,70.0,54.0,nan,59.0,54.0,nan,Tobacco use screening,100.0,313.0,nan,Tobacco use treatment provided or offered,100.0,89.0,nan,38.0,89.0,nan,Tobacco use treatment provided or offered at discharge,38.0,64.0,nan,2.0,64.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),77.0,441.0,nan,Timely transmission of transition record (TR2),100.0,441.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,21.2,52.0,nan,15.4,52.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,140.0,15.9,12.4,20.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),64.0,50.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,568.0,nan,2017-10-01,2018-03-31
514011,HIGHLAND-CLARKSBURG HOSPITAL INC,3 HOSPITAL PLAZA,CLARKSBURG,WV,26301,HARRISON,Hours of physical-restraint use,0.06,48.63,31674.0,nan,Hours of seclusion use,0.02,14.96,31674.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),100.0,70.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,,,1.0,Alcohol use brief intervention provided or offered,,,7.0,,,7.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,7.0,,,7.0,Tobacco use screening,,,1.0,Tobacco use treatment provided or offered,,,7.0,,,7.0,Tobacco use treatment provided or offered at discharge,,,7.0,,,7.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,550.0,nan,Timely transmission of transition record (TR2),0.0,550.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,7.0,,,7.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),51.0,303.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,324.0,nan,2017-10-01,2018-03-31
520008,WAUKESHA MEMORIAL HOSPITAL,725 AMERICAN AVE,WAUKESHA,WI,53188,WAUKESHA,Hours of physical-restraint use,0.0,0.0,2539.0,nan,Hours of seclusion use,0.0,0.0,2539.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),49.0,173.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,371.0,nan,Alcohol use brief intervention provided or offered,70.0,86.0,nan,70.0,86.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,49.0,120.0,nan,48.0,120.0,nan,Tobacco use screening,97.0,371.0,nan,Tobacco use treatment provided or offered,52.0,160.0,nan,35.0,160.0,nan,Tobacco use treatment provided or offered at discharge,65.0,150.0,nan,15.0,150.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,447.0,nan,Timely transmission of transition record (TR2),0.0,447.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,80.4,46.0,nan,47.8,46.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,159.0,20.8,16.2,26.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,211.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,54.0,nan,2017-10-01,2018-03-31
520019,ASCENSION ST MARYS HOSPITAL,2251 NORTH SHORE DR,RHINELANDER,WI,54501,ONEIDA,Hours of physical-restraint use,0.6,39.5,2746.0,nan,Hours of seclusion use,0.0,0.0,2746.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),48.0,193.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,399.0,nan,Alcohol use brief intervention provided or offered,83.0,125.0,nan,81.0,125.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,69.0,151.0,nan,63.0,151.0,nan,Tobacco use screening,100.0,398.0,nan,Tobacco use treatment provided or offered,50.0,217.0,nan,15.0,217.0,nan,Tobacco use treatment provided or offered at discharge,26.0,170.0,nan,8.0,170.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),99.0,394.0,nan,Timely transmission of transition record (TR2),99.0,394.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.4,48.0,nan,29.2,48.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,99.0,19.8,15.0,25.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),98.0,182.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,38.0,nan,2017-10-01,2018-03-31
520083,SSM HEALTH ST MARY'S HOSPITAL - MADISON,700 SOUTH PARK ST,MADISON,WI,53715,DANE,Hours of physical-restraint use,0.15,20.9,5940.0,nan,Hours of seclusion use,0.02,2.53,5940.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),70.0,264.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,552.0,nan,Alcohol use brief intervention provided or offered,92.0,134.0,nan,92.0,134.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,63.0,174.0,nan,54.0,174.0,nan,Tobacco use screening,99.0,554.0,nan,Tobacco use treatment provided or offered,84.0,218.0,nan,72.0,218.0,nan,Tobacco use treatment provided or offered at discharge,82.0,179.0,nan,15.0,179.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),56.0,612.0,nan,Timely transmission of transition record (TR2),51.0,612.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,65.8,114.0,nan,48.2,114.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,339.0,16.5,13.3,20.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,296.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,65.0,nan,2017-10-01,2018-03-31
