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Georgia Regents Medical Center Augusta, GA | Client 1913 OUTPATIENT SERVICES REPORT 7/1/2016 - 9/30/2016 Number of Your Patients in This Report: 916 Number of Patients in All Facility DB: 727,857 Number of Centers in All Facility DB: 1,240 Number of Units in All Facility DB: 27,199 Number of Patients in AHA Region 4: 103,610 Number of Centers in AHA Region 4: 228 Number of Units in AHA Region 4: 3,591 Number of Patients in COTH Peer Group: 17,669 Number of Centers in COTH Peer Group: 15 Number of Units in COTH Peer Group: 815 Press Ganey Associates, Inc. 404 Columbia Place South Bend, IN 46601 1.800.232.8032 © Copyright 2016, Press Ganey Associates, Inc.

Georgia Regents Medical Center - PAWS...Georgia Regents Medical Center 7/1/2016 - 9/30/2016 OUTPATIENT SERVICES REPORT Table of Contents 20.2.3 Question Analysis - EEG 98 20.3.1 Mean

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Page 1: Georgia Regents Medical Center - PAWS...Georgia Regents Medical Center 7/1/2016 - 9/30/2016 OUTPATIENT SERVICES REPORT Table of Contents 20.2.3 Question Analysis - EEG 98 20.3.1 Mean

Georgia Regents Medical CenterAugusta, GA | Client 1913

OUTPATIENT SERVICES REPORT

7/1/2016 - 9/30/2016

Number of Your Patients in This Report: 916

Number of Patients in All Facility DB: 727,857Number of Centers in All Facility DB: 1,240Number of Units in All Facility DB: 27,199

Number of Patients in AHA Region 4: 103,610Number of Centers in AHA Region 4: 228Number of Units in AHA Region 4: 3,591

Number of Patients in COTH Peer Group: 17,669Number of Centers in COTH Peer Group: 15Number of Units in COTH Peer Group: 815

Press Ganey Associates, Inc.404 Columbia Place

South Bend, IN 466011.800.232.8032

© Copyright 2016, Press Ganey Associates, Inc.

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTTable of Contents

1.0 Demographic Profile of Respondents 7

2.1 Overall Mean Trend Analysis 9

2.2 Overall Percentile Rank Trend Analysis 9

2.3 Overall Analysis by Questionnaire Sections 10

2.4 Overall Mean/Rank Analysis Across Sections 10

3.0 Question Analysis 11

4.0 Number of Facilities Asking Non-Standard Questions 12

5.0 Top Box Analysis 13

6.0 Comparison of Question Scores (All Items) 15

7.1 All Facility DB Percentile Rank by Question 16

7.2 Hospitals in AHA Region 4 Percentile Rank by Question 17

7.3 Council of Teaching Peer Group Percentile Rank by Question 18

8.0 Correlation Coefficients 19

9.0 Priority Index (Internal) 20

10.1 Priority Index (All Facility DB) 21

10.2 Priority Index (Hospitals in AHA Region 4) 22

10.3 Priority Index (Council of Teaching Peer Group) 23

11.1 All Facility DB Percentile Scores 24

11.2 Hospitals in AHA Region 4 Percentile Scores 25

11.3 Council of Teaching Peer Group Percentile Scores 26

12.1.1 Registration Section Mean Trend Analysis 27

12.1.2 Registration Section Percentile Rank Trend Analysis 27

12.1.3 Registration Section Analysis 28

12.1.4 Registration Section Mean/Rank Analysis 28

12.2.1 Facility Section Mean Trend Analysis 29

12.2.2 Facility Section Percentile Rank Trend Analysis 29

12.2.3 Facility Section Analysis 30

12.2.4 Facility Section Mean/Rank Analysis 30

12.3.1 Test or Treatment Section Mean Trend Analysis 31

12.3.2 Test or Treatment Section Percentile Rank Trend Analysis 31

12.3.3 Test or Treatment Section Analysis 32

12.3.4 Test or Treatment Section Mean/Rank Analysis 32

12.4.1 Personal Issues Section Mean Trend Analysis 33

12.4.2 Personal Issues Section Percentile Rank Trend Analysis 33

12.4.3 Personal Issues Section Analysis 34

12.4.4 Personal Issues Section Mean/Rank Analysis 34

12.5.1 Overall Assessment Section Mean Trend Analysis 36

12.5.2 Overall Assessment Section Percentile Rank Trend Analysis 36

12.5.3 Overall Assessment Section Analysis 37

Continued...

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTTable of Contents

12.5.4 Overall Assessment Section Mean/Rank Analysis 37

13.0 Comparative Analysis by Unit 38

14.0 Unit Analysis 39

15.1.1 Mean Trend Analysis - Acc Lab 43

15.1.2 Top Box Analysis - Acc Lab 43

15.1.3 Question Analysis - Acc Lab 44

15.2.1 Mean Trend Analysis - Cardiac Diagnostics 45

15.2.2 Top Box Analysis - Cardiac Diagnostics 45

15.2.3 Question Analysis - Cardiac Diagnostics 46

15.3.1 Mean Trend Analysis - Eeg 47

15.3.2 Top Box Analysis - Eeg 47

15.3.3 Question Analysis - Eeg 48

15.4.1 Mean Trend Analysis - Emg 49

15.4.2 Top Box Analysis - Emg 49

15.4.3 Question Analysis - Emg 50

15.5.1 Mean Trend Analysis - Endoscopy 51

15.5.2 Top Box Analysis - Endoscopy 51

15.5.3 Question Analysis - Endoscopy 52

15.6.1 Mean Trend Analysis - Gamma Knife 53

15.6.2 Top Box Analysis - Gamma Knife 53

15.6.3 Question Analysis - Gamma Knife 54

15.7.1 Mean Trend Analysis - Grtc 55

15.7.2 Top Box Analysis - Grtc 55

15.7.3 Question Analysis - Grtc 56

15.8.1 Mean Trend Analysis - Mammography 57

15.8.2 Top Box Analysis - Mammography 57

15.8.3 Question Analysis - Mammography 58

15.9.1 Mean Trend Analysis - Ob Ultrasound 59

15.9.2 Top Box Analysis - Ob Ultrasound 59

15.9.3 Question Analysis - Ob Ultrasound 60

15.10.1 Mean Trend Analysis - Occupational Therapy 61

15.10.2 Top Box Analysis - Occupational Therapy 61

15.10.3 Question Analysis - Occupational Therapy 62

15.12.1 Mean Trend Analysis - Peds Radiology 63

15.12.2 Top Box Analysis - Peds Radiology 63

15.12.3 Question Analysis - Peds Radiology 64

15.13.1 Mean Trend Analysis - Physical Therapy 65

15.13.2 Top Box Analysis - Physical Therapy 65

15.13.3 Question Analysis - Physical Therapy 66

Continued...

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTTable of Contents

15.14.1 Mean Trend Analysis - Radiology - Acc/Scc 67

15.14.2 Top Box Analysis - Radiology - Acc/Scc 67

15.14.3 Question Analysis - Radiology - Acc/Scc 68

15.15.1 Mean Trend Analysis - Radiology - Hospital 69

15.15.2 Top Box Analysis - Radiology - Hospital 69

15.15.3 Question Analysis - Radiology - Hospital 70

15.16.1 Mean Trend Analysis - Sleep Center 71

15.16.2 Top Box Analysis - Sleep Center 71

15.16.3 Question Analysis - Sleep Center 72

15.17.1 Mean Trend Analysis - Speech 73

15.17.2 Top Box Analysis - Speech 73

15.17.3 Question Analysis - Speech 74

15.18.1 Mean Trend Analysis - West Wheeler Imaging 75

15.18.2 Top Box Analysis - West Wheeler Imaging 75

15.18.3 Question Analysis - West Wheeler Imaging 76

15.19.1 Mean Trend Analysis - West Wheeler Occupational 77

15.19.2 Top Box Analysis - West Wheeler Occupational 77

15.19.3 Question Analysis - West Wheeler Occupational 78

15.20.1 Mean Trend Analysis - West Wheeler Physical The 79

15.20.2 Top Box Analysis - West Wheeler Physical The 79

15.20.3 Question Analysis - West Wheeler Physical The 80

15.21.1 Mean Trend Analysis - West Wheeler Sports Rehab 81

15.21.2 Top Box Analysis - West Wheeler Sports Rehab 81

15.21.3 Question Analysis - West Wheeler Sports Rehab 82

16.0 Category Analysis 83

17.1 CAT:DIAG IMAGE Service Analysis 84

17.2 CAT:DIAG IMAGE Question Analysis 85

17.3 CAT:DIAG TEST Service Analysis 86

17.4 CAT:DIAG TEST Question Analysis 87

17.5 CAT:TREAT/THER Service Analysis 88

17.6 CAT:TREAT/THER Question Analysis 89

17.7 CAT:PROGRAMS Question Analysis 90

18.0 Comparative Analysis by Service 91

19.0 Service Analysis 92

20.1.1 Mean Trend Analysis - Cardio/Cardiac Testing 95

20.1.2 Percentile Rank Trend Analysis - Cardio/Cardiac Testing 95

20.1.3 Question Analysis - Cardio/Cardiac Testing 96

20.2.1 Mean Trend Analysis - EEG 97

20.2.2 Percentile Rank Trend Analysis - EEG 97

Continued...

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTTable of Contents

20.2.3 Question Analysis - EEG 98

20.3.1 Mean Trend Analysis - Endoscopy 99

20.3.2 Percentile Rank Trend Analysis - Endoscopy 99

20.3.3 Question Analysis - Endoscopy 100

20.4.1 Mean Trend Analysis - Lab 101

20.4.2 Percentile Rank Trend Analysis - Lab 101

20.4.3 Question Analysis - Lab 102

20.5.1 Mean Trend Analysis - Mammography 103

20.5.2 Percentile Rank Trend Analysis - Mammography 103

20.5.3 Question Analysis - Mammography 104

20.6.1 Mean Trend Analysis - Phys/Occ/Spch Thpy 105

20.6.2 Percentile Rank Trend Analysis - Phys/Occ/Spch Thpy 105

20.6.3 Question Analysis - Phys/Occ/Spch Thpy 106

20.7.1 Mean Trend Analysis - Physical Therapy 107

20.7.2 Percentile Rank Trend Analysis - Physical Therapy 107

20.7.3 Question Analysis - Physical Therapy 108

20.9.1 Mean Trend Analysis - Radiation Onc/Therapy 109

20.9.2 Percentile Rank Trend Analysis - Radiation Onc/Therapy 109

20.9.3 Question Analysis - Radiation Onc/Therapy 110

20.10.1 Mean Trend Analysis - Radiology 111

20.10.2 Percentile Rank Trend Analysis - Radiology 111

20.10.3 Question Analysis - Radiology 112

20.11.1 Mean Trend Analysis - Rehab Services 113

20.11.2 Percentile Rank Trend Analysis - Rehab Services 113

20.11.3 Question Analysis - Rehab Services 114

20.12.1 Mean Trend Analysis - Sleep Disorders 115

20.12.2 Percentile Rank Trend Analysis - Sleep Disorders 115

20.12.3 Question Analysis - Sleep Disorders 116

20.13.1 Mean Trend Analysis - Ultrasound 117

20.13.2 Percentile Rank Trend Analysis - Ultrasound 117

20.13.3 Question Analysis - Ultrasound 118

20.14.1 Mean Trend Analysis - X-Ray 119

20.14.2 Percentile Rank Trend Analysis - X-Ray 119

20.14.3 Question Analysis - X-Ray 120

21.0 Facility Statistical Analysis 121

22.0 Question Key 122

23.0 Facilities in the Database 123

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT1.0 Demographic Profile of Respondents

This section provides demographic information about the individuals who responded to your survey for the current and last report periods. Theinformation comes from the "Background Questions" section of your questionnaire or from your data uploads. Compare the Demographic Profile ofRespondents to your eligible population. Generally, the respondent demographic profile will approximate the actual profile of your patients. Alsocheck for differences in the distribution of each question's responses between the current and last report periods. Differences may signal changes inyour patient base. Question Last Period This Period

Response n % n % Last Period This PeriodSex

337 37Male

580 63Female

917Total 37%

63%

Question Last Period This PeriodResponse n % n % Last Period This Period

Age

35 5 62 80-17 Yrs

33 5 28 318-34 Yrs

74 11 72 935-49 Yrs

236 35 295 3650-64 Yrs

247 37 308 3865-79 Yrs

49 7 55 780+ Yrs

674 820Total

11%

35%

37%

36%

38%

Continued...

n Number of responses Percentages may not total 100% due to rounding

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT1.0 Demographic Profile of Respondents

Question Last Period This PeriodResponse n % n % Last Period This Period

Language of survey

625 100 698 99English

2 0 5 1Spanish

627 703Total

100% 99%

Question Last Period This PeriodResponse n % n % Last Period This Period

Length of stay

760 99 903 991

6 1 7 12-3

3 0 4 04-7

769 914Total

99% 99%

Question Last Period This PeriodResponse n % n % Last Period This Period

Method of distribution

769 100 917 100Paper

769 917Total

100% 100%

n Number of responses Percentages may not total 100% due to rounding

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT2.1 Overall Mean Trend Analysis

The broad light-colored columns show your facility's overall mean score, based on standard questions, over the last eight report periods. Oneasterisk by a mean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statisticallysignificant change in mean score at the .01 level. The narrow dark columns show your facility's overall score, based on all questions. I-barsrepresent each of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-barrepresents two standard deviations above and below the mean score. A marks the highest overall mean score obtained by a facility in each peergroup.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

91.5n=10201/1/15

3/31/15

91.4n=3254/1/15

6/30/15

92.3n=7267/1/15

12/31/15

92.7n=8051/1/163/31/16

92.5n=7654/1/166/30/16

93.2n=9167/1/169/30/16

2.2 Overall Percentile Rank Trend AnalysisThis section shows how your overall percentile rank (for standard questions only) has changed over time. A percentile rank tells you how you performrelative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the other facilities in the peergroup. Percentile rank trending is provided for up to three peer groups. Actual rank values are listed in the next section.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT2.3 Overall Analysis by Questionnaire Sections

This section lists your standard-question overall and section mean scores for the current and last report periods. Significant changes in your meanscores from the last report period are marked with asterisks. The amount of change is listed in the second column of data. On the right, comparativedata, including database mean scores and percentile ranks, are provided for each of your peer groups. Percentile ranks are used to describe whereyour facility stands in relation to others in a peer group. For example, a 75 in the percentile rank column indicates that your facility scored higher than75% of the facilities in the database. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.

Last ThisMean Period Period All Facility DB AHA Region 4 COTH Peer Group

Overall Score n=765 n=916 N=1240 N=228 N=15Section Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Facility Rating 92.5 +0.7 93.2 93.3 46 93.6 40 93.7 37

Registration 92.5 +0.8 93.3 92.4 64 92.5 61 92.9 65

Facility 90.1 +1.2 91.3 91.3 47 91.9 42 91.1 41

Test or Treatment 94.2 +0.4 94.6 94.9 36 95.3 28 95.4 11

Personal Issues 92.1 +0.7 92.8 93.3 35 93.7 32 < 94.0 15

Overall Assessment 94.0 +0.5 94.5 94.6 40 95.0 33 95.3 18

2.4 Overall Mean/Rank Analysis Across SectionsFor a visual overview, the bar chart on the left graphs your standard-question overall and section mean scores for this period (light-colored bars) andlast period (dark bars). The bar chart on the right graphs your current percentile ranks in each of your peer groups. Overall

Section Overall Mean Scores Current Percentile RankOverall Facility Rating 93.2

92.5

46 40 37

Registration 93.3

92.5

64 61

65

Facility 91.3

90.1

47 42 41

Test or Treatment 94.6

94.2

36 28

11

Personal Issues 92.8

92.1

35 32

15

Overall Assessment 94.5

94.0

40 33

18

< 1 standard deviation below peer group mean

n Number of responses

N Number of facilities in peer group

All Facility DB Percentile Rank

AHA Region 4 Percentile Rank

COTH Peer Group Percentile Rank

This period mean

Last period mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT3.0 Question Analysis

This section lists detailed information about your individual question, section, and overall scores. Only facilities with seven or more responses arereported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change is listed in the secondcolumn of data. Questions appearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscriptsindicate the priority number. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided only when thequestions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above or below apeer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other facilities in a peer group.In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=765 n=916 N=1240 N=228 N=15n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Facility Rating 92.5 +0.7 93.2 93.3 46 93.6 40 93.7 37

Overall Facility Rating †† 92.5 +0.8 93.3

Registration 92.5 +0.8 93.3 92.4 64 92.5 61 92.9 65

904 Helpfulness of registration person 93.4 +0.6 94.0 93.6 55 94.0 48 93.7 51

886 Ease of the registration process 93.4 +0.8 94.2 93.3 64 93.6 59 93.8 50

885 Waiting time in registration 90.7 +1.3 92.0 90.3 68 90.1 66 91.1 70

Facility 90.1 +1.2 91.3 91.3 47 91.9 42 91.1 41

909 Comfort of waiting area 7 90.8 +1.0 91.8 90.2 72 90.6 65 90.6 72

896 Ease of finding your way around 10 87.8 +0.7 88.5 90.0 26 90.9 19 88.8 39

900 Cleanliness of facility 92.2 +1.4 93.6* 93.9 39 94.3 37 93.9 36

Test or Treatment 94.2 +0.4 94.6 94.9 36 95.3 28 95.4 11

907 Friendliness of staff 95.5 +0.3 95.8 96.1 36 96.4 31 < 96.5 14

897 Explanations given by staff 94.0 +0.6 94.6 94.4 50 94.8 43 94.9 14

895 Skill of techs/therapists/nurses 94.8 +0.9 95.7 95.6 50 95.9 38 96.0 29

898 Staff concern for comfort 93.4 +1.2 94.6 94.6 44 95.0 36 95.2 19

882 Staff's concern/questions worries 4 93.5 -0.6 92.9 94.3 19 < 94.6 15 < 94.7 5

Personal Issues 92.1 +0.7 92.8 93.3 35 93.7 32 < 94.0 15

Personal Issues †† 92.3 +0.9 93.2

890 Our concern for privacy 92.9 +0.6 93.5 93.7 39 94.1 33 94.4 10

883 Our sensitivity to your needs 2 92.3 +0.5 92.8 93.4 33 93.7 32 < 94.1 15

826 Response to concerns/complaints 1 91.9 +0.8 92.7 93.1 36 93.4 32 93.6 18

810 Family able to participate decision † 8 92.5 +1.2 93.7 N<7 N/A N<7 N/A N<7 N/A

865 Staff explained roles in care † 3 93.1 +0.2 93.3 92.9 75 N<7 N/A N<7 N/A

745 Staff supported family throughout † 10 93.0 +0.9 93.9 93.7 67 N<7 N/A N<7 N/A

704 Staff respected having family with † 95.0 -0.2 94.8 94.0 83 N<7 N/A N<7 N/A

832 Staff sensitivity to your needs † 5 92.5 +0.9 93.4 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 94.0 +0.5 94.5 94.6 40 95.0 33 95.3 18

892 Staff worked together provide care 9 94.2 +0.5 94.7 94.6 48 94.9 42 95.2 25

895 Overall rating of care 5 94.3 +0.2 94.5 95.0 33 95.3 27 < 95.5 18

892 Likelihood of recommending 10 93.8 +0.8 94.6 94.5 44 94.9 38 95.4 18

* Significantly different at .05 level< 1 standard deviation below peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT4.0 Number of Facilities Asking Non-Standard Questions

This section lists the numbers of facilities in each of your peer groups asking the same non-standard questions as your facility. Section All Facility DB AHA Region 4 COTH Peer Group

Question N=1240 N=228 N=15

Personal Issues

Family able to participate decision † 4 0 0

Staff explained roles in care † 11 0 0

Staff supported family throughout † 7 0 0

Staff respected having family with † 7 0 1

Staff sensitivity to your needs † 3 0 0

N Number of facilities in peer group † Non-standard question

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT5.0 Top Box Analysis

Press Ganey's Top Box Analysis presents a distribution of responses for your entire survey, each section, and each question. The bar chart on theright displays the percentage of "very good" responses--the highest rating or "top box" on the rating scale--for your facility and up to three peergroups. Each peer group is identified in the legend at the bottom of the page. Questions appearing in bold italics are among your facility's top tenpriorities (based on your Internal Priority Index); superscripts indicate the priority number.

Overall Very Poor Poor Fair Good Very GoodSection n n n n n

n Question % % % % % % Very Good

15,137 Facility 70 72 390 2,624 11,9810.5% 0.5% 2.6% 17.3% 79.2%

79.279.080.179.6

19,093 Facility †† 85 82 482 3,332 15,1120.4% 0.4% 2.5% 17.5% 79.1%

79.1

2,675 Registration 12 8 83 472 2,1000.4% 0.3% 3.1% 17.6% 78.5%

78.576.177.076.6

904 Helpfulness of registration person 3 2 29 142 7280.3% 0.2% 3.2% 15.7% 80.5%

80.578.880.078.6

886 Ease of the registration process 4 2 18 149 7130.5% 0.2% 2.0% 16.8% 80.5%

80.578.379.579.1

885 Waiting time in registration 5 4 36 181 6590.6% 0.5% 4.1% 20.5% 74.5%

74.571.371.672.0

2,705 Facility 20 18 105 596 1,9660.7% 0.7% 3.9% 22.0% 72.7%

72.770.371.7

68.9

909 Comfort of waiting area 7 2 3 31 218 6550.2% 0.3% 3.4% 24.0% 72.1%

72.166.367.666.7

896 Ease of finding your way around 10 15 13 52 208 6081.7% 1.5% 5.8% 23.2% 67.9%

67.966.868.4

62.7

900 Cleanliness of facility 3 2 22 170 7030.3% 0.2% 2.4% 18.9% 78.1%

78.177.979.077.3

4,479 Test or Treatment 13 23 95 630 3,7180.3% 0.5% 2.1% 14.1% 83.0%

83.083.984.884.7

907 Friendliness of staff 3 2 16 101 7850.3% 0.2% 1.8% 11.1% 86.5%

86.587.187.887.6

897 Explanations given by staff 3 5 21 125 7430.3% 0.6% 2.3% 13.9% 82.8%

82.882.283.283.1

895 Skill of techs/therapists/nurses 2 3 13 110 7670.2% 0.3% 1.5% 12.3% 85.7%

85.785.486.586.1

898 Staff concern for comfort 2 5 16 139 7360.2% 0.6% 1.8% 15.5% 82.0%

82.082.883.983.8

882 Staff's concern/questions worries 4 3 8 29 155 6870.3% 0.9% 3.3% 17.6% 77.9%

77.981.782.782.5

2,599 Personal Issues 13 9 63 524 1,9900.5% 0.3% 2.4% 20.2% 76.6%

76.678.279.479.7

Continued...

†† Includes non-standard questions

n Number of responsesThis period "very good" percentage

All Facility DB "very good" percentage

AHA Region 4 "very good" percentage

COTH Peer Group "very good" percentage

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT5.0 Top Box Analysis

Overall Very Poor Poor Fair Good Very GoodSection n n n n n

n Question % % % % % % Very Good

6,555 Personal Issues †† 28 19 155 1,232 5,1210.4% 0.3% 2.4% 18.8% 78.1%

78.1

890 Our concern for privacy 1 2 20 182 6850.1% 0.2% 2.2% 20.4% 77.0%

77.078.179.479.7

883 Our sensitivity to your needs 2 6 3 20 182 6720.7% 0.3% 2.3% 20.6% 76.1%

76.178.479.480.1

826 Response to concerns/complaints 1 6 4 23 160 6330.7% 0.5% 2.8% 19.4% 76.6%

76.678.179.479.3

810 Family able to participate decision † 8 2 3 19 148 6380.2% 0.4% 2.3% 18.3% 78.8%

78.8

865 Staff explained roles in care † 3 7 3 22 151 6820.8% 0.3% 2.5% 17.5% 78.8%

78.877.5

745 Staff supported family throughout † 10 1 1 15 144 5840.1% 0.1% 2.0% 19.3% 78.4%

78.480.4

704 Staff respected having family with † 1 0 15 113 5750.1% 0.0% 2.1% 16.1% 81.7%

81.779.9

832 Staff sensitivity to your needs † 5 4 3 21 152 6520.5% 0.4% 2.5% 18.3% 78.4%

78.4

2,679 Overall Assessment 12 14 44 402 2,2070.4% 0.5% 1.6% 15.0% 82.4%

82.483.184.384.6

892 Staff worked together provide care 9 3 3 12 143 7310.3% 0.3% 1.3% 16.0% 82.0%

82.082.083.183.2

895 Overall rating of care 5 2 6 17 138 7320.2% 0.7% 1.9% 15.4% 81.8%

81.883.684.785.0

892 Likelihood of recommending 10 7 5 15 121 7440.8% 0.6% 1.7% 13.6% 83.4%

83.483.885.085.7

† Non-standard question

†† Includes non-standard questions

n Number of responses This period "very good" percentage

All Facility DB "very good" percentage

AHA Region 4 "very good" percentage

COTH Peer Group "very good" percentage

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT6.0 Comparison of Question Scores (All Items)

This section lists your current period's mean scores for each question in descending order. The order of questions is listed in parentheses after themean scores. To ensure reliability, only the order of questions answered by at least 40% of your respondents is presented. On the right your facility'soverall score is graphed as a vertical line in the bar chart of your mean scores. Questions appearing in bold italics are among your facility's top tenpriorities (based on your Internal Priority Index); superscripts indicate the priority number.

Your OverallQuestion Mean Facility RatingFriendliness of staff 95.8 (1)

Skill of techs/therapists/nurses 95.7 (2)

Staff respected having family with † 94.8 (3)

Staff worked together provide care 9 94.7 (4)

Staff concern for comfort 94.6 (5)

Explanations given by staff 94.6 (6)

Likelihood of recommending 10 94.6 (7)

Overall rating of care 5 94.5 (8)

Ease of the registration process 94.2 (9)

Helpfulness of registration person 94.0 (10)

Staff supported family throughout † 10 93.9 (11)

Family able to participate decision † 8 93.7 (12)

Cleanliness of facility 93.6 (13)

Our concern for privacy 93.5 (14)

Staff sensitivity to your needs † 5 93.4 (15)

Staff explained roles in care † 3 93.3 (16)

Staff's concern/questions worries 4 92.9 (17)

Our sensitivity to your needs 2 92.8 (18)

Response to concerns/complaints 1 92.7 (19)

Waiting time in registration 92.0 (20)

Comfort of waiting area 7 91.8 (21)

Ease of finding your way around 10 88.5 (22)

80 85 90 95 100

† Non-standard question

(Order) From highest to lowest mean score

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT7.1 All Facility DB Percentile Rank by Question

This section lists each question's percentile rank in the All Facility DB peer group in descending order. The order of questions is listed in parenthesesafter the percentile ranks. To ensure reliability, only the order of questions answered by at least 40% of your respondents is presented. On the rightyour facility's overall percentile rank is graphed as a vertical line in the bar chart of your percentile ranks. Questions appearing in bold italics areamong your facility's top ten priorities (based on your Internal Priority Index); superscripts indicate the priority number.

Your OverallQuestion Rank Percentile RankStaff respected having family with † 83 (1)

Staff explained roles in care † 3 75 (2)

Comfort of waiting area 7 72 (3)

Waiting time in registration 68 (4)

Staff supported family throughout † 10 67 (5)

Ease of the registration process 64 (6)

Helpfulness of registration person 55 (7)

Explanations given by staff 50 (8)

Skill of techs/therapists/nurses 50 (8)

Staff worked together provide care 9 48 (10)

Staff concern for comfort 44 (11)

Likelihood of recommending 10 44 (11)

Cleanliness of facility 39 (13)

Our concern for privacy 39 (13)

Friendliness of staff 36 (15)

Response to concerns/complaints 1 36 (15)

Overall rating of care 5 33 (17)

Our sensitivity to your needs 2 33 (17)

Ease of finding your way around 10 26 (19)

Staff's concern/questions worries 4 19 (20)

Family able to participate decision † 8 N<7

Staff sensitivity to your needs † 5 N<7

0 10 20 30 40 50 60 70 80 90 100

N<7 Fewer than 7 facilities

† Non-standard question (Order) From highest to lowest percentile rank

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT7.2 Hospitals in AHA Region 4 Percentile Rank by Question

This section lists each question's percentile rank in the Hospitals in AHA Region 4 peer group in descending order. The order of questions is listed inparentheses after the percentile ranks. To ensure reliability, only the order of questions answered by at least 40% of your respondents is presented.On the right your facility's overall percentile rank is graphed as a vertical line in the bar chart of your percentile ranks. Questions appearing in bolditalics are among your facility's top ten priorities (based on your Internal Priority Index); superscripts indicate the priority number.

Your OverallQuestion Rank Percentile RankWaiting time in registration 66 (1)

Comfort of waiting area 7 65 (2)

Ease of the registration process 59 (3)

Helpfulness of registration person 48 (4)

Explanations given by staff 43 (5)

Staff worked together provide care 9 42 (6)

Skill of techs/therapists/nurses 38 (7)

Likelihood of recommending 10 38 (7)

Cleanliness of facility 37 (9)

Staff concern for comfort 36 (10)

Our concern for privacy 33 (11)

Our sensitivity to your needs 2 32 (12)

Response to concerns/complaints 1 32 (12)

Friendliness of staff 31 (14)

Overall rating of care 5 27 (15)

Ease of finding your way around 10 19 (16)

Staff's concern/questions worries 4 15 (17)

Family able to participate decision † 8 N<7

Staff explained roles in care † 3 N<7

Staff supported family throughout † 10 N<7

Staff respected having family with † N<7

Staff sensitivity to your needs † 5 N<7

0 10 20 30 40 50 60 70 80

N<7 Fewer than 7 facilities

† Non-standard question (Order) From highest to lowest percentile rank

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT7.3 Council of Teaching Peer Group Percentile Rank by Question

This section lists each question's percentile rank in the Council of Teaching Peer Group peer group in descending order. The order of questions islisted in parentheses after the percentile ranks. To ensure reliability, only the order of questions answered by at least 40% of your respondents ispresented. On the right your facility's overall percentile rank is graphed as a vertical line in the bar chart of your percentile ranks. Questionsappearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscripts indicate the priority number.

Your OverallQuestion Rank Percentile RankComfort of waiting area 7 72 (1)

Waiting time in registration 70 (2)

Helpfulness of registration person 51 (3)

Ease of the registration process 50 (4)

Ease of finding your way around 10 39 (5)

Cleanliness of facility 36 (6)

Skill of techs/therapists/nurses 29 (7)

Staff worked together provide care 9 25 (8)

Staff concern for comfort 19 (9)

Likelihood of recommending 10 18 (10)

Overall rating of care 5 18 (12)

Response to concerns/complaints 1 18 (11)

Our sensitivity to your needs 2 15 (13)

Friendliness of staff 14 (15)

Explanations given by staff 14 (14)

Our concern for privacy 10 (16)

Staff's concern/questions worries 4 5 (17)

Family able to participate decision † 8 N<7

Staff explained roles in care † 3 N<7

Staff supported family throughout † 10 N<7

Staff respected having family with † N<7

Staff sensitivity to your needs † 5 N<7

0 10 20 30 40 50 60 70 80 90

N<7 Fewer than 7 facilities

† Non-standard question (Order) From highest to lowest percentile rank

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT8.0 Correlation Coefficients

This section presents the relative importance (based on correlation coefficients) of each question to respondents' overall satisfaction. The closer acorrelation is to 1, the stronger the relationship and the more important the issue is to your patients' overall satisfaction. Questions are arranged indescending importance with their order listed in parentheses after each correlation coefficient. To ensure reliability, only questions answered by atleast 40% of your respondents are listed. Your facility's highest and lowest correlation coefficients are marked with vertical lines in the bar chart onthe right. Questions appearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscripts indicatethe priority number.

