TCMH onoe of the nations 25 worst hos...

TCMH onoe of the nations 25 worst hospitals

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I can believe it

Plattsburg, MO

#1 Dec 4, 2012
heard that too

Mountain Grove, MO

#2 Dec 4, 2012
I've heard that too, and from people who have hospitalized there.
I can believe it wrote:
http://www.kspr.com/news/kspr- texas-county-hospital-on-list- of-25-worst-hospitals-in-us-20 121203,0,6919919.story
BadStudy

Cabool, MO

#3 Dec 4, 2012
If you look at the study behind the list you'll see that the method used to create the list is flawed. The people who conducted the study have no special qualifications to do so. It appears that the study rewards members of a particular organization rather than providing useful information about a hospital. They even admit that when they don't have information for some of the categories they just make the remaining categories worth more, no matter what they are. From my own experience Texas County was by far better for care than my experiences with Cox in Springfield. My opinion is that the hospital has really stepped up to serve our area.
I can believe it

Plattsburg, MO

#6 Dec 4, 2012
BadStudy wrote:
If you look at the study behind the list you'll see that the method used to create the list is flawed. The people who conducted the study have no special qualifications to do so. It appears that the study rewards members of a particular organization rather than providing useful information about a hospital. They even admit that when they don't have information for some of the categories they just make the remaining categories worth more, no matter what they are. From my own experience Texas County was by far better for care than my experiences with Cox in Springfield. My opinion is that the hospital has really stepped up to serve our area.
Well no study is perfect I will agree with that. There were some of the top ranking hospitals that weren't members so I don't think that TCMH wasn't a member was a really significant issue. I'm sure that a lot of the hospitals that didn't make the "bottom 25" weren't members and had information lacking. The bottom line here is that TCMH is known to be more of a facade than a medical facility. They are more of a medical marketing place than a medical facility. If anything is the least bit serious and they are sharp enough to catch it you have to be sent elsewhere for treatment. If they aren't sharp enough to catch it your life is in peril.
BadStudy

Cabool, MO

#7 Dec 5, 2012
I can believe it wrote:
<quoted text>
Well no study is perfect I will agree with that. There were some of the top ranking hospitals that weren't members so I don't think that TCMH wasn't a member was a really significant issue. I'm sure that a lot of the hospitals that didn't make the "bottom 25" weren't members and had information lacking. The bottom line here is that TCMH is known to be more of a facade than a medical facility. They are more of a medical marketing place than a medical facility. If anything is the least bit serious and they are sharp enough to catch it you have to be sent elsewhere for treatment. If they aren't sharp enough to catch it your life is in peril.
Well, yes, not having complete information is a significant issue. The study group is hush-hush over exactly what information they did/did not have. Without knowing that the study is flawed. It's that simple. Makes you wonder why the research group refuses to comment. A proper study would not make assumptions as they do. If the group was legitimate, their techniques and raw data would all be made public rather than just a questionable list. I've had two loved ones treated at Texas County and I've had surgery there myself as well as some ER visits. I was impressed with their level of care (and compassion) during some very difficult times. I'm glad they're there.
dootherthings

Houston, MO

#8 Dec 5, 2012
wrong person but nice assumption
Bonnie Parker

El Dorado Springs, MO

#9 Dec 6, 2012
Dear Bad Study, I am glad you are impressed with TCMH, there are plenty of people I know & those I dont know whom I've talked with that said they wouldnt take their animals there. I am sure if you ask some of the people in the ER at any given time sitting there for hours at a time, some with sick children how they feel you might be surprised. Reguardless of the survey and how you want to justify it, for our little home town hospital to make the list at all is surprising (to some).A certain `professional' told me he helps 75% of people he gave spinal shots to, well I was not in that percentage group, I almost died and I believe I would have if not for all the prayers & recieving the blessing of the sick from our Priest. Fact - YOU have to `police' your own health care, make informed decisions & go from there, trust your gut feelings & when anyone says `trust me' remember - in God we trust.
I can believe it

Willard, MO

#10 Dec 6, 2012
Dear Bad Study,

Here is a link to all the information oh how the surveys were conducted and evaluated.

https://leapfroghospitalsurvey.org/about-the-...

Having some training in Conduction Surveys and Statistical Analysis it certainly looks as though they have made every attempt to perform a fair and accurate survey. "The grades are derived from expert analysis of publicly available data using 26 evidence-based, national measures of hospital safety"

Here is a link to the actual survey itself.

http://www.hospitalsafetyscore.org/hospital-d...