520088,ST AGNES HOSPITAL,430 E DIVISION ST,FOND DU LAC,WI,54935,FOND DU LAC,Hours of physical-restraint use,0.49,41.95,3557.0,nan,Hours of seclusion use,1.75,149.67,3557.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),1.0,176.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,95.0,459.0,nan,Alcohol use brief intervention provided or offered,93.0,198.0,nan,67.0,198.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,231.0,nan,79.0,231.0,nan,Tobacco use screening,100.0,459.0,nan,Tobacco use treatment provided or offered,96.0,273.0,nan,32.0,273.0,nan,Tobacco use treatment provided or offered at discharge,24.0,253.0,nan,20.0,253.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,624.0,nan,Timely transmission of transition record (TR2),0.0,624.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.0,58.0,nan,37.9,58.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,239.0,22.6,18.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),97.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,389.0,nan,2017-10-01,2018-03-31
520089,UNITYPOINT HEALTH - MERITER,202 S PARK ST,MADISON,WI,53715,DANE,Hours of physical-restraint use,0.04,7.43,8361.0,nan,Hours of seclusion use,0.04,7.52,8361.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,27.0,11.0,nan,Screening for metabolic disorders (SMD),34.0,155.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,82.0,302.0,nan,Alcohol use brief intervention provided or offered,91.0,78.0,nan,87.0,78.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,73.0,99.0,nan,62.0,99.0,nan,Tobacco use screening,97.0,301.0,nan,Tobacco use treatment provided or offered,16.0,111.0,nan,9.0,111.0,nan,Tobacco use treatment provided or offered at discharge,5.0,104.0,nan,0.0,104.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,617.0,nan,Timely transmission of transition record (TR2),0.0,617.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,69.6,112.0,nan,41.1,112.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,279.0,23.3,19.4,27.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),60.0,313.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,103.0,nan,2017-10-01,2018-03-31
520098,UNIVERSITY OF WI  HOSPITALS & CLINICS AUTHORITY,600 HIGHLAND AVENUE,MADISON,WI,53792,DANE,Hours of physical-restraint use,0.22,28.13,5282.0,nan,Hours of seclusion use,0.19,24.23,5282.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),97.0,341.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,540.0,nan,Alcohol use brief intervention provided or offered,80.0,90.0,nan,77.0,90.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,205.0,nan,36.0,205.0,nan,Tobacco use screening,99.0,539.0,nan,Tobacco use treatment provided or offered,90.0,194.0,nan,65.0,194.0,nan,Tobacco use treatment provided or offered at discharge,24.0,183.0,nan,7.0,183.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),50.0,1171.0,nan,Timely transmission of transition record (TR2),50.0,1171.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,64.8,145.0,nan,41.4,145.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,428.0,18.2,15.2,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,302.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,1461.0,nan,2017-10-01,2018-03-31
520103,COMMUNITY MEMORIAL HOSPITAL,W180 N8085 TOWN HALL RD,MENOMONEE FALLS,WI,53051,WAUKESHA,Hours of physical-restraint use,1.99,193.53,4045.0,nan,Hours of seclusion use,0.0,0.0,4045.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,58.0,12.0,nan,Screening for metabolic disorders (SMD),53.0,174.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,96.0,480.0,nan,Alcohol use brief intervention provided or offered,0.0,203.0,nan,0.0,203.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,20.0,260.0,nan,18.0,260.0,nan,Tobacco use screening,93.0,484.0,nan,Tobacco use treatment provided or offered,57.0,224.0,nan,33.0,224.0,nan,Tobacco use treatment provided or offered at discharge,1.0,216.0,nan,0.0,216.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),0.0,591.0,nan,Timely transmission of transition record (TR2),0.0,591.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,72.5,91.0,nan,40.7,91.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,277.0,24.7,20.7,29.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,298.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),89.0,1259.0,nan,2017-10-01,2018-03-31
