Longview Regional Medical Center
Longview, Texas 75605-5191
Preventing and Responding to Patient Harm
Measure name | Leapfrog’s Standard | Hospital’s Progress | ||||||||||||
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Effective Leadership to Prevent Errors |
Hospitals should take meaningful steps to raise awareness about patient safety, hold leadership accountable for reducing unsafe practices, provide resources to implement a patient safety program, and develop systems and structures to support action to improve patient safety. |
![]() ACHIEVED THE STANDARD |
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This hospital scored 120.00 out of 120.00 possible points. |
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Staff Work Together to Prevent Errors |
Hospitals should assess their culture of safety and hold leadership accountable for implementing policies, procedures, and staff education to improve the culture of safety. |
![]() ACHIEVED THE STANDARD |
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This hospital scored 120.00 out of 120.00 possible points. |
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Support for Nursing Workforce |
Hospitals should assess their nursing staff levels and core competencies, included nurses in leadership, and develop and implement plans to address any areas of improvement. |
![]() ACHIEVED THE STANDARD |
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This hospital scored 100.00 out of 100.00 possible points. |
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Handwashing |
Hospitals should regularly monitor hand hygiene practices for everyone interacting with patients, and give feedback to ensure compliance. Hospitals should foster a culture of good hand hygiene, offer training and education, and provide equipment, such as paper towels, soap dispensers, and hand sanitizer. |
![]() SOME ACHIEVEMENT |
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Responding to Never Events |
Hospitals should have a never events policy that includes all nine (9) actions that should occur following a “never event,” which includes apologizing to the patient and not charging for costs associated with the never event. |
![]() ACHIEVED THE STANDARD |
Medication Safety
Measure name | Leapfrog’s Standard | Hospital’s Progress | ||||||||||
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Safe Medication Administration |
Hospitals should have nurses and other clinicians use BCMA in all medical/surgical units, intensive care units, and labor and delivery units to scan the patient and medication prior to administration at least 95% of the time. The BCMA system includes decision support to prevent errors and the hospital has processes to prevent workarounds. |
![]() ACHIEVED THE STANDARD |
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Safe Medication Ordering |
Hospitals should enter at least 85% of inpatient medication orders through the CPOE system. |
![]() ACHIEVED THE STANDARD |
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This hospital's percentage of inpatient medication orders entered electronically: 85% or greater |
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Medication Reconciliation |
Hospitals should have a rate of unintentional medication discrepancies per medication that is lower than or equal to the 50th percentile (where lower performance is better) nationally. |
![]() LIMITED ACHIEVEMENT |
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Medication Documentation for Elective Outpatient Surgery Patients |
Hospitals should document 90% or more of home medications, visit medications, and allergies/adverse reaction(s) in the patients’ clinical record. |
![]() LIMITED ACHIEVEMENT |
Healthcare Associated Infections
Measure name | Leapfrog’s Standard | Hospital’s Progress |
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Infection in the Blood |
Hospitals should have fewer than expected central-line associated blood stream infections. Leapfrog uses a standardized infection ratio (SIR) calculated by the CDC’s National Healthcare Safety Network (NHSN) to compare the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given various factors. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. |
![]() LIMITED ACHIEVEMENT |
This hospital’s standardized infection ratio (SIR) is: 3.959 Note: The standardized infection ratio (SIR) includes some data collected during the COVID-19 pandemic. |
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Infection in the Urinary Tract |
Hospitals should have fewer than expected catheter-associated urinary tract infections. Leapfrog uses a standardized infection ratio (SIR) calculated by the CDC’s National Healthcare Safety Network (NHSN) to compare the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given various factors. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. |
![]() CONSIDERABLE ACHIEVEMENT |
This hospital’s standardized infection ratio (SIR) is: 0.553 Note: The standardized infection ratio (SIR) includes some data collected during the COVID-19 pandemic. |
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C. difficile Infection |
Hospitals should have fewer than expected colon infections from C. diff bacteria. Leapfrog uses a standardized infection ratio (SIR) calculated by the CDC’s National Healthcare Safety Network (NHSN) to compare the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given various factors. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. |
