UNIVERSITY OF KENTUCKY HOSPITAL

Acute Care Hospitals Lexington, KY Emergency Services
4/5
Overall Rating
4/5
Hospital Type
Acute Care Hospitals
Ownership
Government - State
Emergency
Yes

Hospital Information

Facility NameUNIVERSITY OF KENTUCKY HOSPITAL
Address800 ROSE STREET
Lexington, KY 40536
CountyFAYETTE
Hospital TypeAcute Care Hospitals
OwnershipGovernment - State
Emergency ServicesYes
Phone(859) 257-2278

Quality Measures & Clinical Outcomes

Other Measures

Measure Score vs. National
Emergency department volume very high
Global Malnutrition Composite Score 5 Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented 5 Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening 5 Not Available
Global Malnutrition Composite Score: Nutrition Assessment 5 Not Available
Global Malnutrition Composite Score: Nutritional Care Plan 5 Not Available
Hospital Harm - Severe Hyperglycemia 5 Not Available
Hospital Harm - Severe Hypoglycemia 5 Not Available
Hospital Harm - Opioid Related Adverse Events 5 Not Available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Based on 1,878 patients 3.6 No Different Than the National Rate
Safe Use of Opioids - Concurrent Prescribing Based on 12,941 patients 17
Severe Sepsis 3-Hour Bundle Based on 169 patients 2 51
Severe Sepsis 6-Hour Bundle Based on 54 patients 2 44

Complications

Measure Score vs. National
Rate of complications for hip/knee replacement patients 1 Not Available Number of Cases Too Small

Healthcare-Associated Infections

Measure Score vs. National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit 0.655 No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit 1.211 No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days 38917 No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases 45.496 No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases 41 No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards) 0.901 No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit 0.218 Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit 0.527 Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days 34072 Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases 57.556 Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases 20 Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards) 0.347 Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit 0.662 No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit 1.455 No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures 871 No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases 24.987 No Different than National Benchmark
SSI - Colon Surgery: Observed Cases 25 No Different than National Benchmark
SSI - Colon Surgery 1.001 No Different than National Benchmark
SSI - Abdominal Hysterectomy: Lower Confidence Limit 0.215 No Different than National Benchmark
SSI - Abdominal Hysterectomy: Upper Confidence Limit 1.629 No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures 612 No Different than National Benchmark
SSI - Abdominal Hysterectomy: Predicted Cases 5.923 No Different than National Benchmark
SSI - Abdominal Hysterectomy: Observed Cases 4 No Different than National Benchmark
SSI - Abdominal Hysterectomy 0.675 No Different than National Benchmark
MRSA Bacteremia: Lower Confidence Limit 0.837 No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit 1.547 No Different than National Benchmark
MRSA Bacteremia: Patient Days 361436 No Different than National Benchmark
MRSA Bacteremia: Predicted Cases 35.607 No Different than National Benchmark
MRSA Bacteremia: Observed Cases 41 No Different than National Benchmark
MRSA Bacteremia 1.151 No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit 0.241 Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit 0.416 Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days 325077 Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases 162.705 Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases 52 Better than the National Benchmark
Clostridium Difficile (C.Diff) 0.320 Better than the National Benchmark

Immunization

Measure Score vs. National
Healthcare workers given influenza vaccination Based on 15,550 patients 86

Mortality

Measure Score vs. National
Death rate for heart attack patients Based on 91 patients 12.4 No Different Than the National Rate
Death rate for CABG surgery patients Based on 133 patients 2.6 No Different Than the National Rate
Death rate for COPD patients Based on 105 patients 7.4 No Different Than the National Rate
Death rate for heart failure patients Based on 244 patients 11.7 No Different Than the National Rate
Death rate for pneumonia patients Based on 239 patients 12 Better Than the National Rate
Death rate for stroke patients Based on 333 patients 13.2 No Different Than the National Rate

Outpatient Procedures

Measure Score vs. National
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better Based on 397 patients 228
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better Based on 376 patients 225
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better Based on 21 patients 251
Average (median) time transfer patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 1 Not Available
Left before being seen Based on 133,484 patients 1
Head CT results 1 Not Available
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients Based on 80 patients 92
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery 5 Not Available
ST-Segment Elevation Myocardial Infarction (STEMI) 1 Not Available