521308,AMERY HOSPITAL & CLINIC,265 GRIFFIN STREET EAST,AMERY,WI,54001,POLK,Hours of physical-restraint use,1.72,26.83,651.0,nan,Hours of seclusion use,0.0,0.0,651.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,72.0,25.0,nan,Screening for metabolic disorders (SMD),4.0,152.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,195.0,nan,Alcohol use brief intervention provided or offered,42.0,19.0,nan,21.0,19.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,14.0,28.0,nan,4.0,28.0,nan,Tobacco use screening,98.0,194.0,nan,Tobacco use treatment provided or offered,49.0,45.0,nan,22.0,45.0,nan,Tobacco use treatment provided or offered at discharge,14.0,28.0,nan,4.0,28.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),38.0,203.0,nan,Timely transmission of transition record (TR2),38.0,203.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,79.3,29.0,nan,37.9,29.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,15.7,11.8,20.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),89.0,100.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,76.0,nan,2017-10-01,2018-03-31
521343,STOUGHTON HOSPITAL,900 RIDGE ST,STOUGHTON,WI,53589,DANE,Hours of physical-restraint use,0.0,0.0,2822.0,nan,Hours of seclusion use,0.02,1.52,2822.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,7.0,Screening for metabolic disorders (SMD),91.0,106.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,145.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,100.0,145.0,nan,Tobacco use treatment provided or offered,,,1.0,,,1.0,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),85.0,151.0,nan,Timely transmission of transition record (TR2),83.0,151.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.0,15.0,nan,40.0,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,166.0,15.1,11.3,20.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),100.0,79.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),100.0,32.0,nan,2017-10-01,2018-03-31
521354,SOUTHWEST HEALTH CENTER,1400 EAST SIDE RD,PLATTEVILLE,WI,53818,GRANT,Hours of physical-restraint use,0.0,0.03,2035.0,nan,Hours of seclusion use,0.0,0.0,2035.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),88.0,83.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,133.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,1.0,,,1.0,Tobacco use screening,99.0,133.0,nan,Tobacco use treatment provided or offered,85.0,13.0,nan,38.0,13.0,nan,Tobacco use treatment provided or offered at discharge,38.0,13.0,nan,31.0,13.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),71.0,135.0,nan,Timely transmission of transition record (TR2),71.0,135.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,76.5,17.0,nan,23.5,17.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,174.0,21.7,16.9,27.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,68.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),79.0,28.0,nan,2017-10-01,2018-03-31
521359,MEMORIAL MEDICAL CENTER,1615 MAPLE LANE,ASHLAND,WI,54806,ASHLAND,Hours of physical-restraint use,0.04,2.33,2705.0,nan,Hours of seclusion use,0.29,18.98,2705.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,19.0,nan,Screening for metabolic disorders (SMD),55.0,199.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,86.0,409.0,nan,Alcohol use brief intervention provided or offered,99.0,167.0,nan,99.0,167.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,97.0,274.0,nan,97.0,274.0,nan,Tobacco use screening,100.0,411.0,nan,Tobacco use treatment provided or offered,95.0,296.0,nan,61.0,296.0,nan,Tobacco use treatment provided or offered at discharge,2.0,260.0,nan,0.0,260.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,477.0,nan,Timely transmission of transition record (TR2),94.0,477.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,44.0,nan,38.6,44.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,177.0,19.7,15.4,24.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,197.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,304.0,nan,2017-10-01,2018-03-31
524000,AURORA PSYCHIATRIC HOSPITAL,1220 DEWEY AVE,WAUWATOSA,WI,53213,MILWAUKEE,Hours of physical-restraint use,0.32,180.07,23325.0,nan,Hours of seclusion use,0.0,0.0,23325.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,52.0,25.0,nan,Screening for metabolic disorders (SMD),37.0,377.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,93.0,771.0,nan,Alcohol use brief intervention provided or offered,45.0,284.0,nan,44.0,284.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,502.0,nan,62.0,502.0,nan,Tobacco use screening,94.0,773.0,nan,Tobacco use treatment provided or offered,59.0,413.0,nan,50.0,413.0,nan,Tobacco use treatment provided or offered at discharge,54.0,393.0,nan,0.0,393.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),10.0,1031.0,nan,Timely transmission of transition record (TR2),8.0,1031.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,62.8,199.0,nan,46.7,199.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,491.0,21.7,18.8,25.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),68.0,526.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),99.0,655.0,nan,2017-10-01,2018-03-31