Relative Your Lowest Your HighestImportance/ Coefficient Coefficient

Question Correlation* .58 .82Overall rating of care 5 .82 (22)

Response to concerns/complaints 1 .82 (21)

Staff worked together provide care 9 .80 (20)

Staff explained roles in care † 3 .79 (19)

Our sensitivity to your needs 2 .78 (18)

Staff's concern/questions worries 4 .78 (17)

Likelihood of recommending 10 .78 (16)

Staff sensitivity to your needs † 5 .78 (15)

Family able to participate decision † 8 .76 (14)

Staff respected having family with † .74 (13)

Staff supported family throughout † 10 .74 (12)

Staff concern for comfort .73 (11)

Explanations given by staff .73 (10)

Friendliness of staff .72 (9)

Our concern for privacy .71 (8)

Comfort of waiting area 7 .70 (7)

Ease of the registration process .68 (6)

Helpfulness of registration person .67 (5)

Skill of techs/therapists/nurses .67 (4)

Cleanliness of facility .66 (3)

Waiting time in registration .64 (2)

Ease of finding your way around 10 .58 (1)

.50 .55 .60 .65 .70 .75 .80 .85 .90

† Non-standard question (Order) From lowest to highest coefficient

* Only calculated for items with response rates of 40% or higher

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT9.0 Priority Index (Internal)

The Internal Priority Index combines information about your facility's performance and the relative importance of each question to respondents'overall satisfaction. Higher priority is given to those issues that are relatively important to respondents (high correlation coefficients) and that youscored low on (low mean scores). Questions are listed in decreasing priority. Pay particular attention to questions that are consistently among yourtop ten priorities. Questions that are among this period's top ten priorities appear in bold italics in this and previous sections of the report. Current Previous Periods Mean CorrelationOrder Order Top 10 Question Score Coefficient Priority Index

1 2 6 Response to concerns/complaints 92.7 (19) .82 (21) 19 21 40

2 1 6 Our sensitivity to your needs 92.8 (18) .78 (18) 18 18 36

3 3 2 Staff explained roles in care † 93.3 (16) .79 (19) 16 19 35

4 16 1 Staff's concern/questions worries 92.9 (17) .78 (17) 17 17 34

5 3 4 Staff sensitivity to your needs † 93.4 (15) .78 (15) 15 15 30

5 10 6 Overall rating of care 94.5 (8) .82 (22) 8 22 30

7 7 2 Comfort of waiting area 91.8 (21) .70 (7) 21 7 28

8 6 2 Family able to participate decision † 93.7 (12) .76 (14) 12 14 26

9 7 2 Staff worked together provide care 94.7 (4) .80 (20) 4 20 24

10 3 3 Staff supported family throughout † 93.9 (11) .74 (12) 11 12 23

10 11 1 Ease of finding your way around 88.5 (22) .58 (1) 22 23

10 11 1 Likelihood of recommending 94.6 (7) .78 (16) 7 16 23

13 9 - Waiting time in registration 92.0 (20) .64 (2) 20 22

13 14 - Our concern for privacy 93.5 (14) .71 (8) 14 8 22

15 - - Staff respected having family with † 94.8 (3) .74 (13) 3 13 16

15 11 - Staff concern for comfort 94.6 (5) .73 (11) 5 11 16

15 15 - Cleanliness of facility 93.6 (13) .66 (3) 13 3 16

15 17 - Explanations given by staff 94.6 (6) .73 (10) 6 10 16

19 18 - Ease of the registration process 94.2 (9) .68 (6) 9 6 15

19 20 - Helpfulness of registration person 94.0 (10) .67 (5) 10 5 15

21 19 - Friendliness of staff 95.8 (1) .72 (9) 9 10

22 21 - Skill of techs/therapists/nurses 95.7 (2) .67 (4) 4 6

† Non-standard question

Mean score order

Correlation coefficient order

(Order) From highest to lowest mean score

(Order) From lowest to highest coefficient

Periods Top 10 - Consecutive reporting periods in the top 10

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT10.1 Priority Index (All Facility DB)

This External Priority Index combines information about each question's percentile rank in the All Facility DB peer group and relative importance toyour respondents' overall satisfaction. Higher priority is given to those issues that are relatively important to respondents (high correlations) and thathave low percentile ranks. Questions are listed in decreasing priority. Current Previous Periods Percentile CorrelationOrder Order Top 10 Question Rank Coefficient Priority Index

1 2 6 Overall rating of care 33 (17) .82 (22) 17 22 39

2 11 1 Staff's concern/questions worries 19 (20) .78 (17) 20 17 37

3 3 6 Response to concerns/complaints 36 (15) .82 (21) 15 21 36

4 1 6 Our sensitivity to your needs 33 (17) .78 (18) 17 18 35

5 5 6 Staff worked together provide care 48 (10) .80 (20) 10 20 30

6 6 5 Likelihood of recommending 44 (11) .78 (16) 11 16 27

7 7 2 Friendliness of staff 36 (15) .72 (9) 15 9 24

8 3 4 Staff concern for comfort 44 (11) .73 (11) 11 11 22

9 12 1 Our concern for privacy 39 (13) .71 (8) 13 8 21

9 7 2 Staff explained roles in care † 75 (2) .79 (19) 19 21

11 12 - Ease of finding your way around 26 (19) .58 (1) 19 20

12 14 - Explanations given by staff 50 (8) .73 (10) 8 10 18

13 - - Staff supported family throughout † 67 (5) .74 (12) 5 12 17

14 10 - Cleanliness of facility 39 (13) .66 (3) 13 3 16

15 - - Staff respected having family with † 83 (1) .74 (13) 13 14

16 16 - Helpfulness of registration person 55 (7) .67 (5) 7 5 12

16 7 - Skill of techs/therapists/nurses 50 (8) .67 (4) 8 4 12

16 15 - Ease of the registration process 64 (6) .68 (6) 6 6 12

19 16 - Comfort of waiting area 72 (3) .70 (7) 3 7 10

20 18 - Waiting time in registration 68 (4) .64 (2) 4 6

† Non-standard question

Percentile rank order

Correlation coefficient order

(Order) From highest to lowest percentile rank

(Order) From lowest to highest coefficient

Periods Top 10 - Consecutive reporting periods in the top 10

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT10.2 Priority Index (Hospitals in AHA Region 4)

This External Priority Index combines information about each question's percentile rank in the Hospitals in AHA Region 4 peer group and relativeimportance to your respondents' overall satisfaction. Higher priority is given to those issues that are relatively important to respondents (highcorrelations) and that have low percentile ranks. Questions are listed in decreasing priority. Current Previous Periods Percentile CorrelationOrder Order Top 10 Question Rank Coefficient Priority Index

1 3 6 Overall rating of care 27 (15) .82 (22) 15 22 37

2 8 4 Staff's concern/questions worries 15 (17) .78 (17) 17 17 34

3 4 6 Response to concerns/complaints 32 (12) .82 (21) 12 21 33

4 1 6 Our sensitivity to your needs 32 (12) .78 (18) 12 18 30

5 4 6 Staff worked together provide care 42 (6) .80 (20) 6 20 26

6 9 2 Friendliness of staff 31 (14) .72 (9) 14 9 23

6 6 5 Likelihood of recommending 38 (7) .78 (16) 7 16 23

8 1 6 Staff concern for comfort 36 (10) .73 (11) 10 11 21

9 10 2 Our concern for privacy 33 (11) .71 (8) 11 8 19

10 10 6 Ease of finding your way around 19 (16) .58 (1) 16 17

11 13 - Explanations given by staff 43 (5) .73 (10) 5 10 15

12 12 - Cleanliness of facility 37 (9) .66 (3) 9 3 12

13 6 - Skill of techs/therapists/nurses 38 (7) .67 (4) 7 4 11

14 16 - Helpfulness of registration person 48 (4) .67 (5) 4 5 9

14 14 - Comfort of waiting area 65 (2) .70 (7) 7 9

14 14 - Ease of the registration process 59 (3) .68 (6) 3 6 9

17 17 - Waiting time in registration 66 (1) .64 (2) 3

Percentile rank order

Correlation coefficient order

(Order) From highest to lowest percentile rank

(Order) From lowest to highest coefficient

Periods Top 10 - Consecutive reporting periods in the top 10

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT10.3 Priority Index (Council of Teaching Peer Group)

This External Priority Index combines information about each question's percentile rank in the Council of Teaching Peer Group peer group andrelative importance to your respondents' overall satisfaction. Higher priority is given to those issues that are relatively important to respondents (highcorrelations) and that have low percentile ranks. Questions are listed in decreasing priority. Current Previous Periods Percentile CorrelationOrder Order Top 10 Question Rank Coefficient Priority Index

1 3 6 Overall rating of care 18 (12) .82 (22) 12 22 34

1 9 6 Staff's concern/questions worries 5 (17) .78 (17) 17 17 34

3 2 6 Response to concerns/complaints 18 (11) .82 (21) 11 21 32

4 1 6 Our sensitivity to your needs 15 (13) .78 (18) 13 18 31

5 4 6 Staff worked together provide care 25 (8) .80 (20) 8 20 28

6 4 6 Likelihood of recommending 18 (10) .78 (16) 10 16 26

7 4 2 Friendliness of staff 14 (15) .72 (9) 15 9 24

7 11 1 Explanations given by staff 14 (14) .73 (10) 14 10 24

7 10 6 Our concern for privacy 10 (16) .71 (8) 16 8 24

10 4 6 Staff concern for comfort 19 (9) .73 (11) 9 11 20

11 8 - Skill of techs/therapists/nurses 29 (7) .67 (4) 7 4 11

12 12 - Ease of the registration process 50 (4) .68 (6) 4 6 10

13 13 - Cleanliness of facility 36 (6) .66 (3) 6 3 9

14 15 - Helpfulness of registration person 51 (3) .67 (5) 3 5 8

14 14 - Comfort of waiting area 72 (1) .70 (7) 7 8

16 16 - Ease of finding your way around 39 (5) .58 (1) 5 6

17 16 - Waiting time in registration 70 (2) .64 (2) 2 2 4

Percentile rank order

Correlation coefficient order

(Order) From highest to lowest percentile rank

(Order) From lowest to highest coefficient

Periods Top 10 - Consecutive reporting periods in the top 10

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT11.1 All Facility DB Percentile Scores

This section presents the mean scores associated with particular percentile ranks in the All Facility DB peer group. Your facility's mean scores andpercentile ranks are listed in the first two columns of data. The corresponding range of mean scores is displayed in bold in the table on the right. Overall

Section Your Mean YourQuestion Score Rank 10% 20% 30% 40% 50% 60% 70% 75% 80% 90% 95% 99%

Overall Rating 93.2 46 90.9 92.0 92.6 93.0 93.4 93.8 94.2 94.4 94.7 95.3 95.7 96.6

Registration 93.3 64 89.4 90.8 91.6 92.2 92.7 93.1 93.6 93.8 94.1 94.8 95.3 96.1

Helpfulness of registration person 94.0 55 91.4 92.3 92.9 93.3 93.7 94.1 94.6 94.8 95.0 95.7 96.1 96.9

Ease of the registration process 94.2 64 90.7 91.9 92.6 93.1 93.5 94.0 94.4 94.6 94.9 95.5 95.9 96.8

Waiting time in registration 92.0 68 86.3 88.1 89.2 90.0 90.8 91.4 92.0 92.4 92.7 93.8 94.4 95.4

Facility 91.3 47 88.0 89.4 90.3 90.9 91.5 92.0 92.6 92.9 93.3 94.1 94.7 96.3

Comfort of waiting area 91.8 72 86.5 87.9 88.8 89.6 90.3 90.9 91.7 92.1 92.4 93.4 94.2 96.1

Ease of finding your way around 88.5 26 86.1 87.8 88.9 89.6 90.3 91.0 91.6 91.9 92.2 93.2 94.0 95.6

Cleanliness of facility 93.6 39 91.1 92.3 93.0 93.6 94.1 94.6 95.1 95.3 95.6 96.3 96.8 98.0

Test or Treatment 94.6 36 93.0 93.9 94.4 94.8 95.1 95.4 95.7 95.9 96.1 96.6 97.0 97.6

Friendliness of staff 95.8 36 94.6 95.2 95.6 96.0 96.3 96.5 96.8 97.0 97.1 97.5 97.8 98.4

Explanations given by staff 94.6 50 92.3 93.2 93.8 94.2 94.6 95.0 95.3 95.5 95.7 96.3 96.6 97.5

Skill of techs/therapists/nurses 95.7 50 93.8 94.5 95.0 95.4 95.7 96.0 96.3 96.5 96.6 97.1 97.4 98.0

Staff concern for comfort 94.6 44 92.6 93.5 94.0 94.4 94.8 95.2 95.5 95.7 96.0 96.4 96.8 97.6

Staff's concern/questions worries 92.9 19 92.1 93.0 93.6 94.1 94.4 94.8 95.2 95.4 95.6 96.2 96.6 97.2

Personal Issues 92.8 35 90.9 92.0 92.6 93.1 93.5 93.9 94.3 94.5 94.7 95.3 95.7 96.5

Our concern for privacy 93.5 39 91.4 92.4 93.0 93.5 93.9 94.2 94.6 94.8 95.0 95.6 96.0 96.7

Our sensitivity to your needs 92.8 33 91.1 92.0 92.6 93.1 93.5 94.0 94.4 94.6 94.8 95.4 95.9 96.7

Response to concerns/complaints 92.7 36 90.6 91.6 92.3 92.8 93.3 93.7 94.2 94.4 94.6 95.3 95.8 96.6

Family able to participate decision † 93.7 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff explained roles in care † 93.3 75 91.7 92.4 92.8 92.9 93.0 93.0 93.2 93.3 93.4 93.6 94.4 95.1

Staff supported family throughout † 93.9 67 92.2 93.3 93.6 93.8 93.9 93.9 94.0 94.0 94.0 94.9 95.6 96.1

Staff respected having family with † 94.8 83 92.8 93.3 93.6 93.7 93.8 94.3 94.8 94.8 94.8 95.0 95.1 95.2

Staff sensitivity to your needs † 93.4 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Overall Assessment 94.5 40 92.5 93.4 94.0 94.4 94.8 95.1 95.5 95.8 95.9 96.5 96.9 97.6

Staff worked together provide care 94.7 48 92.5 93.4 94.0 94.4 94.8 95.1 95.5 95.7 95.9 96.4 96.8 97.4

Overall rating of care 94.5 33 92.9 93.8 94.3 94.8 95.1 95.5 95.8 96.0 96.2 96.7 97.2 97.8

Likelihood of recommending 94.6 44 92.1 93.2 93.8 94.3 94.7 95.1 95.5 95.7 95.9 96.6 97.1 97.9

N<7 Fewer than 7 facilities † Non-standard question

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT11.2 Hospitals in AHA Region 4 Percentile Scores

This section presents the mean scores associated with particular percentile ranks in the Hospitals in AHA Region 4 peer group. Your facility's meanscores and percentile ranks are listed in the first two columns of data. The corresponding range of mean scores is displayed in bold in the table onthe right. Overall

Section Your Mean YourQuestion Score Rank 10% 20% 30% 40% 50% 60% 70% 75% 80% 90% 95% 99%

Overall Rating 93.2 40 90.9 92.1 92.7 93.2 93.7 94.0 94.7 94.8 95.3 96.0 96.5 97.4

Registration 93.3 61 89.1 90.4 91.4 92.1 92.7 93.2 93.9 94.2 94.5 95.7 96.0 96.6

Helpfulness of registration person 94.0 48 91.3 92.4 93.1 93.5 94.1 94.6 95.1 95.4 95.6 96.4 96.8 97.4

Ease of the registration process 94.2 59 91.0 91.8 92.6 93.2 93.6 94.2 94.7 95.0 95.4 96.3 96.8 97.3

Waiting time in registration 92.0 66 85.0 87.4 88.7 89.8 90.6 91.4 92.2 92.5 92.8 94.4 95.0 95.7

Facility 91.3 42 88.5 89.5 90.3 91.2 91.9 92.3 93.2 93.6 93.9 95.4 96.4 97.3

Comfort of waiting area 91.8 65 86.4 87.9 88.6 89.4 90.5 91.4 92.3 92.6 93.1 94.7 96.2 96.9

Ease of finding your way around 88.5 19 87.3 88.5 89.6 90.1 90.9 91.6 92.2 92.7 93.1 94.3 95.8 97.0

Cleanliness of facility 93.6 37 91.5 92.4 93.1 93.7 94.3 94.8 95.4 95.7 95.9 97.0 98.0 98.5

Test or Treatment 94.6 28 93.2 94.0 94.7 95.0 95.4 95.8 96.0 96.2 96.5 97.0 97.3 97.9

Friendliness of staff 95.8 31 94.7 95.3 95.8 96.2 96.5 96.8 97.1 97.2 97.4 97.7 98.1 98.5

Explanations given by staff 94.6 43 92.4 93.6 94.0 94.4 94.9 95.2 95.6 95.9 96.1 96.8 97.1 97.7

Skill of techs/therapists/nurses 95.7 38 94.1 94.7 95.3 95.8 96.1 96.4 96.6 96.8 96.9 97.5 97.9 98.4

Staff concern for comfort 94.6 36 92.9 93.8 94.4 94.7 95.2 95.5 95.9 96.0 96.3 96.9 97.3 97.9

Staff's concern/questions worries 92.9 15 92.1 93.3 94.1 94.5 94.8 95.1 95.5 95.7 96.1 96.5 96.8 97.3

Personal Issues 92.8 32 91.1 92.1 92.7 93.3 93.7 94.2 94.7 95.1 95.3 95.9 96.2 96.9

Our concern for privacy 93.5 33 91.8 92.6 93.3 93.9 94.2 94.6 95.1 95.3 95.5 96.2 96.5 97.1

Our sensitivity to your needs 92.8 32 91.2 92.0 92.6 93.3 93.8 94.4 94.8 95.1 95.3 95.9 96.5 96.9

Response to concerns/complaints 92.7 32 90.6 91.8 92.5 93.0 93.6 94.1 94.6 95.0 95.1 96.0 96.4 97.0

Family able to participate decision † 93.7 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff explained roles in care † 93.3 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff supported family throughout † 93.9 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff respected having family with † 94.8 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff sensitivity to your needs † 93.4 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Overall Assessment 94.5 33 92.6 93.6 94.2 94.7 95.0 95.5 96.0 96.3 96.5 97.1 97.4 98.1

Staff worked together provide care 94.7 42 92.6 93.6 94.2 94.7 95.0 95.3 95.9 96.2 96.4 97.0 97.3 97.9

Overall rating of care 94.5 27 93.0 94.0 94.6 95.1 95.4 95.9 96.3 96.5 96.7 97.3 97.6 98.1

Likelihood of recommending 94.6 38 91.9 93.3 94.0 94.7 95.1 95.4 96.0 96.3 96.6 97.3 97.6 98.4

N<7 Fewer than 7 facilities † Non-standard question

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT11.3 Council of Teaching Peer Group Percentile Scores

This section presents the mean scores associated with particular percentile ranks in the Council of Teaching Peer Group peer group. Your facility'smean scores and percentile ranks are listed in the first two columns of data. The corresponding range of mean scores is displayed in bold in the tableon the right. Overall

Section Your Mean YourQuestion Score Rank 10% 20% 30% 40% 50% 60% 70% 75% 80% 90% 95% 99%

Overall Rating 93.2 37 92.1 92.3 93.1 93.4 93.9 94.2 94.5 94.6 94.7 95.0 95.2 95.3

Registration 93.3 65 91.1 91.7 92.2 92.6 92.9 93.1 93.7 94.0 94.2 94.7 94.9 95.1

Helpfulness of registration person 94.0 51 92.1 92.3 92.9 93.4 93.9 94.5 94.8 94.8 94.9 95.3 95.8 95.8

Ease of the registration process 94.2 50 92.2 93.0 93.3 93.3 94.1 94.3 94.7 94.8 94.9 95.2 95.5 95.9

Waiting time in registration 92.0 70 88.9 89.5 90.0 90.7 91.0 91.4 91.9 92.3 92.8 93.4 93.6 93.8

Facility 91.3 41 88.4 88.8 89.3 91.2 91.5 92.3 92.4 92.5 92.7 93.3 93.6 93.7

Comfort of waiting area 91.8 72 87.8 88.4 88.9 90.3 90.9 91.5 91.8 91.9 92.0 93.2 93.5 93.7

Ease of finding your way around 88.5 39 85.9 86.2 87.0 88.6 89.3 89.6 90.2 90.5 91.0 91.6 92.4 93.2

Cleanliness of facility 93.6 36 91.6 91.7 92.7 94.0 94.6 94.9 95.0 95.1 95.2 95.6 95.9 95.9

Test or Treatment 94.6 11 94.4 95.2 95.3 95.4 95.5 95.6 95.8 95.9 96.0 96.2 96.3 96.5

Friendliness of staff 95.8 14 95.8 96.2 96.3 96.3 96.5 96.6 96.8 96.9 97.0 97.2 97.3 97.3

Explanations given by staff 94.6 14 94.0 94.7 94.9 95.0 95.1 95.4 95.5 95.5 95.5 95.6 95.8 95.9

Skill of techs/therapists/nurses 95.7 29 95.3 95.7 95.7 95.9 95.9 96.1 96.4 96.4 96.4 96.5 96.7 97.1

Staff concern for comfort 94.6 19 93.8 94.6 95.1 95.2 95.3 95.4 95.5 95.6 95.8 96.1 96.2 96.5

Staff's concern/questions worries 92.9 5 93.5 94.4 94.7 94.8 94.8 94.9 95.3 95.4 95.5 95.8 95.9 95.9

Personal Issues 92.8 15 92.5 93.3 93.5 93.7 94.0 94.2 94.4 94.7 95.1 95.3 95.4 95.4

Our concern for privacy 93.5 10 93.5 93.7 93.8 94.2 94.4 94.6 94.6 94.9 95.4 95.7 96.0 96.1

Our sensitivity to your needs 92.8 15 92.5 93.4 93.9 94.0 94.3 94.4 94.7 94.9 95.1 95.3 95.4 95.5

Response to concerns/complaints 92.7 18 92.0 93.0 93.2 93.4 93.5 93.8 94.3 94.5 94.7 94.8 94.9 95.0

Family able to participate decision † 93.7 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff explained roles in care † 93.3 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff supported family throughout † 93.9 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff respected having family with † 94.8 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Staff sensitivity to your needs † 93.4 N/A N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7 N<7

Overall Assessment 94.5 18 93.7 94.6 95.0 95.3 95.4 95.7 95.9 95.9 96.0 96.2 96.5 96.7

Staff worked together provide care 94.7 25 93.7 94.5 95.0 95.2 95.3 95.6 95.7 95.7 95.8 96.0 96.3 96.7

Overall rating of care 94.5 18 94.0 94.7 95.4 95.5 95.7 96.0 96.1 96.1 96.1 96.4 96.6 96.8

Likelihood of recommending 94.6 18 93.9 94.7 95.2 95.4 95.5 95.6 95.9 96.0 96.2 96.5 96.7 96.8

N<7 Fewer than 7 facilities † Non-standard question

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.1.1 Registration Section Mean Trend Analysis

The broad light-colored columns show your facility's mean score for standard questions in the Registration section. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your facility's score for all questions in the Registration section. I-bars represent each of yourpeer groups: The horizontal line in the middle of each I-bar is the peer group's average section mean score; the width of the I-bar represents twostandard deviations above and below the mean score. A marks the highest section mean score obtained by a facility in each peer group.

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

91.3n=10071/1/15

3/31/15

91.6n=3204/1/15

6/30/15

91.9n=7157/1/15

12/31/15

91.7n=8011/1/163/31/16

92.5n=7564/1/166/30/16

93.3n=9067/1/169/30/16

12.1.2 Registration Section Percentile Rank Trend AnalysisThis section shows how your overall percentile rank for the Registration section's standard questions has changed over time. A percentile rank tellsyou how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the otherfacilities in the peer group for this section. Percentile rank trending is provided for up to three peer groups.

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.1.3 Registration Section Analysis

This section lists your Registration section and question mean scores for the current and last report periods. Significant changes in your mean scoresfrom the last report period are marked with asterisks. The amount of change is listed in the second column of data. On the right, comparative data,including database mean scores and percentile ranks, are provided for each of your peer groups. Percentile ranks are used to describe where yourfacility stands in relation to others in a peer group. For example, a 75 in the percentile rank column means that your facility scored higher than 75% ofthe facilities in the database for this section. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are coloredblue.

Last ThisMean Period Period All Facility DB AHA Region 4 COTH Peer Group

Section Score n=756 n=906 N=1240 N=228 N=15Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Registration Rating 92.5 +0.8 93.3 92.4 64 92.5 61 92.9 65

Helpfulness of registration person 93.4 +0.6 94.0 93.6 55 94.0 48 93.7 51

Ease of the registration process 93.4 +0.8 94.2 93.3 64 93.6 59 93.8 50

Waiting time in registration 90.7 +1.3 92.0 90.3 68 90.1 66 91.1 70

12.1.4 Registration Section Mean/Rank AnalysisThe bar chart on the left graphs your Registration section and question mean scores for this period (light-colored bars) and last period (dark bars).The bar chart on the right graphs your current percentile ranks in each of your peer groups. Section

Question Overall Mean Scores Current Percentile RankRegistration Rating 93.3

92.5

64 61

65

Helpfulness of registration person 94.0

93.4

55 48

51

Ease of the registration process 94.2

93.4

64 59

50

Waiting time in registration 92.0

90.7

68 66

70

n Number of responses

N Number of facilities in peer group

All Facility DB Percentile Rank

AHA Region 4 Percentile Rank

COTH Peer Group Percentile Rank

This period mean

Last period mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.2.1 Facility Section Mean Trend Analysis

The broad light-colored columns show your facility's mean score for standard questions in the Facility section. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your facility's score for all questions in the Facility section. I-bars represent each of your peergroups: The horizontal line in the middle of each I-bar is the peer group's average section mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest section mean score obtained by a facility in each peer group.

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

87.7n=10121/1/15

3/31/15

87.2n=3234/1/15

6/30/15

89.5*n=7247/1/15

12/31/15

90.1n=8041/1/163/31/16

90.1n=7644/1/166/30/16

91.3n=9147/1/169/30/16

12.2.2 Facility Section Percentile Rank Trend AnalysisThis section shows how your overall percentile rank for the Facility section's standard questions has changed over time. A percentile rank tells youhow you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the otherfacilities in the peer group for this section. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

* Sig. different from previous period (p<.05)

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.2.3 Facility Section Analysis

This section lists your Facility section and question mean scores for the current and last report periods. Significant changes in your mean scores fromthe last report period are marked with asterisks. The amount of change is listed in the second column of data. On the right, comparative data,including database mean scores and percentile ranks, are provided for each of your peer groups. Percentile ranks are used to describe where yourfacility stands in relation to others in a peer group. For example, a 75 in the percentile rank column means that your facility scored higher than 75% ofthe facilities in the database for this section. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are coloredblue.

Last ThisMean Period Period All Facility DB AHA Region 4 COTH Peer Group

Section Score n=764 n=914 N=1240 N=228 N=15Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Facility Rating 90.1 +1.2 91.3 91.3 47 91.9 42 91.1 41

Comfort of waiting area 90.8 +1.0 91.8 90.2 72 90.6 65 90.6 72

Ease of finding your way around 87.8 +0.7 88.5 90.0 26 90.9 19 88.8 39

Cleanliness of facility 92.2 +1.4 93.6* 93.9 39 94.3 37 93.9 36

12.2.4 Facility Section Mean/Rank AnalysisThe bar chart on the left graphs your Facility section and question mean scores for this period (light-colored bars) and last period (dark bars). The barchart on the right graphs your current percentile ranks in each of your peer groups. Section

Question Overall Mean Scores Current Percentile RankFacility Rating 91.3

90.1

47 42 41

Comfort of waiting area 91.8

90.8

72 65

72

Ease of finding your way around 88.5

87.8

26 19

39

Cleanliness of facility 93.6

92.2

39 37 36

* Significantly different at .05 level

n Number of responses

N Number of facilities in peer group

All Facility DB Percentile Rank

AHA Region 4 Percentile Rank

COTH Peer Group Percentile Rank

This period mean

Last period mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.3.1 Test or Treatment Section Mean Trend Analysis

The broad light-colored columns show your facility's mean score for standard questions in the Test or Treatment section. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your facility's score for all questions in the Test or Treatment section. I-bars representeach of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average section mean score; the width of the I-barrepresents two standard deviations above and below the mean score. A marks the highest section mean score obtained by a facility in eachpeer group.

88 88

90 90

92 92

94 94

96 96

98 98

100 100

93.6n=10101/1/15

3/31/15

93.8n=3224/1/15

6/30/15

94.4n=7257/1/15

12/31/15

94.9n=8031/1/163/31/16

94.2n=7624/1/166/30/16

94.6n=9157/1/169/30/16

12.3.2 Test or Treatment Section Percentile Rank Trend AnalysisThis section shows how your overall percentile rank for the Test or Treatment section's standard questions has changed over time. A percentile ranktells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of theother facilities in the peer group for this section. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.3.3 Test or Treatment Section Analysis

This section lists your Test or Treatment section and question mean scores for the current and last report periods. Significant changes in your meanscores from the last report period are marked with asterisks. The amount of change is listed in the second column of data. On the right, comparativedata, including database mean scores and percentile ranks, are provided for each of your peer groups. Percentile ranks are used to describe whereyour facility stands in relation to others in a peer group. For example, a 75 in the percentile rank column means that your facility scored higher than75% of the facilities in the database for this section. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 arecolored blue.

Last ThisMean Period Period All Facility DB AHA Region 4 COTH Peer Group

Section Score n=762 n=915 N=1240 N=228 N=15Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Test or Treatment Rating 94.2 +0.4 94.6 94.9 36 95.3 28 95.4 11

Friendliness of staff 95.5 +0.3 95.8 96.1 36 96.4 31 < 96.5 14

Explanations given by staff 94.0 +0.6 94.6 94.4 50 94.8 43 94.9 14

Skill of techs/therapists/nurses 94.8 +0.9 95.7 95.6 50 95.9 38 96.0 29

Staff concern for comfort 93.4 +1.2 94.6 94.6 44 95.0 36 95.2 19

Staff's concern/questions worries 93.5 -0.6 92.9 94.3 19 < 94.6 15 < 94.7 5

12.3.4 Test or Treatment Section Mean/Rank AnalysisThe bar chart on the left graphs your Test or Treatment section and question mean scores for this period (light-colored bars) and last period (darkbars). The bar chart on the right graphs your current percentile ranks in each of your peer groups. Section

Question Overall Mean Scores Current Percentile RankTest or Treatment Rating 94.6

94.2

36 28

11

Friendliness of staff 95.8

95.5

36 31

14

Explanations given by staff 94.6

94.0

50 43

14

Skill of techs/therapists/nurses 95.7

94.8

50 38

29

Staff concern for comfort 94.6

93.4

44 36

19

Staff's concern/questions worries 92.9

93.5

19 15 5

< 1 standard deviation below peer group mean

n Number of responses

N Number of facilities in peer group

All Facility DB Percentile Rank

AHA Region 4 Percentile Rank

COTH Peer Group Percentile Rank

This period mean

Last period mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.4.1 Personal Issues Section Mean Trend Analysis

The broad light-colored columns show your facility's mean score for standard questions in the Personal Issues section. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your facility's score for all questions in the Personal Issues section. I-bars representeach of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average section mean score; the width of the I-barrepresents two standard deviations above and below the mean score. A marks the highest section mean score obtained by a facility in eachpeer group.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

91.2n=10051/1/15

3/31/15

91.0n=3184/1/15

6/30/15

92.3n=7077/1/15

12/31/15

92.8n=7811/1/163/31/16

92.1n=7534/1/166/30/16

92.8n=8967/1/169/30/16

12.4.2 Personal Issues Section Percentile Rank Trend AnalysisThis section shows how your overall percentile rank for the Personal Issues section's standard questions has changed over time. A percentile ranktells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of theother facilities in the peer group for this section. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.4.3 Personal Issues Section Analysis

This section lists your Personal Issues section and question mean scores for the current and last report periods. Significant changes in your meanscores from the last report period are marked with asterisks. The amount of change is listed in the second column of data. On the right, comparativedata, including database mean scores and percentile ranks, are provided for each of your peer groups. Percentile ranks are used to describe whereyour facility stands in relation to others in a peer group. For example, a 75 in the percentile rank column means that your facility scored higher than75% of the facilities in the database for this section. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 arecolored blue.

Last ThisMean Period Period All Facility DB AHA Region 4 COTH Peer Group

Section Score n=753 n=896 N=1240 N=228 N=15Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Personal Issues Rating 92.1 +0.7 92.8 93.3 35 93.7 32 < 94.0 15

Personal Issues Rating †† 92.3 +0.9 93.2

Our concern for privacy 92.9 +0.6 93.5 93.7 39 94.1 33 94.4 10

Our sensitivity to your needs 92.3 +0.5 92.8 93.4 33 93.7 32 < 94.1 15

Response to concerns/complaints 91.9 +0.8 92.7 93.1 36 93.4 32 93.6 18

Family able to participate decision † 92.5 +1.2 93.7 N<7 N/A N<7 N/A N<7 N/A

Staff explained roles in care † 93.1 +0.2 93.3 92.9 75 N<7 N/A N<7 N/A

Staff supported family throughout † 93.0 +0.9 93.9 93.7 67 N<7 N/A N<7 N/A

Staff respected having family with † 95.0 -0.2 94.8 94.0 83 N<7 N/A N<7 N/A

Staff sensitivity to your needs † 92.5 +0.9 93.4 N<7 N/A N<7 N/A N<7 N/A

12.4.4 Personal Issues Section Mean/Rank AnalysisThe bar chart on the left graphs your Personal Issues section and question mean scores for this period (light-colored bars) and last period (darkbars). The bar chart on the right graphs your current percentile ranks in each of your peer groups. Section

Question Overall Mean Scores Current Percentile RankPersonal Issues Rating 92.8

92.1

35 32

15

Personal Issues Rating †† 93.2

92.3

Our concern for privacy 93.5

92.9

39 33

10

Our sensitivity to your needs 92.8

92.3

33 32

15

Response to concerns/complaints 92.7

91.9

36 32

18

Family able to participate decision † 93.7

92.5

Staff explained roles in care † 93.3

93.1

75

Staff supported family throughout † 93.9

93.0

67

Continued...