![]() ACHIEVED THE STANDARD |
This hospital’s standardized infection ratio (SIR) is: 0.399 Note: The standardized infection ratio (SIR) includes some data collected during the COVID-19 pandemic. |
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MRSA Infection |
Hospitals should have fewer than expected antibiotic resistant bacterial infections. Leapfrog uses a standardized infection ratio (SIR) calculated by the CDC’s National Healthcare Safety Network (NHSN) to compare the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given various factors. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. |
![]() SOME ACHIEVEMENT |
This hospital’s standardized infection ratio (SIR) is: 1.122 Note: The standardized infection ratio (SIR) includes some data collected during the COVID-19 pandemic. |
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Surgical Site Infection After Colon Surgery |
Hospitals should have fewer than expected surgical site infections after major colon surgery. Leapfrog uses a standardized infection ratio (SIR) calculated by the CDC’s National Healthcare Safety Network (NHSN) to compare the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given various factors. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. |
![]() ACHIEVED THE STANDARD |
This hospital’s standardized infection ratio (SIR) is: 0.000 Note: The standardized infection ratio (SIR) includes some data collected during the COVID-19 pandemic. |
Maternity Care
Measure name | Leapfrog’s Standard | Hospital’s Progress | ||||
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Cesarean Sections |
This is defined as first-time mothers giving birth to a single baby, at full-term, in the head-down position deliver their babies through a C-section. Hospitals should have a rate of C-sections of 23.6% or less. |
![]() LIMITED ACHIEVEMENT |
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This hospital's rate of Cesarean sections is 29.8% |
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Early Elective Deliveries |
This is defined as mothers being scheduled for cesarean sections or medication inductions prior to 39 weeks gestation without a medical reason. Hospitals should have a rate of early elective deliveries of 5% or less. |
![]() ACHIEVED THE STANDARD |
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This hospital's rate of early elective deliveries is 0.0% |
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Episiotomies |
This is defined as mothers having an incision made in the perineum (the birth canal) during childbirth. Hospitals should have a rate of episiotomies of 5% or less. |
![]() ACHIEVED THE STANDARD |
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This hospital's rate of episiotomies is 4.9% |
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Screening Newborns for Jaundice Before Discharge |
Hospitals should screen at least 90% of babies for jaundice. |
![]() ACHIEVED THE STANDARD |
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This hospital's rate of screening newborns for jaundice before discharge is 100.0% |
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Preventing Blood Clots in Women Undergoing Cesarean Section |
At least 90% of women undergoing a cesarean section receive treatment to prevent blood clots. |
![]() ACHIEVED THE STANDARD |
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This hospital's rate of preventing blood clots in women undergoing cesarean section 100.0% |
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High-Risk Deliveries |
Hospitals should deliver at least 50 very-low birth weight babies per year OR the hospital must maintain a lower-than-average morbidity/mortality rate for very-low birth weight babies. |
![]() ACHIEVED THE STANDARD |
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More Information
Number of Live Births |
The hospital had 2,315 live births (i.e., liveborn infants) at this hospital location for the reporting time period. |
Pediatric Care
Measure name | Leapfrog’s Standard | Hospital’s Progress |
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Experience of Children and Their Parents |
Hospitals should perform better than most hospitals in five (5) areas:
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DOES NOT APPLY |
This hospital does not admit pediatric patients or had too few pediatric admissions to administer the patient experience survey. |
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Radiation Dose for Abdomen/Pelvis Scans |
Hospitals should use a CT radiation dose for routine CT scans of the abdomen and pelvis that falls within national benchmarks. |
![]() LIMITED ACHIEVEMENT |
Radiation Dose for Head Scans |
Hospitals should have an average radiation dose for routine CT scans of the head that falls within national benchmarks. |
![]() LIMITED ACHIEVEMENT |
Critical Care
Measure name | Leapfrog’s Standard | Hospital’s Progress |
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Specially Trained Doctors Care for Critical Care Patients |
Hospitals should have intensivists present on-site at least eight hours a day, seven days per week or has intensivists present via 24/7 telemedicine with some on-site intensivist presence. When not in the ICU, the intensivist immediately responds to calls and has another physician or trained clinician who can immediately reach the patient. |
![]() ACHIEVED THE STANDARD |