524001,MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION,9455 W WATERTOWN PLANK RD,MILWAUKEE,WI,53226,MILWAUKEE,Hours of physical-restraint use,0.66,298.51,18794.0,nan,Hours of seclusion use,0.31,139.07,18794.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,91.0,150.0,nan,Screening for metabolic disorders (SMD),93.0,197.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,97.0,656.0,nan,Alcohol use brief intervention provided or offered,100.0,168.0,nan,63.0,168.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,168.0,nan,55.0,168.0,nan,Tobacco use screening,73.0,656.0,nan,Tobacco use treatment provided or offered,100.0,245.0,nan,34.0,245.0,nan,Tobacco use treatment provided or offered at discharge,42.0,245.0,nan,23.0,245.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,1363.0,nan,Timely transmission of transition record (TR2),100.0,1363.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,38.4,73.0,nan,21.9,73.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,178.0,16.7,13.0,21.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),13.0,712.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,696.0,nan,2017-10-01,2018-03-31
524002,WINNEBAGO MENTAL HEALTH INSTITUTE,1300 SOUTH DRIVE,WINNEBAGO,WI,54985,WINNEBAGO,Hours of physical-restraint use,1.84,2874.87,64925.0,nan,Hours of seclusion use,1.47,2286.43,64925.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,10.0,309.0,nan,Screening for metabolic disorders (SMD),98.0,1977.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,2127.0,nan,Alcohol use brief intervention provided or offered,90.0,354.0,nan,86.0,354.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,38.0,948.0,nan,38.0,948.0,nan,Tobacco use screening,99.0,2154.0,nan,Tobacco use treatment provided or offered,90.0,1127.0,nan,80.0,1127.0,nan,Tobacco use treatment provided or offered at discharge,28.0,1048.0,nan,2.0,1048.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),72.0,3610.0,nan,Timely transmission of transition record (TR2),74.0,3610.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,46.2,279.0,nan,18.6,279.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,754.0,18.8,16.3,21.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),59.0,1682.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),60.0,770.0,nan,2017-10-01,2018-03-31
524008,MENDOTA MENTAL HEALTH INSTITUTE,301 TROY DR,MADISON,WI,53704,DANE,Hours of physical-restraint use,0.03,3.83,5804.0,nan,Hours of seclusion use,2.97,414.23,5804.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,38.0,13.0,nan,Screening for metabolic disorders (SMD),69.0,88.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,77.0,123.0,nan,Alcohol use brief intervention provided or offered,,,1.0,,,1.0,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,18.0,nan,0.0,18.0,nan,Tobacco use screening,92.0,127.0,nan,Tobacco use treatment provided or offered,7.0,14.0,nan,7.0,14.0,nan,Tobacco use treatment provided or offered at discharge,,,1.0,,,1.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),48.0,139.0,nan,Timely transmission of transition record (TR2),83.0,139.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,6.3,16.0,nan,0.0,16.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,84.0,18.1,13.1,23.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),50.0,56.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),67.0,1118.0,nan,2017-10-01,2018-03-31
524014,BROWN COUNTY COMMUNITY TREATMENT CTR,3150 GERSHWIN DRIVE,GREEN BAY,WI,54311,BROWN,Hours of physical-restraint use,0.04,3.73,4154.0,nan,Hours of seclusion use,1.99,198.23,4154.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,5.0,91.0,nan,Screening for metabolic disorders (SMD),81.0,239.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,518.0,nan,Alcohol use brief intervention provided or offered,100.0,228.0,nan,93.0,228.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,228.0,nan,0.0,228.0,nan,Tobacco use screening,48.0,768.0,nan,Tobacco use treatment provided or offered,76.0,240.0,nan,54.0,240.0,nan,Tobacco use treatment provided or offered at discharge,74.0,240.0,nan,0.0,240.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,768.0,nan,Timely transmission of transition record (TR2),0.0,768.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,34.4,64.0,nan,9.4,64.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,203.0,21.4,17.1,26.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),3.0,385.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,232.0,nan,2017-10-01,2018-03-31
