HaysMed Quality Data

The Dedication to Being the Best Tertiary Care Center in Rural America requires a continuous and on-going commitment to excellence. By pursuing the newest and best technologies, hiring and retaining highly skilled staff, and promoting a culture of safety and excellence, HaysMed has forged an impressive quality record.

We understand that when patients make decisions about their health care, one of the most important decisions of all, they want reliable, standardized information about performance and quality of the services they are seeking. HaysMed participates in a variety of initiatives intended to help consumers and employers compare health care providers and facilities.

The purpose of this site is to share the results of our ongoing efforts to provide safe, effective, patient centered, timely, efficient and equitable care to our patients, families and community. We provide information about our quality outcomes, patient safety, and quality measures in this section.

Through our quality data, we’re pleased to provide documentation of the top-notch care we provide. If you have additional questions about the content contained in the web site please send comments and questions to HaysMed Patient Quality Services.

HaysMed’s CMS Hospital Compare Data

Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can help you make informed decisions about health care. Hospital Compare allows consumers to select multiple hospitals and directly compare performance measure information related to heart attack, heart failure, pneumonia, surgery and other conditions.

You may click on the following CMS Hospital Compare link to review and compare data for HaysMed and over 4,000 other Medicare-certified hospitals across the county. www.hospitalcompare.hhs.gov  

Current HaysMed data is provided below.

Current HaysMed Data is Provided Below:

Patient Experience of Care Data

Data Collection 1/1/2019  – 3/31/2019

How often did nurses communicate well with patients?

Patients reported how often their nurses communicated well with them during their hospital stay. “Communicated well” means nurses explained things clearly, listened carefully to the patient, and treated the patient with courtesy and respect.

Patients who reported that their nurses "Always" communicated well.

HaysMed 78%
Kansas Average 82%
National Average 80%

How often did doctor communicate well with patients?

Patients reported how often their doctors communicated well with them during their hospital stay. “Communicated well” means doctors explained things clearly, listened carefully to the patient, and treated the patient with courtesy and respect.

Patients who reported that their doctors "Always" communicated well.

HaysMed 80%
Kansas Average 84%
National Average 81%

How often did patients receive help as soon as they wanted from hospital staff?

Patients reported how often they were helped quickly when they used the call button or needed help in getting to the bathroom or using a bedpan.

Patients who reported that they "Always" received help as soon as they wanted.

HaysMed 66%
Kansas Average 78%
National Average 70%

How often did staff communicate with you about your pain?

If patients had pain, the survey asked them how often did hospital staff talk with you about how much pain you had and how to treat your pain.

Patients who reported that their pain was “Always” well controlled.

HaysMed 62%
Kansas Average No Average- New Question%
National Average No Average - New Question%

How often did staff explain about medicines before giving them to patients?

If patients were given medicine that they had not taken before, the survey asked how often staff explained about the medicine. “Explained” means that hospital staff told what the medicine was for and what side effects it might have before they gave it to the patient.

Patients who reported that staff “Always” explained about medicines before giving it to them.

HaysMed 57%
Kansas Average 68%
National Average 66%

How often were the patients’ rooms and bathrooms kept clean?

Patients reported how often their hospital room and bathroom were kept clean.

Patients who reported that their room and bathroom were “Always" clean.

HaysMed 80%
Kansas Average 80%
National Average 75%

How often was the area around patients’ rooms kept quiet at night?

Patients reported how often the area around their room was quiet at night.

Patients who reported that the area around their room was “Always" quiet at night.

HaysMed 62%
Kansas Average 66%
National Average 62%

Were patients given information about what to do during their recovery at home?

The survey asked patients about information they were given when they were ready to leave the hospital. Patients reported whether hospital staff had discussed the help they would need at home. Patients also reported whether they were given written information about symptoms or health problems to watch for during their recovery.

Patients who reported that YES, they were given information about what to do during their recovery at home.

HaysMed 91%
Kansas Average 87%
National Average 87%

How well did patients understand the type of care they would need after leaving the hospital?

Patients reported whether they and/or their caregivers understood the type of care the patient would need once the patient left the hospital. Patients reported whether:

  • Hospital staff considered their health care options and wishes when deciding what kind of care they would need after leaving the hospital;
  • They and/or their caregivers understood what they would have to do to take care of themselves after leaving the hospital; and
  • They knew what medications they would be taking and why they would be taking them after leaving the hospital.

Patients who “Strongly Agree” they understood their care when they left the hospital.

HaysMed 51%
Kansas Average 57%
National Average 53%

How do patients rate the hospital overall?

After answering all other questions on the survey, patients answered a separate question that asked for an overall rating of the hospital. Ratings were on a scale from 0 to 10, where “0” means “worst hospital possible” and “10” means “best hospital possible.”

Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) and 10 (highest).

HaysMed 72%
Kansas Average 77%
National Average 73%

Would patients recommend the hospital to friends and family?

The survey asked patients whether they would recommend the hospital to their friends and family.

Patients who recommend the hospital to friends and family.

HaysMed 69%
Kansas Average 77%
National Average 72%

Process of Care Measures Data

Data Collection 1/1/2019  – 3/31/2019

Pregnancy & Delivery Care

Guidelines developed by doctors and researchers say it’s best practice to wait until the 39th completed week of pregnancy to deliver your baby because important fetal development takes place in your baby’s brain and lungs during the last few weeks of pregnancy.  By providing care to pregnant women that follows best practices, hospitals and doctors can improve chances for a safe delivery and a healthy baby. 

