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Naval Hospital Beaufort

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1 Pinckney Boulevard
Beaufort, SC 29902-6148

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Naval Hospital Beaufort website

1-843-228-5600


Clinic Hours: 7:30 a.m. - 4:00 p.m.; excluding federal holidays and weekends.

Naval Hospital Beaufort provides general medical, surgical and urgent care services to all active duty Navy and Marine Corps personnel, as well as retired military personnel and all military dependents residing in the Beaufort area, a total population of approximately 35,000 beneficiaries. We are committed to operational readiness, outstanding customer service, and always delivering world-class health care. 

  • You can see for yourself how well we are doing.
  • Click on one of the links to learn how we measure our performance.

Disclaimer:

  • One measure is not an indication of a facility's quality. Sometimes a smaller population can make a measure move pretty drastically from quarter to quarter, so don't be alarmed if you see a dip or a spike.
  • If there is no data included with the description of the measures below, it may be because your facility doesn't offer that particular service or treatment.
  • If you have questions, please contact the Patient Administration office at your military treatment facility or a beneficiary counseling and assistance coordinator

Download Spreadsheet of Metrics

  • Patient Satisfaction / Access

    There are many factors the Military Health System tracks related to Patient Satisfaction and Access. For your convenience we have categorized these in the below sections:

    Access to Acute Care Appointments

    Seeing your provider in a timely manner is important to you—and to us. Our goal is for you get the right level of care, at the right time, by the right provider.

    What we measure

    We measure the average number of days it takes to be seen for an acute medical condition. If the military hospital or clinic can't get you an appointment with your primary care manager within the access standards (within 24 hours - 1 day), they will get you an appointment with another provider. We monitor this metric on a monthly basis and make more appointments available when the measure shows we need to.

    Graph: Access to Acute Care Appointments

    Average Days Until Third Next Available Appointment Within 24 Hours

    Table: Access to Acute Care Appointments

    Average Days Until Third Next Available Appointment Within 24 Hours
    2016-Apr 2016-May 2016-Jun 2016-Jul 2016-Aug 2016-Sep 2016-Oct 2016-Nov 2016-Dec 2017-Jan 2017-Feb 2017-Mar 2017-Apr 2017-May 2017-Jun Goal
    0.69 0.91 0.66 0.99 0.9 1.07 0.76 0.99 1.1 0.96 0.81 0.71 0.57 0.63 0.47 1

    Access to Routine Appointments

    Seeing your provider in a timely manner is important to you—and to us. Our goal is for you get the right level of care, at the right time, by the right provider.

    What we measure

    We measure the average number of days it takes to be seen for routine appointment. If the military hospital or clinic can't get you an appointment with your primary care manager within the access standards (within 7 days), they will get you an appointment with another provider. We monitor this metric on a monthly basis and make more appointments available when the measure shows we need to.

    Graph: Access to Routine Appointments

    Average Days Until Third Next Available Appointment For Routine or Follow-up Care

    Table: Access to Routine Appointments

    Average Days Until Third Next Available Appointment For Routine or Follow-up Care
    2016-Apr 2016-May 2016-Jun 2016-Jul 2016-Aug 2016-Sep 2016-Oct 2016-Nov 2016-Dec 2017-Jan 2017-Feb 2017-Mar 2017-Apr 2017-May 2017-Jun Goal
    1.86 2.84 2.05 2.2 3.49 2.7 1.9 2.88 3.2 4.41 4.99 4.06 2.68 1.89 3.25 7

    Care Transition

    "During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left."
    "When I left the hospital, I had a good understanding of the things I was responsible for in managing my health."
    "When I left the hospital, I clearly understood the purpose for taking each of my medications."

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is a cumulative 11 points or higher out of a total of 12 points.)

    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.

    Table: Care Transition

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 52%

    Cleanliness of Hospital Environment

    "During this hospital stay, how often were your room and bathroom kept clean?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is "Always".)

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

    Table: Cleanliness of Hospital Environment

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 74%

    Communication about Medicines

    "Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?
    "Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is a cumulative 7 points or higher out of a total of 8 points.)

    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.

    Table: Communication about Medicines

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 64%

    Communication with Doctors

    "During this hospital stay, how often did doctors treat you with courtesy and respect?"
    "During this hospital stay, how often did doctors listen carefully to you?"
    "During this hospital stay, how often did doctors explain things in a way you could understand?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is a cumulative 11 points or higher out of a total of 12 points.)

    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.

    Table: Communication with Doctors

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 81%

    Communication with Nurses

    "During this hospital stay, how often did nurses treat you with courtesy and respect?"
    "During this hospital stay, how often did nurses listen carefully to you?"
    "During this hospital stay, how often did nurses explain things in a way that you could understand?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is a cumulative 11 or higher out of a total of 12 points.)