524017,NORTH CENTRAL HEALTH CARE,1100 LAKEVIEW DR,WAUSAU,WI,54403,MARATHON,Hours of physical-restraint use,0.05,5.6,5034.0,nan,Hours of seclusion use,0.03,3.38,5034.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,25.0,36.0,nan,Screening for metabolic disorders (SMD),67.0,245.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,65.0,513.0,nan,Alcohol use brief intervention provided or offered,91.0,74.0,nan,88.0,74.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,48.0,309.0,nan,48.0,309.0,nan,Tobacco use screening,67.0,513.0,nan,Tobacco use treatment provided or offered,99.0,196.0,nan,98.0,196.0,nan,Tobacco use treatment provided or offered at discharge,0.0,176.0,nan,0.0,176.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),64.0,602.0,nan,Timely transmission of transition record (TR2),40.0,602.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,75.0,72.0,nan,23.6,72.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,261.0,19.8,15.9,24.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),83.0,309.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),96.0,69.0,nan,2017-10-01,2018-03-31
524018,ROGERS MEMORIAL HOSPITAL,34700 VALLEY RD,OCONOMOWOC,WI,53066,WAUKESHA,Hours of physical-restraint use,0.02,27.0,47303.0,nan,Hours of seclusion use,0.02,23.0,47303.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),36.0,524.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,749.0,nan,Alcohol use brief intervention provided or offered,94.0,247.0,nan,85.0,247.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,89.0,487.0,nan,88.0,487.0,nan,Tobacco use screening,100.0,748.0,nan,Tobacco use treatment provided or offered,86.0,488.0,nan,55.0,488.0,nan,Tobacco use treatment provided or offered at discharge,4.0,426.0,nan,1.0,426.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),55.0,1238.0,nan,Timely transmission of transition record (TR2),54.0,1238.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,58.4,250.0,nan,32.0,250.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,870.0,19.3,16.9,21.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),96.0,582.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),93.0,2342.0,nan,2017-10-01,2018-03-31
524019,NORWOOD HEALTH CENTER,1600 N CHESTNUT AVE,MARSHFIELD,WI,54449,WOOD,Hours of physical-restraint use,0.07,6.96,3893.0,nan,Hours of seclusion use,0.02,2.0,3893.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),15.0,208.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,376.0,nan,Alcohol use brief intervention provided or offered,100.0,94.0,nan,100.0,94.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,94.0,nan,100.0,94.0,nan,Tobacco use screening,100.0,374.0,nan,Tobacco use treatment provided or offered,100.0,206.0,nan,100.0,206.0,nan,Tobacco use treatment provided or offered at discharge,100.0,206.0,nan,100.0,206.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),100.0,434.0,nan,Timely transmission of transition record (TR2),85.0,434.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,54.8,62.0,nan,24.2,62.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,148.0,18.0,14.2,22.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),47.0,215.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),98.0,106.0,nan,2017-10-01,2018-03-31
524025,FOND DU LAC COUNTY ACUTE PSYCH UNIT,459 E FIRST ST,FOND DU LAC,WI,54935,FOND DU LAC,Hours of physical-restraint use,3.05,356.75,4876.0,nan,Hours of seclusion use,3.28,383.67,4876.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,40.0,126.0,nan,Screening for metabolic disorders (SMD),0.0,115.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,25.0,812.0,nan,Alcohol use brief intervention provided or offered,100.0,201.0,nan,99.0,201.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,0.0,201.0,nan,0.0,201.0,nan,Tobacco use screening,99.0,745.0,nan,Tobacco use treatment provided or offered,100.0,458.0,nan,0.0,458.0,nan,Tobacco use treatment provided or offered at discharge,100.0,458.0,nan,0.0,458.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,910.0,nan,Timely transmission of transition record (TR2),0.0,910.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,52.3,88.0,nan,14.8,88.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,291.0,19.3,15.7,23.6,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),0.0,406.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),86.0,98.0,nan,2017-10-01,2018-03-31