< 1 standard deviation below peer group mean<< 2 standard deviations below peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

All Facility DB Percentile Rank

AHA Region 4 Percentile Rank

COTH Peer Group Percentile RankN<7 Fewer than 7 facilities

This period mean

Last period mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.4.4 Personal Issues Section Mean/Rank Analysis

SectionQuestion Overall Mean Scores Current Percentile RankStaff respected having family with † 94.8

95.0

83

Staff sensitivity to your needs † 93.4

92.5

† Non-standard question All Facility DB Percentile Rank

This period mean

Last period mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.5.1 Overall Assessment Section Mean Trend Analysis

The broad light-colored columns show your facility's mean score for standard questions in the Overall Assessment section. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your facility's score for all questions in the Overall Assessment section. I-barsrepresent each of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average section mean score; the width of theI-bar represents two standard deviations above and below the mean score. A marks the highest section mean score obtained by a facility ineach peer group.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

93.7n=10101/1/15

3/31/15

93.6n=3194/1/15

6/30/15

93.5n=7117/1/15

12/31/15

94.5n=7901/1/163/31/16

94.0n=7584/1/166/30/16

94.5n=9017/1/169/30/16

12.5.2 Overall Assessment Section Percentile Rank Trend AnalysisThis section shows how your overall percentile rank for the Overall Assessment section's standard questions has changed over time. A percentilerank tells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% ofthe other facilities in the peer group for this section. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT12.5.3 Overall Assessment Section Analysis

This section lists your Overall Assessment section and question mean scores for the current and last report periods. Significant changes in yourmean scores from the last report period are marked with asterisks. The amount of change is listed in the second column of data. On the right,comparative data, including database mean scores and percentile ranks, are provided for each of your peer groups. Percentile ranks are used todescribe where your facility stands in relation to others in a peer group. For example, a 75 in the percentile rank column means that your facilityscored higher than 75% of the facilities in the database for this section. In electronic reports, percentile ranks lower than 50 are colored red and thosehigher than 50 are colored blue.

Last ThisMean Period Period All Facility DB AHA Region 4 COTH Peer Group

Section Score n=758 n=901 N=1239 N=228 N=15Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Assessment Rating 94.0 +0.5 94.5 94.6 40 95.0 33 95.3 18

Staff worked together provide care 94.2 +0.5 94.7 94.6 48 94.9 42 95.2 25

Overall rating of care 94.3 +0.2 94.5 95.0 33 95.3 27 < 95.5 18

Likelihood of recommending 93.8 +0.8 94.6 94.5 44 94.9 38 95.4 18

12.5.4 Overall Assessment Section Mean/Rank AnalysisThe bar chart on the left graphs your Overall Assessment section and question mean scores for this period (light-colored bars) and last period (darkbars). The bar chart on the right graphs your current percentile ranks in each of your peer groups. Section

Question Overall Mean Scores Current Percentile RankOverall Assessment Rating 94.5

94.0

40 33

18

Staff worked together provide care 94.7

94.2

48 42

25

Overall rating of care 94.5

94.3

33 27

18

Likelihood of recommending 94.6

93.8

44 38

18

< 1 standard deviation below peer group mean

n Number of responses

N Number of facilities in peer group

All Facility DB Percentile Rank

AHA Region 4 Percentile Rank

COTH Peer Group Percentile Rank

This period mean

Last period mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT13.0 Comparative Analysis by Unit

This section lists each unit alphabetically and provides historical mean scores for the last four report periods. The chart on the right allows you toidentify which units performed significantly differently from your facility as a whole. The vertical line drawn down the middle of the I-bars representsyour current standard-item overall facility mean score; the actual score is listed above the dotted line. The I-bars represent a range of plus or minus 2sigma for each unit around the facility mean. I-bars will be wider for units having more variability or fewer respondents and narrower for units havingless variability or more respondents. If a unit's mean score falls to the left of its I-bar ( ), then the unit's mean score is significantly lower than thefacility's mean score; if it falls to the right ( ), it is significantly higher than the facility's mean score.

Mean ScoreMean 7/1/15 1/1/16 4/1/16 7/1/16 of YourScore 12/31/15 3/31/16 6/30/16 9/30/16 Facility

n Unit Trend Mean Mean Mean Mean 93.270 Acc Lab n<7 93.8 90.8 94.3

68 Cardiac Diagnostics n<7 92.6 93.8 91.8

20 Eeg n<7 89.2 80.4 88.0

72 Emg n<7 93.1 92.7 92.3

68 Endoscopy n<7 92.8 93.5 91.8

13 Gamma Knife n<7 99.2 87.3 98.7

63 Grtc n<7 94.4 96.3 95.0

78 Mammography n<7 96.3 95.2 95.3

12 Ob Ultrasound n<7 87.2 81.6 87.5

11 Occupational Therapy n<7 91.4 97.2 97.5

4 Peds Pulmonary Function L n<7 n<7 n<7 n<7

8 Peds Radiology n<7 91.6 94.3 90.0

7 Physical Therapy n<7 n<7 93.1 95.3

70 Radiology - Acc/Scc n<7 94.2 89.6 92.0

61 Radiology - Hospital n<7 90.0 90.5 90.9

49 Sleep Center n<7 88.1 93.4 92.7

22 Speech n<7 92.3 98.6 94.3

86 West Wheeler Imaging n<7 89.7 90.5 91.4

23 West Wheeler Occupational n<7 96.3 91.6 97.0

37 West Wheeler Physical The n<7 92.7 93.5 95.0

74 West Wheeler Sports Rehab n<7 93.5 96.6 96.1

n<7 Fewer than 7 responses

n Number of responses

Lower Control Limit -2 sigma

Upper Control Limit +2 sigma

Mean score of your Facility

Significantly higher than Facility mean score

Not significantly different from Facility mean score

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT14.0 Unit Analysis

This section allows for side-by-side comparison of units within your facility. The section shows overall, section, and question mean scores for each ofyour units. For reference, the mean scores for your entire facility are listed in the first column of data. The mean scores for each unit's top tenpriorities (based on the Internal Priority Index for each unit) appear in bold italics; superscripts indicate the priority number. Overall Facility Acc LabCardiac Diagnost Eeg Emg EndoscopyGamma Knife

Section n=916 n=70 n=68 n=20 n=72 n=68 n=13Question Mean Mean Mean Mean Mean Mean Mean

Georgia Regents Medical Center 93.2 94.3 91.8 88.0 92.3 91.8 98.7

Georgia Regents Medical Center †† 93.3 94.5 91.9 88.7 92.3 91.9 98.7

Registration 93.3 92.6 92.3 86.5 94.0 91.4 97.9

Helpfulness of registration person 94.0 93.4 1 93.0 88.2 96.4 90.1 6 97.9

Ease of the registration process 94.2 94.3 9 92.7 85.0 94.7 94.0 97.9

Waiting time in registration 92.0 90.2 7 91.3 86.3 90.9 90.7 5 97.9

Facility 91.3 92.9 87.9 82.1 88.7 90.9 95.8

Comfort of waiting area 91.8 94.9 90.1 2 86.3 89.8 4 93.4 97.9

Ease of finding your way around 88.5 91.3 10 81.5 10 71.3 85.0 5 85.1 90.4

Cleanliness of facility 93.6* 92.8 91.9 88.8 91.2 8 94.0 100.0

Test or Treatment 94.6 95.8 93.5 90.8 94.7 93.4 100.0

Friendliness of staff 95.8 96.7 94.8 91.3 96.9 94.8 100.0

Explanations given by staff 94.6 96.0 93.9 93.8 93.6 92.8 100.0

Skill of techs/therapists/nurses 95.7 95.7 95.5 92.5 96.1 95.8 100.0

Staff concern for comfort 94.6 95.7 91.9 92.1 95.1 92.9 100.0

Staff's concern/questions worries 92.9 95.0 93.8 83.3 92.5 91.8 2 100.0

Personal Issues 92.8 94.3 90.8 91.7 91.5 91.6 100.0

Personal Issues †† 93.2 95.0 91.6 93.4 91.6 92.1 100.0

Our concern for privacy 93.5 93.6 6 90.6 6 92.7 93.3 93.5 100.0

Our sensitivity to your needs 92.8 94.3 4 91.3 1 88.2 91.1 8 91.4 3 100.0

Response to concerns/complaints 92.7 94.9 3 90.9 3 94.1 89.5 1 90.1 1 100.0

Family able to participate decision † 93.7 94.4 4 92.4 7 97.1 91.7 10 93.2 8 100.0

Staff explained roles in care † 93.3 95.3 93.2 9 96.9 92.1 5 92.1 7 100.0

Staff supported family throughout † 93.9 94.7 1 92.9 5 96.4 90.7 92.4 100.0

Staff respected having family with † 94.8 96.8 92.0 4 96.9 93.0 94.9 100.0

Staff sensitivity to your needs † 93.4 95.8 8 93.0 93.8 88.5 3 91.7 8 100.0

Overall Assessment 94.5 95.9 94.6 92.1 91.9 93.1 100.0

Staff worked together provide care 94.7 95.3 93.9 92.5 93.6 93.8 100.0

Overall rating of care 94.5 96.4 94.0 8 92.5 91.4 5 93.7 8 100.0

Likelihood of recommending 94.6 96.0 96.2 90.8 90.6 2 92.3 3 100.0

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT14.0 Unit Analysis

Overall Facility Grtc MammographyOb UltrasoundOccupational ThePeds Pulmonary FPeds RadiologySection n=916 n=63 n=78 n=12 n=11 n<7 n=8

Question Mean Mean Mean Mean Mean Mean MeanGeorgia Regents Medical Center 93.2 95.0 95.3 87.5 97.5 n<7 90.0

Georgia Regents Medical Center †† 93.3 95.0 95.3 87.5 97.9 n<7 90.3

Registration 93.3 96.4 95.6 84.0 97.5 n<7 92.7

Helpfulness of registration person 94.0 96.8 96.2 85.4 97.5 n<7 93.8

Ease of the registration process 94.2 97.2 95.8 83.3 97.5 n<7 90.6

Waiting time in registration 92.0 95.2 94.7 83.3 97.5 n<7 93.8

Facility 91.3 92.5 95.0 86.8 93.2 n<7 91.7

Comfort of waiting area 91.8 90.5 1 96.1 79.2 95.5 n<7 90.6

Ease of finding your way around 88.5 92.1 10 93.4 10 91.7 88.6 n<7 90.6

Cleanliness of facility 93.6* 94.8 95.1 10 89.6 95.5 n<7 93.8

Test or Treatment 94.6 96.1 95.8 90.4 99.6 n<7 89.4

Friendliness of staff 95.8 98.0 96.8 87.5 100.0 n<7 92.9

Explanations given by staff 94.6 94.8 96.5 89.6 100.0 n<7 90.6

Skill of techs/therapists/nurses 95.7 97.2 96.8 93.8 100.0 n<7 90.6

Staff concern for comfort 94.6 97.2 10 96.1 91.7 97.7 n<7 90.6

Staff's concern/questions worries 92.9 92.8 6 93.3 1 89.6 100.0 n<7 87.5

Personal Issues 92.8 94.4 94.3 87.5 97.0 n<7 88.5

Personal Issues †† 93.2 94.2 94.3 87.5 98.9 n<7 90.2

Our concern for privacy 93.5 95.1 9 95.2 87.5 95.5 n<7 87.5

Our sensitivity to your needs 92.8 94.7 1 93.9 5 85.4 97.7 n<7 87.5

Response to concerns/complaints 92.7 93.3 4 93.9 3 89.6 97.7 n<7 90.6

Family able to participate decision † 93.7 92.5 6 96.4 89.6 100.0 n<7 93.8

Staff explained roles in care † 93.3 94.2 4 93.5 3 87.5 100.0 n<7 90.6

Staff supported family throughout † 93.9 95.3 6 95.1 6 90.9 100.0 n<7 93.8

Staff respected having family with † 94.8 95.5 95.3 7 86.4 100.0 n<7 90.6

Staff sensitivity to your needs † 93.4 94.3 1 93.8 1 86.4 100.0 n<7 87.5

Overall Assessment 94.5 95.7 95.6 88.9 100.0 n<7 87.5

Staff worked together provide care 94.7 95.6 96.4 87.5 100.0 n<7 84.4

Overall rating of care 94.5 96.4 96.4 8 87.5 100.0 n<7 87.5

Likelihood of recommending 94.6 95.2 95.5 9 91.7 100.0 n<7 90.6

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT14.0 Unit Analysis

Overall FacilityPhysical TherapyRadiology - Acc/Radiology - HospSleep Center SpeechWest Wheeler ImaSection n=916 n=7 n=70 n=61 n=49 n=22 n=86

Question Mean Mean Mean Mean Mean Mean MeanGeorgia Regents Medical Center 93.2 95.3 92.0 90.9 92.7 94.3 91.4

Georgia Regents Medical Center †† 93.3 95.5 92.1 90.9 92.8 94.4 91.3

Registration 93.3 96.4 91.6 91.7 93.9 94.4 92.7

Helpfulness of registration person 94.0 96.4 92.5 8 92.6 93.9 95.2 93.6

Ease of the registration process 94.2 96.4 92.2 2 93.2 95.0 95.2 93.5

Waiting time in registration 92.0 96.4 89.9 1 90.3 92.8 92.5 90.7

Facility 91.3 92.9 87.9 89.6 91.4 91.7 90.5

Comfort of waiting area 91.8 89.3 88.9 4 91.8 92.2 1 93.2 89.8 10

Ease of finding your way around 88.5 92.9 83.8 7 86.2 88.8 87.5 88.3

Cleanliness of facility 93.6* 96.4 90.8 2 91.5 93.4 94.3 92.8

Test or Treatment 94.6 95.7 93.7 91.5 94.1 96.2 92.0

Friendliness of staff 95.8 96.4 96.4 92.5 93.9 97.6 94.5

Explanations given by staff 94.6 96.4 92.7 91.7 4 96.9 96.6 91.6

Skill of techs/therapists/nurses 95.7 92.9 92.7 95.3 96.4 96.4 92.5

Staff concern for comfort 94.6 96.4 94.2 92.2 92.9 8 96.6 91.2 8

Staff's concern/questions worries 92.9 96.4 93.1 89.7 1 89.7 1 94.3 89.9 2

Personal Issues 92.8 95.2 92.8 90.2 92.1 94.7 90.0

Personal Issues †† 93.2 96.0 92.9 90.3 92.5 94.9 89.5

Our concern for privacy 93.5 92.9 93.8 93.1 94.8 95.5 89.6 7

Our sensitivity to your needs 92.8 96.4 93.5 89.7 4 93.6 8 94.3 89.9 3

Response to concerns/complaints 92.7 96.4 92.2 5 90.1 1 90.4 1 94.7 90.6 3

Family able to participate decision † 93.7 96.4 93.9 91.4 8 92.4 7 93.4 92.0

Staff explained roles in care † 93.3 n<7 91.0 5 91.7 6 94.8 95.5 87.2 1

Staff supported family throughout † 93.9 96.4 94.2 91.3 3 93.4 8 96.1 91.2

Staff respected having family with † 94.8 96.4 95.1 93.3 94.9 96.1 92.1

Staff sensitivity to your needs † 93.4 96.4 93.9 90.7 9 91.3 4 95.0 91.6 3

Overall Assessment 94.5 96.4 94.5 92.4 93.2 94.3 92.6

Staff worked together provide care 94.7 96.4 94.9 9 93.0 10 94.2 94.3 93.2 9

Overall rating of care 94.5 96.4 94.1 93.0 93.8 6 94.3 91.0 6

Likelihood of recommending 94.6 96.4 94.4 9 92.7 6 93.6 5 94.3 93.4

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT14.0 Unit Analysis

Overall FacilityWest Wheeler OccWest Wheeler PhyWest Wheeler SpoSection n=916 n=23 n=37 n=74

Question Mean Mean Mean MeanGeorgia Regents Medical Center 93.2 97.0 95.0 96.1

Georgia Regents Medical Center †† 93.3 97.2 95.2 96.2

Registration 93.3 96.0 92.8 94.9

Helpfulness of registration person 94.0 95.7 93.9 95.3

Ease of the registration process 94.2 97.7 93.6 8 95.5

Waiting time in registration 92.0 96.6 91.0 6 94.4 8

Facility 91.3 95.3 93.1 96.0

Comfort of waiting area 91.8 92.4 91.9 2 94.6

Ease of finding your way around 88.5 96.6 93.6 95.3 8

Cleanliness of facility 93.6* 98.9 94.4 98.0

Test or Treatment 94.6 98.5 97.7 97.3

Friendliness of staff 95.8 98.9 98.0 97.6

Explanations given by staff 94.6 98.9 97.2 97.0

Skill of techs/therapists/nurses 95.7 98.9 97.9 98.3

Staff concern for comfort 94.6 97.8 97.9 97.3

Staff's concern/questions worries 92.9 97.8 97.2 9 96.2 8

Personal Issues 92.8 96.4 93.8 95.8

Personal Issues †† 93.2 97.5 94.7 96.4

Our concern for privacy 93.5 94.6 93.2 1 95.9

Our sensitivity to your needs 92.8 96.7 93.1 5 95.3 1

Response to concerns/complaints 92.7 97.7 95.5 3 96.6 4

Family able to participate decision † 93.7 96.7 93.4 7 96.2 3

Staff explained roles in care † 93.3 98.9 96.5 95.6 2

Staff supported family throughout † 93.9 98.8 92.6 10 97.5

Staff respected having family with † 94.8 97.6 94.6 3 97.9

Staff sensitivity to your needs † 93.4 98.9 96.5 96.5 4

Overall Assessment 94.5 98.9 97.5 96.6

Staff worked together provide care 94.7 98.9 97.2 96.5 7

Overall rating of care 94.5 98.9 98.0 96.3 6

Likelihood of recommending 94.6 98.9 97.3 96.9

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.1.1 Mean Trend Analysis - Acc Lab

The broad light-colored columns show your Acc Lab unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Acc Lab unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

88.4n=64

1/1/153/31/15

89.9n=30

4/1/156/30/15

93.8n=31

1/1/163/31/16

90.8n=46

4/1/166/30/16

94.3n=70

7/1/169/30/16

15.1.2 Top Box Analysis - Acc LabOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,144 Acc Lab 1 2 31 180 9300.1% 0.2% 2.7% 15.7% 81.3%

81.3

1,421 Acc Lab †† 1 2 40 213 1,1650.1% 0.1% 2.8% 15.0% 82.0%

82.0

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.1.3 Question Analysis - Acc Lab

This section lists detailed information about individual question, section, and overall mean scores for the Acc Lab unit. Only units with seven or moreresponses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change islisted in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=46 n=70 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Acc Lab Rating 90.8 +3.5 94.3 93.2

Overall Acc Lab Rating †† 90.7 +3.8 94.5 93.3

Registration 90.4 +2.2 92.6 93.3

68 Helpfulness of registration person 1 91.7 +1.7 93.4 94.0

66 Ease of the registration process 9 93.6 +0.7 94.3 94.2

66 Waiting time in registration 7 86.1 +4.1 90.2 92.0

Facility 87.3 +5.6 92.9* 91.3

68 Comfort of waiting area 87.8 +7.1 94.9* 91.8

69 Ease of finding your way around 10 87.0 +4.3 91.3 88.5

69 Cleanliness of facility 87.0 +5.8 92.8 93.6

Test or Treatment 93.3 +2.5 95.8 94.6

68 Friendliness of staff 95.1 +1.6 96.7 95.8

69 Explanations given by staff 92.6 +3.4 96.0 94.6

69 Skill of techs/therapists/nurses 92.6 +3.1 95.7 95.7

69 Staff concern for comfort 91.9 +3.8 95.7 94.6

65 Staff's concern/questions worries 92.4 +2.6 95.0 92.9

Personal Issues 89.8 +4.5 94.3 92.8

Personal Issues †† 89.9 +5.1 95.0* 93.2

66 Our concern for privacy 6 89.0 +4.6 93.6 93.5

66 Our sensitivity to your needs 4 91.3 +3.0 94.3 92.8

59 Response to concerns/complaints 3 89.4 +5.5 94.9 92.7

54 Family able to participate decision † 4 90.2 +4.2 94.4 93.7

64 Staff explained roles in care † 91.3 +4.0 95.3 93.3

52 Staff supported family throughout † 1 88.8 +5.9 94.7 93.9

47 Staff respected having family with † n<7 96.8 94.8

60 Staff sensitivity to your needs † 8 88.3* +7.5 95.8* 93.4

Overall Assessment 94.1 +1.8 95.9 94.5

69 Staff worked together provide care 93.6 +1.7 95.3 94.7

69 Overall rating of care 94.2 +2.2 96.4 94.5

69 Likelihood of recommending 94.3 +1.7 96.0 94.6

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.2.1 Mean Trend Analysis - Cardiac Diagnostics

The broad light-colored columns show your Cardiac Diagnostics unit's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Cardiac Diagnostics unit's overall score, based on all questions.

88 88

90 90

92 92

94 94

96 96

98 98

90.2n=74

1/1/153/31/15

94.9n=23

4/1/156/30/15

92.6n=54

1/1/163/31/16

93.8n=68

4/1/166/30/16

91.8n=68

7/1/169/30/16

15.2.2 Top Box Analysis - Cardiac DiagnosticsOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,113 Cardiac Diagnost 0 6 30 269 8080.0% 0.5% 2.7% 24.2% 72.6%

72.6

1,408 Cardiac Diagnost †† 0 6 38 339 1,0250.0% 0.4% 2.7% 24.1% 72.8%

72.8

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.2.3 Question Analysis - Cardiac Diagnostics

This section lists detailed information about individual question, section, and overall mean scores for the Cardiac Diagnostics unit. Only units withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=68 n=68 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Cardiac Diagnostics Rating 93.8 -2.0 91.8 93.2

Overall Cardiac Diagnostics Rating †† 93.9 -2.0 91.9 93.3

Registration 93.3 -1.0 92.3 93.3

68 Helpfulness of registration person 93.4 -0.4 93.0 94.0

65 Ease of the registration process 95.5 -2.8 92.7 94.2

66 Waiting time in registration 91.4 -0.1 91.3 92.0

Facility 89.3 -1.4 87.9 91.3

68 Comfort of waiting area 2 91.5 -1.4 90.1 91.8

65 Ease of finding your way around 10 83.6 -2.1 81.5 88.5

65 Cleanliness of facility 93.3 -1.4 91.9 93.6

Test or Treatment 95.3 -1.8 93.5 94.6

67 Friendliness of staff 97.1 -2.3 94.8 95.8

65 Explanations given by staff 95.2 -1.3 93.9 94.6

66 Skill of techs/therapists/nurses 95.5 +0.0 95.5 95.7

65 Staff concern for comfort 93.8 -1.9 91.9 94.6

64 Staff's concern/questions worries 94.8 -1.0 93.8 92.9

Personal Issues 94.4 -3.6 90.8 92.8

Personal Issues †† 94.9 -3.3 91.6 93.2

64 Our concern for privacy 6 96.0 -5.4 90.6** 93.5

63 Our sensitivity to your needs 1 93.4 -2.1 91.3 92.8

63 Response to concerns/complaints 3 94.1 -3.2 90.9 92.7

59 Family able to participate decision † 7 94.9 -2.5 92.4 93.7

62 Staff explained roles in care † 9 95.2 -2.0 93.2 93.3

60 Staff supported family throughout † 5 96.0 -3.1 92.9 93.9

53 Staff respected having family with † 4 n<7 92.0 94.8

61 Staff sensitivity to your needs † 95.7 -2.7 93.0 93.4

Overall Assessment 96.8 -2.2 94.6 94.5

66 Staff worked together provide care 95.9 -2.0 93.9 94.7

67 Overall rating of care 8 97.1 -3.1 94.0 94.5

66 Likelihood of recommending 97.4 -1.2 96.2 94.6

** Significantly different at .01 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responsesNot significantly different from Facility mean score

Significantly lower than Facility mean score

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.3.1 Mean Trend Analysis - Eeg

The broad light-colored columns show your Eeg unit's overall mean score, based on standard questions. One asterisk by a mean score indicates astatistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in mean score at the.01 level. The narrow dark columns show your Eeg unit's overall score, based on all questions.

78 78

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

92.7n=34

1/1/153/31/15

90.4n=13

4/1/156/30/15

n=17/1/15

12/31/15

89.2n=16

1/1/163/31/16

80.4n=17

4/1/166/30/16

88.0n=20

7/1/169/30/16

15.3.2 Top Box Analysis - EegOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

326 Eeg 6 2 22 73 2231.8% 0.6% 6.7% 22.4% 68.4%

68.4

405 Eeg †† 6 2 22 85 2901.5% 0.5% 5.4% 21.0% 71.6%

71.6

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.3.3 Question Analysis - Eeg

This section lists detailed information about individual question, section, and overall mean scores for the Eeg unit. Only units with seven or moreresponses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change islisted in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=17 n=20 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Eeg Rating 80.4 +7.6 88.0 93.2

Overall Eeg Rating †† 80.7 +8.0 88.7 93.3

Registration 73.0 +13.5 86.5 93.3

19 Helpfulness of registration person 76.5 +11.7 88.2 94.0

20 Ease of the registration process 75.0 +10.0 85.0 94.2

20 Waiting time in registration 67.7 +18.6 86.3 92.0

Facility 79.4 +2.7 82.1 91.3

20 Comfort of waiting area 76.5 +9.8 86.3 91.8

20 Ease of finding your way around 73.5 -2.2 71.3 88.5

20 Cleanliness of facility 88.2 +0.6 88.8 93.6

Test or Treatment 85.0 +5.8 90.8 94.6

20 Friendliness of staff 85.3 +6.0 91.3 95.8

20 Explanations given by staff 85.3 +8.5 93.8 94.6

20 Skill of techs/therapists/nurses 88.2 +4.3 92.5 95.7

19 Staff concern for comfort 82.8 +9.3 92.1 94.6

18 Staff's concern/questions worries 83.8 -0.5 83.3 92.9

Personal Issues 79.9 +11.8 91.7 92.8

Personal Issues †† 81.3 +12.1 93.4* 93.2

17 Our concern for privacy 80.9 +11.8 92.7 93.5

17 Our sensitivity to your needs 77.9 +10.3 88.2 92.8

17 Response to concerns/complaints 81.3 +12.8 94.1* 92.7

17 Family able to participate decision † 81.3 +15.8 97.1** 93.7

16 Staff explained roles in care † 82.4 +14.5 96.9** 93.3

14 Staff supported family throughout † 85.7 +10.7 96.4 93.9

16 Staff respected having family with † n<7 96.9 94.8

16 Staff sensitivity to your needs † 84.4 +9.4 93.8 93.4

Overall Assessment 84.8 +7.3 92.1 94.5

20 Staff worked together provide care 85.3 +7.2 92.5 94.7

20 Overall rating of care 82.4 +10.1 92.5 94.5

19 Likelihood of recommending 86.8 +4.0 90.8 94.6

n Number of responses

Not significantly different from Facility mean score

Significantly lower than Facility mean score

* Significantly different at .05 level

** Significantly different at .01 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.4.1 Mean Trend Analysis - Emg

The broad light-colored columns show your Emg unit's overall mean score, based on standard questions. One asterisk by a mean score indicatesa statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in mean score at the.01 level. The narrow dark columns show your Emg unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

96 96

92.0n=1161/1/15

3/31/15

89.2n=32

4/1/156/30/15

n=37/1/15

12/31/15

93.1n=52

1/1/163/31/16

92.7n=62

4/1/166/30/16

92.3n=72

7/1/169/30/16

15.4.2 Top Box Analysis - EmgOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,189 Emg 9 7 47 207 9190.8% 0.6% 4.0% 17.4% 77.3%

77.3

1,474 Emg †† 11 9 55 278 1,1210.7% 0.6% 3.7% 18.9% 76.1%

76.1

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.4.3 Question Analysis - Emg

This section lists detailed information about individual question, section, and overall mean scores for the Emg unit. Only units with seven or moreresponses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change islisted in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=62 n=72 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Emg Rating 92.7 -0.4 92.3 93.2

Overall Emg Rating †† 92.8 -0.5 92.3 93.3

Registration 93.0 +1.0 94.0 93.3

70 Helpfulness of registration person 95.2 +1.2 96.4 94.0

71 Ease of the registration process 95.8 -1.1 94.7 94.2

71 Waiting time in registration 89.3 +1.6 90.9 92.0

Facility 92.3 -3.6 88.7 91.3

71 Comfort of waiting area 4 92.7 -2.9 89.8 91.8

70 Ease of finding your way around 5 92.4 -7.4 85.0* 88.5

71 Cleanliness of facility 8 94.5 -3.3 91.2 93.6

Test or Treatment 93.2 +1.5 94.7 94.6

72 Friendliness of staff 96.7 +0.2 96.9 95.8

70 Explanations given by staff 91.5 +2.1 93.6 94.6

70 Skill of techs/therapists/nurses 96.1 +0.0 96.1 95.7

71 Staff concern for comfort 94.0 +1.1 95.1 94.6

70 Staff's concern/questions worries 94.2 -1.7 92.5 92.9

Personal Issues 90.6 +0.9 91.5 92.8

Personal Issues †† 91.4 +0.2 91.6 93.2

71 Our concern for privacy 93.2 +0.1 93.3 93.5

70 Our sensitivity to your needs 8 92.1 -1.0 91.1 92.8

62 Response to concerns/complaints 1 90.6 -1.1 89.5 92.7

57 Family able to participate decision † 10 92.7 -1.0 91.7 93.7

63 Staff explained roles in care † 5 93.3 -1.2 92.1 93.3

54 Staff supported family throughout † 94.6 -3.9 90.7 93.9

50 Staff respected having family with † n<7 93.0 94.8

61 Staff sensitivity to your needs † 3 93.8 -5.3 88.5 93.4

Overall Assessment 94.0 -2.1 91.9 94.5

70 Staff worked together provide care 94.6 -1.0 93.6 94.7

70 Overall rating of care 5 96.1 -4.7 91.4 94.5

69 Likelihood of recommending 2 94.3 -3.7 90.6 94.6

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.5.1 Mean Trend Analysis - Endoscopy

The broad light-colored columns show your Endoscopy unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Endoscopy unit's overall score, based on all questions.