Patient Safety

Measure Score vs. National
Pressure ulcer rate Based on 9,417 patients 0.46 No Different Than the National Rate
Death rate among surgical inpatients with serious treatable complications Based on 297 patients 128.38 Better Than the National Rate
Iatrogenic pneumothorax rate Based on 9,693 patients 0.17 No Different Than the National Rate
In-hospital fall-associated fracture rate Based on 10,471 patients 0.32 No Different Than the National Rate
Postoperative hemorrhage or hematoma rate Based on 3,449 patients 2.53 No Different Than the National Rate
Postoperative acute kidney injury requiring dialysis rate Based on 1,719 patients 1.28 No Different Than the National Rate
Postoperative respiratory failure rate Based on 1,503 patients 11.50 No Different Than the National Rate
Perioperative pulmonary embolism or deep vein thrombosis rate Based on 3,725 patients 3.60 No Different Than the National Rate
Postoperative sepsis rate Based on 1,691 patients 6.85 No Different Than the National Rate
Postoperative wound dehiscence rate Based on 916 patients 1.62 No Different Than the National Rate
Abdominopelvic accidental puncture or laceration rate Based on 2,815 patients 1.51 No Different Than the National Rate
CMS Medicare PSI 90: Patient safety and adverse events composite 1.06 No Different Than the National Value

Sepsis Care

Measure Score vs. National
Appropriate care for severe sepsis and septic shock Based on 169 patients 2 22
Septic Shock 3-Hour Bundle Based on 28 patients 2 39
Septic Shock 6-Hour Bundle 1, 2, 3 Not Available

Stroke Care

Measure Score vs. National
Discharged on Antithrombotic Therapy Based on 712 patients 96
Anticoagulation Therapy for Atrial Fibrillation/Flutter 5 Not Available
Antithrombotic Therapy by End of Hospital Day 2 Based on 602 patients 89

Venous Thromboembolism

Measure Score vs. National
Venous Thromboembolism Prophylaxis 5 Not Available
Intensive Care Unit Venous Thromboembolism Prophylaxis Based on 7,663 patients 96

Patient Experience (HCAHPS Survey)

Based on 1,302 completed surveys. Response rate: 17%.

Patients who reported that their nurses "Always" communicated well

Response: 80% Score: Not Applicable

Patients who reported that their nurses "Sometimes" or "Never" communicated well

Response: 3% Score: Not Applicable

Patients who reported that their nurses "Usually" communicated well

Response: 17% Score: Not Applicable

Nurse communication - linear mean score

Response: Not Applicable% Score: 92

Nurse communication - star rating

Response: Not Applicable% Score: Not Applicable

Patients who reported that their nurses "Always" treated them with courtesy and respect

Response: 87% Score: Not Applicable

Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect

Response: 2% Score: Not Applicable

Patients who reported that their nurses "Usually" treated them with courtesy and respect

Response: 11% Score: Not Applicable

Patients who reported that their nurses "Always" listened carefully to them

Response: 78% Score: Not Applicable

Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them

Response: 3% Score: Not Applicable

Patients who reported that their nurses "Usually" listened carefully to them

Response: 19% Score: Not Applicable

Patients who reported that their nurses "Always" explained things in a way they could understand

Response: 76% Score: Not Applicable

Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand

Response: 4% Score: Not Applicable

Patients who reported that their nurses "Usually" explained things in a way they could understand

Response: 20% Score: Not Applicable

Patients who reported that their doctors "Always" communicated well

Response: 81% Score: Not Applicable

Patients who reported that their doctors "Sometimes" or "Never" communicated well

Response: 4% Score: Not Applicable

Patients who reported that their doctors "Usually" communicated well

Response: 15% Score: Not Applicable

Doctor communication - linear mean score

Response: Not Applicable% Score: 92

Doctor communication - star rating

Response: Not Applicable% Score: Not Applicable

Patients who reported that their doctors "Always" treated them with courtesy and respect

Response: 89% Score: Not Applicable

Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect

Response: 3% Score: Not Applicable

Patients who reported that their doctors "Usually" treated them with courtesy and respect