524026,WAUKESHA COUNTY MENTAL HEALTH CTR,1501 AIRPORT RD,WAUKESHA,WI,53188,WAUKESHA,Hours of physical-restraint use,0.28,42.78,6311.0,nan,Hours of seclusion use,0.15,22.85,6311.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,61.0,89.0,nan,Screening for metabolic disorders (SMD),3.0,535.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,611.0,nan,Alcohol use brief intervention provided or offered,100.0,327.0,nan,100.0,327.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,100.0,327.0,nan,100.0,327.0,nan,Tobacco use screening,95.0,610.0,nan,Tobacco use treatment provided or offered,92.0,388.0,nan,84.0,388.0,nan,Tobacco use treatment provided or offered at discharge,75.0,388.0,nan,69.0,388.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),58.0,611.0,nan,Timely transmission of transition record (TR2),13.0,611.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.0,77.0,nan,22.1,77.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,176.0,18.0,14.2,22.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),26.0,421.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),69.0,134.0,nan,2017-10-01,2018-03-31
524038,BELLIN PSYCHIATRIC CENTER,301 E ST JOSEPH ST,GREEN BAY,WI,54301,BROWN,Hours of physical-restraint use,0.04,9.14,9502.0,nan,Hours of seclusion use,0.01,2.02,9502.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,100.0,16.0,nan,Screening for metabolic disorders (SMD),96.0,200.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,375.0,nan,Alcohol use brief intervention provided or offered,100.0,16.0,nan,100.0,16.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,77.0,22.0,nan,64.0,22.0,nan,Tobacco use screening,100.0,375.0,nan,Tobacco use treatment provided or offered,93.0,171.0,nan,87.0,171.0,nan,Tobacco use treatment provided or offered at discharge,7.0,161.0,nan,0.0,161.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),65.0,669.0,nan,Timely transmission of transition record (TR2),64.0,669.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,74.7,75.0,nan,32.0,75.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,211.0,20.3,16.3,24.8,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),94.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),94.0,261.0,nan,2017-10-01,2018-03-31
524041,WILLOW CREEK BEHAVIORAL HEALTH,1351 ONTARIO RD,GREEN BAY,WI,54311,BROWN,Hours of physical-restraint use,0.0,0.0,3451.0,nan,Hours of seclusion use,0.0,0.0,3451.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),7.0,72.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,89.0,110.0,nan,Alcohol use brief intervention provided or offered,22.0,27.0,nan,22.0,27.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,66.0,35.0,nan,49.0,35.0,nan,Tobacco use screening,98.0,111.0,nan,Tobacco use treatment provided or offered,92.0,49.0,nan,0.0,49.0,nan,Tobacco use treatment provided or offered at discharge,17.0,41.0,nan,2.0,41.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),26.0,174.0,nan,Timely transmission of transition record (TR2),8.0,174.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,80.0,20.0,nan,15.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,35.0,21.6,15.4,29.4,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),87.0,142.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),91.0,161.0,nan,2017-10-01,2018-03-31
530002,CAMPBELL COUNTY MEMORIAL HOSPITAL,501 SOUTH BURMA AVENUE,GILLETTE,WY,82716,CAMPBELL,Hours of physical-restraint use,0.05,2.11,1640.0,nan,Hours of seclusion use,0.0,0.0,1640.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),,,7.0,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,201.0,nan,Alcohol use brief intervention provided or offered,81.0,58.0,nan,81.0,58.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,80.0,71.0,nan,70.0,71.0,nan,Tobacco use screening,100.0,206.0,nan,Tobacco use treatment provided or offered,67.0,116.0,nan,31.0,116.0,nan,Tobacco use treatment provided or offered at discharge,49.0,108.0,nan,12.0,108.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),,,7.0,Timely transmission of transition record (TR2),,,7.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,73.3,15.0,nan,40.0,15.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,31.0,18.9,13.3,26.2,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),95.0,183.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,25.0,nan,2017-10-01,2018-03-31