Percent of mothers whose deliveries were scheduled too early (1-2 weeks early), when not medically necessary (lower percentages are better)

HaysMed 0%
Kansas Average 1%
National Average 2%

Hospital Acquired Potentially Preventable Venous Thromboemoblism (VTE)

Because hospital patients often have to stay in bed for long periods of time, any patient who is admitted to the hospital is at increased risk of developing a blood clot in the veins (known as venous thromboembolism). Blood clots can break off and travel to other parts of the body and cause serious problems, even death. Fortunately, there are safe, effective, and proven methods to prevent blood clots or to treat them when they occur.

Hosptial Acquired Potentially-Preventable Venous Thromboembolism (lower % is better)

HaysMed N/A (No qualifying cases during 1st quarter)%
Kansas Average 1%
National Average 2%

Emergency Department Care

Timely and effective care in hospital emergency departments is essential for good patient outcomes. Delays before getting care in the emergency department can reduce the quality of care and increase risks and discomfort for patients with serious illnesses or injuries. Waiting times at different hospitals can vary widely, depending on the number of patients seen, staffing levels, efficiency, admitting procedures, or the availability of inpatient beds.

Median Time from ED Arrival to ED Departure for Admitted Patients-Overall Rate

HaysMed 173 Minutes

Kansas 186 Minutes

National Average 213 Minutes

Infection Prevention Data

Data Collection 10/1/2018 – 12/31/2018

Healthcare Associated Infection (HAI) Surveillance:

A healthcare-associated infection (HAI) is usually related to a procedure or treatment used to diagnose or treat a patient’s initial illness or injury, which appears on or after day 3 after a patient is admitted.

Hays Medical Center strives to improve its quality of clinical care by ongoing surveillance and monitoring of healthcare associated infections. These include central line, surgical site, respiratory, blood stream, urinary tract, Clostridium difficile (C-diff) infections and multidrug-resistant organism (MDRO) which are common bacteria (germ) that develop resistance to antibiotics.

Not all infections can be eliminated, but many can be prevented through good medical and nursing care. HaysMed promotes proper hand hygiene and the use personal protective equipment such as: gowns, gloves and masks to keep patients, visitors and associates safe. In addition HaysMed associates are required to have an annual flu vaccination and follow all Centers for Disease Control and Prevention recommended vaccinations for healthcare providers.

Surgical Site Infection Rate (Less is Better).

HaysMed 0.0%
Kansas Benchmark 1.3%
National Benchmark 1.0%

Healthcare-Associated Infection Rate (Less is Better).

HaysMed 0.0%
Kansas Benchmark .8-.9%
National Benchmark 1%

Chest Pain Data

Data Collection 10/31/2019 – 12/31/2019

Percentage of Heart Attack Patients given Percutaneous Coronary Intervention (PCI) within 90 Minutes of Arrival.

The amount of time between a heart attack patient’s arrival at the hospital to the time he/she receives PCI, such as angioplasty in the catheterization laboratory. Time is calculated from arrival to the hospital to the first inflation of the balloon inside the blocked artery causing the heart attack. A Door to Balloon time of 90 minutes or less is recommended to expedite time to reperfusion of the heart.

Patients who received Percutaneous Coronary Intervention (PCI) within 90 minutes of arrival to the Emergency Department.

HaysMed 100%
National Average (US 50th Percentile) 97.5%

Median Time in Minutes to Primary Percutaneous Coronary Intervention (PCI) for Heart Attack Patients.

The median door-to-balloon time is a calculation in minutes only for heart attack patients as the time between admission in the Emergency Department and the performance of the primary PCI with the opening of the artery responsible for the heart attack in the catheterization laboratory.

HaysMed 42 Minutes


National Avg 58.2 Minutes

(US 50th Percentile)

Stroke Data

Data Collection 1/1/2019 – 4/30/2019

Intravenous Tissue Plafminogen Activator (IV t-PA) Arrive by 2 Hour, Treat by 3 Hour.

Percent of acute ischemic stroke patients who arrive at the hospital within 120 minutes (2 hours) of time last known well and for whom IV t-PA (a medication given intravenously to dissolve blood clots to improve blood flow to the area of the brain deprived of blood flow) was initiated at this hospital within 180 minutes (3 hours) of time last known well.

Patients meeting the above criteria who received Intravenous Tissue Plafminogen Activator (IV t-PA).

HaysMed 100%
National Average (Participating Hospitals) 86.9%

Get With the Guidelines/Performance Achievement Award (GWTG/PAA) Composite Measure

The composite quality of care measure indicates how well the healthcare system does to provide appropriate, evidence-based interventions for each patient.

Patients that received appropriate evidenced-based interventions.

HaysMed 97%
National Average (Participating Hospitals) 96.2%

Get With the Guidelines/Performance Achievement Award (GWTG/PAA) Defect-free Measure

Defect-free measure gauges how well your hospital did in providing all the appropriate interventions to every patient.

Patients who received all appropriate interventions.

HaysMed 90%
National Average (Participating Hospitals) 91.5%

Dysphagia Screen

Percent of Stroke patients who undergo screening for dysphagia (difficulty swallowing) with an evidence-based bedside testing protocol approved by the hospital before being given any food, fluids, or medication by mouth.

Stroke patients who received dysphagia screening before being given any food, fluids or medication by mouth.

HaysMed 83%
National Average (Participating Hospitals) 83.4%