88 88

90 90

92 92

94 94

96 96

91.7n=36

1/1/153/31/15

n=54/1/15

6/30/15

92.8n=59

1/1/163/31/16

93.5n=47

4/1/166/30/16

91.8n=68

7/1/169/30/16

15.5.2 Top Box Analysis - EndoscopyOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,117 Endoscopy 11 14 37 182 8731.0% 1.3% 3.3% 16.3% 78.2%

78.2

1,415 Endoscopy †† 12 16 44 244 1,0990.8% 1.1% 3.1% 17.2% 77.7%

77.7

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.5.3 Question Analysis - Endoscopy

This section lists detailed information about individual question, section, and overall mean scores for the Endoscopy unit. Only units with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=47 n=68 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Endoscopy Rating 93.5 -1.7 91.8 93.2

Overall Endoscopy Rating †† 93.5 -1.6 91.9 93.3

Registration 92.9 -1.5 91.4 93.3

68 Helpfulness of registration person 6 92.9 -2.8 90.1 94.0

67 Ease of the registration process 93.5 +0.5 94.0 94.2

67 Waiting time in registration 5 92.4 -1.7 90.7 92.0

Facility 91.0 -0.1 90.9 91.3

68 Comfort of waiting area 91.5 +1.9 93.4 91.8

67 Ease of finding your way around 87.8 -2.7 85.1 88.5

67 Cleanliness of facility 95.1 -1.1 94.0 93.6

Test or Treatment 94.8 -1.4 93.4 94.6

67 Friendliness of staff 95.2 -0.4 94.8 95.8

66 Explanations given by staff 95.1 -2.3 92.8 94.6

65 Skill of techs/therapists/nurses 94.6 +1.2 95.8 95.7

67 Staff concern for comfort 94.2 -1.3 92.9 94.6

64 Staff's concern/questions worries 2 95.2 -3.4 91.8 92.9

Personal Issues 93.5 -1.9 91.6 92.8

Personal Issues †† 93.7 -1.6 92.1 93.2

65 Our concern for privacy 94.7 -1.2 93.5 93.5

64 Our sensitivity to your needs 3 93.6 -2.2 91.4 92.8

63 Response to concerns/complaints 1 92.1 -2.0 90.1 92.7

59 Family able to participate decision † 8 94.0 -0.8 93.2 93.7

63 Staff explained roles in care † 7 94.2 -2.1 92.1 93.3

59 Staff supported family throughout † 94.3 -1.9 92.4 93.9

54 Staff respected having family with † n<7 94.9 94.8

63 Staff sensitivity to your needs † 8 92.8 -1.1 91.7 93.4

Overall Assessment 95.0 -1.9 93.1 94.5

64 Staff worked together provide care 95.7 -1.9 93.8 94.7

63 Overall rating of care 8 94.7 -1.0 93.7 94.5

65 Likelihood of recommending 3 94.7 -2.4 92.3 94.6

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responses

Not significantly different from Facility mean scoreTop ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.6.1 Mean Trend Analysis - Gamma Knife

The broad light-colored columns show your Gamma Knife unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Gamma Knife unit's overall score, based on all questions.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

97.2n=18

1/1/153/31/15

n=24/1/15

6/30/15

99.2n=13

1/1/163/31/16

87.3n=8

4/1/166/30/16

98.7n=13

7/1/169/30/16

15.6.2 Top Box Analysis - Gamma KnifeOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

214 Gamma Knife 0 0 0 9 2050.0% 0.0% 0.0% 4.2% 95.8%

95.8

275 Gamma Knife †† 0 0 0 9 2660.0% 0.0% 0.0% 3.3% 96.7%

96.7

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.6.3 Question Analysis - Gamma Knife

This section lists detailed information about individual question, section, and overall mean scores for the Gamma Knife unit. Only units with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=8 n=13 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Gamma Knife Rating 87.3 +11.4 98.7 93.2

Overall Gamma Knife Rating †† 87.3 +11.4 98.7 93.3

Registration 98.8 -0.9 97.9 93.3

12 Helpfulness of registration person 100.0 -2.1 97.9 94.0

12 Ease of the registration process n<7 97.9 94.2

12 Waiting time in registration n<7 97.9 92.0

Facility 100.0 -4.2 95.8 91.3

12 Comfort of waiting area 100.0 -2.1 97.9 91.8

13 Ease of finding your way around n<7 90.4 88.5

13 Cleanliness of facility n<7 100.0 93.6

Test or Treatment 100.0 +0.0 100.0 94.6

12 Friendliness of staff 100.0 +0.0 100.0 95.8

13 Explanations given by staff n<7 100.0 94.6

12 Skill of techs/therapists/nurses n<7 100.0 95.7

12 Staff concern for comfort n<7 100.0 94.6

13 Staff's concern/questions worries n<7 100.0 92.9

Personal Issues 87.5 +12.5 100.0 92.8

Personal Issues †† 87.5 +12.5 100.0 93.2

13 Our concern for privacy 87.5 +12.5 100.0 93.5

13 Our sensitivity to your needs 87.5 +12.5 100.0 92.8

13 Response to concerns/complaints 87.5 +12.5 100.0 92.7

12 Family able to participate decision † 87.5 +12.5 100.0 93.7

13 Staff explained roles in care † 87.5 +12.5 100.0 93.3

12 Staff supported family throughout † 87.5 +12.5 100.0 93.9

11 Staff respected having family with † n<7 100.0 94.8

13 Staff sensitivity to your needs † 87.5 +12.5 100.0 93.4

Overall Assessment 87.5 +12.5 100.0 94.5

13 Staff worked together provide care 87.5 +12.5 100.0 94.7

13 Overall rating of care 87.5 +12.5 100.0 94.5

13 Likelihood of recommending 87.5 +12.5 100.0 94.6

n Number of responses

Significantly higher than Facility mean score

Not significantly different from Facility mean scoren<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.7.1 Mean Trend Analysis - Grtc

The broad light-colored columns show your Grtc unit's overall mean score, based on standard questions. One asterisk by a mean score indicates astatistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in mean score at the.01 level. The narrow dark columns show your Grtc unit's overall score, based on all questions.

90 90

92 92

94 94

96 96

98 98

100 100

93.3n=25

1/1/153/31/15

n=64/1/15

6/30/15

94.4n=89

1/1/163/31/16

96.3n=41

4/1/166/30/16

95.0n=63

7/1/169/30/16

15.7.2 Top Box Analysis - GrtcOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,049 Grtc 2 2 18 155 8720.2% 0.2% 1.7% 14.8% 83.1%

83.1

1,333 Grtc †† 2 3 23 207 1,0980.2% 0.2% 1.7% 15.5% 82.4%

82.4

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.7.3 Question Analysis - Grtc

This section lists detailed information about individual question, section, and overall mean scores for the Grtc unit. Only units with seven or moreresponses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change islisted in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=41 n=63 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Grtc Rating 96.3 -1.3 95.0 93.2

Overall Grtc Rating †† 96.3 -1.3 95.0 93.3

Registration 95.8 +0.6 96.4 93.3

63 Helpfulness of registration person 97.0 -0.2 96.8 94.0

62 Ease of the registration process 96.3 +0.9 97.2 94.2

62 Waiting time in registration 94.5 +0.7 95.2 92.0

Facility 93.7 -1.2 92.5 91.3

63 Comfort of waiting area 1 93.8 -3.3 90.5 91.8

63 Ease of finding your way around 10 93.8 -1.7 92.1 88.5

63 Cleanliness of facility 93.9 +0.9 94.8 93.6

Test or Treatment 97.0 -0.9 96.1 94.6

63 Friendliness of staff 97.6 +0.4 98.0 95.8

62 Explanations given by staff 95.6 -0.8 94.8 94.6

62 Skill of techs/therapists/nurses 98.1 -0.9 97.2 95.7

63 Staff concern for comfort 10 96.9 +0.3 97.2 94.6

59 Staff's concern/questions worries 6 96.2 -3.4 92.8 92.9

Personal Issues 96.9* -2.5 94.4 92.8

Personal Issues †† 96.7* -2.5 94.2 93.2

61 Our concern for privacy 9 96.9 -1.8 95.1 93.5

61 Our sensitivity to your needs 1 97.4 -2.7 94.7 92.8

56 Response to concerns/complaints 4 97.3* -4.0 93.3 92.7

60 Family able to participate decision † 6 96.3 -3.8 92.5 93.7

60 Staff explained roles in care † 4 97.5 -3.3 94.2 93.3

53 Staff supported family throughout † 6 96.7 -1.4 95.3 93.9

50 Staff respected having family with † n<7 95.5 94.8

61 Staff sensitivity to your needs † 1 96.1 -1.8 94.3 93.4

Overall Assessment 98.2 -2.5 95.7 94.5

62 Staff worked together provide care 98.1 -2.5 95.6 94.7

62 Overall rating of care 98.1 -1.7 96.4 94.5

62 Likelihood of recommending 98.2 -3.0 95.2 94.6

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.8.1 Mean Trend Analysis - Mammography

The broad light-colored columns show your Mammography unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Mammography unit's overall score, based on all questions.

92 92

94 94

96 96

98 98

100 100

95.1n=1311/1/15

3/31/15

96.4n=47

4/1/156/30/15

n=17/1/15

12/31/15

96.3n=71

1/1/163/31/16

95.2n=89

4/1/166/30/16

95.3n=78

7/1/169/30/16

15.8.2 Top Box Analysis - MammographyOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,301 Mammography 5 1 15 185 1,0950.4% 0.1% 1.2% 14.2% 84.2%

84.2

1,618 Mammography †† 7 1 25 224 1,3610.4% 0.1% 1.5% 13.8% 84.1%

84.1

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.8.3 Question Analysis - Mammography

This section lists detailed information about individual question, section, and overall mean scores for the Mammography unit. Only units with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=89 n=78 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Mammography Rating 95.2 +0.1 95.3 93.2

Overall Mammography Rating †† 95.2 +0.1 95.3 93.3

Registration 96.4 -0.8 95.6 93.3

78 Helpfulness of registration person 96.6 -0.4 96.2 94.0

77 Ease of the registration process 96.3 -0.5 95.8 94.2

76 Waiting time in registration 96.3 -1.6 94.7 92.0

Facility 94.2 +0.8 95.0 91.3

76 Comfort of waiting area 96.1 +0.0 96.1 91.8

76 Ease of finding your way around 10 91.2 +2.2 93.4 88.5

77 Cleanliness of facility 10 95.2 -0.1 95.1 93.6

Test or Treatment 95.3 +0.5 95.8 94.6

78 Friendliness of staff 95.5 +1.3 96.8 95.8

78 Explanations given by staff 95.7 +0.8 96.5 94.6

77 Skill of techs/therapists/nurses 95.2 +1.6 96.8 95.7

77 Staff concern for comfort 94.9 +1.2 96.1 94.6

78 Staff's concern/questions worries 1 95.1 -1.8 93.3 92.9

Personal Issues 94.5 -0.2 94.3 92.8

Personal Issues †† 94.5 -0.2 94.3 93.2

78 Our concern for privacy 95.4 -0.2 95.2 93.5

78 Our sensitivity to your needs 5 94.9 -1.0 93.9 92.8

66 Response to concerns/complaints 3 93.5 +0.4 93.9 92.7

63 Family able to participate decision † 95.2 +1.2 96.4 93.7

77 Staff explained roles in care † 3 96.3 -2.8 93.5 93.3

56 Staff supported family throughout † 6 94.7 +0.4 95.1 93.9

53 Staff respected having family with † 7 n<7 95.3 94.8

68 Staff sensitivity to your needs † 1 95.8 -2.0 93.8 93.4

Overall Assessment 95.3 +0.3 95.6 94.5

77 Staff worked together provide care 96.4 +0.0 96.4 94.7

77 Overall rating of care 8 95.4 +1.0 96.4 94.5

77 Likelihood of recommending 9 95.6 -0.1 95.5 94.6

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.9.1 Mean Trend Analysis - Ob Ultrasound

The broad light-colored columns show your Ob Ultrasound unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Ob Ultrasound unit's overall score, based on all questions.

76 76

78 78

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

90.4n=27

1/1/153/31/15

79.8n=7

4/1/156/30/15

n=17/1/15

12/31/15

87.2n=14

1/1/163/31/16

81.6n=19

4/1/166/30/16

87.5n=12

7/1/169/30/16

15.9.2 Top Box Analysis - Ob UltrasoundOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

204 Ob Ultrasound 1 1 15 62 1250.5% 0.5% 7.4% 30.4% 61.3%

61.3

261 Ob Ultrasound †† 1 1 20 79 1600.4% 0.4% 7.7% 30.3% 61.3%

61.3

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.9.3 Question Analysis - Ob Ultrasound

This section lists detailed information about individual question, section, and overall mean scores for the Ob Ultrasound unit. Only units with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=19 n=12 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Ob Ultrasound Rating 81.6 +5.9 87.5 93.2

Overall Ob Ultrasound Rating †† 81.5 +6.0 87.5 93.3

Registration 82.9 +1.1 84.0 93.3

12 Helpfulness of registration person 86.1 -0.7 85.4 94.0

12 Ease of the registration process 87.5 -4.2 83.3 94.2

12 Waiting time in registration 75.0 +8.3 83.3 92.0

Facility 81.1 +5.7 86.8 91.3

12 Comfort of waiting area 83.3 -4.1 79.2 91.8

12 Ease of finding your way around 80.6 +11.1 91.7 88.5

12 Cleanliness of facility 85.5 +4.1 89.6 93.6

Test or Treatment 82.4 +8.0 90.4 94.6

12 Friendliness of staff 88.2 -0.7 87.5 95.8

12 Explanations given by staff 79.0 +10.6 89.6 94.6

12 Skill of techs/therapists/nurses 88.2 +5.6 93.8 95.7

12 Staff concern for comfort 82.9 +8.8 91.7 94.6

12 Staff's concern/questions worries 73.7 +15.9 89.6 92.9

Personal Issues 80.7 +6.8 87.5 92.8

Personal Issues †† 79.9 +7.6 87.5 93.2

12 Our concern for privacy 90.8 -3.3 87.5 93.5

12 Our sensitivity to your needs 80.3 +5.1 85.4 92.8

12 Response to concerns/complaints 71.1 +18.5 89.6 92.7

12 Family able to participate decision † 80.3 +9.3 89.6 93.7

12 Staff explained roles in care † 77.6 +9.9 87.5 93.3

11 Staff supported family throughout † 85.9 +5.0 90.9 93.9

11 Staff respected having family with † n<7 86.4 94.8

11 Staff sensitivity to your needs † 77.8 +8.6 86.4 93.4

Overall Assessment 81.6 +7.3 88.9 94.5

12 Staff worked together provide care 80.3 +7.2 87.5 94.7

12 Overall rating of care 82.9 +4.6 87.5 94.5

12 Likelihood of recommending 81.6 +10.1 91.7 94.6

n Number of responses Not significantly different from Facility mean score

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.10.1 Mean Trend Analysis - Occupational Therapy

The broad light-colored columns show your Occupational Therapy unit's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your Occupational Therapy unit's overall score, based on all questions.

88 88

90 90

92 92

94 94

96 96

98 98

100 100

91.9n=25

1/1/153/31/15

94.5n=9

4/1/156/30/15

n=17/1/15

12/31/15

91.4n=10

1/1/163/31/16

97.2n=10

4/1/166/30/16

97.5n=11

7/1/169/30/16

15.10.2 Top Box Analysis - Occupational TherapyOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

184 Occupational The 0 0 2 13 1690.0% 0.0% 1.1% 7.1% 91.8%

91.8

239 Occupational The †† 0 0 2 13 2240.0% 0.0% 0.8% 5.4% 93.7%

93.7

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.10.3 Question Analysis - Occupational Therapy

This section lists detailed information about individual question, section, and overall mean scores for the Occupational Therapy unit. Only units withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=10 n=11 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Occupational Therapy Rating 97.2 +0.3 97.5 93.2

Overall Occupational Therapy Rating †† 97.0 +0.9 97.9 93.3

Registration 97.5 +0.0 97.5 93.3

10 Helpfulness of registration person 97.5 +0.0 97.5 94.0

10 Ease of the registration process 97.5 +0.0 97.5 94.2

10 Waiting time in registration 97.5 +0.0 97.5 92.0

Facility 93.3 -0.1 93.2 91.3

11 Comfort of waiting area 97.5 -2.0 95.5 91.8

11 Ease of finding your way around 87.5 +1.1 88.6 88.5

11 Cleanliness of facility 95.0 +0.5 95.5 93.6

Test or Treatment 98.5 +1.1 99.6 94.6

11 Friendliness of staff 97.5 +2.5 100.0 95.8

11 Explanations given by staff 100.0 +0.0 100.0 94.6

11 Skill of techs/therapists/nurses 100.0 +0.0 100.0 95.7

11 Staff concern for comfort 97.5 +0.2 97.7 94.6

11 Staff's concern/questions worries 97.5 +2.5 100.0 92.9

Personal Issues 98.3 -1.3 97.0 92.8

Personal Issues †† 97.2 +1.7 98.9 93.2

11 Our concern for privacy 97.2 -1.7 95.5 93.5

11 Our sensitivity to your needs 97.5 +0.2 97.7 92.8

11 Response to concerns/complaints 100.0 -2.3 97.7 92.7

11 Family able to participate decision † 97.2 +2.8 100.0 93.7

11 Staff explained roles in care † 97.5 +2.5 100.0 93.3

11 Staff supported family throughout † 95.0 +5.0 100.0 93.9

11 Staff respected having family with † 94.4 +5.6 100.0 94.8

11 Staff sensitivity to your needs † 97.5 +2.5 100.0 93.4

Overall Assessment 98.3 +1.7 100.0 94.5

11 Staff worked together provide care 100.0 +0.0 100.0 94.7

11 Overall rating of care 97.5 +2.5 100.0 94.5

11 Likelihood of recommending 97.5 +2.5 100.0 94.6

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.12.1 Mean Trend Analysis - Peds Radiology

The broad light-colored columns show your Peds Radiology unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Peds Radiology unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

93.1n=32

1/1/153/31/15

92.9n=11

4/1/156/30/15

n=17/1/15

12/31/15

91.6n=15

1/1/163/31/16

94.3n=11

4/1/166/30/16

90.0n=8

7/1/169/30/16

15.12.2 Top Box Analysis - Peds RadiologyOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

135 Peds Radiology 0 2 15 17 1010.0% 1.5% 11.1% 12.6% 74.8%

74.8

175 Peds Radiology †† 0 2 19 23 1310.0% 1.1% 10.9% 13.1% 74.9%

74.9

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.12.3 Question Analysis - Peds Radiology

This section lists detailed information about individual question, section, and overall mean scores for the Peds Radiology unit. Only units with sevenor more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=11 n=8 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Peds Radiology Rating 94.3 -4.3 90.0 93.2

Overall Peds Radiology Rating †† 94.2 -3.9 90.3 93.3

Registration 92.4 +0.3 92.7 93.3

8 Helpfulness of registration person 90.9 +2.9 93.8 94.0

8 Ease of the registration process 93.2 -2.6 90.6 94.2

8 Waiting time in registration 93.2 +0.6 93.8 92.0

Facility 95.5 -3.8 91.7 91.3

8 Comfort of waiting area 95.5 -4.9 90.6 91.8

8 Ease of finding your way around 95.5 -4.9 90.6 88.5

8 Cleanliness of facility 95.5 -1.7 93.8 93.6

Test or Treatment 94.1 -4.7 89.4 94.6

7 Friendliness of staff 95.5 -2.6 92.9 95.8

8 Explanations given by staff 95.5 -4.9 90.6 94.6

8 Skill of techs/therapists/nurses 93.2 -2.6 90.6 95.7

8 Staff concern for comfort 93.2 -2.6 90.6 94.6

8 Staff's concern/questions worries 95.0 -7.5 87.5 92.9

Personal Issues 96.2 -7.7 88.5 92.8

Personal Issues †† 96.0 -5.8 90.2 93.2

8 Our concern for privacy 97.7 -10.2 87.5 93.5

8 Our sensitivity to your needs 95.5 -8.0 87.5 92.8

8 Response to concerns/complaints 95.5 -4.9 90.6 92.7

8 Family able to participate decision † 97.7 -3.9 93.8 93.7

8 Staff explained roles in care † 95.0 -4.4 90.6 93.3

8 Staff supported family throughout † 95.0 -1.2 93.8 93.9

8 Staff respected having family with † 95.0 -4.4 90.6 94.8

8 Staff sensitivity to your needs † 95.5 -8.0 87.5 93.4

Overall Assessment 93.2 -5.7 87.5 94.5

8 Staff worked together provide care 93.2 -8.8 84.4 94.7

8 Overall rating of care 93.2 -5.7 87.5 94.5

8 Likelihood of recommending 93.2 -2.6 90.6 94.6

n Number of responses Not significantly different from Facility mean score

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.13.1 Mean Trend Analysis - Physical Therapy

The broad light-colored columns show your Physical Therapy unit's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Physical Therapy unit's overall score, based on all questions.

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

82.2n=7

1/1/153/31/15

n=61/1/163/31/16

93.1n=7

4/1/166/30/16

95.3n=7

7/1/169/30/16

15.13.2 Top Box Analysis - Physical TherapyOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

119 Physical Therapy 0 0 0 22 970.0% 0.0% 0.0% 18.5% 81.5%

81.5

153 Physical Therapy †† 0 0 0 26 1270.0% 0.0% 0.0% 17.0% 83.0%

83.0

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.13.3 Question Analysis - Physical Therapy

This section lists detailed information about individual question, section, and overall mean scores for the Physical Therapy unit. Only units with sevenor more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=7 n=7 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Physical Therapy Rating 93.1 +2.2 95.3 93.2

Overall Physical Therapy Rating †† 93.0 +2.5 95.5 93.3

Registration 92.9 +3.5 96.4 93.3

7 Helpfulness of registration person 96.4 +0.0 96.4 94.0

7 Ease of the registration process 89.3 +7.1 96.4 94.2

7 Waiting time in registration 92.9 +3.5 96.4 92.0

Facility 91.7 +1.2 92.9 91.3

7 Comfort of waiting area 92.9 -3.6 89.3 91.8

7 Ease of finding your way around 92.9 +0.0 92.9 88.5

7 Cleanliness of facility 89.3 +7.1 96.4 93.6

Test or Treatment 92.9 +2.8 95.7 94.6

7 Friendliness of staff 96.4 +0.0 96.4 95.8

7 Explanations given by staff 92.9 +3.5 96.4 94.6

7 Skill of techs/therapists/nurses 92.9 +0.0 92.9 95.7

7 Staff concern for comfort n<7 96.4 94.6

7 Staff's concern/questions worries n<7 96.4 92.9

Personal Issues 91.7 +3.5 95.2 92.8

Personal Issues †† 91.2 +4.8 96.0 93.2

7 Our concern for privacy n<7 92.9 93.5

7 Our sensitivity to your needs 89.3 +7.1 96.4 92.8

7 Response to concerns/complaints n<7 96.4 92.7

7 Family able to participate decision † n<7 96.4 93.7

6 Staff explained roles in care † 92.9 n<7 93.3

7 Staff supported family throughout † n<7 96.4 93.9

7 Staff respected having family with † n<7 96.4 94.8

7 Staff sensitivity to your needs † n<7 96.4 93.4

Overall Assessment 96.4 +0.0 96.4 94.5

7 Staff worked together provide care 96.4 +0.0 96.4 94.7

7 Overall rating of care 96.4 +0.0 96.4 94.5

7 Likelihood of recommending 96.4 +0.0 96.4 94.6

n Number of responses Not significantly different from Facility mean score

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.14.1 Mean Trend Analysis - Radiology - Acc/Scc

The broad light-colored columns show your Radiology - Acc/Scc unit's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Radiology - Acc/Scc unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

89.5n=46

1/1/153/31/15

92.0n=9

4/1/156/30/15

94.2n=32

1/1/163/31/16

89.6n=55

4/1/166/30/16

92.0n=70

7/1/169/30/16

15.14.2 Top Box Analysis - Radiology - Acc/SccOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,157 Radiology - Acc/ 8 6 33 238 8720.7% 0.5% 2.9% 20.6% 75.4%

75.4

1,472 Radiology - Acc/ †† 9 6 38 305 1,1140.6% 0.4% 2.6% 20.7% 75.7%

75.7

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.14.3 Question Analysis - Radiology - Acc/Scc

This section lists detailed information about individual question, section, and overall mean scores for the Radiology - Acc/Scc unit. Only units withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=55 n=70 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Radiology - Acc/Scc Rating 89.6 +2.4 92.0 93.2

Overall Radiology - Acc/Scc Rating †† 89.6 +2.5 92.1 93.3

Registration 92.1 -0.5 91.6 93.3

70 Helpfulness of registration person 8 93.1 -0.6 92.5 94.0

67 Ease of the registration process 2 92.6 -0.4 92.2 94.2

67 Waiting time in registration 1 90.6 -0.7 89.9 92.0

Facility 83.8 +4.1 87.9 91.3

70 Comfort of waiting area 4 85.7 +3.2 88.9 91.8

68 Ease of finding your way around 7 81.0 +2.8 83.8 88.5

68 Cleanliness of facility 2 85.0* +5.8 90.8 93.6

Test or Treatment 91.7 +2.0 93.7 94.6

69 Friendliness of staff 93.6 +2.8 96.4 95.8

68 Explanations given by staff 92.3 +0.4 92.7 94.6

68 Skill of techs/therapists/nurses 93.2 -0.5 92.7 95.7

69 Staff concern for comfort 89.8 +4.4 94.2 94.6

69 Staff's concern/questions worries 90.3 +2.8 93.1 92.9

Personal Issues 89.9 +2.9 92.8 92.8

Personal Issues †† 89.6 +3.3 92.9 93.2

68 Our concern for privacy 90.5* +3.3 93.8 93.5

69 Our sensitivity to your needs 90.0 +3.5 93.5 92.8

64 Response to concerns/complaints 5 89.7 +2.5 92.2 92.7

66 Family able to participate decision † 89.3 +4.6 93.9 93.7

67 Staff explained roles in care † 5 90.6 +0.4 91.0 93.3

60 Staff supported family throughout † 87.2 +7.0 94.2* 93.9

56 Staff respected having family with † n<7 95.1 94.8

66 Staff sensitivity to your needs † 89.1 +4.8 93.9 93.4

Overall Assessment 90.7 +3.8 94.5 94.5

68 Staff worked together provide care 9 91.2 +3.7 94.9 94.7

68 Overall rating of care 91.7 +2.4 94.1 94.5

67 Likelihood of recommending 9 89.1 +5.3 94.4 94.6

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responses

Not significantly different from Facility mean scoreTop ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.15.1 Mean Trend Analysis - Radiology - Hospital

The broad light-colored columns show your Radiology - Hospital unit's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Radiology - Hospital unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

89.9n=92

1/1/153/31/15

90.1n=15

4/1/156/30/15

90.0n=40

1/1/163/31/16

90.5n=62

4/1/166/30/16

90.9n=61

7/1/169/30/16

15.15.2 Top Box Analysis - Radiology - HospitalOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

985 Radiology - Hosp 10 5 20 232 7181.0% 0.5% 2.0% 23.6% 72.9%

72.9

1,236 Radiology - Hosp †† 14 5 23 294 9001.1% 0.4% 1.9% 23.8% 72.8%

72.8

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.15.3 Question Analysis - Radiology - Hospital

This section lists detailed information about individual question, section, and overall mean scores for the Radiology - Hospital unit. Only units withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=62 n=61 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Radiology - Hospital Rating 90.5 +0.4 90.9 93.2

Overall Radiology - Hospital Rating †† 90.3 +0.6 90.9 93.3

Registration 90.6 +1.1 91.7 93.3

61 Helpfulness of registration person 91.4 +1.2 92.6 94.0

59 Ease of the registration process 90.8 +2.4 93.2 94.2

59 Waiting time in registration 89.0 +1.3 90.3 92.0

Facility 85.2 +4.4 89.6 91.3

61 Comfort of waiting area 88.9 +2.9 91.8 91.8

58 Ease of finding your way around 78.8 +7.4 86.2 88.5

59 Cleanliness of facility 88.5 +3.0 91.5 93.6

Test or Treatment 93.4 -1.9 91.5 94.6

60 Friendliness of staff 95.2 -2.7 92.5 95.8

57 Explanations given by staff 4 93.4 -1.7 91.7 94.6

58 Skill of techs/therapists/nurses 92.6 +2.7 95.3 95.7

58 Staff concern for comfort 92.6 -0.4 92.2 94.6

56 Staff's concern/questions worries 1 93.1 -3.4 89.7 92.9

Personal Issues 91.3 -1.1 90.2 92.8

Personal Issues †† 90.2 +0.1 90.3 93.2

58 Our concern for privacy 92.6 +0.5 93.1 93.5

56 Our sensitivity to your needs 4 90.6 -0.9 89.7 92.8

53 Response to concerns/complaints 1 90.3 -0.2 90.1 92.7

52 Family able to participate decision † 8 88.2 +3.2 91.4 93.7

54 Staff explained roles in care † 6 91.3 +0.4 91.7 93.3

49 Staff supported family throughout † 3 89.2 +2.1 91.3 93.9

45 Staff respected having family with † n<7 93.3 94.8

51 Staff sensitivity to your needs † 9 88.0 +2.7 90.7 93.4

Overall Assessment 92.1 +0.3 92.4 94.5

57 Staff worked together provide care 10 93.2 -0.2 93.0 94.7

57 Overall rating of care 92.2 +0.8 93.0 94.5

58 Likelihood of recommending 6 90.7 +2.0 92.7 94.6

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responses

Not significantly different from Facility mean scoreTop ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.16.1 Mean Trend Analysis - Sleep Center

The broad light-colored columns show your Sleep Center unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Sleep Center unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

96 96

93.3n=35

1/1/153/31/15

90.1n=9

4/1/156/30/15

88.1n=57

1/1/163/31/16

93.4n=43

4/1/166/30/16

92.7n=49

7/1/169/30/16

15.16.2 Top Box Analysis - Sleep CenterOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

807 Sleep Center 1 9 28 129 6400.1% 1.1% 3.5% 16.0% 79.3%

79.3

1,021 Sleep Center †† 1 9 35 172 8040.1% 0.9% 3.4% 16.8% 78.7%

78.7

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.16.3 Question Analysis - Sleep Center

This section lists detailed information about individual question, section, and overall mean scores for the Sleep Center unit. Only units with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=43 n=49 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Sleep Center Rating 93.4 -0.7 92.7 93.2

Overall Sleep Center Rating †† 93.4 -0.6 92.8 93.3

Registration 92.1 +1.8 93.9 93.3

45 Helpfulness of registration person 93.1 +0.8 93.9 94.0

45 Ease of the registration process 91.9 +3.1 95.0 94.2

45 Waiting time in registration 92.1 +0.7 92.8 92.0

Facility 91.7 -0.3 91.4 91.3

48 Comfort of waiting area 1 92.3* -0.1 92.2 91.8

49 Ease of finding your way around 91.7* -2.9 88.8 88.5

49 Cleanliness of facility 91.9 +1.5 93.4 93.6

Test or Treatment 94.7 -0.6 94.1 94.6

49 Friendliness of staff 94.2 -0.3 93.9 95.8

49 Explanations given by staff 95.2 +1.7 96.9 94.6

49 Skill of techs/therapists/nurses 95.9 +0.5 96.4 95.7

49 Staff concern for comfort 8 94.2 -1.3 92.9 94.6

46 Staff's concern/questions worries 1 93.6 -3.9 89.7 92.9

Personal Issues 93.6 -1.5 92.1 92.8

Personal Issues †† 93.9 -1.4 92.5 93.2

48 Our concern for privacy 93.0 +1.8 94.8 93.5

47 Our sensitivity to your needs 8 93.6 +0.0 93.6 92.8

47 Response to concerns/complaints 1 94.2 -3.8 90.4 92.7

43 Family able to participate decision † 7 94.2 -1.8 92.4 93.7

48 Staff explained roles in care † 93.5 +1.3 94.8 93.3

38 Staff supported family throughout † 8 96.1 -2.7 93.4 93.9

39 Staff respected having family with † 93.8 +1.1 94.9 94.8

46 Staff sensitivity to your needs † 4 94.9 -3.6 91.3 93.4

Overall Assessment 95.0 -1.8 93.2 94.5

47 Staff worked together provide care 95.4 -1.2 94.2 94.7

48 Overall rating of care 6 95.4 -1.6 93.8 94.5

47 Likelihood of recommending 5 94.2 -0.6 93.6 94.6

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of responses

Not significantly different from Facility mean scoreTop ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.17.1 Mean Trend Analysis - Speech

The broad light-colored columns show your Speech unit's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Speech unit's overall score, based on all questions.

90 90

92 92

94 94

96 96

98 98

100 100

93.2n=18

1/1/153/31/15

n=64/1/15

6/30/15

92.3n=26

1/1/163/31/16

98.6*n=19

4/1/166/30/16

94.3n=22

7/1/169/30/16

15.17.2 Top Box Analysis - SpeechOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

365 Speech 1 0 4 68 2920.3% 0.0% 1.1% 18.6% 80.0%

80.0

464 Speech †† 1 0 4 87 3720.2% 0.0% 0.9% 18.8% 80.2%

80.2

n Number of responses This period "very good" percentage* Sig. different from previous period (p<.05)

†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.17.3 Question Analysis - Speech

This section lists detailed information about individual question, section, and overall mean scores for the Speech unit. Only units with seven or moreresponses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change islisted in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available because units arepotentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from the facility's as awhole. It is important to note that these calculations take into account the variability within a unit's data as well as the number of responses (n)represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significant differencesfrom the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (based on thisunit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=19 n=22 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall Speech Rating 98.6* -4.3 94.3 93.2

Overall Speech Rating †† 98.6* -4.2 94.4 93.3

Registration 99.6* -5.2 94.4* 93.3

21 Helpfulness of registration person 98.7 -3.5 95.2 94.0

21 Ease of the registration process 100.0* -4.8 95.2* 94.2

20 Waiting time in registration 100.0* -7.5 92.5* 92.0

Facility 97.8** -6.1 91.7 91.3

22 Comfort of waiting area 98.7* -5.5 93.2 91.8

22 Ease of finding your way around 98.7** -11.2 87.5 88.5

22 Cleanliness of facility 96.1 -1.8 94.3 93.6

Test or Treatment 99.2 -3.0 96.2 94.6

21 Friendliness of staff 100.0* -2.4 97.6 95.8

22 Explanations given by staff 98.7 -2.1 96.6 94.6

21 Skill of techs/therapists/nurses 98.7 -2.3 96.4 95.7

22 Staff concern for comfort 100.0* -3.4 96.6 94.6

22 Staff's concern/questions worries 98.7 -4.4 94.3 92.9

Personal Issues 98.7 -4.0 94.7 92.8

Personal Issues †† 98.4 -3.5 94.9 93.2

22 Our concern for privacy 98.7 -3.2 95.5 93.5

22 Our sensitivity to your needs 98.7 -4.4 94.3 92.8

19 Response to concerns/complaints 98.7 -4.0 94.7 92.7

19 Family able to participate decision † 98.5 -5.1 93.4 93.7

22 Staff explained roles in care † 100.0* -4.5 95.5 93.3

19 Staff supported family throughout † 98.5 -2.4 96.1 93.9

19 Staff respected having family with † 98.2 -2.1 96.1 94.8

20 Staff sensitivity to your needs † 95.8 -0.8 95.0 93.4

Overall Assessment 97.8 -3.5 94.3 94.5

22 Staff worked together provide care 98.7 -4.4 94.3 94.7

22 Overall rating of care 97.4 -3.1 94.3 94.5

22 Likelihood of recommending 97.2 -2.9 94.3 94.6

n Number of responses Not significantly different from Facility mean score

* Significantly different at .05 level

** Significantly different at .01 level

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.18.1 Mean Trend Analysis - West Wheeler Imaging

The broad light-colored columns show your West Wheeler Imaging unit's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your West Wheeler Imaging unit's overall score, based on all questions.