This hospital achieved the standard using on-site intensivist coverage. |
Complex Adult and Pediatric Surgery
Measure name | Leapfrog’s Standard | Hospital’s Progress |
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Carotid Artery Surgery |
Hospitals should perform at least 20 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 10 procedures annually. |
![]() CONSIDERABLE ACHIEVEMENT |
This hospital performed 75 carotid artery surgeries compared to Leapfrog’s standard of 20 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery. Additionally, this hospital does have protocols in place to ensure that carotid artery surgeries are only performed on patients that meet defined criteria. |
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Mitral Valve Repair and Replacement |
Hospitals should perform at least 40 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually. In addition, hospitals should participate in a national clinical registry and achieve the same or better outcomes when compared to others who also perform this procedure. |
![]() SOME ACHIEVEMENT |
This hospital performed 28 mitral valve repairs and replacements compared to Leapfrog’s standard of 40 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for mitral valve repair and replacement. This hospital does participate in the Society of Thorasic's Surgeons Adult Cardiac Surgery Database. This hospital's outcome (absence of mortality and major morbidity) for mitral valve repairs and replacements is: As Expected. Additionally, this hospital does have protocols in place to ensure that mitral valve repairs and replacements are only performed on patients that meet defined criteria. |
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Open Aortic Procedures |
Hospitals should perform at least 10 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 7 procedures annually. |
![]() LIMITED ACHIEVEMENT |
This hospital performed 9 open aortic procedures compared to Leapfrog’s standard of 10 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for open aortic procedures. Additionally, this hospital does have protocols in place to ensure that open aortic procedures are only performed on patients that meet defined criteria. |
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Bariatric Surgery for Weight Loss |
Hospitals should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually. |
DOES NOT APPLY |
Esophageal Resection for Cancer |
Hospitals should perform at least 20 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 7 procedures annually. |
DOES NOT APPLY |
Lung Resection for Cancer |
Hospitals should perform at least 40 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 15 procedures annually. |
![]() LIMITED ACHIEVEMENT |
This hospital performed 17 lung resections for cancer compared to Leapfrog’s standard of 40 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 15 procedures annually for lung resection for cancer. Additionally, this hospital does not indicate having a multidisciplinary tumor board that prospectively reviews cancer cases to ensure that lung resections for cancer are only performed on patients that meet defined criteria. |
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Pancreatic Resection for Cancer |
The hospital performs at least 20 procedures annually, and as part of their process for privileging surgeons, ensures that each surgeon performs at least 10 procedures annually. |
DOES NOT APPLY |
Rectal Cancer Surgery |
Hospitals should perform at least 16 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 6 procedures annually. |
![]() LIMITED ACHIEVEMENT |
This hospital performed 1 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery. Additionally, this hospital does not indicate having national accreditation from the American College of Surgeons or a multidisciplinary tumor board that prospectively reviews cancer cases to ensure that rectal cancer surgery is only performed on patients that meet defined criteria. |
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Total Hip Replacement Surgery |
Hospitals should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 25 procedures annually. |
![]() CONSIDERABLE ACHIEVEMENT |
This hospital performed 111 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries. Additionally, this hospital does have protocols in place to ensure that total hip replacement surgery is only performed on patients that meet defined criteria. |
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Total Knee Replacement Surgery |
Hospitals should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 25 procedures annually. |
![]() CONSIDERABLE ACHIEVEMENT |
This hospital performed 156 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries. Additionally, this hospital does have protocols in place to ensure that total knee replacement surgery is only performed on patients that meet defined criteria. |
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Congenital Heart Surgery for Infants (Norwood Procedure) |
Hospitals should perform at least 8 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 5 procedures annually. |
DOES NOT APPLY |
Elective Outpatient Surgery - Adult
Dermatology (Skin)
Procedure | Number of Procedures Performed Annually | |
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Complex Skin Repairs | 26 |
Gastroenterology (Stomach and Digestive)
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Upper GI Endoscopies | 1,059 | |