TCMH scores below average, in too many cases significantly so, in all but one category, Patients Received the Right Antibiotic.

No survey is perfect but from all I can tell by my research they make an honest attempt to strive for accuracy. No matter what your argument is there is one avoidable truth. It takes more than just a little mistake or error.
bwa

Branson, MO

#11 Dec 6, 2012
Oh hush bad study all it takes is one visit there and u will find out how shitty it is
BadStudy

Cabool, MO

#12 Dec 6, 2012
I can believe it wrote:
Dear Bad Study,
Here is a link to all the information oh how the surveys were conducted and evaluated.
https://leapfroghospitalsurvey.org/about-the-...
Having some training in Conduction Surveys and Statistical Analysis it certainly looks as though they have made every attempt to perform a fair and accurate survey. "The grades are derived from expert analysis of publicly available data using 26 evidence-based, national measures of hospital safety"
Here is a link to the actual survey itself.
http://www.hospitalsafetyscore.org/hospital-d...
TCMH scores below average, in too many cases significantly so, in all but one category, Patients Received the Right Antibiotic.
No survey is perfect but from all I can tell by my research they make an honest attempt to strive for accuracy. No matter what your argument is there is one avoidable truth. It takes more than just a little mistake or error.
Thanks for the links, but: Of the "26 evidence-based, national measures of safety" they were missing data on 42% of them for Texas County. 42%?!!! That's a huge lack of data to make the claims they do. There is no redundancy in the data to make up for that lack of information. Still wonder why they won't publicly discuss their findings. They've turned down several media requests.

Of the remaining categories the hospital scored above average in 9 categories.

Of those remaining the computerized order entry was based on information 3 years out of date and may not take into account the excellent records system the hospital had in place by 2010.

As far as antibiotic treatment pre/post surgery (and the catheterization timing) these would be best determined by the treating physician who can evaluate the needs of a patient rather than an "organization" whose goal is to minimize payments for medical treatments. One of my loved ones was unable to pass urine without a catheter (prostate issue) and I know for a fact the catheter had to remain after surgery. Situations like that could count against a hospital even though the treatment is medically appropriate.

The survey is run by a bunch of corporate health insurance buyers. I seriously doubt the validity of the survey with only 26 statistical points to begin with. In this case they didn't even have that. There's nothing about dietary care, treatment prioritization, available facilities and equipment, ongoing staff training, housekeeping, and the list goes on. All of those are also components of proper healthcare.

If you don't like the hospital, then don't go there. This study is useless. If it were done correctly Texas County could have been on a list of "insufficient information for rating" rather than unjustifiable placement of them on a list of the worst.

Using the same logic I can declare this study to be one of the worst 25 hospital studies ever done.
Hey BadStudy

Reedsburg, WI

#13 Dec 6, 2012
Just clear this up for everyone and post the Press Ganey scores. Oh wait, TCMH is usually in the under 30 percentile right?
It's funny you mention dietary and housekeeping, as those are the only two departments that actually get decent scores from PG.
BadStudy

Cabool, MO

#14 Dec 6, 2012
Hey BadStudy wrote:
Just clear this up for everyone and post the Press Ganey scores. Oh wait, TCMH is usually in the under 30 percentile right?
It's funny you mention dietary and housekeeping, as those are the only two departments that actually get decent scores from PG.
I wasn't familiar with the Press Ganey scores. Still, after looking online, they only compare hospitals that subscribe to their services so the numbers they come up with don't truly indicate how good or bad a hospital is, just their ranking among their clients. It appears to be based on patient surveys and many are ranked with fewer than 30 responses from patients. I noticed one hospital got marked down because someone had complained that there was no food in the waiting room. That says a lot about the quality of care. The purpose of Press Ganey is supposed to be to point out issues to hospitals so they can improve their services. But by the very nature of the way Press Ganey is set up there will always be hospitals in the lower percentile ranks no matter how perfect they are. It's kind of like grading on the curve. A certain number will fail no matter their efforts or performance. All these studies have shown to me is how bad they are at representing hospital performance for patients. My guess is very few people care as when you need the services of a hospital or ER you're generally not going to shop around and read surveys. My experiences with the hospital have been good and I have no hesitation in using them again. If you didn't or don't agree then just simply don't go there.
Well