86 86

88 88

90 90

92 92

94 94

89.9n=74

1/1/153/31/15

90.9n=38

4/1/156/30/15

n=17/1/15

12/31/15

89.7n=64

1/1/163/31/16

90.5n=61

4/1/166/30/16

91.4n=86

7/1/169/30/16

15.18.2 Top Box Analysis - West Wheeler ImagingOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,419 West Wheeler Ima 4 14 52 319 1,0300.3% 1.0% 3.7% 22.5% 72.6%

72.6

1,787 West Wheeler Ima †† 6 18 68 404 1,2910.3% 1.0% 3.8% 22.6% 72.2%

72.2

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.18.3 Question Analysis - West Wheeler Imaging

This section lists detailed information about individual question, section, and overall mean scores for the West Wheeler Imaging unit. Only units withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not available becauseunits are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different from thefacility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=61 n=86 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall West Wheeler Imaging Rating 90.5 +0.9 91.4 93.2

Overall West Wheeler Imaging Rating †† 90.6 +0.7 91.3 93.3

Registration 90.4 +2.3 92.7 93.3

86 Helpfulness of registration person 92.6 +1.0 93.6 94.0

84 Ease of the registration process 90.4 +3.1 93.5 94.2

83 Waiting time in registration 87.9 +2.8 90.7 92.0

Facility 87.6 +2.9 90.5 91.3

86 Comfort of waiting area 10 85.3 +4.5 89.8 91.8

83 Ease of finding your way around 84.3 +4.0 88.3 88.5

83 Cleanliness of facility 93.2 -0.4 92.8 93.6

Test or Treatment 93.5 -1.5 92.0 94.6

86 Friendliness of staff 95.0 -0.5 94.5 95.8

83 Explanations given by staff 93.6 -2.0 91.6 94.6

83 Skill of techs/therapists/nurses 94.5 -2.0 92.5 95.7

82 Staff concern for comfort 8 91.5 -0.3 91.2 94.6

84 Staff's concern/questions worries 2 92.7 -2.8 89.9 92.9

Personal Issues 88.9 +1.1 90.0 92.8

Personal Issues †† 89.7 -0.2 89.5 93.2

84 Our concern for privacy 7 87.1 +2.5 89.6 93.5

82 Our sensitivity to your needs 3 89.6 +0.3 89.9 92.8

80 Response to concerns/complaints 3 90.3 +0.3 90.6 92.7

78 Family able to participate decision † 91.8 +0.2 92.0 93.7

82 Staff explained roles in care † 1 90.2 -3.0 87.2 93.3

71 Staff supported family throughout † 91.5 -0.3 91.2 93.9

63 Staff respected having family with † n<7 92.1 94.8

74 Staff sensitivity to your needs † 3 88.8 +2.8 91.6 93.4

Overall Assessment 92.1 +0.5 92.6 94.5

84 Staff worked together provide care 9 92.1 +1.1 93.2 94.7

83 Overall rating of care 6 92.5 -1.5 91.0 94.5

83 Likelihood of recommending 91.1 +2.3 93.4 94.6

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of responsesNot significantly different from Facility mean score

Significantly lower than Facility mean score

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.19.1 Mean Trend Analysis - West Wheeler Occupational

The broad light-colored columns show your West Wheeler Occupational unit's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your West Wheeler Occupational unit's overall score, based on all questions.

88 88

90 90

92 92

94 94

96 96

98 98

100 100

n=41/1/15

3/31/15

n=24/1/15

6/30/15

96.3n=17

1/1/163/31/16

91.6n=27

4/1/166/30/16

97.0n=23

7/1/169/30/16

15.19.2 Top Box Analysis - West Wheeler OccupationalOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

386 West Wheeler Occ 0 0 2 36 3480.0% 0.0% 0.5% 9.3% 90.2%

90.2

497 West Wheeler Occ †† 0 0 2 44 4510.0% 0.0% 0.4% 8.9% 90.7%

90.7

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.19.3 Question Analysis - West Wheeler Occupational

This section lists detailed information about individual question, section, and overall mean scores for the West Wheeler Occupational unit. Only unitswith seven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. Theamount of change is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not availablebecause units are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different fromthe facility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=27 n=23 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall West Wheeler Occupational Rating 91.6 +5.4 97.0 93.2

Overall West Wheeler Occupational Rating †† 91.7 +5.5 97.2* 93.3

Registration 88.0* +8.0 96.0* 93.3

23 Helpfulness of registration person 88.9* +6.8 95.7 94.0

22 Ease of the registration process 88.9* +8.8 97.7* 94.2

22 Waiting time in registration 86.1 +10.5 96.6** 92.0

Facility 89.2 +6.1 95.3 91.3

23 Comfort of waiting area 86.1 +6.3 92.4 91.8

22 Ease of finding your way around 90.7 +5.9 96.6 88.5

22 Cleanliness of facility 90.7 +8.2 98.9** 93.6

Test or Treatment 95.4 +3.1 98.5 94.6

23 Friendliness of staff 96.3 +2.6 98.9 95.8

23 Explanations given by staff 96.3 +2.6 98.9 94.6

23 Skill of techs/therapists/nurses 95.4 +3.5 98.9 95.7

23 Staff concern for comfort 94.4 +3.4 97.8 94.6

23 Staff's concern/questions worries 94.4 +3.4 97.8 92.9

Personal Issues 91.4 +5.0 96.4 92.8

Personal Issues †† 91.9 +5.6 97.5 93.2

23 Our concern for privacy 91.4 +3.2 94.6 93.5

23 Our sensitivity to your needs 91.4 +5.3 96.7 92.8

22 Response to concerns/complaints 90.7 +7.0 97.7 92.7

23 Family able to participate decision † 91.4 +5.3 96.7 93.7

23 Staff explained roles in care † 92.6 +6.3 98.9* 93.3

21 Staff supported family throughout † 92.7 +6.1 98.8 93.9

21 Staff respected having family with † 94.1 +3.5 97.6 94.8

23 Staff sensitivity to your needs † 93.5 +5.4 98.9 93.4

Overall Assessment 94.1 +4.8 98.9 94.5

23 Staff worked together provide care 93.5 +5.4 98.9 94.7

23 Overall rating of care 94.4 +4.5 98.9 94.5

23 Likelihood of recommending 94.4 +4.5 98.9 94.6

n Number of responses

Significantly higher than Facility mean score

Not significantly different from Facility mean score

* Significantly different at .05 level

** Significantly different at .01 level

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.20.1 Mean Trend Analysis - West Wheeler Physical The

The broad light-colored columns show your West Wheeler Physical The unit's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your West Wheeler Physical The unit's overall score, based on all questions.

88 88

90 90

92 92

94 94

96 96

98 98

91.0n=11

1/1/153/31/15

n=34/1/15

6/30/15

92.7n=53

1/1/163/31/16

93.5n=36

4/1/166/30/16

95.0n=37

7/1/169/30/16

15.20.2 Top Box Analysis - West Wheeler Physical TheOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

613 West Wheeler Phy 0 0 12 90 5110.0% 0.0% 2.0% 14.7% 83.4%

83.4

774 West Wheeler Phy †† 0 1 16 112 6450.0% 0.1% 2.1% 14.5% 83.3%

83.3

n Number of responses This period "very good" percentage†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.20.3 Question Analysis - West Wheeler Physical The

This section lists detailed information about individual question, section, and overall mean scores for the West Wheeler Physical The unit. Only unitswith seven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. Theamount of change is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not availablebecause units are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different fromthe facility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=36 n=37 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall West Wheeler Physical The Rating 93.5 +1.5 95.0 93.2

Overall West Wheeler Physical The Rating †† 93.8 +1.4 95.2 93.3

Registration 92.8 +0.0 92.8 93.3

37 Helpfulness of registration person 92.7 +1.2 93.9 94.0

35 Ease of the registration process 8 92.9 +0.7 93.6 94.2

36 Waiting time in registration 6 93.1 -2.1 91.0 92.0

Facility 91.7 +1.4 93.1 91.3

37 Comfort of waiting area 2 91.4 +0.5 91.9 91.8

35 Ease of finding your way around 90.0 +3.6 93.6 88.5

36 Cleanliness of facility 93.1 +1.3 94.4 93.6

Test or Treatment 95.8 +1.9 97.7 94.6

37 Friendliness of staff 96.5 +1.5 98.0 95.8

36 Explanations given by staff 95.7 +1.5 97.2 94.6

36 Skill of techs/therapists/nurses 95.7 +2.2 97.9 95.7

36 Staff concern for comfort 95.0 +2.9 97.9 94.6

36 Staff's concern/questions worries 9 95.8 +1.4 97.2 92.9

Personal Issues 91.7 +2.1 93.8 92.8

Personal Issues †† 93.0 +1.7 94.7 93.2

37 Our concern for privacy 1 90.7 +2.5 93.2 93.5

36 Our sensitivity to your needs 5 94.1 -1.0 93.1 92.8

33 Response to concerns/complaints 3 94.1 +1.4 95.5 92.7

34 Family able to participate decision † 7 93.9 -0.5 93.4 93.7

36 Staff explained roles in care † 93.1 +3.4 96.5 93.3

27 Staff supported family throughout † 10 94.0 -1.4 92.6 93.9

28 Staff respected having family with † 3 96.7 -2.1 94.6 94.8

36 Staff sensitivity to your needs † 95.6 +0.9 96.5 93.4

Overall Assessment 95.5 +2.0 97.5 94.5

36 Staff worked together provide care 95.6 +1.6 97.2 94.7

37 Overall rating of care 95.7 +2.3 98.0 94.5

37 Likelihood of recommending 95.1 +2.2 97.3 94.6

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.21.1 Mean Trend Analysis - West Wheeler Sports Rehab

The broad light-colored columns show your West Wheeler Sports Rehab unit's overall mean score, based on standard questions. One asterisk bya mean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significantchange in mean score at the .01 level. The narrow dark columns show your West Wheeler Sports Rehab unit's overall score, based on allquestions.

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

89.0n=71

1/1/153/31/15

90.3n=24

4/1/156/30/15

n=27/1/15

12/31/15

93.5**n=70

1/1/163/31/16

96.6n=36

4/1/166/30/16

96.1n=74

7/1/169/30/16

15.21.2 Top Box Analysis - West Wheeler Sports RehabOverall Very Poor Poor Fair Good Very Good

Section n n n n nn Question % % % % % % Very Good

1,242 West Wheeler Spo 11 1 5 127 1,0980.9% 0.1% 0.4% 10.2% 88.4%

88.4

1,580 West Wheeler Spo †† 14 1 6 158 1,4010.9% 0.1% 0.4% 10.0% 88.7%

88.7

n Number of responses This period "very good" percentage** Sig. different from previous period (p<.01)

†† Includes non-standard questions

Standard Questions

All Questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT15.21.3 Question Analysis - West Wheeler Sports Rehab

This section lists detailed information about individual question, section, and overall mean scores for the West Wheeler Sports Rehab unit. Only unitswith seven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. Theamount of change is listed in the second column of data. Internal comparative data are provided on the right; external benchmarks are not availablebecause units are potentially unique to your facility. The "Internal Rating" column indicates whether each unit mean score is statistically different fromthe facility's as a whole. It is important to note that these calculations take into account the variability within a unit's data as well as the number ofresponses (n) represented by the unit's mean score. Items having less variability or a greater number of responses are more likely to show significantdifferences from the facility's mean score. If 30 or more questionnaires were returned for this unit, questions representing its top ten priorities (basedon this unit's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last ThisOverall Mean Period Period Facility

Section Score n=36 n=74 Mean Internaln Question Trend Mean Change Mean Score Rating

Overall West Wheeler Sports Rehab Rating 96.6 -0.5 96.1 93.2

Overall West Wheeler Sports Rehab Rating †† 96.6 -0.4 96.2 93.3

Registration 96.8 -1.9 94.9 93.3

74 Helpfulness of registration person 97.9* -2.6 95.3 94.0

72 Ease of the registration process 97.9 -2.4 95.5 94.2

72 Waiting time in registration 8 94.4 +0.0 94.4 92.0

Facility 95.4 +0.6 96.0 91.3

74 Comfort of waiting area 95.1 -0.5 94.6 91.8

74 Ease of finding your way around 8 94.4 +0.9 95.3 88.5

74 Cleanliness of facility 96.5 +1.5 98.0 93.6

Test or Treatment 96.8 +0.5 97.3 94.6

74 Friendliness of staff 97.9 -0.3 97.6 95.8

74 Explanations given by staff 96.5 +0.5 97.0 94.6

74 Skill of techs/therapists/nurses 95.8 +2.5 98.3 95.7

74 Staff concern for comfort 96.5 +0.8 97.3 94.6

73 Staff's concern/questions worries 8 97.2 -1.0 96.2 92.9

Personal Issues 96.3 -0.5 95.8 92.8

Personal Issues †† 96.5 -0.1 96.4 93.2

73 Our concern for privacy 97.2 -1.3 95.9 93.5

74 Our sensitivity to your needs 1 95.8 -0.5 95.3 92.8

67 Response to concerns/complaints 4 95.7 +0.9 96.6 92.7

73 Family able to participate decision † 3 96.5 -0.3 96.2 93.7

74 Staff explained roles in care † 2 97.9 -2.3 95.6 93.3

60 Staff supported family throughout † 94.7 +2.8 97.5 93.9

59 Staff respected having family with † 96.7 +1.2 97.9 94.8

72 Staff sensitivity to your needs † 4 97.1 -0.6 96.5 93.4

Overall Assessment 97.7 -1.1 96.6 94.5

72 Staff worked together provide care 7 97.2 -0.7 96.5 94.7

74 Overall rating of care 6 97.2 -0.9 96.3 94.5

73 Likelihood of recommending 98.6 -1.7 96.9 94.6

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of responsesSignificantly higher than Facility mean score

Not significantly different from Facility mean score

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT16.0 Category Analysis

This section allows for side-by-side comparison of categories within your facility. The section shows overall, section, and question mean scores foreach of your categories. For reference, the mean scores for your entire facility are listed in the first column of data. The mean scores for eachcategory's top ten priorities (based on the Internal Priority Index for each category) appear in bold italics; superscripts indicate the priority number. Overall Facility Diag Imag Diag tst Trt/Ther Prog

Section n=916 n=315 n=230 n=237 n=49Question Mean Mean Mean Mean Mean

Georgia Regents Medical Center 93.2 92.2 92.3 95.6 92.7

Georgia Regents Medical Center †† 93.3 92.2 92.5 95.7 92.8

Registration 93.3 92.7 91.7 95.2 93.9

Helpfulness of registration person 94.0 93.5 92.0 4 95.6 93.9

Ease of the registration process 94.2 93.2 93.0 6 96.0 95.0

Waiting time in registration 92.0 91.2 90.4 6 94.3 9 92.8

Facility 91.3 90.7 89.9 93.9 91.4

Comfort of waiting area 91.8 91.1 9 92.2 3 92.6 4 92.2 1

Ease of finding your way around 88.5 88.4 84.9 93.2 10 88.8

Cleanliness of facility 93.6* 92.6 92.6 96.2 93.4

Test or Treatment 94.6 93.1 93.9 97.1 94.1

Friendliness of staff 95.8 94.8 94.9 98.0 93.9

Explanations given by staff 94.6 93.0 7 94.1 96.7 96.9

Skill of techs/therapists/nurses 95.7 94.1 95.3 97.8 96.4

Staff concern for comfort 94.6 93.3 93.4 97.4 92.9 8

Staff's concern/questions worries 92.9 91.4 2 92.7 8 95.7 4 89.7 1

Personal Issues 92.8 91.6 92.3 95.1 92.1

Personal Issues †† 93.2 91.6 93.0 95.6 92.5

Our concern for privacy 93.5 92.5 92.7 95.0 4 94.8

Our sensitivity to your needs 92.8 91.5 6 92.2 2 95.0 1 93.6 8

Response to concerns/complaints 92.7 91.6 3 92.1 1 95.6 2 90.4 1

Family able to participate decision † 93.7 93.3 93.6 5 94.8 3 92.4 7

Staff explained roles in care † 93.3 90.6 1 93.8 10 96.0 94.8

Staff supported family throughout † 93.9 92.8 9 93.5 96.3 93.4 8

Staff respected having family with † 94.8 93.4 94.7 96.7 94.9

Staff sensitivity to your needs † 93.4 92.2 4 93.5 96.2 4 91.3 4

Overall Assessment 94.5 93.5 94.3 96.7 93.2

Staff worked together provide care 94.7 93.9 7 94.2 96.6 4 94.2

Overall rating of care 94.5 93.2 5 94.5 8 96.8 93.8 6

Likelihood of recommending 94.6 93.9 94.5 96.6 93.6 5

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:DIAG IMAGE

17.1 Service AnalysisThis section allows for side-by-side comparison of services within your facility. The section shows overall, section, and question mean scores foreach of your services. For reference, the mean scores for your entire facility are listed in the first column of data. The mean scores for each service'stop ten priorities (based on the Internal Priority Index for each service) appear in bold italics; superscripts indicate the priority number. Overall Facility Mammo Radiolgy Ultra X-Ray

Section n=315 n=78 n=139 n=12 n=86Question Mean Mean Mean Mean Mean

Georgia Regents Medical Center 92.2 95.3 91.4 87.5 91.4

Georgia Regents Medical Center †† 92.2 95.3 91.4 87.5 91.3

Registration 92.7 95.6 91.7 84.0 92.7

Helpfulness of registration person 93.5 96.2 92.6 85.4 93.6

Ease of the registration process 93.2 95.8 92.5 83.3 93.5

Waiting time in registration 91.2 94.7 90.3 83.3 90.7

Facility 90.7* 95.0 88.9 86.8 90.5

Comfort of waiting area 91.1 96.1 90.3 9 79.2 89.8 10

Ease of finding your way around 88.4* 93.4 10 85.3 91.7 88.3

Cleanliness of facility 92.6 95.1 10 91.3 89.6 92.8

Test or Treatment 93.1 95.8 92.5 90.4 92.0

Friendliness of staff 94.8 96.8 94.5 87.5 94.5

Explanations given by staff 93.0 96.5 92.1 4 89.6 91.6

Skill of techs/therapists/nurses 94.1 96.8 93.7 93.8 92.5

Staff concern for comfort 93.3 96.1 93.2 91.7 91.2 8

Staff's concern/questions worries 91.4 93.3 1 91.4 3 89.6 89.9 2

Personal Issues 91.6 94.3 91.4 87.5 90.0

Personal Issues †† 91.6 94.3 91.6 87.5 89.5

Our concern for privacy 92.5 95.2 93.1 87.5 89.6 7

Our sensitivity to your needs 91.5 93.9 5 91.5 5 85.4 89.9 3

Response to concerns/complaints 91.6 93.9 3 91.2 1 89.6 90.6 3

Family able to participate decision † 93.3 96.4 92.9 89.6 92.0

Staff explained roles in care † 90.6 93.5 3 91.3 2 87.5 87.2 1

Staff supported family throughout † 92.8 95.1 6 93.0 5 90.9 91.2

Staff respected having family with † 93.4 95.3 7 94.0 86.4 92.1

Staff sensitivity to your needs † 92.2 93.8 1 92.2 86.4 91.6 3

Overall Assessment 93.5 95.6 93.2 88.9 92.6

Staff worked together provide care 93.9 96.4 93.4 8 87.5 93.2 9

Overall rating of care 93.2 96.4 8 93.2 9 87.5 91.0 6

Likelihood of recommending 93.9 95.5 9 93.4 5 91.7 93.4

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:DIAG IMAGE

17.2 Question AnalysisThis section lists detailed information about your individual question, section, and overall scores. Only criteria with seven or more responses arereported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change is listed in the secondcolumn of data. Questions appearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscriptsindicate the priority number. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided only when thequestions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above or below apeer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other facilities in a peer group.In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=297 n=315 N=1075 N=204 N=14n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Facility Rating 91.3 +0.9 92.2 93.4 22 93.8 19 93.3 21

Overall Facility Rating †† 91.3 +0.9 92.2

Registration 92.2 +0.5 92.7 92.5 45 92.7 45 92.6 56

315 Helpfulness of registration person 93.2 +0.3 93.5 93.7 42 94.1 36 93.6 55

307 Ease of the registration process 92.6 +0.6 93.2 93.5 39 93.8 40 93.6 31

305 Waiting time in registration 90.6 +0.6 91.2 90.5 51 90.4 54 90.7 62

Facility 88.2 +2.5 90.7* 91.4 36 92.0 31 90.4 45

313 Comfort of waiting area 9 89.6 +1.5 91.1 90.5 56 90.9 52 90.2 58

305 Ease of finding your way around 84.8 +3.6 88.4* 89.9 26 90.9 19 87.5 51

307 Cleanliness of facility 90.9* +1.7 92.6 94.0 23 94.5 21 93.6 30

Test or Treatment 93.0 +0.1 93.1 < 95.2 10 < 95.5 6 < 95.1 5

312 Friendliness of staff 94.5 +0.3 94.8 < 96.3 12 < 96.5 9 < 96.3 3

306 Explanations given by staff 7 93.1 -0.1 93.0 < 94.8 14 < 95.1 11 < 94.7 6

306 Skill of techs/therapists/nurses 93.6 +0.5 94.1 < 95.7 13 < 96.1 8 << 95.8 1

306 Staff concern for comfort 92.0 +1.3 93.3 94.9 16 < 95.2 12 < 94.9 7

307 Staff's concern/questions worries 2 91.9 -0.5 91.4 < 94.5 5 < 94.9 3 < 94.3 4

Personal Issues 91.0 +0.6 91.6 < 93.5 14 < 93.8 11 < 93.8 5

Personal Issues †† 90.8 +0.8 91.6

308 Our concern for privacy 92.0 +0.5 92.5 94.0 17 < 94.3 13 < 94.3 6

305 Our sensitivity to your needs 6 91.0 +0.5 91.5 < 93.6 14 < 93.8 12 < 93.9 4

283 Response to concerns/complaints 3 89.9 +1.7 91.6 93.3 19 93.7 15 < 93.3 7

279 Family able to participate decision † 90.7 +2.6 93.3 N<7 N/A N<7 N/A N<7 N/A

300 Staff explained roles in care † 1 91.6 -1.0 90.6 92.2 22 N<7 N/A N<7 N/A

255 Staff supported family throughout † 9 90.6 +2.2 92.8 N<7 N/A N<7 N/A N<7 N/A

236 Staff respected having family with † 95.0 -1.6 93.4 N<7 N/A N<7 N/A N<7 N/A

278 Staff sensitivity to your needs † 4 90.1 +2.1 92.2 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 92.1 +1.4 93.5 94.8 20 95.0 18 < 95.1 7

306 Staff worked together provide care 7 92.7 +1.2 93.9 94.7 28 95.0 26 95.0 13

305 Overall rating of care 5 92.5 +0.7 93.2 < 95.1 13 < 95.4 10 < 95.3 5

305 Likelihood of recommending 91.4 +2.5 93.9 94.7 28 95.0 26 95.2 13

< 1 standard deviation below peer group mean<< 2 standard deviations below peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

* Significantly different at .05 level

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:DIAG TEST

17.3 Service AnalysisThis section allows for side-by-side comparison of services within your facility. The section shows overall, section, and question mean scores foreach of your services. For reference, the mean scores for your entire facility are listed in the first column of data. The mean scores for each service'stop ten priorities (based on the Internal Priority Index for each service) appear in bold italics; superscripts indicate the priority number. Overall Facility Cardio EEG Endos Lab PulmFunc

Section n=230 n=68 n=20 n=68 n=70 n<7Question Mean Mean Mean Mean Mean Mean

Georgia Regents Medical Center 92.3 91.8 88.0 91.8 94.3 n<7

Georgia Regents Medical Center †† 92.5 91.9 88.7 91.9 94.5 n<7

Registration 91.7 92.3 86.5 91.4 92.6 n<7

Helpfulness of registration person 92.0 93.0 88.2 90.1 6 93.4 1 n<7

Ease of the registration process 93.0 92.7 85.0 94.0 94.3 9 n<7

Waiting time in registration 90.4 91.3 86.3 90.7 5 90.2 7 n<7

Facility 89.9 87.9 82.1 90.9 92.9 n<7

Comfort of waiting area 92.2 90.1 2 86.3 93.4 94.9 n<7

Ease of finding your way around 84.9 81.5 10 71.3 85.1 91.3 10 n<7

Cleanliness of facility 92.6 91.9 88.8 94.0 92.8 n<7

Test or Treatment 93.9 93.5 90.8 93.4 95.8 n<7

Friendliness of staff 94.9 94.8 91.3 94.8 96.7 n<7

Explanations given by staff 94.1 93.9 93.8 92.8 96.0 n<7

Skill of techs/therapists/nurses 95.3 95.5 92.5 95.8 95.7 n<7

Staff concern for comfort 93.4 91.9 92.1 92.9 95.7 n<7

Staff's concern/questions worries 92.7 93.8 83.3 91.8 2 95.0 n<7

Personal Issues 92.3 90.8 91.7 91.6 94.3 n<7

Personal Issues †† 93.0 91.6 93.4 92.1 95.0 n<7

Our concern for privacy 92.7 90.6 6 92.7 93.5 93.6 6 n<7

Our sensitivity to your needs 92.2 91.3 1 88.2 91.4 3 94.3 4 n<7

Response to concerns/complaints 92.1 90.9 3 94.1 90.1 1 94.9 3 n<7

Family able to participate decision † 93.6 92.4 7 97.1 93.2 8 94.4 4 n<7

Staff explained roles in care † 93.8 93.2 9 96.9 92.1 7 95.3 n<7

Staff supported family throughout † 93.5 92.9 5 96.4 92.4 94.7 1 n<7

Staff respected having family with † 94.7 92.0 4 96.9 94.9 96.8 n<7

Staff sensitivity to your needs † 93.5 93.0 93.8 91.7 8 95.8 8 n<7

Overall Assessment 94.3 94.6 92.1 93.1 95.9 n<7

Staff worked together provide care 94.2 93.9 92.5 93.8 95.3 n<7

Overall rating of care 94.5 94.0 8 92.5 93.7 8 96.4 n<7

Likelihood of recommending 94.5 96.2 90.8 92.3 3 96.0 n<7

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:DIAG TEST

17.4 Question AnalysisThis section lists detailed information about your individual question, section, and overall scores. Only criteria with seven or more responses arereported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change is listed in the secondcolumn of data. Questions appearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscriptsindicate the priority number. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided only when thequestions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above or below apeer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other facilities in a peer group.In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=179 n=230 N=921 N=175 N=14n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Facility Rating 91.7 +0.6 92.3 92.6 38 92.9 37 93.7 19

Overall Facility Rating †† 91.8 +0.7 92.5

Registration 90.5 +1.2 91.7 91.6 45 91.5 46 92.7 45

227 Helpfulness of registration person 4 91.2 +0.8 92.0 93.1 29 93.4 27 93.6 22

222 Ease of the registration process 6 92.5 +0.5 93.0 92.6 48 92.8 48 93.7 39

223 Waiting time in registration 6 88.1 +2.3 90.4 89.2 54 88.4 55 90.7 46

Facility 88.4 +1.5 89.9 91.0 32 91.4 32 90.5 48

228 Comfort of waiting area 3 89.2 +3.0 92.2 89.7 76 90.0 71 89.5 76

225 Ease of finding your way around 84.7 +0.2 84.9 < 89.6 11 < 90.3 9 < 88.4 13

225 Cleanliness of facility 91.7 +0.9 92.6 93.5 30 93.8 33 93.8 33

Test or Treatment 93.7 +0.2 93.9 94.2 39 94.7 33 < 95.6 8

226 Friendliness of staff 95.0 -0.1 94.9 95.5 33 95.8 32 < 96.5 6

224 Explanations given by staff 93.6 +0.5 94.1 93.5 54 94.0 47 94.9 22

224 Skill of techs/therapists/nurses 93.9 +1.4 95.3 94.9 50 95.5 44 96.3 24

224 Staff concern for comfort 92.4 +1.0 93.4 93.9 38 94.4 30 < 95.2 14

215 Staff's concern/questions worries 8 93.3 -0.6 92.7 93.5 33 94.0 28 < 95.0 8

Personal Issues 91.7 +0.6 92.3 92.7 40 93.1 37 < 94.3 17

Personal Issues †† 92.0 +1.0 93.0

216 Our concern for privacy 92.5 +0.2 92.7 93.1 38 93.6 33 < 94.5 17

214 Our sensitivity to your needs 2 91.5 +0.7 92.2 92.8 36 93.2 35 < 94.5 15

206 Response to concerns/complaints 1 91.3 +0.8 92.1 92.4 40 92.7 37 < 94.1 14

192 Family able to participate decision † 5 92.3 +1.3 93.6 N<7 N/A N<7 N/A N<7 N/A

209 Staff explained roles in care † 10 92.7 +1.1 93.8 N<7 N/A N<7 N/A N<7 N/A

188 Staff supported family throughout † 93.2 +0.3 93.5 N<7 N/A N<7 N/A N<7 N/A

173 Staff respected having family with † n<7 94.7 N<7 N/A N<7 N/A N<7 N/A

204 Staff sensitivity to your needs † 92.3 +1.2 93.5 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 94.5 -0.2 94.3 94.0 48 94.3 43 95.4 13

223 Staff worked together provide care 94.3 -0.1 94.2 94.0 45 94.4 40 95.2 23

223 Overall rating of care 8 94.3 +0.2 94.5 94.3 46 94.6 43 95.6 20

223 Likelihood of recommending 94.9 -0.4 94.5 93.9 52 94.1 47 95.6 14

n<7 Fewer than 7 responsesN<7 Fewer than 7 facilities† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

< 1 standard deviation below peer group mean

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:TREAT/THER

17.5 Service AnalysisThis section allows for side-by-side comparison of services within your facility. The section shows overall, section, and question mean scores foreach of your services. For reference, the mean scores for your entire facility are listed in the first column of data. The mean scores for each service'stop ten priorities (based on the Internal Priority Index for each service) appear in bold italics; superscripts indicate the priority number. Overall Facility Phy/Occ/Sp PhysThr RadOnc Rehab

Section n=237 n=56 n=44 n=63 n=74Question Mean Mean Mean Mean Mean

Georgia Regents Medical Center 95.6 96.1 95.1 95.0 96.1

Georgia Regents Medical Center †† 95.7 96.2 95.2 95.0 96.2

Registration 95.2 95.7 93.4 96.4 94.9

Helpfulness of registration person 95.6 95.8 3 94.3 96.8 95.3

Ease of the registration process 96.0 96.7 6 94.1 8 97.2 95.5

Waiting time in registration 94.3 95.2 10 91.9 6 95.2 94.4 8

Facility 93.9 93.5 93.1 92.5 96.0

Comfort of waiting area 92.6 93.3 10 91.5 4 90.5 1 94.6

Ease of finding your way around 93.2 91.4 93.5 9 92.1 10 95.3 8

Cleanliness of facility 96.2* 96.4 94.8 94.8 98.0

Test or Treatment 97.1 97.8 97.4 96.1 97.3

Friendliness of staff 98.0 98.6 97.7 98.0 97.6

Explanations given by staff 96.7 98.2 97.1 94.8 97.0

Skill of techs/therapists/nurses 97.8 98.2 97.1 97.2 98.3

Staff concern for comfort 97.4 97.3 97.7 97.2 10 97.3

Staff's concern/questions worries 95.7 96.9 97.1 9 92.8 6 96.2 8

Personal Issues 95.1 95.8 94.0 94.4 95.8

Personal Issues †† 95.6 96.8 94.9 94.2 96.4

Our concern for privacy 95.0 95.1 4 93.2 1 95.1 9 95.9

Our sensitivity to your needs 95.0 96.0 1 93.6 4 94.7 1 95.3 1

Response to concerns/complaints 95.6 96.6 2 95.6 2 93.3 4 96.6 4

Family able to participate decision † 94.8 96.2 5 93.9 7 92.5 6 96.2 3

Staff explained roles in care † 96.0 97.8 97.0 94.2 4 95.6 2

Staff supported family throughout † 96.3 98.0 93.4 95.3 6 97.5

Staff respected having family with † 96.7 97.6 95.0 3 95.5 97.9

Staff sensitivity to your needs † 96.2 97.7 96.5 94.3 1 96.5 4

Overall Assessment 96.7 97.3 97.4 95.7 96.6

Staff worked together provide care 96.6 97.3 7 97.1 95.6 96.5 7

Overall rating of care 96.8 97.3 7 97.7 96.4 96.3 6

Likelihood of recommending 96.6 97.3 7 97.2 95.2 96.9

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:TREAT/THER

17.6 Question AnalysisThis section lists detailed information about your individual question, section, and overall scores. Only criteria with seven or more responses arereported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change is listed in the secondcolumn of data. Questions appearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscriptsindicate the priority number. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided only when thequestions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above or below apeer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other facilities in a peer group.In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=176 n=237 N=756 N=125 N=13n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Facility Rating 95.3 +0.3 95.6 93.7 80 93.7 77 > 94.1 89