Other Upper GI Procedures | 0 | |
Small Intestine and Stomal Endoscopies | 0 | |
Lower GI Endoscopies | 1,907 |
General Surgery
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Cholecystectomies and Common Duct Explorations | 382 | |
Hemorrhoid Procedures | 12 | |
Inguinal and Femoral Hernia Repairs | 133 | |
Laparoscopies | 27 | |
Lumpectomies and Quadrantectomies of Breast | 188 | |
Mastectomies | 57 | |
Other Hernia Repairs | 142 |
Neurosurgery
Procedure | Number of Procedures Performed Annually | |
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Spinal Fusion Procedures | 275 |
Obstetrics and Gynecology
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Cervix Procedures | 15 | |
Hysteroscopies | 176 | |
Uterus and Adnexa Laparoscopies | 271 |
Ophthalmology (Eyes)
Procedure | Number of Procedures Performed Annually | |
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Anterior Segment Eye Procedures | 683 | |
Posterior Segment Eye Procedures | 0 | |
Other Eye Procedures | 4 |
Orthopedic (Bones and Joints)
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Finger, Hand, Wrist, Forearm, and Elbow Procedures | 512 | |
General Orthopedic Procedures | 56 | |
Hip Procedures | 29 | |
Knee Procedures | 267 | |
Shoulder Procedures | 378 | |
Spine Procedures | 169 | |
Toe, Foot, Ankle, and Leg Procedures | 176 |
Otolaryngology (Ear, Nose, Mouth, and Throat)
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Ear Procedures | 9 | |
Mouth Procedures | 1 | |
Nasal and Sinus Procedures | 178 |
Plastic and Reconstructive Surgery
Procedure | Number of Procedures Performed Annually | |
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Breast Repairs or Reconstructions | 199 | |
Skin Grafts and Repairs | 101 |
Urology (Urinary Tract, Male Reproductive)
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Circumcisions | 14 | |
Cystourethroscopies | 313 | |
Male Genital Procedures | 34 | |
Urethra Procedures | 42 | |
Vaginal Repair Procedures | 57 |
Elective Outpatient Surgery - Pediatric
Gastroenterology (Stomach and Digestive)
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Lower GI Endoscopies | 2 | |
Other Upper GI Procedures | 0 | |
Small Intestine and Stomal Endoscopies | 0 | |
Upper GI Endoscopies | 4 |
Orthopedic (Bones and Joints)
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
---|---|---|
Finger, Hand, Wrist, Forearm, and Elbow Procedures | 63 | |
General Orthopedic Procedures | 13 | |
Hip Procedures | 0 | |
Knee Procedures | 17 | |
Shoulder Procedures | 14 | |
Spine Procedures | 2 | |
Toe, Foot, Ankle, and Leg Procedures | 15 |
Otolaryngology (Ear, Nose, Mouth, and Throat)
- Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
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Ear Procedures | 307 | |
Mouth Procedures | 12 | |
Nasal and Sinus Procedures | 19 | |
Pharynx, Adenoid, and Tonsil Procedures | 322 |
Urology (Urinary Tract, Male Reproductive)
- Longview Regional Medical Center, Longview
- Physician's Surgery Center of Longview Regional Medical Center, Longview
- Longview Regional Medical Center, Longview
Procedure | Number of Procedures Performed Annually | |
---|---|---|
Cystourethroscopies | 3 | |
Male Genital Procedures | 15 | |
Urethra Procedures | 4 | |
Vaginal Repair Procedures | 0 |
Care for Elective Outpatient Surgery Patients
Measure name | Leapfrog’s Standard | Hospital’s Progress |
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Elective Outpatient Surgery Recovery Staffing - Adult |
Hospitals should ensure that a specially certified clinician and at least one physician or nurse anesthetist are present and immediately available while an adult patient is present until discharge. |
![]() ACHIEVED THE STANDARD |
Elective Outpatient Surgery Recovery Staffing - Pediatric |
Hospitals should ensure that a specially certified clinician and at least one physician or nurse anesthetist are present and immediately available while a pediatric patient is present until discharge. |
![]() ACHIEVED THE STANDARD |
Safe Surgery Checklist - Elective Outpatient Surgery |
Hospitals should go through all the elements of a complete safe surgery checklist on all patients every time a procedure is performed. |
![]() ACHIEVED THE STANDARD |
Experience of Patients Undergoing Elective Outpatient Surgery |
Hospitals should perform better than most on four (4) areas including: (a) facilities and staff (b) communication about the procedure, (c) patients’ overall rating of the facility, and (d) patients willingness to recommend the facility. |
![]() LIMITED ACHIEVEMENT |
More Information
Patient Consent for Elective Outpatient Surgery |
The hospital provides written surgical consent forms 1-3 days prior to their procedure. |
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Patient Consent to Anesthesia for Elective Outpatient Surgery |
The hospital provides written anesthesia consent forms 1-3 days prior to their procedure. |
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Patient Selection |
The hospital has a screening protocol to determine whether a patient’s procedure can safely be performed on an outpatient basis, and the protocol includes the following components:
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Longview Regional Medical Center
2901 North Fourth Street
Longview, Texas 75605-5191
Map and Directions | |||||||||||||||||
Visit facility’s website | |||||||||||||||||
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