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Community Hospital Quality Measures


The Federal government recently instituted reductions in Medicare payment reimbursment for certain hospitals that have excessive readmission rates within a 30 day period. A high number of readmission rates within a short period of time can be an indicator of sub par levels of quality of care. Even though Community Hospital is not among those hospitals currently being penalized for high readmission rates, we are proactively engaged in monitoring our own readmission rates and continously improving our processes to provide the best care possible.  

The Surgical Care Improvement Project ("SCIP") is a national partnership of organizations committed to improving the safety of sugical care through the reduction of postoperative complications. These complications can take a toll on patient's health and safety and can unnecessarily extend postoperative hospital stays or care. SCIP aims to reduce surgical infectious complication rates through measurement and reporting of six infection-prevention process-of-care measures.


Evidence-based practices are known to enhance care. These practices are carried out through processes and Community Hospital has 13 Key Processes with 60 measures that track our performance in every aspect of patient care and customer service.

The link below will take you to a website called Hospital Compare. This site is managed by the Federal government and has information about the quality and care at over 4,000 Medicare-certified hospitals nationwide. You can use Hospital Compare to review many different quality rankings for Community Hospital including:

The next link below can be used to compare the quality rankings of Community Hospital with another hospital of your choosing:

Satisfaction and rankings

Consumer Hospital Assessment

The Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") asks consumers and patients to evaluate their experiences with several different aspects or categories of hospital care.

The HCAHPS survey asks discharged patients 27 questions about their recent hospital stay.  There are 18 questions about critical aspects of patients' hospital experiences including:

  • Communication with nurses and doctors
  • The responsiveness of hospital staff
  • The cleanliness and quietness of the hospital environment
  • Pain management
  • Communication about medicines
  • Discharge information
  • Overall rating of hospital

The colors used in the chart denote the following:

  • Blue= Benchmark
  • Orange= 75th percentile
  • Green= Achievement
  • Red= Below achievement

Patient Satisfaction

Professional Research Consultants ("PRC") has been contracted to conduct independent telephone call surveys for Community Hosptial on important aspects of our services and care. Each month we receive the results of those calls and track our progress with respect to other hospitals in Nebraska. The two links below represent just two strategic measures that we continuously track in our ongoing effort to meet and exceed patient expectations. 

These charts have three line indicators on them: Green line is our Goal, Blue line is our Stretch Target, and Red line is our Minimum Acceptable level. These charts only reflect the percentage of patients that rated Community Hospital "Excellent" in these measures and does not show those who rated us "Very Good" or "Good".

About Community Hospital