Reedsburg, WI

#16 Dec 6, 2012
This isn't an issue of where to go in case of an emergency. If its an emergency, most would go to TCMH as long as its closer. If not, I wish you luck.
Press Ganey is used nation wide to help hospitals and other businesses see where they lack and see areas where they can improve. I know for a fact TCMH has ranked as low as 9th up to a max of 30th percentile ranges. To give you an idea of how bad that is, Phelps County Regional Medical Center ranks somewhere around the 90th percentile normally.
Eventually, it is rumored, that Medicaid and Medicare with adjust their reimbursement based off patient satisfaction scores. If that ever becomes a reality, TCMH will be in serious trouble. Pretty much every reputable survey company is a pay-for-service type company.
Press Ganey is probably in the top 3 of most reputable in the US.
So I guess it's not TCMH that is at fault, it's just faulty surveys right??Somehow Rolla has happier patients than TCMH? Oh I guess so....
Regardless if how many surveys are returned, more of TCMH's surveys are from unhappy patients. Pretty simple don't you think?
Btw BadStudy

Reedsburg, WI

#17 Dec 6, 2012
Please stop acting like you don't work at TCMH. Ever write a gardening article?
BadStudy

Cabool, MO

#18 Dec 7, 2012
Well wrote:
This isn't an issue of where to go in case of an emergency. If its an emergency, most would go to TCMH as long as its closer. If not, I wish you luck.
Press Ganey is used nation wide to help hospitals and other businesses see where they lack and see areas where they can improve. I know for a fact TCMH has ranked as low as 9th up to a max of 30th percentile ranges. To give you an idea of how bad that is, Phelps County Regional Medical Center ranks somewhere around the 90th percentile normally.
Eventually, it is rumored, that Medicaid and Medicare with adjust their reimbursement based off patient satisfaction scores. If that ever becomes a reality, TCMH will be in serious trouble. Pretty much every reputable survey company is a pay-for-service type company.
Press Ganey is probably in the top 3 of most reputable in the US.
So I guess it's not TCMH that is at fault, it's just faulty surveys right??Somehow Rolla has happier patients than TCMH? Oh I guess so....
Regardless if how many surveys are returned, more of TCMH's surveys are from unhappy patients. Pretty simple don't you think?
First of all I don't work at the hospital. I don't have any family or friends that work there either.

All I'm saying is that these studies are not useful in determining the level of health care. You could say the National Enquirer is one of the top 3 newspapers in the country. It just doesn't mean all that much.

As far as returned surveys some hospitals pursue their patients to get them to return the surveys, some do not. Again you go back to percentiles which aren't that valuable as a true rating. There will be so many at a particular percentile. The difference in performance between 90 and 9 could be just a few scored points...not all that much. Also noticed that many hospitals in the Press Ganey scores bounce from high to low based on returned surveys from month to month. Of course changes in the hospitals are not happening that fast. If the study were more scientific then the scores would be a lot more consistent.

All I'm saying is that I'm not going to base my health care decisions on a grumpy person who didn't have food available in the waiting room or someone who had to wait in the ER with some poison ivy on their thumb while patients with severe injury or illness are treated.

There needs to be a better system to evaluate hospitals and doctors.
small town

United States

#19 Dec 7, 2012
I have to say I have had great experience's at houston hospital with all my family.. Sure some of their reg. people in the front are unfriendly but as far as the treatment my family has recieved from the dr.'s,nurse's and other staff has been great. Thank you TMCH
fyi

Houston, MO

#20 Dec 7, 2012
Just so everyone is aware this has been turned in and all IP addresses will be turned into the local prosecuting attorney's office and charges are required to be pressed once it has reached his offce. Please be careful of further comments.
Haha FYI

Cicero, IL

#21 Dec 7, 2012
You IP addresses and prosecuting comment literally made me laugh.
Thank you, I needed that!
no sense

Houston, MO

#22 Dec 7, 2012
fyi wrote:
Just so everyone is aware this has been turned in and all IP addresses will be turned into the local prosecuting attorney's office and charges are required to be pressed once it has reached his offce. Please be careful of further comments.
So is the staff at channel 33 going to be arrested to for airing this story? Everyone has an opinion those on here are about a COMMUNITY hospital, no crime has been committed....You make yourself look uneducated by your comment. My guess is though that you are educated, but was just hoping you would scare people away from talking about your precious hospital that couldnt apply a band-aid correctly.
Martin

Bonnots Mill, MO

#23 Dec 8, 2012
I know I feel so sorry for all of these poor poor hospitals having to go through these expensive exapnsions. We should all make donations.

Maybe the doctors and hospitals should raise their health-care rates so that they can afford to build nices buildings. They just don't charge people enough money.

How about it?....anybody want to stand on street corners and do some boot drives for the hospitals?

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