Overall Facility Rating †† 95.3 +0.4 95.7

Registration 94.6 +0.6 95.2 92.7 82 92.5 78 93.3 86

235 Helpfulness of registration person 95.3 +0.3 95.6 93.9 73 94.2 64 93.9 61

229 Ease of the registration process 95.0 +1.0 96.0 93.4 83 93.3 81 > 94.2 90

229 Waiting time in registration 9 93.6 +0.7 94.3 91.0 83 90.4 81 > 91.9 92

Facility 93.3 +0.6 93.9 91.4 80 91.4 74 > 90.9 99

237 Comfort of waiting area 4 93.1 -0.5 92.6 89.9 78 89.4 82 89.9 79

234 Ease of finding your way around 10 92.8* +0.4 93.2 90.4 77 90.9 70 > 89.6 92

235 Cleanliness of facility 93.9 +2.3 96.2* 93.9 80 94.0 77 > 93.3 99

Test or Treatment 96.6 +0.5 97.1 95.7 75 95.8 69 96.3 65

236 Friendliness of staff 97.4 +0.6 98.0 96.7 75 96.8 71 97.2 72

235 Explanations given by staff 96.4 +0.3 96.7 95.1 75 95.3 70 95.9 74

234 Skill of techs/therapists/nurses 96.7 +1.1 97.8 96.2 80 96.5 72 96.6 80

236 Staff concern for comfort 96.2 +1.2 97.4 95.6 78 95.7 69 96.2 66

231 Staff's concern/questions worries 4 96.1 -0.4 95.7 95.2 52 95.2 53 96.0 42

Personal Issues 94.9 +0.2 95.1 93.8 69 94.1 66 94.3 56

Personal Issues †† 95.2 +0.4 95.6

234 Our concern for privacy 4 94.7 +0.3 95.0 93.7 67 94.1 62 94.3 61

234 Our sensitivity to your needs 1 95.3 -0.3 95.0 94.1 59 94.4 56 94.8 47

215 Response to concerns/complaints 2 95.5 +0.1 95.6 93.9 72 93.9 67 94.0 77

227 Family able to participate decision † 3 95.1 -0.3 94.8 N<7 N/A N<7 N/A N<7 N/A

232 Staff explained roles in care † 96.0 +0.0 96.0 N<7 N/A N<7 N/A N<7 N/A

198 Staff supported family throughout † 95.2 +1.1 96.3 N<7 N/A N<7 N/A N<7 N/A

195 Staff respected having family with † 95.6 +1.1 96.7 N<7 N/A N<7 N/A N<7 N/A

230 Staff sensitivity to your needs † 4 95.5 +0.7 96.2 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 96.8 -0.1 96.7 95.4 71 95.5 71 95.9 62

233 Staff worked together provide care 4 96.8 -0.2 96.6 95.4 67 95.6 67 96.0 57

236 Overall rating of care 96.7 +0.1 96.8 95.8 65 95.9 65 96.0 59

235 Likelihood of recommending 96.9* -0.3 96.6 95.2 68 95.3 67 95.7 54

* Significantly different at .05 level> 1 standard deviation above peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORTCAT:PROGRAMS

17.7 Question AnalysisThis section lists detailed information about your individual question, section, and overall scores. Only criteria with seven or more responses arereported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of change is listed in the secondcolumn of data. Questions appearing in bold italics are among your facility's top ten priorities (based on your Internal Priority Index); superscriptsindicate the priority number. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided only when thequestions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above or below apeer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other facilities in a peer group.In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=43 n=49 N=377 N=49 N=10n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Facility Rating 93.4 -0.7 92.7 93.4 31 93.4 28 93.6 25

Overall Facility Rating †† 93.4 -0.6 92.8

Registration 92.1 +1.8 93.9 92.7 61 92.9 54 92.3 68

45 Helpfulness of registration person 93.1 +0.8 93.9 93.6 47 93.9 44 93.2 69

45 Ease of the registration process 91.9 +3.1 95.0 93.4 67 93.4 68 93.1 78

45 Waiting time in registration 92.1 +0.7 92.8 91.1 62 91.1 59 90.7 70

Facility 91.7 -0.3 91.4 91.6 43 91.4 41 91.1 57

48 Comfort of waiting area 1 92.3* -0.1 92.2 90.8 61 90.6 62 91.0 66

49 Ease of finding your way around 91.7* -2.9 88.8 89.8 36 89.9 39 88.6 54

49 Cleanliness of facility 91.9 +1.5 93.4 94.3 32 94.0 32 93.6 48

Test or Treatment 94.7 -0.6 94.1 95.2 28 95.1 29 95.2 21

49 Friendliness of staff 94.2 -0.3 93.9 96.2 18 96.2 18 << 96.8 1

49 Explanations given by staff 95.2 +1.7 96.9 94.8 76 94.4 78 > 95.0 99

49 Skill of techs/therapists/nurses 95.9 +0.5 96.4 95.7 57 95.7 58 96.2 64

49 Staff concern for comfort 8 94.2 -1.3 92.9 94.9 23 94.8 22 < 94.8 8

46 Staff's concern/questions worries 1 93.6 -3.9 89.7 < 94.6 7 < 94.7 6 << 94.4 1

Personal Issues 93.6 -1.5 92.1 93.7 24 93.7 26 < 94.2 15

Personal Issues †† 93.9 -1.4 92.5

48 Our concern for privacy 93.0 +1.8 94.8 94.2 53 94.3 48 94.6 45

47 Our sensitivity to your needs 8 93.6 +0.0 93.6 93.9 39 93.7 42 94.4 26

47 Response to concerns/complaints 1 94.2 -3.8 90.4 93.4 15 93.1 15 < 93.6 3

43 Family able to participate decision † 7 94.2 -1.8 92.4 N<7 N/A N<7 N/A N<7 N/A

48 Staff explained roles in care † 93.5 +1.3 94.8 N<7 N/A N<7 N/A N<7 N/A

38 Staff supported family throughout † 8 96.1 -2.7 93.4 N<7 N/A N<7 N/A N<7 N/A

39 Staff respected having family with † 93.8 +1.1 94.9 N<7 N/A N<7 N/A N<7 N/A

46 Staff sensitivity to your needs † 4 94.9 -3.6 91.3 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 95.0 -1.8 93.2 94.6 26 94.7 20 < 95.3 9

47 Staff worked together provide care 95.4 -1.2 94.2 94.8 33 95.0 29 95.4 29

48 Overall rating of care 6 95.4 -1.6 93.8 95.1 26 95.0 23 < 95.7 8

47 Likelihood of recommending 5 94.2 -0.6 93.6 94.5 31 94.4 35 95.1 19

* Significantly different at .05 level> 1 standard deviation above peer group mean< 1 standard deviation below peer group mean<< 2 standard deviations below peer group mean

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

† Non-standard question

†† Includes non-standard questions

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT18.0 Comparative Analysis by Service

This section lists each service alphabetically and provides historical mean scores for the last four report periods. The chart on the right allows you toidentify which services performed significantly differently from your facility as a whole. The vertical line drawn down the middle of the I-barsrepresents your current standard-item overall facility mean score; the actual score is listed above the dotted line. The I-bars represent a range of plusor minus 2 sigma for each service around the facility mean. I-bars will be wider for services having more variability or fewer respondents andnarrower for services having less variability or more respondents. If a service's mean score falls to the left of its I-bar ( ), then the service's meanscore is significantly lower than the facility's mean score; if it falls to the right ( ), it is significantly higher than the facility's mean score.

Mean ScoreMean 7/1/15 1/1/16 4/1/16 7/1/16 of YourScore 12/31/15 3/31/16 6/30/16 9/30/16 Facility

n Service Trend Mean Mean Mean Mean 93.268 Cardio/Cardiac Testing n<7 92.6 93.8 91.8

20 EEG n<7 89.2 80.4 88.0

68 Endoscopy n<7 92.8 93.5 91.8

70 Lab n<7 93.8 90.8 94.3

78 Mammography n<7 96.3 95.2 95.3

56 Phys/Occ/Spch Thpy n<7 93.4 95.0 96.1

44 Physical Therapy n<7 92.9 93.5 95.1

4 Pulmonary Func/Arterial Blood Gas n<7 n<7 n<7 n<7

63 Radiation Onc/Therapy n<7 94.4 96.3 95.0

139 Radiology n<7 91.8 90.5 91.4

74 Rehab Services n<7 93.5 96.6 96.1

49 Sleep Disorders n<7 88.1 93.4 92.7

12 Ultrasound n<7 87.2 81.6 87.5

86 X-Ray n<7 89.7 90.5 91.4

n<7 Fewer than 7 responses

n Number of responses

Lower Control Limit -2 sigma

Upper Control Limit +2 sigma

Mean score of your Facility

Significantly higher than Facility mean score

Not significantly different from Facility mean score

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT19.0 Service Analysis

This section allows for side-by-side comparison of services within your facility. The section shows overall, section, and question mean scores foreach of your services. For reference, the mean scores for your entire facility are listed in the first column of data. The mean scores for each service'stop ten priorities (based on the Internal Priority Index for each service) appear in bold italics; superscripts indicate the priority number. Overall Facility Cardio EEG Endos Lab Mammo Phy/Occ/Sp

Section n=916 n=68 n=20 n=68 n=70 n=78 n=56Question Mean Mean Mean Mean Mean Mean Mean

Georgia Regents Medical Center 93.2 91.8 88.0 91.8 94.3 95.3 96.1

Georgia Regents Medical Center †† 93.3 91.9 88.7 91.9 94.5 95.3 96.2

Registration 93.3 92.3 86.5 91.4 92.6 95.6 95.7

Helpfulness of registration person 94.0 93.0 88.2 90.1 6 93.4 1 96.2 95.8 3

Ease of the registration process 94.2 92.7 85.0 94.0 94.3 9 95.8 96.7 6

Waiting time in registration 92.0 91.3 86.3 90.7 5 90.2 7 94.7 95.2 10

Facility 91.3 87.9 82.1 90.9 92.9 95.0 93.5

Comfort of waiting area 91.8 90.1 2 86.3 93.4 94.9 96.1 93.3 10

Ease of finding your way around 88.5 81.5 10 71.3 85.1 91.3 10 93.4 10 91.4

Cleanliness of facility 93.6* 91.9 88.8 94.0 92.8 95.1 10 96.4

Test or Treatment 94.6 93.5 90.8 93.4 95.8 95.8 97.8

Friendliness of staff 95.8 94.8 91.3 94.8 96.7 96.8 98.6

Explanations given by staff 94.6 93.9 93.8 92.8 96.0 96.5 98.2

Skill of techs/therapists/nurses 95.7 95.5 92.5 95.8 95.7 96.8 98.2

Staff concern for comfort 94.6 91.9 92.1 92.9 95.7 96.1 97.3

Staff's concern/questions worries 92.9 93.8 83.3 91.8 2 95.0 93.3 1 96.9

Personal Issues 92.8 90.8 91.7 91.6 94.3 94.3 95.8

Personal Issues †† 93.2 91.6 93.4 92.1 95.0 94.3 96.8

Our concern for privacy 93.5 90.6 6 92.7 93.5 93.6 6 95.2 95.1 4

Our sensitivity to your needs 92.8 91.3 1 88.2 91.4 3 94.3 4 93.9 5 96.0 1

Response to concerns/complaints 92.7 90.9 3 94.1 90.1 1 94.9 3 93.9 3 96.6 2

Family able to participate decision † 93.7 92.4 7 97.1 93.2 8 94.4 4 96.4 96.2 5

Staff explained roles in care † 93.3 93.2 9 96.9 92.1 7 95.3 93.5 3 97.8

Staff supported family throughout † 93.9 92.9 5 96.4 92.4 94.7 1 95.1 6 98.0

Staff respected having family with † 94.8 92.0 4 96.9 94.9 96.8 95.3 7 97.6

Staff sensitivity to your needs † 93.4 93.0 93.8 91.7 8 95.8 8 93.8 1 97.7

Overall Assessment 94.5 94.6 92.1 93.1 95.9 95.6 97.3

Staff worked together provide care 94.7 93.9 92.5 93.8 95.3 96.4 97.3 7

Overall rating of care 94.5 94.0 8 92.5 93.7 8 96.4 96.4 8 97.3 7

Likelihood of recommending 94.6 96.2 90.8 92.3 3 96.0 95.5 9 97.3 7

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT19.0 Service Analysis

Overall Facility PhysThr PulmFunc RadOnc Radiolgy Rehab SleepDisSection n=916 n=44 n<7 n=63 n=139 n=74 n=49

Question Mean Mean Mean Mean Mean Mean MeanGeorgia Regents Medical Center 93.2 95.1 n<7 95.0 91.4 96.1 92.7

Georgia Regents Medical Center †† 93.3 95.2 n<7 95.0 91.4 96.2 92.8

Registration 93.3 93.4 n<7 96.4 91.7 94.9 93.9

Helpfulness of registration person 94.0 94.3 n<7 96.8 92.6 95.3 93.9

Ease of the registration process 94.2 94.1 8 n<7 97.2 92.5 95.5 95.0

Waiting time in registration 92.0 91.9 6 n<7 95.2 90.3 94.4 8 92.8

Facility 91.3 93.1 n<7 92.5 88.9 96.0 91.4

Comfort of waiting area 91.8 91.5 4 n<7 90.5 1 90.3 9 94.6 92.2 1

Ease of finding your way around 88.5 93.5 9 n<7 92.1 10 85.3 95.3 8 88.8

Cleanliness of facility 93.6* 94.8 n<7 94.8 91.3 98.0 93.4

Test or Treatment 94.6 97.4 n<7 96.1 92.5 97.3 94.1

Friendliness of staff 95.8 97.7 n<7 98.0 94.5 97.6 93.9

Explanations given by staff 94.6 97.1 n<7 94.8 92.1 4 97.0 96.9

Skill of techs/therapists/nurses 95.7 97.1 n<7 97.2 93.7 98.3 96.4

Staff concern for comfort 94.6 97.7 n<7 97.2 10 93.2 97.3 92.9 8

Staff's concern/questions worries 92.9 97.1 9 n<7 92.8 6 91.4 3 96.2 8 89.7 1

Personal Issues 92.8 94.0 n<7 94.4 91.4 95.8 92.1

Personal Issues †† 93.2 94.9 n<7 94.2 91.6 96.4 92.5

Our concern for privacy 93.5 93.2 1 n<7 95.1 9 93.1 95.9 94.8

Our sensitivity to your needs 92.8 93.6 4 n<7 94.7 1 91.5 5 95.3 1 93.6 8

Response to concerns/complaints 92.7 95.6 2 n<7 93.3 4 91.2 1 96.6 4 90.4 1

Family able to participate decision † 93.7 93.9 7 n<7 92.5 6 92.9 96.2 3 92.4 7

Staff explained roles in care † 93.3 97.0 n<7 94.2 4 91.3 2 95.6 2 94.8

Staff supported family throughout † 93.9 93.4 n<7 95.3 6 93.0 5 97.5 93.4 8

Staff respected having family with † 94.8 95.0 3 n<7 95.5 94.0 97.9 94.9

Staff sensitivity to your needs † 93.4 96.5 n<7 94.3 1 92.2 96.5 4 91.3 4

Overall Assessment 94.5 97.4 n<7 95.7 93.2 96.6 93.2

Staff worked together provide care 94.7 97.1 n<7 95.6 93.4 8 96.5 7 94.2

Overall rating of care 94.5 97.7 n<7 96.4 93.2 9 96.3 6 93.8 6

Likelihood of recommending 94.6 97.2 n<7 95.2 93.4 5 96.9 93.6 5

* Significantly different at .05 level

n<7 Fewer than 7 responses

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT19.0 Service Analysis

Overall Facility Ultra X-RaySection n=916 n=12 n=86

Question Mean Mean MeanGeorgia Regents Medical Center 93.2 87.5 91.4

Georgia Regents Medical Center †† 93.3 87.5 91.3

Registration 93.3 84.0 92.7

Helpfulness of registration person 94.0 85.4 93.6

Ease of the registration process 94.2 83.3 93.5

Waiting time in registration 92.0 83.3 90.7

Facility 91.3 86.8 90.5

Comfort of waiting area 91.8 79.2 89.8 10

Ease of finding your way around 88.5 91.7 88.3

Cleanliness of facility 93.6* 89.6 92.8

Test or Treatment 94.6 90.4 92.0

Friendliness of staff 95.8 87.5 94.5

Explanations given by staff 94.6 89.6 91.6

Skill of techs/therapists/nurses 95.7 93.8 92.5

Staff concern for comfort 94.6 91.7 91.2 8

Staff's concern/questions worries 92.9 89.6 89.9 2

Personal Issues 92.8 87.5 90.0

Personal Issues †† 93.2 87.5 89.5

Our concern for privacy 93.5 87.5 89.6 7

Our sensitivity to your needs 92.8 85.4 89.9 3

Response to concerns/complaints 92.7 89.6 90.6 3

Family able to participate decision † 93.7 89.6 92.0

Staff explained roles in care † 93.3 87.5 87.2 1

Staff supported family throughout † 93.9 90.9 91.2

Staff respected having family with † 94.8 86.4 92.1

Staff sensitivity to your needs † 93.4 86.4 91.6 3

Overall Assessment 94.5 88.9 92.6

Staff worked together provide care 94.7 87.5 93.2 9

Overall rating of care 94.5 87.5 91.0 6

Likelihood of recommending 94.6 91.7 93.4

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

n Number of questionnaires

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.1.1 Mean Trend Analysis - Cardio/Cardiac Testing

The broad light-colored columns show your Cardio/Cardiac Testing service's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your Cardio/Cardiac Testing service's overall score based on all questions. I-barsrepresent each of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-barrepresents two standard deviations above and below the mean score. A marks the highest overall mean score obtained by Cardio/CardiacTesting services in each peer group.

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

90.2n=74

1/1/153/31/15

94.9n=23

4/1/156/30/15

92.6n=54

1/1/163/31/16

93.8n=68

4/1/166/30/16

91.8n=68

7/1/169/30/16

20.1.2 Percentile Rank Trend Analysis - Cardio/Cardiac TestingThis section shows how your Cardio/Cardiac Testing service's overall percentile rank (for standard questions only) has changed over time. Apercentile rank tells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higherthan 50% of the other Cardio/Cardiac Testing services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

1/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.1.3 Question Analysis - Cardio/Cardiac Testing

This section lists detailed information about your Cardio/Cardiac Testing service's individual question, section, and overall mean scores. Onlyservices with seven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks.The amount of change is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data forquestions are provided only when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flagmean scores that fall above or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand inrelation to other Cardio/Cardiac Testing services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and thosehigher than 50 are colored blue. If 30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on thisservice's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=68 n=68 N=246 N=34 N=9n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 93.8 -2.0 91.8 93.1 22 93.2 24 < 93.9 8

Overall Question Rating †† 93.9 -2.0 91.9

Registration 93.3 -1.0 92.3 92.2 41 92.0 40 92.9 39

68 Helpfulness of registration person 93.4 -0.4 93.0 93.3 38 93.1 34 93.9 23

65 Ease of the registration process 95.5 -2.8 92.7 93.4 32 93.4 31 94.0 23

66 Waiting time in registration 91.4 -0.1 91.3 90.2 54 89.5 59 90.5 40

Facility 89.3 -1.4 87.9 90.6 16 90.5 21 < 90.7 4

68 Comfort of waiting area 2 91.5 -1.4 90.1 90.0 49 89.8 52 89.3 64

65 Ease of finding your way around 10 83.6 -2.1 81.5 < 88.3 6 < 88.0 9 << 89.0 1

65 Cleanliness of facility 93.3 -1.4 91.9 93.6 21 93.7 21 < 94.0 9

Test or Treatment 95.3 -1.8 93.5 95.1 20 95.3 18 < 95.7 10

67 Friendliness of staff 97.1 -2.3 94.8 96.4 15 < 96.8 12 < 96.5 12

65 Explanations given by staff 95.2 -1.3 93.9 94.5 33 94.6 33 94.9 27

66 Skill of techs/therapists/nurses 95.5 +0.0 95.5 95.7 35 95.9 32 96.4 17

65 Staff concern for comfort 93.8 -1.9 91.9 < 94.9 11 < 95.0 6 < 95.7 9

64 Staff's concern/questions worries 94.8 -1.0 93.8 94.4 36 94.5 34 95.1 17

Personal Issues 94.4 -3.6 90.8 93.3 14 < 93.5 15 < 94.4 5

Personal Issues †† 94.9 -3.3 91.6

64 Our concern for privacy 6 96.0 -5.4 90.6** < 93.6 10 < 93.6 9 << 95.1 1

63 Our sensitivity to your needs 1 93.4 -2.1 91.3 93.4 19 93.5 17 < 94.7 7

63 Response to concerns/complaints 3 94.1 -3.2 90.9 93.2 18 < 93.6 12 < 93.8 17

59 Family able to participate decision † 7 94.9 -2.5 92.4 N<7 N/A N<7 N/A N<7 N/A

62 Staff explained roles in care † 9 95.2 -2.0 93.2 N<7 N/A N<7 N/A N<7 N/A

60 Staff supported family throughout † 5 96.0 -3.1 92.9 N<7 N/A N<7 N/A N<7 N/A

53 Staff respected having family with † 4 n<7 92.0 N<7 N/A N<7 N/A N<7 N/A

61 Staff sensitivity to your needs † 95.7 -2.7 93.0 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 96.8 -2.2 94.6 94.8 36 95.2 30 95.5 22

66 Staff worked together provide care 95.9 -2.0 93.9 94.9 27 95.1 26 95.5 21

67 Overall rating of care 8 97.1 -3.1 94.0 95.2 28 95.4 24 95.8 15

66 Likelihood of recommending 97.4 -1.2 96.2 94.7 68 95.3 63 95.3 57

< 1 standard deviation below peer group mean<< 2 standard deviations below peer group meann<7 Fewer than 7 responsesN<7 Fewer than 7 facilities

n Number of responsesN Number of facilities in peer group

** Significantly different at .01 level

† Non-standard question

†† Includes non-standard questions

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.2.1 Mean Trend Analysis - EEG

The broad light-colored columns show your EEG service's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your EEG service's overall score based on all questions. I-bars represent each of your peergroups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest overall mean score obtained by EEG services in each peer group.

78 78

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

92.7n=34

1/1/153/31/15

90.4n=13

4/1/156/30/15

n=17/1/15

12/31/15

89.2n=16

1/1/163/31/16

80.4n=17

4/1/166/30/16

88.0n=20

7/1/169/30/16

20.2.2 Percentile Rank Trend Analysis - EEGThis section shows how your EEG service's overall percentile rank (for standard questions only) has changed over time. A percentile rank tells youhow you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the other EEGservices in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

1/1/153/31/15

4/1/156/30/15

7/1/1512/31/15

1/1/163/31/16

4/1/166/30/16

7/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

All Facility DB MeanAll Facility DB Rank

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.2.3 Question Analysis - EEG

This section lists detailed information about your EEG service's individual question, section, and overall mean scores. Only services with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided onlywhen the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above orbelow a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other EEG services in apeer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If 30 or morequestionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index) will appear inbold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=17 n=20 N=31 N=2 N=3n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 80.4 +7.6 88.0 < 92.5 3 N<7 N/A N<7 N/A

Overall Question Rating †† 80.7 +8.0 88.7

Registration 73.0 +13.5 86.5 < 92.0 7 N<7 N/A N<7 N/A

19 Helpfulness of registration person 76.5 +11.7 88.2 < 93.0 7 N<7 N/A N<7 N/A

20 Ease of the registration process 75.0 +10.0 85.0 << 93.3 1 N<7 N/A N<7 N/A

20 Waiting time in registration 67.7 +18.6 86.3 89.8 18 N<7 N/A N<7 N/A

Facility 79.4 +2.7 82.1 << 89.7 1 N<7 N/A N<7 N/A

20 Comfort of waiting area 76.5 +9.8 86.3 89.5 23 N<7 N/A N<7 N/A

20 Ease of finding your way around 73.5 -2.2 71.3 << 86.2 1 N<7 N/A N<7 N/A

20 Cleanliness of facility 88.2 +0.6 88.8 < 93.5 7 N<7 N/A N<7 N/A

Test or Treatment 85.0 +5.8 90.8 < 94.3 7 N<7 N/A N<7 N/A

20 Friendliness of staff 85.3 +6.0 91.3 < 95.3 14 N<7 N/A N<7 N/A

20 Explanations given by staff 85.3 +8.5 93.8 94.3 43 N<7 N/A N<7 N/A

20 Skill of techs/therapists/nurses 88.2 +4.3 92.5 < 95.6 14 N<7 N/A N<7 N/A

19 Staff concern for comfort 82.8 +9.3 92.1 94.1 21 N<7 N/A N<7 N/A

18 Staff's concern/questions worries 83.8 -0.5 83.3 << 93.1 1 N<7 N/A N<7 N/A

Personal Issues 79.9 +11.8 91.7 92.5 29 N<7 N/A N<7 N/A

Personal Issues †† 81.3 +12.1 93.4*

17 Our concern for privacy 80.9 +11.8 92.7 93.1 43 N<7 N/A N<7 N/A

17 Our sensitivity to your needs 77.9 +10.3 88.2 92.3 11 N<7 N/A N<7 N/A

17 Response to concerns/complaints 81.3 +12.8 94.1* 92.0 67 N<7 N/A N<7 N/A

17 Family able to participate decision † 81.3 +15.8 97.1** N<7 N/A N<7 N/A N<7 N/A

16 Staff explained roles in care † 82.4 +14.5 96.9** N<7 N/A N<7 N/A N<7 N/A

14 Staff supported family throughout † 85.7 +10.7 96.4 N<7 N/A N<7 N/A N<7 N/A

16 Staff respected having family with † n<7 96.9 N<7 N/A N<7 N/A N<7 N/A

16 Staff sensitivity to your needs † 84.4 +9.4 93.8 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 84.8 +7.3 92.1 93.7 21 N<7 N/A N<7 N/A

20 Staff worked together provide care 85.3 +7.2 92.5 93.4 31 N<7 N/A N<7 N/A

20 Overall rating of care 82.4 +10.1 92.5 94.4 23 N<7 N/A N<7 N/A

19 Likelihood of recommending 86.8 +4.0 90.8 93.8 18 N<7 N/A N<7 N/A

n Number of responses

N Number of facilities in peer group

* Significantly different at .05 level** Significantly different at .01 level< 1 standard deviation below peer group mean<< 2 standard deviations below peer group meann<7 Fewer than 7 responsesN<7 Fewer than 7 facilities

† Non-standard question†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.3.1 Mean Trend Analysis - Endoscopy

The broad light-colored columns show your Endoscopy service's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Endoscopy service's overall score based on all questions. I-bars represent each of yourpeer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest overall mean score obtained by Endoscopy services in each peer group.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

91.7n=36

1/1/153/31/15

n=54/1/15

6/30/15

92.8n=59

1/1/163/31/16

93.5n=47

4/1/166/30/16

91.8n=68

7/1/169/30/16

20.3.2 Percentile Rank Trend Analysis - EndoscopyThis section shows how your Endoscopy service's overall percentile rank (for standard questions only) has changed over time. A percentile rank tellsyou how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the otherEndoscopy services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

1/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/15

1/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.3.3 Question Analysis - Endoscopy

This section lists detailed information about your Endoscopy service's individual question, section, and overall mean scores. Only services with sevenor more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to otherEndoscopy services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue.If 30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index)will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=47 n=68 N=73 N=15 N=3n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 93.5 -1.7 91.8 93.7 17 << 94.5 1 N<7 N/A

Overall Question Rating †† 93.5 -1.6 91.9

Registration 92.9 -1.5 91.4 93.0 25 93.1 18 N<7 N/A

68 Helpfulness of registration person 6 92.9 -2.8 90.1 < 93.9 8 < 94.8 3 N<7 N/A

67 Ease of the registration process 93.5 +0.5 94.0 94.2 46 94.4 55 N<7 N/A

67 Waiting time in registration 5 92.4 -1.7 90.7 90.9 37 90.8 46 N<7 N/A

Facility 91.0 -0.1 90.9 90.6 43 92.2 18 N<7 N/A

68 Comfort of waiting area 91.5 +1.9 93.4 89.7 82 91.1 76 N<7 N/A

67 Ease of finding your way around 87.8 -2.7 85.1 88.6 17 < 89.5 7 N<7 N/A

67 Cleanliness of facility 95.1 -1.1 94.0 93.7 42 < 95.8 9 N<7 N/A

Test or Treatment 94.8 -1.4 93.4 < 95.6 14 << 96.5 1 N<7 N/A

67 Friendliness of staff 95.2 -0.4 94.8 96.6 15 < 97.3 2 N<7 N/A

66 Explanations given by staff 95.1 -2.3 92.8 95.0 18 < 95.9 1 N<7 N/A

65 Skill of techs/therapists/nurses 94.6 +1.2 95.8 96.2 28 97.2 16 N<7 N/A

67 Staff concern for comfort 94.2 -1.3 92.9 < 95.4 14 < 96.2 1 N<7 N/A

64 Staff's concern/questions worries 2 95.2 -3.4 91.8 < 95.0 12 << 96.0 1 N<7 N/A

Personal Issues 93.5 -1.9 91.6 94.0 13 << 94.4 1 N<7 N/A

Personal Issues †† 93.7 -1.6 92.1

65 Our concern for privacy 94.7 -1.2 93.5 93.9 37 94.1 38 N<7 N/A

64 Our sensitivity to your needs 3 93.6 -2.2 91.4 < 94.2 14 << 94.9 1 N<7 N/A

63 Response to concerns/complaints 1 92.1 -2.0 90.1 < 93.9 10 << 94.8 1 N<7 N/A

59 Family able to participate decision † 8 94.0 -0.8 93.2 N<7 N/A N<7 N/A N<7 N/A

63 Staff explained roles in care † 7 94.2 -2.1 92.1 N<7 N/A N<7 N/A N<7 N/A

59 Staff supported family throughout † 94.3 -1.9 92.4 N<7 N/A N<7 N/A N<7 N/A

54 Staff respected having family with † n<7 94.9 N<7 N/A N<7 N/A N<7 N/A

63 Staff sensitivity to your needs † 8 92.8 -1.1 91.7 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 95.0 -1.9 93.1 95.4 15 << 96.6 1 N<7 N/A

64 Staff worked together provide care 95.7 -1.9 93.8 95.7 15 < 96.7 1 N<7 N/A

63 Overall rating of care 8 94.7 -1.0 93.7 95.7 15 << 96.9 1 N<7 N/A

65 Likelihood of recommending 3 94.7 -2.4 92.3 < 94.9 14 << 96.3 1 N<7 N/A

< 1 standard deviation below peer group mean<< 2 standard deviations below peer group meann<7 Fewer than 7 responsesN<7 Fewer than 7 facilities

n Number of responsesN Number of facilities in peer group

† Non-standard question

†† Includes non-standard questions

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.4.1 Mean Trend Analysis - Lab

The broad light-colored columns show your Lab service's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Lab service's overall score based on all questions. I-bars represent each of your peergroups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest overall mean score obtained by Lab services in each peer group.