530008,SAGEWEST HEALTH CARE,2100 W SUNSET DR,RIVERTON,WY,82501,FREMONT,Hours of physical-restraint use,0.26,18.63,2948.0,nan,Hours of seclusion use,0.0,0.0,2948.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),68.0,90.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,98.0,167.0,nan,Alcohol use brief intervention provided or offered,95.0,43.0,nan,93.0,43.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,96.0,82.0,nan,96.0,82.0,nan,Tobacco use screening,99.0,167.0,nan,Tobacco use treatment provided or offered,55.0,103.0,nan,29.0,103.0,nan,Tobacco use treatment provided or offered at discharge,83.0,77.0,nan,3.0,77.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),27.0,172.0,nan,Timely transmission of transition record (TR2),27.0,172.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,70.0,20.0,nan,20.0,20.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,64.0,16.2,11.7,22.0,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,74.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),87.0,54.0,nan,2017-10-01,2018-03-31
530014,CHEYENNE REGIONAL MEDICAL CENTER,214 EAST 23RD STREET,CHEYENNE,WY,82001,LARAMIE,Hours of physical-restraint use,0.01,1.63,13466.0,nan,Hours of seclusion use,0.07,21.06,13466.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,75.0,12.0,nan,Screening for metabolic disorders (SMD),99.0,265.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,568.0,nan,Alcohol use brief intervention provided or offered,100.0,165.0,nan,100.0,165.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,83.0,189.0,nan,80.0,189.0,nan,Tobacco use screening,100.0,569.0,nan,Tobacco use treatment provided or offered,100.0,322.0,nan,73.0,322.0,nan,Tobacco use treatment provided or offered at discharge,91.0,276.0,nan,83.0,276.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),93.0,509.0,nan,Timely transmission of transition record (TR2),92.0,509.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,60.8,74.0,nan,40.5,74.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,176.0,17.6,13.9,22.1,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),99.0,261.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,2951.0,nan,2017-10-01,2018-03-31
530025,IVINSON MEMORIAL HOSPITAL,255 N 30TH,LARAMIE,WY,82072,ALBANY,Hours of physical-restraint use,0.0,0.0,1766.0,nan,Hours of seclusion use,0.0,0.0,1766.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,,,1.0,Screening for metabolic disorders (SMD),17.0,54.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,320.0,nan,Alcohol use brief intervention provided or offered,100.0,134.0,nan,100.0,134.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,90.0,182.0,nan,90.0,182.0,nan,Tobacco use screening,99.0,373.0,nan,Tobacco use treatment provided or offered,96.0,154.0,nan,51.0,154.0,nan,Tobacco use treatment provided or offered at discharge,41.0,140.0,nan,34.0,140.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Yes,nan,Transition record with specified elements received by discharged patients (TR1),99.0,425.0,nan,Timely transmission of transition record (TR2),16.0,425.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,57.7,26.0,nan,26.9,26.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),No Different than the National Rate,86.0,21.5,16.6,27.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,199.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),97.0,31.0,nan,2017-10-01,2018-03-31
534001,WYOMING STATE HOSPITAL,831 HWY 150 SOUTH,EVANSTON,WY,82931,UINTA,Hours of physical-restraint use,,,,5.0,Hours of seclusion use,,,,5.0,Patients discharged on multiple antipsychotic medications with appropriate justification,,,5.0,Screening for metabolic disorders (SMD),,,5.0,Percent of patients screened for alcohol use using a validated screening questionnaire,,,5.0,Alcohol use brief intervention provided or offered,,,5.0,,,5.0,Alcohol and other drug use disorder treatment provided or offered at discharge,,,5.0,,,5.0,Tobacco use screening,,,5.0,Tobacco use treatment provided or offered,,,5.0,,,5.0,Tobacco use treatment provided or offered at discharge,,,5.0,,,5.0,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Not Available,5.0,Facility's highest level typical use of an electronic health records system (EHR),Not Available,5.0,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,Not Available,5.0,Transition record with specified elements received by discharged patients (TR1),,,5.0,Timely transmission of transition record (TR2),,,5.0,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,,,1.0,,,1.0,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Number of Cases Too Small,,,,,1.0,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),,,5.0,Influenza vaccination coverage among healthcare personnel (HCP),,,5.0,2017-10-01,2018-03-31