    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.

    Table: Communication with Nurses

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 80%

    Discharge Information

    "During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?"
    "During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?"

    (2-point scale: 1-No, 2-Yes. Percent Satisfied is a cumulative score of 4 out of a total of 4 points.)

    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.

    Table: Discharge Information

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 87%

    Overall Hospital Rating

    "Using any number from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospital possible, what number would you use to rate this hospital during your stay?"

    (11-point scale: 0-Worst Hospital Possible to 10-Best Hospital Possible. Percent satisfied is 9 or 10.)

    The overall rating summarizes up to 57 quality measures reflecting common conditions that hospitals treat, such as heart attacks or pneumonia. Hospitals may perform more complex services or procedures not reflected in the measures on Hospital Compare. The overall rating shows how well each hospital performed, on average, compared to other hospitals in the U.S.

    • The overall rating ranges from one to five stars. 
    • The more stars, the better a hospital performed on the available quality measures. 
    • The most common overall rating is 3 stars.

    Table: Overall Hospital Rating

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 72%

    Pain Management

    "During this hospital stay, did you need medicine for pain?" (2-point scale: 1-No, 2-Yes)
    "During this hospital stay, how often was your pain well controlled?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always.)

    (Percent satisfied is "Yes" and "Always".)

    If patients needed medicine for pain during their hospital stay, the survey asked how often their pain was well controlled. “Well controlled” means their pain was well controlled and that the hospital staff did everything they could to help patients with their pain

    Table: Pain Management

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 71%

    Primary Care Manager Continuity

    When your provider team is familiar with your medical history, it is good for you, especially if you have more complex medical issues. Our Patient Centered Medical Homes (PCMHs) help you see the same provider team. Your PCMH team will work to keep you healthy by suggesting preventive services that may prevent more complex problems later. We track this measure to find out how often you are seen by the same medical team.

    What we measure

    We measure the percent of of appointments where the patient saw their own provider.

    We use our electronic health record to monitor which provider you see. We understand that there may be times when you want to be seen quickly – and don’t need to see your primary care manager. But we want to ensure you are seen by your primary medical team when you want. Ask for your provider by name. If we can’t get you an appointment with your provider, we will try to get you seen by a provider on the same team. They know your medical needs and history. And, if you aren’t concerned about continuity of provider in some circumstances, let us know that, too.

    Graph: Primary Care Manager Continuity

    Percentage of Time a Provider Treats His/Her Assigned Patients

    Table: Primary Care Manager Continuity

    Percentage of Time a Provider Treats His/Her Assigned Patients
    2016-Jan 2016-Feb 2016-Mar 2016-Apr 2016-May 2016-Jun 2016-Jul 2016-Aug 2016-Sep 2016-Oct 2016-Nov 2016-Dec 2017-Jan 2017-Feb 2017-Mar 2017-Apr 2017-May 2017-Jun 2017-Jul 2017-Aug Goal
    65.2% 72.3% 64.3% 66.4% 60.9% 65.3% 65.7% 59.4% 69.7% 72.7% 73.2% 78% 79.4% 80.4% 80.8% 83.1% 75.5% 55.2% 53.9% 54.5% 65%

    Quietness of Hospital Environment

    "During this hospital stay, how often was the area around your room quiet at night?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is "Always".)

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

    Table: Quietness of Hospital Environment

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 62%

    Recommend Hospital

    We value your opinion on your hospital stay. We want to see how we’re doing over time, and how we compare to civilian hospitals.

    What we measure

    We send out the same survey to all of our patients, whether you receive care from a military provider or a civilian provider in the network. This measure shows the results to the question: Would you recommend this hospital to others? Please complete and return any surveys you receive to us. We want to know what you think and how we can improve.

    Graph: Recommend Hospital

    Percentage of Patients Who Would Recommend this MTF to Others

    Table: Recommend Hospital

    Percentage of Patients Who Would Recommend this MTF to Others
    FY2016 Q3 FY2016 Q4 FY2017 Q1 National Civilian Benchmark Average
    **** = Low number of cases, percentages may vary greatly39%** **** = Low number of cases, percentages may vary greatly67%** 76% 71%

    Responsiveness of Hospital Staff

    "During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?"
    "How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted?"

    (4-point scale: 1-Never, 2-Sometimes, 3-Usually, 4-Always. Percent satisfied is a cumulative 7 points or higher out of a total of 8 points.)

    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.

    Table: Responsiveness of Hospital Staff

    FY2016 Q3 FY2016 Q4 FY2017 Q1 Benchmark
    NDND = No data availableND NDND = No data availableND NDND = No data availableND 68%

    Satisfaction With Getting Needed Care

    Seeing your provider when you need to is important to you – and to us. We want to ensure that you get the care you need when you need it. This measure lets us know if you think we responded appropriately to your appointment request.