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

88.4n=64

1/1/153/31/15

89.9n=30

4/1/156/30/15

93.8n=31

1/1/163/31/16

90.8n=46

4/1/166/30/16

94.3n=70

7/1/169/30/16

20.4.2 Percentile Rank Trend Analysis - LabThis section shows how your Lab service's overall percentile rank (for standard questions only) has changed over time. A percentile rank tells youhow you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the other Labservices in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

1/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.4.3 Question Analysis - Lab

This section lists detailed information about your Lab service's individual question, section, and overall mean scores. Only services with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided onlywhen the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above orbelow a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other Lab services in apeer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If 30 or morequestionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index) will appear inbold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=46 n=70 N=666 N=114 N=8n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 90.8 +3.5 94.3 92.1 81 92.0 76 92.8 71

Overall Question Rating †† 90.7 +3.8 94.5

Registration 90.4 +2.2 92.6 91.1 62 90.7 62 92.1 40

68 Helpfulness of registration person 1 91.7 +1.7 93.4 92.9 49 93.0 48 93.4 27

66 Ease of the registration process 9 93.6 +0.7 94.3 92.1 71 91.9 66 93.0 60

66 Waiting time in registration 7 86.1 +4.1 90.2 88.5 58 87.6 62 89.6 39

Facility 87.3 +5.6 92.9* 91.1 70 90.9 70 91.7 56

68 Comfort of waiting area 87.8 +7.1 94.9* > 89.6 93 > 89.3 88 > 91.0 99

69 Ease of finding your way around 10 87.0 +4.3 91.3 90.4 54 90.5 55 90.1 60

69 Cleanliness of facility 87.0 +5.8 92.8 93.3 35 92.8 46 94.0 17

Test or Treatment 93.3 +2.5 95.8 93.4 84 93.7 75 > 93.4 99

68 Friendliness of staff 95.1 +1.6 96.7 94.9 79 95.0 71 95.0 99

69 Explanations given by staff 92.6 +3.4 96.0 > 92.5 91 92.9 82 > 92.4 99

69 Skill of techs/therapists/nurses 92.6 +3.1 95.7 94.2 71 94.7 61 94.7 62

69 Staff concern for comfort 91.9 +3.8 95.7 93.0 85 93.2 80 > 92.7 99

65 Staff's concern/questions worries 92.4 +2.6 95.0 92.7 78 93.0 71 > 92.7 97

Personal Issues 89.8 +4.5 94.3 92.1 78 92.3 69 93.0 54

Personal Issues †† 89.9 +5.1 95.0*

66 Our concern for privacy 6 89.0 +4.6 93.6 92.7 61 93.1 53 93.0 48

66 Our sensitivity to your needs 4 91.3 +3.0 94.3 92.1 76 92.2 69 93.0 77

59 Response to concerns/complaints 3 89.4 +5.5 94.9 91.9 83 91.9 81 93.2 83

54 Family able to participate decision † 4 90.2 +4.2 94.4 N<7 N/A N<7 N/A N<7 N/A

64 Staff explained roles in care † 91.3 +4.0 95.3 N<7 N/A N<7 N/A N<7 N/A

52 Staff supported family throughout † 1 88.8 +5.9 94.7 N<7 N/A N<7 N/A N<7 N/A

47 Staff respected having family with † n<7 96.8 N<7 N/A N<7 N/A N<7 N/A

60 Staff sensitivity to your needs † 8 88.3* +7.5 95.8* N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 94.1 +1.8 95.9 93.2 85 93.0 80 93.8 79

69 Staff worked together provide care 93.6 +1.7 95.3 93.2 76 93.2 68 93.7 57

69 Overall rating of care 94.2 +2.2 96.4 93.6 87 93.5 82 > 93.9 96

69 Likelihood of recommending 94.3 +1.7 96.0 93.2 85 92.8 78 94.1 84

n<7 Fewer than 7 responsesN<7 Fewer than 7 facilities† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

* Significantly different at .05 level

> 1 standard deviation above peer group mean

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.5.1 Mean Trend Analysis - Mammography

The broad light-colored columns show your Mammography service's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Mammography service's overall score based on all questions. I-bars representeach of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar representstwo standard deviations above and below the mean score. A marks the highest overall mean score obtained by Mammography services in eachpeer group.

88 88

90 90

92 92

94 94

96 96

98 98

100 100

95.1n=1311/1/15

3/31/15

96.4n=47

4/1/156/30/15

n=17/1/15

12/31/15

96.3n=71

1/1/163/31/16

95.2n=89

4/1/166/30/16

95.3n=78

7/1/169/30/16

20.5.2 Percentile Rank Trend Analysis - MammographyThis section shows how your Mammography service's overall percentile rank (for standard questions only) has changed over time. A percentile ranktells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of theother Mammography services in the peer group. Percentile rank trending is provided for up to three peer groups.

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.5.3 Question Analysis - Mammography

This section lists detailed information about your Mammography service's individual question, section, and overall mean scores. Only services withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to otherMammography services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are coloredblue. If 30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal PriorityIndex) will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=89 n=78 N=673 N=144 N=8n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 95.2 +0.1 95.3 95.1 48 95.2 49 95.7 23

Overall Question Rating †† 95.2 +0.1 95.3

Registration 96.4 -0.8 95.6 94.2 69 94.4 62 95.0 53

78 Helpfulness of registration person 96.6 -0.4 96.2 94.9 67 95.3 56 95.3 56

77 Ease of the registration process 96.3 -0.5 95.8 94.9 59 95.3 52 95.2 46

76 Waiting time in registration 96.3 -1.6 94.7 92.6 68 92.8 68 94.4 58

Facility 94.2 +0.8 95.0 93.7 65 94.1 60 94.2 69

76 Comfort of waiting area 96.1 +0.0 96.1 92.9 83 93.2 78 > 94.1 87

76 Ease of finding your way around 10 91.2 +2.2 93.4 92.7 54 93.1 46 92.6 53

77 Cleanliness of facility 10 95.2 -0.1 95.1 95.6 34 95.9 31 96.0 22

Test or Treatment 95.3 +0.5 95.8 96.5 30 96.4 35 96.6 23

78 Friendliness of staff 95.5 +1.3 96.8 97.3 31 97.2 35 97.0 30

78 Explanations given by staff 95.7 +0.8 96.5 96.2 49 96.1 51 96.3 28

77 Skill of techs/therapists/nurses 95.2 +1.6 96.8 96.9 39 97.0 40 97.1 28

77 Staff concern for comfort 94.9 +1.2 96.1 96.1 42 96.0 45 96.6 27

78 Staff's concern/questions worries 1 95.1 -1.8 93.3 < 95.9 10 < 95.9 9 << 96.0 1

Personal Issues 94.5 -0.2 94.3 95.1 29 95.2 30 < 95.7 14

Personal Issues †† 94.5 -0.2 94.3

78 Our concern for privacy 95.4 -0.2 95.2 95.4 39 95.6 37 96.3 32

78 Our sensitivity to your needs 5 94.9 -1.0 93.9 95.1 24 95.2 24 < 95.8 1

66 Response to concerns/complaints 3 93.5 +0.4 93.9 95.0 27 95.1 28 94.9 14

63 Family able to participate decision † 95.2 +1.2 96.4 N<7 N/A N<7 N/A N<7 N/A

77 Staff explained roles in care † 3 96.3 -2.8 93.5 N<7 N/A N<7 N/A N<7 N/A

56 Staff supported family throughout † 6 94.7 +0.4 95.1 N<7 N/A N<7 N/A N<7 N/A

53 Staff respected having family with † 7 n<7 95.3 N<7 N/A N<7 N/A N<7 N/A

68 Staff sensitivity to your needs † 1 95.8 -2.0 93.8 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 95.3 +0.3 95.6 96.2 31 96.3 34 96.9 17

77 Staff worked together provide care 96.4 +0.0 96.4 96.0 54 96.1 51 96.7 28

77 Overall rating of care 8 95.4 +1.0 96.4 96.5 42 96.5 38 97.2 23

77 Likelihood of recommending 9 95.6 -0.1 95.5 96.2 29 96.5 24 < 97.1 15

> 1 standard deviation above peer group mean

< 1 standard deviation below peer group mean

<< 2 standard deviations below peer group mean

n Number of responses

N Number of facilities in peer group n<7 Fewer than 7 responses

N<7 Fewer than 7 facilities

† Non-standard question

†† Includes non-standard questions

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.6.1 Mean Trend Analysis - Phys/Occ/Spch Thpy

The broad light-colored columns show your Phys/Occ/Spch Thpy service's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your Phys/Occ/Spch Thpy service's overall score based on all questions. I-barsrepresent each of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-barrepresents two standard deviations above and below the mean score. A marks the highest overall mean score obtained by Phys/Occ/Spch Thpyservices in each peer group.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

92.8n=47

1/1/153/31/15

91.1n=17

4/1/156/30/15

n=17/1/15

12/31/15

93.4n=53

1/1/163/31/16

95.0n=56

4/1/166/30/16

96.1n=56

7/1/169/30/16

20.6.2 Percentile Rank Trend Analysis - Phys/Occ/Spch ThpyThis section shows how your Phys/Occ/Spch Thpy service's overall percentile rank (for standard questions only) has changed over time. A percentilerank tells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% ofthe other Phys/Occ/Spch Thpy services in the peer group. Percentile rank trending is provided for up to three peer groups.

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

1/1/153/31/15

4/1/156/30/15

7/1/1512/31/15

1/1/163/31/16

4/1/166/30/16

7/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

All Facility DB MeanAll Facility DB Rank

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.6.3 Question Analysis - Phys/Occ/Spch Thpy

This section lists detailed information about your Phys/Occ/Spch Thpy service's individual question, section, and overall mean scores. Only serviceswith seven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. Theamount of change is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions areprovided only when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores thatfall above or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to otherPhys/Occ/Spch Thpy services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 arecolored blue. If 30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's InternalPriority Index) will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=56 n=56 N=36 N=5 N=0n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 95.0 +1.1 96.1 > 93.3 89 N<7 N/A

Overall Question Rating †† 95.0 +1.2 96.2

Registration 93.6 +2.1 95.7 > 92.6 88 N<7 N/A

54 Helpfulness of registration person 3 93.8 +2.0 95.8 93.5 79 N<7 N/A

53 Ease of the registration process 6 94.2 +2.5 96.7 > 92.9 97 N<7 N/A

52 Waiting time in registration 10 92.9 +2.3 95.2 > 91.5 94 N<7 N/A

Facility 92.9 +0.6 93.5 90.7 80 N<7 N/A

56 Comfort of waiting area 10 92.4 +0.9 93.3 > 89.0 94 N<7 N/A

55 Ease of finding your way around 92.9* -1.5 91.4 89.9 69 N<7 N/A

55 Cleanliness of facility 93.3 +3.1 96.4 > 93.3 89 N<7 N/A

Test or Treatment 97.2 +0.6 97.8 > 95.2 86 N<7 N/A

55 Friendliness of staff 97.8 +0.8 98.6 96.4 86 N<7 N/A

56 Explanations given by staff 97.8 +0.4 98.2 > 94.4 97 N<7 N/A

55 Skill of techs/therapists/nurses 97.3 +0.9 98.2 95.7 83 N<7 N/A

56 Staff concern for comfort 96.9 +0.4 97.3 95.1 83 N<7 N/A

56 Staff's concern/questions worries 96.4 +0.5 96.9 94.6 78 N<7 N/A

Personal Issues 95.1 +0.7 95.8 > 93.1 84 N<7 N/A

Personal Issues †† 95.1 +1.7 96.8

56 Our concern for privacy 4 94.9 +0.2 95.1 93.1 80 N<7 N/A

56 Our sensitivity to your needs 1 95.0 +1.0 96.0 > 93.1 83 N<7 N/A

52 Response to concerns/complaints 2 95.0 +1.6 96.6 > 93.1 89 N<7 N/A

53 Family able to participate decision † 5 94.7 +1.5 96.2 N<7 N/A N<7 N/A

56 Staff explained roles in care † 95.9 +1.9 97.8 N<7 N/A N<7 N/A

51 Staff supported family throughout † 95.1 +2.9 98.0 N<7 N/A N<7 N/A

51 Staff respected having family with † 95.6 +2.0 97.6 N<7 N/A N<7 N/A

54 Staff sensitivity to your needs † 95.0 +2.7 97.7 N<7 N/A N<7 N/A

Overall Assessment 96.1 +1.2 97.3 94.6 83 N<7 N/A

56 Staff worked together provide care 7 96.4 +0.9 97.3 94.5 83 N<7 N/A

56 Overall rating of care 7 96.0 +1.3 97.3 94.9 83 N<7 N/A

56 Likelihood of recommending 7 95.9 +1.4 97.3 94.4 83 N<7 N/A

* Significantly different at .05 level> 1 standard deviation above peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.7.1 Mean Trend Analysis - Physical Therapy

The broad light-colored columns show your Physical Therapy service's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Physical Therapy service's overall score based on all questions. I-bars representeach of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar representstwo standard deviations above and below the mean score. A marks the highest overall mean score obtained by Physical Therapy services ineach peer group.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

87.6n=18

1/1/153/31/15

n=34/1/15

6/30/15

92.9n=59

1/1/163/31/16

93.5n=43

4/1/166/30/16

95.1n=44

7/1/169/30/16

20.7.2 Percentile Rank Trend Analysis - Physical TherapyThis section shows how your Physical Therapy service's overall percentile rank (for standard questions only) has changed over time. A percentilerank tells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% ofthe other Physical Therapy services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

1/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.7.3 Question Analysis - Physical Therapy

This section lists detailed information about your Physical Therapy service's individual question, section, and overall mean scores. Only services withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other PhysicalTherapy services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index)will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=43 n=44 N=265 N=31 N=5n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 93.5 +1.6 95.1 94.2 59 95.2 42 N<7 N/A

Overall Question Rating †† 93.6 +1.6 95.2

Registration 92.8 +0.6 93.4 93.2 45 93.9 39 N<7 N/A

44 Helpfulness of registration person 93.3 +1.0 94.3 94.1 46 94.8 39 N<7 N/A

42 Ease of the registration process 8 92.3 +1.8 94.1 93.7 52 94.0 52 N<7 N/A

43 Waiting time in registration 6 93.0 -1.1 91.9 92.0 43 93.0 35 N<7 N/A

Facility 91.7 +1.4 93.1 91.9 62 92.6 55 N<7 N/A

44 Comfort of waiting area 4 91.7 -0.2 91.5 89.8 63 90.2 58 N<7 N/A

42 Ease of finding your way around 9 90.5 +3.0 93.5 91.9 67 93.0 59 N<7 N/A

43 Cleanliness of facility 92.4 +2.4 94.8 94.2 49 94.8 45 N<7 N/A

Test or Treatment 95.4 +2.0 97.4 96.2 71 96.9 56 N<7 N/A

44 Friendliness of staff 96.5 +1.2 97.7 97.1 58 97.4 48 N<7 N/A

43 Explanations given by staff 95.2 +1.9 97.1 95.5 76 96.3 63 N<7 N/A

43 Skill of techs/therapists/nurses 95.2 +1.9 97.1 96.7 54 97.4 32 N<7 N/A

43 Staff concern for comfort 94.5 +3.2 97.7 96.2 71 96.8 62 N<7 N/A

43 Staff's concern/questions worries 9 94.6 +2.5 97.1 95.7 66 96.2 54 N<7 N/A

Personal Issues 91.7 +2.3 94.0 94.3 42 95.7 28 N<7 N/A

Personal Issues †† 92.7 +2.2 94.9

44 Our concern for privacy 1 90.2 +3.0 93.2 93.8 36 95.4 23 N<7 N/A

43 Our sensitivity to your needs 4 93.3 +0.3 93.6 94.6 30 96.0 18 N<7 N/A

40 Response to concerns/complaints 2 94.4 +1.2 95.6 94.5 60 95.8 36 N<7 N/A

41 Family able to participate decision † 7 93.0 +0.9 93.9 N<7 N/A N<7 N/A N<7 N/A

42 Staff explained roles in care † 93.0 +4.0 97.0 N<7 N/A N<7 N/A N<7 N/A

34 Staff supported family throughout † 94.1 -0.7 93.4 N<7 N/A N<7 N/A N<7 N/A

35 Staff respected having family with † 3 94.1 +0.9 95.0 N<7 N/A N<7 N/A N<7 N/A

43 Staff sensitivity to your needs † 94.4 +2.1 96.5 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 95.6 +1.8 97.4 95.8 73 97.0 49 N<7 N/A

43 Staff worked together provide care 95.7 +1.4 97.1 95.8 70 97.0 51 N<7 N/A

44 Overall rating of care 95.8 +1.9 97.7 96.2 75 97.1 63 N<7 N/A

44 Likelihood of recommending 95.4 +1.8 97.2 95.7 67 97.1 39 N<7 N/A

N<7 Fewer than 7 facilities

† Non-standard question

†† Includes non-standard questions

n Number of responses

N Number of facilities in peer group

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.9.1 Mean Trend Analysis - Radiation Onc/Therapy

The broad light-colored columns show your Radiation Onc/Therapy service's overall mean score, based on standard questions. One asterisk by amean score indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant changein mean score at the .01 level. The narrow dark columns show your Radiation Onc/Therapy service's overall score based on all questions. I-barsrepresent each of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-barrepresents two standard deviations above and below the mean score. A marks the highest overall mean score obtained by RadiationOnc/Therapy services in each peer group.

88 88

90 90

92 92

94 94

96 96

98 98

100 100

93.3n=25

1/1/153/31/15

n=64/1/15

6/30/15

94.4n=89

1/1/163/31/16

96.3n=41

4/1/166/30/16

95.0n=63

7/1/169/30/16

20.9.2 Percentile Rank Trend Analysis - Radiation Onc/TherapyThis section shows how your Radiation Onc/Therapy service's overall percentile rank (for standard questions only) has changed over time. Apercentile rank tells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higherthan 50% of the other Radiation Onc/Therapy services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

1/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.9.3 Question Analysis - Radiation Onc/Therapy

This section lists detailed information about your Radiation Onc/Therapy service's individual question, section, and overall mean scores. Onlyservices with seven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks.The amount of change is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data forquestions are provided only when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flagmean scores that fall above or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand inrelation to other Radiation Onc/Therapy services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and thosehigher than 50 are colored blue. If 30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on thisservice's Internal Priority Index) will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=41 n=63 N=135 N=14 N=5n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 96.3 -1.3 95.0 95.4 36 95.3 40 N<7 N/A

Overall Question Rating †† 96.3 -1.3 95.0

Registration 95.8 +0.6 96.4 94.7 73 94.3 68 N<7 N/A

63 Helpfulness of registration person 97.0 -0.2 96.8 95.8 64 95.3 62 N<7 N/A

62 Ease of the registration process 96.3 +0.9 97.2 95.2 73 94.9 73 N<7 N/A

62 Waiting time in registration 94.5 +0.7 95.2 93.2 71 92.9 67 N<7 N/A

Facility 93.7 -1.2 92.5 93.7 31 93.5 29 N<7 N/A

63 Comfort of waiting area 1 93.8 -3.3 90.5 93.5 13 93.0 23 N<7 N/A

63 Ease of finding your way around 10 93.8 -1.7 92.1 92.0 43 92.6 26 N<7 N/A

63 Cleanliness of facility 93.9 +0.9 94.8 95.8 30 94.9 46 N<7 N/A

Test or Treatment 97.0 -0.9 96.1 96.7 32 96.5 40 N<7 N/A

63 Friendliness of staff 97.6 +0.4 98.0 97.5 51 97.1 53 N<7 N/A

62 Explanations given by staff 95.6 -0.8 94.8 96.1 23 95.8 26 N<7 N/A

62 Skill of techs/therapists/nurses 98.1 -0.9 97.2 97.0 44 96.6 37 N<7 N/A

63 Staff concern for comfort 10 96.9 +0.3 97.2 96.6 55 96.8 45 N<7 N/A

59 Staff's concern/questions worries 6 96.2 -3.4 92.8 < 96.3 6 < 96.0 11 N<7 N/A

Personal Issues 96.9* -2.5 94.4 95.3 27 95.5 31 N<7 N/A

Personal Issues †† 96.7* -2.5 94.2

61 Our concern for privacy 9 96.9 -1.8 95.1 95.5 34 95.7 27 N<7 N/A

61 Our sensitivity to your needs 1 97.4 -2.7 94.7 95.4 32 95.7 28 N<7 N/A

56 Response to concerns/complaints 4 97.3* -4.0 93.3 95.2 21 94.9 31 N<7 N/A

60 Family able to participate decision † 6 96.3 -3.8 92.5 N<7 N/A N<7 N/A N<7 N/A

60 Staff explained roles in care † 4 97.5 -3.3 94.2 N<7 N/A N<7 N/A N<7 N/A

53 Staff supported family throughout † 6 96.7 -1.4 95.3 N<7 N/A N<7 N/A N<7 N/A

50 Staff respected having family with † n<7 95.5 N<7 N/A N<7 N/A N<7 N/A

61 Staff sensitivity to your needs † 1 96.1 -1.8 94.3 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 98.2 -2.5 95.7 96.8 25 96.6 31 N<7 N/A

62 Staff worked together provide care 98.1 -2.5 95.6 96.8 25 96.2 33 N<7 N/A

62 Overall rating of care 98.1 -1.7 96.4 97.0 34 96.9 31 N<7 N/A

62 Likelihood of recommending 98.2 -3.0 95.2 96.8 18 96.8 23 N<7 N/A

n<7 Fewer than 7 responsesN<7 Fewer than 7 facilities† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

* Significantly different at .05 level

< 1 standard deviation below peer group mean

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.10.1 Mean Trend Analysis - Radiology

The broad light-colored columns show your Radiology service's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Radiology service's overall score based on all questions. I-bars represent each of yourpeer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest overall mean score obtained by Radiology services in each peer group.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

90.4n=1701/1/15

3/31/15

91.5n=35

4/1/156/30/15

n=17/1/15

12/31/15

91.8n=87

1/1/163/31/16

90.5n=1284/1/166/30/16

91.4n=1397/1/169/30/16

20.10.2 Percentile Rank Trend Analysis - RadiologyThis section shows how your Radiology service's overall percentile rank (for standard questions only) has changed over time. A percentile rank tellsyou how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the otherRadiology services in the peer group. Percentile rank trending is provided for up to three peer groups.

10 10

20 20

30 30

40 40

50 50

1/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/151/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.10.3 Question Analysis - Radiology

This section lists detailed information about your Radiology service's individual question, section, and overall mean scores. Only services with sevenor more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to otherRadiology services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index)will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=128 n=139 N=489 N=74 N=6n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 90.5 +0.9 91.4 92.9 19 93.1 12 N<7 N/A

Overall Question Rating †† 90.3 +1.1 91.4

Registration 91.4 +0.3 91.7 92.0 39 92.2 34 N<7 N/A

139 Helpfulness of registration person 92.1 +0.5 92.6 93.3 35 93.6 30 N<7 N/A

134 Ease of the registration process 91.8 +0.7 92.5 93.0 35 93.3 30 N<7 N/A

134 Waiting time in registration 90.1 +0.2 90.3 89.8 49 89.7 49 N<7 N/A

Facility 85.5 +3.4 88.9 90.9 23 91.3 19 N<7 N/A

139 Comfort of waiting area 9 88.1 +2.2 90.3 89.9 51 90.5 43 N<7 N/A

134 Ease of finding your way around 81.2 +4.1 85.3 89.3 16 < 89.9 11 N<7 N/A

135 Cleanliness of facility 87.6** +3.7 91.3 93.5 17 < 93.8 16 N<7 N/A

Test or Treatment 92.7 -0.2 92.5 < 94.7 13 < 94.8 11 N<7 N/A

136 Friendliness of staff 94.5 +0.0 94.5 96.0 19 < 96.3 14 N<7 N/A

133 Explanations given by staff 4 93.1 -1.0 92.1 94.2 15 94.3 13 N<7 N/A

134 Skill of techs/therapists/nurses 92.9 +0.8 93.7 95.3 18 95.5 15 N<7 N/A

135 Staff concern for comfort 91.5 +1.7 93.2 94.3 24 94.4 22 N<7 N/A

133 Staff's concern/questions worries 3 92.0 -0.6 91.4 93.8 14 < 93.9 9 N<7 N/A

Personal Issues 91.1 +0.3 91.4 93.0 21 93.3 16 N<7 N/A

Personal Issues †† 90.4 +1.2 91.6

134 Our concern for privacy 92.1 +1.0 93.1 93.5 37 93.8 29 N<7 N/A

133 Our sensitivity to your needs 5 90.8 +0.7 91.5 93.0 21 93.2 19 N<7 N/A

125 Response to concerns/complaints 1 90.5 +0.7 91.2 92.7 23 93.0 18 N<7 N/A

126 Family able to participate decision † 89.6 +3.3 92.9 N<7 N/A N<7 N/A N<7 N/A

129 Staff explained roles in care † 2 91.3 +0.0 91.3 92.4 50 N<7 N/A N<7 N/A

117 Staff supported family throughout † 5 88.9 +4.1 93.0 N<7 N/A N<7 N/A N<7 N/A

109 Staff respected having family with † 93.8 +0.2 94.0 N<7 N/A N<7 N/A N<7 N/A

125 Staff sensitivity to your needs † 89.2 +3.0 92.2 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 91.6 +1.6 93.2 94.3 26 94.4 22 N<7 N/A

133 Staff worked together provide care 8 92.3 +1.1 93.4 94.2 28 94.4 25 N<7 N/A

133 Overall rating of care 9 92.1 +1.1 93.2 94.6 21 94.9 18 N<7 N/A

133 Likelihood of recommending 5 90.2 +3.2 93.4 94.2 33 94.2 32 N<7 N/A

** Significantly different at .01 level< 1 standard deviation below peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.11.1 Mean Trend Analysis - Rehab Services

The broad light-colored columns show your Rehab Services service's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Rehab Services service's overall score based on all questions. I-bars representeach of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar representstwo standard deviations above and below the mean score. A marks the highest overall mean score obtained by Rehab Services services in eachpeer group.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

89.0n=71

1/1/153/31/15

90.3n=24

4/1/156/30/15

n=27/1/15

12/31/15

93.5**n=70

1/1/163/31/16

96.6n=36

4/1/166/30/16

96.1n=74

7/1/169/30/16

20.11.2 Percentile Rank Trend Analysis - Rehab ServicesThis section shows how your Rehab Services service's overall percentile rank (for standard questions only) has changed over time. A percentile ranktells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of theother Rehab Services services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

1/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/151/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/16

** Sig. different from previous period (p<.01)

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.11.3 Question Analysis - Rehab Services

This section lists detailed information about your Rehab Services service's individual question, section, and overall mean scores. Only services withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other RehabServices services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index)will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=36 n=74 N=121 N=24 N=3n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 96.6 -0.5 96.1 > 93.7 90 93.6 99 N<7 N/A

Overall Question Rating †† 96.6 -0.4 96.2

Registration 96.8 -1.9 94.9 92.3 81 92.6 84 N<7 N/A

74 Helpfulness of registration person 97.9* -2.6 95.3 93.4 72 94.0 56 N<7 N/A

72 Ease of the registration process 97.9 -2.4 95.5 92.8 81 92.5 88 N<7 N/A

72 Waiting time in registration 8 94.4 +0.0 94.4 > 90.8 82 > 91.1 92 N<7 N/A

Facility 95.4 +0.6 96.0 > 91.3 96 > 91.4 98 N<7 N/A

74 Comfort of waiting area 95.1 -0.5 94.6 > 89.3 96 > 88.5 99 N<7 N/A

74 Ease of finding your way around 8 94.4 +0.9 95.3 > 90.9 92 92.2 93 N<7 N/A

74 Cleanliness of facility 96.5 +1.5 98.0 > 93.6 97 > 93.7 97 N<7 N/A

Test or Treatment 96.8 +0.5 97.3 95.9 77 95.3 85 N<7 N/A

74 Friendliness of staff 97.9 -0.3 97.6 96.8 64 96.1 76 N<7 N/A

74 Explanations given by staff 96.5 +0.5 97.0 95.3 80 94.4 84 N<7 N/A

74 Skill of techs/therapists/nurses 95.8 +2.5 98.3 96.4 89 95.9 93 N<7 N/A

74 Staff concern for comfort 96.5 +0.8 97.3 95.8 76 95.4 85 N<7 N/A

73 Staff's concern/questions worries 8 97.2 -1.0 96.2 95.4 59 95.1 65 N<7 N/A

Personal Issues 96.3 -0.5 95.8 93.9 83 93.5 88 N<7 N/A

Personal Issues †† 96.5 -0.1 96.4

73 Our concern for privacy 97.2 -1.3 95.9 93.5 87 93.1 87 N<7 N/A

74 Our sensitivity to your needs 1 95.8 -0.5 95.3 94.1 61 93.7 56 N<7 N/A

67 Response to concerns/complaints 4 95.7 +0.9 96.6 94.2 84 93.9 76 N<7 N/A

73 Family able to participate decision † 3 96.5 -0.3 96.2 N<7 N/A N<7 N/A N<7 N/A

74 Staff explained roles in care † 2 97.9 -2.3 95.6 N<7 N/A N<7 N/A N<7 N/A

60 Staff supported family throughout † 94.7 +2.8 97.5 N<7 N/A N<7 N/A N<7 N/A

59 Staff respected having family with † 96.7 +1.2 97.9 N<7 N/A N<7 N/A N<7 N/A

72 Staff sensitivity to your needs † 4 97.1 -0.6 96.5 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 97.7 -1.1 96.6 95.6 67 95.2 72 N<7 N/A

72 Staff worked together provide care 7 97.2 -0.7 96.5 95.4 65 94.9 71 N<7 N/A

74 Overall rating of care 6 97.2 -0.9 96.3 96.0 54 95.7 59 N<7 N/A

73 Likelihood of recommending 98.6 -1.7 96.9 95.4 71 95.2 77 N<7 N/A

* Significantly different at .05 level> 1 standard deviation above peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.12.1 Mean Trend Analysis - Sleep Disorders

The broad light-colored columns show your Sleep Disorders service's overall mean score, based on standard questions. One asterisk by a meanscore indicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change inmean score at the .01 level. The narrow dark columns show your Sleep Disorders service's overall score based on all questions. I-bars representeach of your peer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar representstwo standard deviations above and below the mean score. A marks the highest overall mean score obtained by Sleep Disorders services in eachpeer group.

78 78

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

93.3n=35

1/1/153/31/15

90.1n=9

4/1/156/30/15

88.1n=57

1/1/163/31/16

93.4n=43

4/1/166/30/16

92.7n=49

7/1/169/30/16

20.12.2 Percentile Rank Trend Analysis - Sleep DisordersThis section shows how your Sleep Disorders service's overall percentile rank (for standard questions only) has changed over time. A percentile ranktells you how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of theother Sleep Disorders services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

50 50

60 60

1/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

1/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.12.3 Question Analysis - Sleep Disorders

This section lists detailed information about your Sleep Disorders service's individual question, section, and overall mean scores. Only services withseven or more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other SleepDisorders services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index)will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=43 n=49 N=183 N=26 N=7n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 93.4 -0.7 92.7 93.3 32 93.9 23 91.9 31

Overall Question Rating †† 93.4 -0.6 92.8

Registration 92.1 +1.8 93.9 92.7 55 93.8 44 90.6 76

45 Helpfulness of registration person 93.1 +0.8 93.9 93.3 50 94.3 41 91.7 84

45 Ease of the registration process 91.9 +3.1 95.0 93.2 63 94.0 50 91.3 79

45 Waiting time in registration 92.1 +0.7 92.8 92.0 48 93.2 38 89.1 33

Facility 91.7 -0.3 91.4 91.2 45 91.8 42 89.2 76

48 Comfort of waiting area 1 92.3* -0.1 92.2 90.6 63 91.7 59 88.5 78

49 Ease of finding your way around 91.7* -2.9 88.8 89.1 46 90.3 48 87.5 67

49 Cleanliness of facility 91.9 +1.5 93.4 94.3 33 93.9 35 91.5 74

Test or Treatment 94.7 -0.6 94.1 95.3 28 95.7 19 94.0 29

49 Friendliness of staff 94.2 -0.3 93.9 96.2 17 < 96.6 9 95.0 22

49 Explanations given by staff 95.2 +1.7 96.9 95.1 72 95.4 71 93.7 99

49 Skill of techs/therapists/nurses 95.9 +0.5 96.4 95.8 54 96.5 42 94.6 62

49 Staff concern for comfort 8 94.2 -1.3 92.9 95.0 25 95.0 29 93.4 28

46 Staff's concern/questions worries 1 93.6 -3.9 89.7 < 94.7 8 < 94.8 9 < 93.3 18

Personal Issues 93.6 -1.5 92.1 93.8 26 94.1 26 92.7 27

Personal Issues †† 93.9 -1.4 92.5

48 Our concern for privacy 93.0 +1.8 94.8 94.5 49 94.9 35 93.7 52

47 Our sensitivity to your needs 8 93.6 +0.0 93.6 93.7 44 93.8 38 93.4 37

47 Response to concerns/complaints 1 94.2 -3.8 90.4 93.3 19 93.7 18 N<7 N/A

43 Family able to participate decision † 7 94.2 -1.8 92.4 N<7 N/A N<7 N/A N<7 N/A

48 Staff explained roles in care † 93.5 +1.3 94.8 N<7 N/A N<7 N/A N<7 N/A

38 Staff supported family throughout † 8 96.1 -2.7 93.4 N<7 N/A N<7 N/A N<7 N/A

39 Staff respected having family with † 93.8 +1.1 94.9 N<7 N/A N<7 N/A N<7 N/A

46 Staff sensitivity to your needs † 4 94.9 -3.6 91.3 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 95.0 -1.8 93.2 94.2 31 94.3 31 92.7 30

47 Staff worked together provide care 95.4 -1.2 94.2 94.7 34 95.0 29 93.4 32

48 Overall rating of care 6 95.4 -1.6 93.8 94.9 30 95.2 26 93.6 29

47 Likelihood of recommending 5 94.2 -0.6 93.6 93.6 43 93.6 53 90.9 55

* Significantly different at .05 level< 1 standard deviation below peer group mean† Non-standard question†† Includes non-standard questions

n Number of responsesN Number of facilities in peer group

N<7 Fewer than 7 facilities

Top ten priority (based on Internal Priority Index)

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.13.1 Mean Trend Analysis - Ultrasound

The broad light-colored columns show your Ultrasound service's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your Ultrasound service's overall score based on all questions. I-bars represent each of yourpeer groups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest overall mean score obtained by Ultrasound services in each peer group.