534004,WYOMING BEHAVIORAL INSTITUTE,2521 EAST 15TH STREET,CASPER,WY,82609,NATRONA,Hours of physical-restraint use,0.07,34.5,21667.0,nan,Hours of seclusion use,0.11,58.98,21667.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,9.0,11.0,nan,Screening for metabolic disorders (SMD),99.0,169.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,99.0,355.0,nan,Alcohol use brief intervention provided or offered,99.0,150.0,nan,99.0,150.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,52.0,202.0,nan,44.0,202.0,nan,Tobacco use screening,99.0,355.0,nan,Tobacco use treatment provided or offered,97.0,227.0,nan,37.0,227.0,nan,Tobacco use treatment provided or offered at discharge,88.0,198.0,nan,31.0,198.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),94.0,755.0,nan,Timely transmission of transition record (TR2),78.0,755.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,56.3,144.0,nan,28.5,144.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Better than the National Rate,335.0,16.0,12.9,19.5,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),90.0,338.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),92.0,225.0,nan,2017-10-01,2018-03-31
670010,MAYHILL HOSPITAL,2809 SOUTH MAYHILL ROAD,DENTON,TX,76208,DENTON,Hours of physical-restraint use,0.02,7.7,14747.0,nan,Hours of seclusion use,0.16,56.75,14747.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,50.0,14.0,nan,Screening for metabolic disorders (SMD),29.0,425.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,737.0,nan,Alcohol use brief intervention provided or offered,62.0,147.0,nan,49.0,147.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,92.0,209.0,nan,82.0,209.0,nan,Tobacco use screening,100.0,738.0,nan,Tobacco use treatment provided or offered,90.0,315.0,nan,5.0,315.0,nan,Tobacco use treatment provided or offered at discharge,86.0,295.0,nan,1.0,295.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,Yes,nan,Facility's highest level typical use of an electronic health records system (EHR),Paper or Other Form,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),87.0,755.0,nan,Timely transmission of transition record (TR2),46.0,755.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.4,238.0,nan,24.4,238.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,728.0,23.7,21.1,26.3,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),69.0,334.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),65.0,246.0,nan,2017-10-01,2018-03-31
670093,"ASPIRE BEHAVIORAL HEALTH OF CONROE, LLC","2006 SOUTH LOOP 336 WEST, SUITE 500",CONROE,TX,77304,MONTGOMERY,Hours of physical-restraint use,0.0,0.8,7264.0,nan,Hours of seclusion use,0.01,1.1,7264.0,nan,Patients discharged on multiple antipsychotic medications with appropriate justification,0.0,16.0,nan,Screening for metabolic disorders (SMD),1.0,225.0,nan,Percent of patients screened for alcohol use using a validated screening questionnaire,100.0,762.0,nan,Alcohol use brief intervention provided or offered,75.0,28.0,nan,61.0,28.0,nan,Alcohol and other drug use disorder treatment provided or offered at discharge,6.0,109.0,nan,0.0,109.0,nan,Tobacco use screening,98.0,364.0,nan,Tobacco use treatment provided or offered,98.0,133.0,nan,98.0,133.0,nan,Tobacco use treatment provided or offered at discharge,0.0,129.0,nan,0.0,129.0,nan,Patient experience of care (PEoC) routinely assessed using standardized collection protocol,No,nan,Facility's highest level typical use of an electronic health records system (EHR),Non-Certified EHR Technology,nan,Facility exchanged interoperable health information with a health information service provider (HISP) at times of transitions in care,No,nan,Transition record with specified elements received by discharged patients (TR1),0.0,370.0,nan,Timely transmission of transition record (TR2),0.0,370.0,nan,2017-01-01,2017-12-31,Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness,53.9,115.0,nan,24.3,115.0,nan,2016-07-01,2017-06-30,Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF),Worse than the National Rate,334.0,24.1,20.2,28.7,nan,2015-07-01,2017-06-30,Influenza immunization (IPFQR-IMM-2),67.0,338.0,nan,Influenza vaccination coverage among healthcare personnel (HCP),53.0,125.0,nan,2017-10-01,2018-03-31