    What we measure

    We send out surveys to a sample of our patients after their health care appointments. We measure your satisfaction and study trends by each hospital or clinic, by markets, by regions, by Service, and for the entire system. This helps us see where and how we can do better. Please complete and return any surveys you receive to us. We want to know what you think and how we can improve. Take advantage of all of the opportunities to get care you need: the 24/7 Nurse Advice Line, secure email with your provider, or same-day appointments. We aim to ensure you get the care you need when you need it.

    Graph: Satisfaction With Getting Needed Care

    Percentage of Beneficiaries' Rating "Able to See Provider When Needed (Agree/Strongly Agree)"

    Table: Satisfaction With Getting Needed Care

    Percentage of Beneficiaries' Rating "Able to See Provider When Needed (Agree/Strongly Agree)"
    FY2016 Q4 FY2017 Q1 FY2017 Q2
    88% 86% 87%
  • Quality of Care

    There are many factors the Military Health System tracks related to Quality of Care. For your convenience we have categorized these in the below sections:

    Accreditation Status

    Because you expect your hospital or clinic to provide quality care, we require our clinics and hospitals to undergo on-site surveys by nationally-recognized accreditation organizations every three years. We track accreditation status for all of our hospitals and clinics, along with when their last survey was completed.

    Table: Accreditation Status

    Accredidation Status
    Fully Accredited
    2015-Jun

    Antidepressant Medication Management (Acute)

    The percentage of patients 18 years of age and older who were diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication for at least 84 days (12 weeks).

    Graph: Antidepressant Medication Management (Acute)

    Table: Antidepressant Medication Management (Acute)

    CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1
    69% 67% 66% 64%

    Antidepressant Medication Management (Continuation)

    The percentage of members 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression and who remained on an antidepressant medication for at least 180 days (6 months).

    Graph: Antidepressant Medication Management (Continuation)

    Table: Antidepressant Medication Management (Continuation)

    CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1
    38% 37% 39% 33%

    Breast Cancer Screen

    This measure tracks the percentage of women 50–74 years of age who had at least one mammogram to screen for breast cancer in the past two years. 

    Graph: Breast Cancer Screen

    Percentage of Women 50 - 74 Years Old Who Had At Least One Mammogram to Screen For Breast Cancer in the Past Two Years

    Table: Breast Cancer Screen

    Percentage of Women 50 - 74 Years Old Who Had At Least One Mammogram to Screen For Breast Cancer in the Past Two Years
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1 Average for health plans nationwide (HEDIS 50th Percentile)
    83% 82% 81% 80% 81% PDPD = Proprietary dataPD

    Cervical Cancer Screen

    This measure shows the percentage of women age 21–64 years who had one or more Pap tests to screen for cervical cancer in the past 3 years. 

    Graph: Cervical Cancer Screen

    Percentage of Women 21 - 64 Years Old Who Had One or More Pap Tests to Screen For Cervical Cancer in the Past Three Years

    Table: Cervical Cancer Screen

    Percentage of Women 21 - 64 Years Old Who Had One or More Pap Tests to Screen For Cervical Cancer in the Past Three Years
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1 Average for health plans nationwide (HEDIS 50th Percentile)
    78% 77% 78% 78% 79% PDPD = Proprietary dataPD

    Child Common Cold

    The common cold or upper respiratory infection (URI) is a common reason children visit their provider. Most of these infections are viral and an antibiotic won’t help. There’s a national effort to reduce overuse of antibiotics. Overuse is contributing to an increase in organisms that are resistant to popular antibiotics.

    What we measure

    We measure the number of children with an upper respiratory infection between the ages of 3 months to 18 years who were diagnosed with upper URI who weren't given an antibiotic prescription. A higher number is better. Talk to your provider about when antibiotics are appropriate to help prevent a global threat from antibiotic resistant organisms.

    Graph: Child Common Cold

    Percentage of Children 3 Months - 18 Years Diagnosed with an Upper Respiratory Infection and Were Not Given a Prescription

    Table: Child Common Cold

    Percentage of Children 3 Months - 18 Years Diagnosed with an Upper Respiratory Infection and Were Not Given a Prescription
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 Average for health plans nationwide (HEDIS 50th Percentile)
    96% 91% 89% 90% PDPD = Proprietary dataPD

    Child Strep Test

    Pharyngitis, or inflammation of the throat, is the only condition among upper respiratory infections where your provider may determine that antibiotic use is appropriate. U.S. medical leaders recommend that only children diagnosed with group A streptococcus (strep) pharyngitis be treated with antibiotics. A strep test is the definitive test of group A strep pharyngitis.