Response: 8% Score: Not Applicable

Patients who reported that their doctors "Always" listened carefully to them

Response: 80% Score: Not Applicable

Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them

Response: 4% Score: Not Applicable

Patients who reported that their doctors "Usually" listened carefully to them

Response: 16% Score: Not Applicable

Patients who reported that their doctors "Always" explained things in a way they could understand

Response: 75% Score: Not Applicable

Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand

Response: 5% Score: Not Applicable

Patients who reported that their doctors "Usually" explained things in a way they could understand

Response: 20% Score: Not Applicable

Patients who reported that staff "Always" explained about medicines before giving it to them

Response: 62% Score: Not Applicable

Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them

Response: 18% Score: Not Applicable

Patients who reported that staff "Usually" explained about medicines before giving it to them

Response: 20% Score: Not Applicable

Communication about medicines - linear mean score

Response: Not Applicable% Score: 78

Communication about medicines - star rating

Response: Not Applicable% Score: Not Applicable

Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for

Response: 76% Score: Not Applicable

Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for

Response: 8% Score: Not Applicable

Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.

Response: 16% Score: Not Applicable

Patients who reported that when receiving new medication the staff "Always" discussed possible side effects

Response: 47% Score: Not Applicable

Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects

Response: 28% Score: Not Applicable

Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects

Response: 25% Score: Not Applicable

Patients who reported that NO, they were not given information about what to do during their recovery at home

Response: 13% Score: Not Applicable

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

Response: 87% Score: Not Applicable

Discharge information - linear mean score

Response: Not Applicable% Score: 86

Discharge information - star rating

Response: Not Applicable% Score: Not Applicable

Patients who reported that NO, they did not discuss whether they would need help after discharge

Response: 14% Score: Not Applicable

Patients who reported that YES, they did discuss whether they would need help after discharge

Response: 86% Score: Not Applicable

Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge

Response: 11% Score: Not Applicable

Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge

Response: 89% Score: Not Applicable

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

Response: 67% Score: Not Applicable

Patients who reported that their room and bathroom were "Sometimes" or "Never" clean

Response: 11% Score: Not Applicable

Patients who reported that their room and bathroom were "Usually" clean

Response: 22% Score: Not Applicable

Cleanliness - linear mean score

Response: Not Applicable% Score: 85

Cleanliness - star rating

Response: Not Applicable% Score: Not Applicable

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

Response: 60% Score: Not Applicable

Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night

Response: 10% Score: Not Applicable

Patients who reported that the area around their room was "Usually" quiet at night

Response: 30% Score: Not Applicable

Quietness - linear mean score

Response: Not Applicable% Score: 83

Quietness - star rating

Response: Not Applicable% Score: Not Applicable

Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)

Response: 8% Score: Not Applicable

Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)

Response: 18% Score: Not Applicable

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

Response: 74% Score: Not Applicable

Overall hospital rating - linear mean score

Response: Not Applicable% Score: 89

Overall hospital rating - star rating

Response: Not Applicable% Score: Not Applicable

Patients who reported NO, they would probably not or definitely not recommend the hospital

Response: 5% Score: Not Applicable

Patients who reported YES, they would definitely recommend the hospital

Response: 76% Score: Not Applicable

Patients who reported YES, they would probably recommend the hospital

Response: 19% Score: Not Applicable

Recommend hospital - linear mean score

Response: Not Applicable% Score: 89

Recommend hospital - star rating

Response: Not Applicable% Score: Not Applicable

Summary star rating

Response: Not Applicable% Score: Not Applicable

Quick Facts

  • Type Acute Care Hospitals
  • Ownership Government - State
  • Rating 4/5
  • Emergency Yes
  • Measures 88 recorded

Data Source

Hospital data from CMS Hospital Compare. Quality measures and patient experience surveys are updated periodically by the Centers for Medicare & Medicaid Services.

About UNIVERSITY OF KENTUCKY HOSPITAL

UNIVERSITY OF KENTUCKY HOSPITAL is a acute care hospitals located in Lexington, Kentucky. The facility is government - state owned and provides emergency services. It has an overall quality rating of 4 out of 5 stars from CMS. This hospital has 88 quality measures on record, covering areas such as mortality, readmission rates, complications, and patient safety. Patient experience is measured through the HCAHPS survey, with 1,302 surveys available for review.