    What we measure

    We measure the percentage of children, ages 3 to 18, who were diagnosed with pharyngitis, received a strep test and were given an antibiotic. If you think your child may have strep, ask for the test. If the test comes back positive and your child has strep, they should get an antibiotic. But, if the test is negative, an antibiotic isn’t needed.

    Graph: Child Strep Test

    Percentage of Children 3 Months - 18 Year Diagnosed with Pharyngitis Through a Strep Test and Received Antibiotics

    Table: Child Strep Test

    Percentage of Children 3 Months - 18 Year Diagnosed with Pharyngitis Through a Strep Test and Received Antibiotics
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 Average for health plans nationwide (HEDIS 50th Percentile)
    88% 91% 96% 94% PDPD = Proprietary dataPD

    Chlamydia Screening

    The percentage of women 16 to 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year.

    Graph: Chlamydia Screening

    Table: Chlamydia Screening

    CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1
    68% 66% 66% 65%

    Colorectal Cancer Screening

    This measure shows the number of our patients age 51 to 75 years who had a screening test for colorectal cancer. 

    Graph: Colorectal Cancer Screening

    Percentage of Patients 51 - 75 Years Old Who Had a Screening Test for Colorectal Cancer

    Table: Colorectal Cancer Screening

    Percentage of Patients 51 - 75 Years Old Who Had a Screening Test for Colorectal Cancer
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1 Average for health plans nationwide (HEDIS 50th Percentile)
    81% 81% 82% 81% 82% PDPD = Proprietary dataPD

    Diabetes A1c Control <8

    This measure shows the percentage of adults tested whose results show their diabetes is under control.

    Graph: Diabetes A1c Control <8

    Percentage of Patients Who Had an A1c Blood Sugar Test Whose Results Show Their Diabetes is Under Control

    Table: Diabetes A1c Control <8

    Percentage of Patients Who Had an A1c Blood Sugar Test Whose Results Show Their Diabetes is Under Control
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1 Average for health plans nationwide (HEDIS 50th Percentile)
    71% 74% 71% 61% 65% PDPD = Proprietary dataPD

    Diabetes A1c Test

    This measure shows the percentage of adults with diabetes who had an A1c blood sugar test.

    Graph: Diabetes A1c Test

    Percentage of Patients Who Had an A1c Blood Sugar Test

    Table: Diabetes A1c Test

    Percentage of Patients Who Had an A1c Blood Sugar Test
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1 Average for health plans nationwide (HEDIS 50th Percentile)
    94% 95% 95% 89% 92% PDPD = Proprietary dataPD

    Low Back Pain Imaging

    Evidence shows that many patients diagnosed with low back pain receive excessive medical tests that can lead to unnecessary worry and unneeded surgery. For the majority of individuals who experience severe low back pain, pain improves after two weeks. Avoiding imaging tests like x-ray, MRI, and CT scans can prevent harm to patients and reduce health care costs.

    What we measure

    We measure the percentage of adults age 18 to 50 years with a primary diagnosis of low back pain who didn’t have an imaging test (e.g., plain X-ray, MRI or CT scan) within 28 days of the diagnosis. A higher score means a better performance. Talk with your provider about alternatives to unnecessary medical tests for low back pain, and discuss alternatives to surgery for addressing your pain.

    Graph: Low Back Pain Imaging

    Percentage of Patients 18 - 50 Years Old Who Did Not Have an Imaging Test Within 28 Days of a Primary Diagnosis of Low Back Pain

    Table: Low Back Pain Imaging

    Percentage of Patients 18 - 50 Years Old Who Did Not Have an Imaging Test Within 28 Days of a Primary Diagnosis of Low Back Pain
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 Average for health plans nationwide (HEDIS 50th Percentile)
    78% 81% 81% 85% PDPD = Proprietary dataPD

    Well-Child Visits in the first 15 Months of Life

    In the first 15 months of a child’s life, there are a number of preventive and monitoring services. These early services may lead to lifelong health and wellness.

    What we measure

    We measure the number of well-child visits in the first 15 months of life, for both military and civilian appointments. Our goal is a child will have 6 well-child visits during these 15 months.



    This measure sees if military children have timely, easy access to health care services. If you recently moved or changed providers, talk with your new doctor about what appointments your child has already had.

    Graph: Well-Child Visits in the first 15 Months of Life

    Percentage of Babies who Have Six Well-Child Visits in Their First 15 Months of Life

    Table: Well-Child Visits in the first 15 Months of Life

    Percentage of Babies who Have Six Well-Child Visits in Their First 15 Months of Life
    CY2016 Q1 CY2016 Q2 CY2016 Q3 CY2016 Q4 CY2017 Q1 Average for health plans nationwide (HEDIS 50th Percentile)
    67% 69% 72% 73% 77% PDPD = Proprietary dataPD

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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