76 76

78 78

80 80

82 82

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

90.4n=27

1/1/153/31/15

79.8n=7

4/1/156/30/15

n=17/1/15

12/31/15

87.2n=14

1/1/163/31/16

81.6n=19

4/1/166/30/16

87.5n=12

7/1/169/30/16

20.13.2 Percentile Rank Trend Analysis - UltrasoundThis section shows how your Ultrasound service's overall percentile rank (for standard questions only) has changed over time. A percentile rank tellsyou how you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the otherUltrasound services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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Georgia Regents Medical Center 7/1/2016 - 9/30/2016

OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.13.3 Question Analysis - Ultrasound

This section lists detailed information about your Ultrasound service's individual question, section, and overall mean scores. Only services with sevenor more responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount ofchange is listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are providedonly when the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fallabove or below a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to otherUltrasound services in a peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If30 or more questionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index)will appear in bold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=19 n=12 N=724 N=149 N=12n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 81.6 +5.9 87.5 < 92.6 6 < 93.0 5 < 92.5 5

Overall Question Rating †† 81.5 +6.0 87.5

Registration 82.9 +1.1 84.0 << 91.7 3 < 91.9 4 << 91.5 2

12 Helpfulness of registration person 86.1 -0.7 85.4 << 93.2 2 << 93.7 3 << 92.8 1

12 Ease of the registration process 87.5 -4.2 83.3 << 92.8 1 << 93.1 4 << 93.0 1

12 Waiting time in registration 75.0 +8.3 83.3 < 89.3 11 < 89.0 12 < 89.4 7

Facility 81.1 +5.7 86.8 < 90.6 16 < 91.2 18 89.3 25

12 Comfort of waiting area 83.3 -4.1 79.2 << 89.6 1 << 90.0 2 << 89.0 1

12 Ease of finding your way around 80.6 +11.1 91.7 88.9 71 89.9 64 > 86.4 88

12 Cleanliness of facility 85.5 +4.1 89.6 < 93.3 13 < 93.8 12 < 92.8 16

Test or Treatment 82.4 +8.0 90.4 < 94.2 10 < 94.8 10 < 94.3 7

12 Friendliness of staff 88.2 -0.7 87.5 << 95.6 2 << 96.1 2 << 95.8 2

12 Explanations given by staff 79.0 +10.6 89.6 < 93.4 13 < 94.1 12 < 93.6 8

12 Skill of techs/therapists/nurses 88.2 +5.6 93.8 95.0 27 95.7 21 95.3 13

12 Staff concern for comfort 82.9 +8.8 91.7 94.0 20 94.6 15 93.8 18

12 Staff's concern/questions worries 73.7 +15.9 89.6 93.1 13 < 93.9 11 93.1 8

Personal Issues 80.7 +6.8 87.5 < 92.6 6 < 92.9 5 < 93.4 5

Personal Issues †† 79.9 +7.6 87.5

12 Our concern for privacy 90.8 -3.3 87.5 < 93.2 4 < 93.6 4 < 93.8 5

12 Our sensitivity to your needs 80.3 +5.1 85.4 << 92.6 3 << 92.9 3 << 93.2 4

12 Response to concerns/complaints 71.1 +18.5 89.6 92.3 18 92.8 18 < 93.2 7

12 Family able to participate decision † 80.3 +9.3 89.6 N<7 N/A N<7 N/A N<7 N/A

12 Staff explained roles in care † 77.6 +9.9 87.5 N<7 N/A N<7 N/A N<7 N/A

11 Staff supported family throughout † 85.9 +5.0 90.9 N<7 N/A N<7 N/A N<7 N/A

11 Staff respected having family with † n<7 86.4 N<7 N/A N<7 N/A N<7 N/A

11 Staff sensitivity to your needs † 77.8 +8.6 86.4 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 81.6 +7.3 88.9 < 93.9 7 < 94.4 7 < 94.8 5

12 Staff worked together provide care 80.3 +7.2 87.5 << 93.8 4 << 94.4 1 << 94.4 3

12 Overall rating of care 82.9 +4.6 87.5 << 94.3 4 << 94.8 5 << 95.2 4

12 Likelihood of recommending 81.6 +10.1 91.7 93.7 23 94.1 22 94.9 7

n Number of responses

N Number of facilities in peer group

> 1 standard deviation above peer group mean

< 1 standard deviation below peer group mean

<< 2 standard deviations below peer group mean

n<7 Fewer than 7 responses

N<7 Fewer than 7 facilities

† Non-standard question†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.14.1 Mean Trend Analysis - X-Ray

The broad light-colored columns show your X-Ray service's overall mean score, based on standard questions. One asterisk by a mean scoreindicates a statistically significant change from the previous period at the .05 level; two asterisks indicate a statistically significant change in meanscore at the .01 level. The narrow dark columns show your X-Ray service's overall score based on all questions. I-bars represent each of your peergroups: The horizontal line in the middle of each I-bar is the peer group's average mean score; the width of the I-bar represents two standarddeviations above and below the mean score. A marks the highest overall mean score obtained by X-Ray services in each peer group.

84 84

86 86

88 88

90 90

92 92

94 94

96 96

98 98

100 100

89.9n=74

1/1/153/31/15

90.9n=38

4/1/156/30/15

n=17/1/15

12/31/15

89.7n=64

1/1/163/31/16

90.5n=61

4/1/166/30/16

91.4n=86

7/1/169/30/16

20.14.2 Percentile Rank Trend Analysis - X-RayThis section shows how your X-Ray service's overall percentile rank (for standard questions only) has changed over time. A percentile rank tells youhow you perform relative to others in the database. For example, a percentile rank of 50 indicates that you scored higher than 50% of the otherX-Ray services in the peer group. Percentile rank trending is provided for up to three peer groups.

0 0

10 10

20 20

30 30

40 40

1/1/153/31/151/1/153/31/151/1/153/31/15

4/1/156/30/154/1/156/30/154/1/156/30/15

7/1/1512/31/157/1/15

12/31/157/1/15

12/31/151/1/163/31/161/1/163/31/161/1/163/31/16

4/1/166/30/164/1/166/30/164/1/166/30/16

7/1/169/30/167/1/169/30/167/1/169/30/16

Standard Questions

All Questions

Highest score in peer group

n Number of responses +2 Std. Deviations

-2 Std. Deviations

COTH Peer Group Mean

+2 Std. Deviations

-2 Std. Deviations

AHA Region 4 Mean

All Facility DB Rank

AHA Region 4 Rank

COTH Peer Group Rank

+2 Std. Deviations

-2 Std. Deviations

All Facility DB Mean

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT20.14.3 Question Analysis - X-Ray

This section lists detailed information about your X-Ray service's individual question, section, and overall mean scores. Only services with seven ormore responses are reported. Significant changes in mean scores from the previous report period are marked with asterisks. The amount of changeis listed in the second column of data. Comparative data are provided on the right. To ensure confidentiality, data for questions are provided onlywhen the questions are asked by seven or more facilities. Greater than (>) and less than (<) symbols are used to flag mean scores that fall above orbelow a peer group's mean score by one or two standard deviations. Percentile ranks describe where you stand in relation to other X-Ray services ina peer group. In electronic reports, percentile ranks lower than 50 are colored red and those higher than 50 are colored blue. If 30 or morequestionnaires were returned for this service, questions representing its top ten priorities (based on this service's Internal Priority Index) will appear inbold italics; superscripts indicate the priority number.

Last This All AHA COTHOverall Mean Period Period Facility DB Region 4 Peer Group

Section Score n=61 n=86 N=422 N=82 N=11n Question Trend Mean Change Mean Mean Rank Mean Rank Mean Rank

Overall Question Rating 90.5 +0.9 91.4 93.0 22 93.7 20 << 93.4 1

Overall Question Rating †† 90.6 +0.7 91.3

Registration 90.4 +2.3 92.7 92.1 53 92.3 49 92.6 57

86 Helpfulness of registration person 92.6 +1.0 93.6 93.6 43 94.1 40 93.7 45

84 Ease of the registration process 90.4 +3.1 93.5 93.1 49 93.4 41 93.6 40

83 Waiting time in registration 87.9 +2.8 90.7 89.8 54 89.8 48 90.3 71

Facility 87.6 +2.9 90.5 91.1 36 91.9 36 89.9 43

86 Comfort of waiting area 10 85.3 +4.5 89.8 90.3 40 90.7 38 89.7 62

83 Ease of finding your way around 84.3 +4.0 88.3 89.6 31 90.9 21 86.9 58

83 Cleanliness of facility 93.2 -0.4 92.8 93.6 34 94.3 37 93.3 45

Test or Treatment 93.5 -1.5 92.0 < 94.6 13 < 95.4 7 << 95.1 1

86 Friendliness of staff 95.0 -0.5 94.5 95.9 21 < 96.5 16 < 96.3 6

83 Explanations given by staff 93.6 -2.0 91.6 94.1 15 < 95.1 7 << 94.6 1

83 Skill of techs/therapists/nurses 94.5 -2.0 92.5 < 95.3 10 < 96.0 7 << 95.4 1

82 Staff concern for comfort 8 91.5 -0.3 91.2 < 94.3 12 < 95.1 7 << 94.7 1

84 Staff's concern/questions worries 2 92.7 -2.8 89.9 < 93.8 9 < 94.7 7 << 94.6 1

Personal Issues 88.9 +1.1 90.0 < 93.2 10 < 93.9 9 << 94.1 1

Personal Issues †† 89.7 -0.2 89.5

84 Our concern for privacy 7 87.1 +2.5 89.6 < 93.6 6 < 94.1 6 << 94.3 1

82 Our sensitivity to your needs 3 89.6 +0.3 89.9 < 93.2 11 < 93.9 7 << 94.2 1

80 Response to concerns/complaints 3 90.3 +0.3 90.6 93.0 19 < 93.8 17 << 94.0 1

78 Family able to participate decision † 91.8 +0.2 92.0 N<7 N/A N<7 N/A N<7 N/A

82 Staff explained roles in care † 1 90.2 -3.0 87.2 N<7 N/A N<7 N/A N<7 N/A

71 Staff supported family throughout † 91.5 -0.3 91.2 N<7 N/A N<7 N/A N<7 N/A

63 Staff respected having family with † n<7 92.1 N<7 N/A N<7 N/A N<7 N/A

74 Staff sensitivity to your needs † 3 88.8 +2.8 91.6 N<7 N/A N<7 N/A N<7 N/A

Overall Assessment 92.1 +0.5 92.6 94.3 22 95.0 22 << 95.3 1

84 Staff worked together provide care 9 92.1 +1.1 93.2 94.3 30 94.9 24 < 94.9 7

83 Overall rating of care 6 92.5 -1.5 91.0 < 94.7 7 < 95.3 7 << 95.7 1

83 Likelihood of recommending 91.1 +2.3 93.4 94.3 32 95.0 28 < 95.5 1

< 1 standard deviation below peer group mean<< 2 standard deviations below peer group meann<7 Fewer than 7 responsesN<7 Fewer than 7 facilities

n Number of responsesN Number of facilities in peer group

† Non-standard question

†† Includes non-standard questions

Top ten priority (based on Internal Priority Index)

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT21.0 Facility Statistical Analysis

This section lists the mean score, standard deviation, and 95% confidence interval across your survey and for individual sections and questions. Thefirst column tells you the number of responses for each item. The "95% Confidence Interval" column gives you the range (mean score ± confidenceinterval) within which you can be 95% certain that the mean score for all of your patients falls. Multiplying the number in the "95% ConfidenceInterval" column by 1.4 and adding the result to the mean score also gives you an estimate of the mean score necessary to obtain a statisticallysignificant increase at the .05 level.

Overall 95%Section Standard Confidence

n Question Mean Deviation Interval ±916 Overall Facility Rating 93.2 10.5 0.68

916 Overall Facility Rating †† 93.3 10.4 0.67

906 Registration 93.3 12.6 0.82

904 Helpfulness of registration person 94.0 13.7 0.89

886 Ease of the registration process 94.2 13.4 0.88

885 Waiting time in registration 92.0 15.7 1.04

914 Facility 91.3 13.5 0.87

909 Comfort of waiting area 91.8 14.5 0.94

896 Ease of finding your way around 88.5 20.2 1.32

900 Cleanliness of facility 93.6* 13.6 0.89

915 Test or Treatment 94.6 11.5 0.74

907 Friendliness of staff 95.8 11.9 0.78

897 Explanations given by staff 94.6 13.5 0.88

895 Skill of techs/therapists/nurses 95.7 11.7 0.76

898 Staff concern for comfort 94.6 12.9 0.84

882 Staff's concern/questions worries 92.9 15.1 1.00

896 Personal Issues 92.8 12.9 0.85

897 Personal Issues †† 93.2 12.4 0.81

890 Our concern for privacy 93.5 12.9 0.85

883 Our sensitivity to your needs 92.8 14.9 0.98

826 Response to concerns/complaints 92.7 15.4 1.05

810 Family able to participate decision † 93.7 13.4 0.92

865 Staff explained roles in care † 93.3 15.1 1.01

745 Staff supported family throughout † 93.9 12.5 0.90

704 Staff respected having family with † 94.8 11.9 0.88

832 Staff sensitivity to your needs † 93.4 14.2 0.97

901 Overall Assessment 94.5 12.5 0.82

892 Staff worked together provide care 94.7 12.6 0.83

895 Overall rating of care 94.5 13.2 0.86

892 Likelihood of recommending 94.6 14.4 0.95

n Number of responses

N Number of facilities in peer group

* Significantly different at .05 level

† Non-standard question

†† Includes non-standard questions

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT22.0 Question Key

This section lists the report labels and preferred wording of questions used in your survey. Due to space constraints, abbreviated questions, or labels,are used in this report. Section

Report Label Survey QuestionRegistration

Helpfulness of registration person Helpfulness of the person at the registration desk

Ease of the registration process Ease of the registration process

Waiting time in registration Waiting time in registration

Facility

Comfort of waiting area Comfort of the waiting area

Ease of finding your way around Ease of finding your way around

Cleanliness of facility Cleanliness of the facility

Test or Treatment

Friendliness of staff Friendliness/courtesy of the staff who provided your test or treatment

Explanations given by staff Explanation from the staff about would happen during your test or treatment

Skill of techs/therapists/nurses Skill of the staff who provided your test or treatment

Staff concern for comfort Staff concern for your comfort

Staff's concern/questions worries Staff's concern for your questions and worries

Personal Issues

Our concern for privacy Our concern for your privacy

Our sensitivity to your needs Our sensitivity to your needs

Response to concerns/complaints Response to concerns/complaints made during your visit

Family able to participate decision † Degree to which you and your family were able to participate in decisions about

your care

Staff explained roles in care † How well staff explained their roles in your care

Staff supported family throughout † Degree to which the staff supported your family throughout your healthcare

experience

Staff respected having family with † Degree to which your choices were respected to have family members/friends

with you during your care

Staff sensitivity to your needs † Staff's sensitivity and responsiveness to your special/individual needs

Overall Assessment

Staff worked together provide care How well staff worked together to provide care

Overall rating of care Overall rating of care received during your visit

Likelihood of recommending Likelihood of your recommending our facility to others

† Non-standard question

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

This section lists the facilities receiving a report like yours in the current report period. Superscripts are used to identify the facilities in each of yourcomparison or peer groups.

Number of AHAFacility City, State Procedures RegionAHN Health and Wellness Pavillion1 Wexford, PA - 2

ARMC - Mainland1 Pomona, NJ 6,000 2

Abbott Northwestern Hospital1 Minneapolis, MN 500,000 6

Abington Health - Lansdale Hospital1 Lansdale, PA - 2

Abington Memorial Hospital1 Abington, PA - 2

Abraham Lincoln Memorial Hospital1 Lincoln, IL 77,690 5

Acadia General Hospital1 Crowley, LA - 7

Adena Regional Medical Center1 Chillicothe, OH 379,163 5

Adirondack Health1 Saranac Lake, NY 50,000 2

Adventist Hinsdale Hospital1 Hinsdale, IL 29,712 5

Advocate BroMenn Medical Center1 Normal, IL 60,000 5

Advocate Children's Hospital1 Oak Lawn, IL 113,150 5

Advocate Christ Medical Center1 Oak Lawn, IL 325,886 5

Advocate Dreyer Medical Clinic1 Aurora, IL 25,000 5

Advocate Eureka Hospital1 Eureka, IL 16,000 5

Advocate Good Shepherd Hospital1 Barrington, IL 103,000 5

Advocate Illinois Masonic M. C.1 Chicago, IL 338,000 5

Advocate Lutheran General Hospital13 Park Ridge, IL 225,800 5

Advocate South Suburban Hospital1 Hazel Crest, IL 75,000 5

Advocate Trinity Hospital1 Chicago, IL 138,971 5

Aiken Regional Site: 212 Aiken, SC 86,163 4

Akron Children's Hospital1 Akron, OH - 5

Akron General Outpatient Services1 Akron, OH 27,414 5

Alamance Regional Medical Center1 Burlington, NC 49,313 3

Alameda Health System1 Oakland, CA - 9

Alaska Regional Hospital1 Anchorage, AK 34,000 -

All Children's Hospital1 St. Petersburg, FL - 4

Allegan General Hospital1 Allegan, MI 265,327 5

Allegheny General Hospital1 Pittsburgh, PA - 2

Allegheny Valley Hospital1 Natrona Heights, PA - 2

Allegiance Health1 Jackson, MI 110,000 5

Allen Memorial Hospital1 Waterloo, IA 239,205 6

Allenmore Hospital1 Tacoma, WA 51,099 9

Anderson1 Cincinnati, OH - 5

Anne Arundel Medical Center1 Annapolis, MD 384,644 3

Annie Penn Hospital1 Reidsville, NC 52,043 3

Appleton Medical Center1 Appleton, WI - 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionArmstrong County Memorial Hospital1 Kitanning, PA - 2

Athens Regional Medical Center12 Athens, GA - 4

Athens-Limestone Hospital12 Athens, AL 321,424 4

AtlantiCare Clinical Laboratories1 Atlantic City, NJ 30 2

Auburn Medical Center1 Auburn, WA 76,618 9

Augusta Health1 Fishersville, VA 510,535 3

Aurora BayCare Medical Center1 Green Bay, WI 10,112 5

Aurora M.C. of Washington County1 Hartford, WI - 5

Aurora Medical Center Grafton1 Grafton, WI - 5

Aurora St. Luke's Medical Center1 Milwaukee, WI - 5

Aurora West Allis Medical Center1 West Allis, WI - 5

Aventura Hospital & Medical Center12 Aventura, FL - -

Avista Adventist Hospital1 Louisville, CO 53,741 8

BIR North Dallas1 Dallas, TX 12,522 7

BMH Booneville12 Booneville, MS 31,355 4

BMH Collierville12 Collierville, TN 113,061 4

BMH DeSoto12 Southaven, MS 210,000 4

BMH Golden Triangle12 Columbus, MS 210,000 4

BMH Huntingdon12 Huntingdon, TN 14,000 4

BMH Memphis12 Memphis, TN 428,911 4

BMH North Mississippi12 Oxford, MS 15,676 4

BMH North Mississippi Imaging Svcs.12 Oxford, MS 53,350 4

BMH Tipton12 Covington, TN 24,000 4

BMH Union City12 Union City, TN 25,588 4

BMH Union County12 New Albany, MS 24,625 4

BMH for Women12 Memphis, TN 60,000 4

BMP_Davie12 Fort Lauderdale, FL 3,650 4

BOI - Bardmoor 12 Largo, FL 69,000 4

BOI - Big Bend 12 Riverview, FL 728 4

BOI - Carillon 12 St. Petersburg, FL 20,500 4

BOI - Carlisle Imaging Center 12 Clearwater, FL 25,900 4

BOI - MLK 12 Tampa, FL 35,600 4

BOI - St. Anthony's 12 St. Petersburg, FL 24,500 4

BOI - Susan Cheek Needler 12 Clearwater, FL 45,000 4

BOI - Trinity 12 Trinity, FL 40,000 4

BOI - Van Dyke 12 Lutz, FL 24,613 4

BOI - WestChase/Hampton Lakes 12 Tampa, FL 36,994 4

BOL - Bardmoor12 Seminole, FL 148,284 4

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionBOL - Clearwater12 Clearwater, FL 61,997 4

BOL - Countryside12 Safety Harbor, FL 120,722 4

BOL - Palm Harbor12 Palm Harbor, FL 44,811 4

BOL - Suncoast Medical Clinic12 St. Petersburg, FL 18,770 4

BOL - Trinity12 Trinity, FL 67,559 4

BOL - Van Dyke 12 Lutz, FL 57,276 4

BOL-Mease Dunedin Physician Of Bldg12 Dunedin, FL 53,973 4

Baptist Health Breast Center12 South Miami, FL 4,029 4

Baptist Health Lexington1 Lexington, KY 142,968 3

Baptist Health Louisville1 Louisville, KY 190,000 3

Baptist Hospital12 Miami, FL 151,704 4

Baptist Medical Plaza - Doral12 Miami, FL 14,040 4

Baptist Medical Plaza - Miami Lakes12 Miami Lakes, FL 8,501 4

Baptist Medical Plaza At Tamiami Tr12 Miami, FL 13,252 4

Baptist Medical Plaza at Brickell12 Coral Gables, FL 6,182 4

Baptist Medical Plaza at Coral Spr.12 Coral Springs, FL 3,389 4

Baptist Medical Plaza- Palmetto Bay12 Miami, FL 10,109 4

Baptist Medical Plaza-Coral Gables12 Coral Gables, FL 17,876 4

Baptist Medical Plaza-Pembroke Pine12 Miami, FL 4,355 4

Baptist Medical Plaza-Westchester12 Miami, FL 23,434 4

Baptist Outpatient Center12 Miami, FL 62,491 4

Baptist St. Anthony's Health System1 Amarillo, TX 96,000 7

Barnabas Health Ambulatory Care Ctr1 Livingston, NJ 181,137 2

Barrett Hospital & HealthCare1 Dillon, MT 18,734 8

Bascom Palmer Eye Institute12 Miami, FL 208,583 4

Bath County Community Hospital1 Hot Springs, VA 8,766 3

Bay Area Medical Center1 Marinette, WI 74,074 5

Baylor All Saints Medical Center1 Ft. Worth, TX 31,970 7

Baylor College of Medicine1 Houston, TX 35,000 7

Baylor Heart and Vascular (BHVH)1 Dallas, TX 19,556 7

Baylor Medical Center Garland (BMCG1 Garland, TX 118,701 7

Baylor Medical Center Grapevine (BM1 Grapevine, TX 84,288 7

Baylor Medical Center at Carrollton1 Carrollton, TX 28,301 7

Baylor Medical Center at Irving1 Irving, TX 50,151 7

Baylor Medical Center at McKinney1 McKinney, TX 13,170 7

Baylor Medical Center, Waxahachie1 Waxahachie, TX 23,577 7

Baylor Regional Medical Ctr. Plano1 Plano, TX 32,358 7

Baylor University Medical Center1 Dallas, TX 242,860 7

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionBayonne Medical Center1 Bayonne, NJ - 2

Bayshore Community Hospital1 Holmdel, NJ 69,705 2

Bayshore Medical Center1 Pasadena, TX 41,821 -

Beatrice Community Hospital & Hlth1 Beatrice, NE 59,427 6

Beaumont Hospital - Royal Oak1 Royal Oak, MI 691,041 5

Beaumont Hospital - Troy1 Troy, MI 252,234 5

Beaumont Hospital ñ Grosse Pointe1 Grosse Pointe, MI 110,000 5

Beaumont Hospital-Farmington Hills1 Farmington Hills, MI - 5

Beaver Dam Community Hospital1 Beaver Dam, WI 121,020 5

Beebe Medical Center1 Lewes, DE 33,569 3

Belton Regional Medical Center1 Belton, MO 24,226 -

Berkeley Medical Center- Site 21 Martinsburg, WV 130,000 3

Berkshire Medical Center1 Pittsfield, MA 106,403 1

Beth Israel Deaconess Hospital- Nee1 Needham, MA 42,318 1

Beth Israel Deaconess Medical Cntr.1 Boston, MA 221,340 1

Bethesda Butler Hospital1 Hamilton, OH 13,800 5

Bethesda North Hospital1 Cincinnati, OH 106,244 5

Betsy Johnson Hospital1 Dunn, NC 36,224 3

Blake Medical Center12 Bradenton, FL 2,700 -

Blanchard Valley Health System1 Findlay, OH 220,878 5

Blessing Hospital1 Quincy, IL 163,317 5

Blodgett Campus - Spectrum Health1 Grand Rapids, MI - 5

Boca Raton Regional Hospital12 Boca Raton, FL 140,000 4

Bon Secours Community Hospital1 Port Jervis, NY - 2

Boston Children's Hospital1 Boston, MA - 1

Boston Medical Center1 Boston, MA 544,986 1

Bradford Regional Medical Center1 Bradford, PA 1,298,000 2

Brandon Regional Hospital12 Brandon, FL 139,712 -

Brazosport Regional Health System1 Lake Jackson, TX 250,275 7

Brigham City Community Hospital1 Brigham City, UT 17,500 -

Brigham and Women's Faulkner Hosp1 Boston, MA 149,654 1

Brigham and Women's Hospital1 Boston, MA 335,764 1

Broadlawns Medical Center1 Des Moines, IA 168,512 6

Bronson Battle Creek1 Battle Creek, MI 112,284 5

Bronson Methodist Hospital1 Kalamazoo, MI 462,473 5

Bryn Mawr Hospital1 Bryn Mawr, PA 90,135 2

Buchanan County Health Center1 Independence, IA 26,912 6

Buffalo Hospital1 Buffalo, MN 180,000 6

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionButterworth Campus-Spectrum Hlth1 Grand Rapids, MI 700,000 5

CGH Medical Center1 Sterling, IL 114,680 5

CHRISTUS Santa Rosa - New Braunfels1 New Braunfels, TX 31,132 7

CHRISTUS Santa Rosa Medical Center1 San Antonio, TX - 7

CHRISTUS Santa Rosa Westover Hills1 San Antonio, TX 1,600 7

CHRISTUS Schumpert Highland Medical1 Shreveport, LA 36,165 7

CHRISTUS Spohn Hospital Beeville1 Beeville, TX - 7

CHRISTUS Spohn Hospital Kleberg1 Kingsville, TX - 7

CHRISTUS Spohn Hospital Shoreline1 Corpus Christi, TX - 7

CHRISTUS St. Elizabeth1 Beaumont, TX - 7

CHRISTUS St. Frances Cabrini1 Alexandria, LA - 7

CHRISTUS St. Mary1 Port Arthur, TX - 7

CHRISTUS St. Michael1 Texarkana, TX - 7

CHRISTUS St. Patrick1 Lake Charles, LA - 7

CHRISTUS St. Vincent1 Santa Fe, NM 88,872 8

CHS Blue Ridge1 Morganton, NC 86,318 3

CHS Cleveland1 Shelby, NC 82,000 3

CHS Lincoln1 Lincolnton, NC 2,500 3

CHS NorthEast1 Concord, NC 272,004 3

CHS Pineville1 Charlotte, NC 54,000 3

CHS Stanly1 Albemarle, NC 393,091 3

CHS Union1 Monroe, NC 83,401 3

CHS University1 Charlotte, NC 76,215 3

CVPH Medical Center1 Plattsburgh, NY 618,175 2

Cabell Huntington Hospital1 Huntington, WV 314,427 3

Cache Valley Hospital1 North Logan, UT - -

Cambridge Medical Center1 Cambridge, MN 49,000 6

Camden-Clark Medical Center1 Parkersburg, WV 843,741 3

Canonsburg Hospital1 Canonsburg, PA - 2

Cape Cod Hospital1 Hyannis, MA 100,001 1

Cape Fear Valley1 Fayetteville, NC 299,000 3

Capital Region Medical Center1 Jefferson City, MO - 6

Capital Regional Medical Center12 Tallahassee, FL 6,737 -

Cardiac Testing Sites1 Cincinnati, OH - 5

Carle Foundation Hospital1 Urbana, IL - 5

CarolinaEast Health System1 New Bern, NC 200,121 3

Carolinas Medical Center1 Charlotte, NC 51,924 3

Carolinas Medical Center-Mercy1 Charlotte, NC 17,801 3

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionCarroll County Memorial Hospital1 Carrollton, MO 243 6

Cartersville Medical Center12 Cartersville, GA 255,913 -

Cass Regional Medical Center1 Harrisonville, MO 90,000 -

Cayuga Medical Center at Ithaca1 Ithaca, NY 338,197 2

Centennial Medical Plaza1 Centennial, CO 12,182 -

Centerpoint Medical Center1 Independence, MO 140,000 -

Centra Medical Group1 Lynchburg, PA - 2

CentraCare Health - Monticello1 Monticello, MN 13,261 6

CentraCare Health- Long Prairie1 Long Prairie, MN 105,438 6

CentraCare Health- Melrose1 Melrose, MN 25,945 6

CentraCare Health- Paynesville1 Paynesville, MN 35,331 6

CentraState Healthcare System1 Freehold, NJ - 2

Central Delivery System Radiology1 Albuquerque, NM - 8

Central DuPage Hospital1 Winfield, IL 821,543 5

Central Florida Regional Hospital12 Sanford, FL - -

Central Iowa Healthcare1 Marshalltown, IA 62,000 6

Central Peninsula General Hospital1 Soldotna, AK 60,088 9

Central Texas Medical Center1 San Marcos, TX 103,896 7

Cheshire Medical Center1 Keene, NH 459,309 1

Children's Hospital of Philadelphia1 Philadelphia, PA 203,855 2

Children's Hospital of The King's D1 Norfolk, VA 484,707 3

Children's Specialized Hospital1 Mountainside, NJ - 2

Chilton Medical Center1 Pompton Plains, NJ - 2

Chippenham Hospital1 Richmond, VA 10,818 -

Christiana Care - Christiana1 Wilmington, DE - 3

Christiana Care - Christiana Site 21 Wilmington, DE 100,000 3

Citizens Medical Center1 Victoria, TX - 7

Citrus Memorial Hospital12 Inverness, FL 211,942 -

Clear Lake Radiology BDC1 Webster, TX 19,882 -

Clear Lake Regional Medical Center1 Webster, TX 33,626 -

Clement J. Zablocki Veterans Affair1 Milwaukee, WI - 5

Cleveland Clinic1 Cleveland, OH 171,400 5

Cleveland Clinic Florida12 Weston, FL 256,000 4

Clinton Hospital1 Clinton, MA - 1

Coliseum Medical Centers12 Macon, GA 33,929 -

Coliseum Northside Hospital12 Macon, GA 3,646 -

Colleton Medical Center12 Walterboro, SC - -

Columbia Physician Practices-East1 New York, NY 49,695 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionColumbus Regional Healthcare System1 Whiteville, NC 10,237 3

Columbus Regional Hospital1 Columbus, IN 157,244 5

Community Hospital1 Oklahoma City, OK 12,000 7

Community Hospital1 Grand Junction, CO 2,997 8

Community Hospital (The)1 Munster, IN 249,063 5

Community Medical Center, Inc.1 Missoula, MT - 8

Community Memorial Hospital1 Sumner, IA 10,001 6

Concord Hospital1 Concord, NH - 1

Concord Imaging Center1 Concord, NH 30,000 1

Condell Medical Center1 Libertyville, IL 10,001 5

Conroe Regional Medical Center1 Conroe, TX 113,034 -

Conway Medical Center12 Conway, SC 39,700 4

Conway Regional Medical Ctr, Inc.1 Conway, AR 154,557 7

Cooper University Health Care1 Camden, NJ - 2

Corning Hospital1 Corning, NY 120,001 2

Corona Regional Site: 21 Corona, CA - 9

Cortland Regional Medical Center1 Cortland, NY - 2

Country Walk Medical Plaza12 Miami, FL 3,149 4

Covenant Healthcare1 Saginaw, MI - 5

Covenant Healthcare Physical Med.1 Saginaw, MI 141,724 5

Covenant Imaging and Diagnostic1 Saginaw, MI 110,640 5

Cox Medical Center Branson1 Branson, MO - 6

Cox Medical Center Springfield1 Springfield, MO - 6

Crawford Memorial Hospital1 Robinson, IL 44,911 5

Cumberland Healthcare1 Cumberland, WI 7,703 5

Cuyuna Regional Medical Center1 Crosby, MN 25,182 6

DCH Regional Medical Center12 Tuscaloosa, AL 284,099 4

Dallas County Hospital1 Perry, IA 29,999 6

Daniel Drake Center1 Cincinnati, OH 135,000 5

Davie Medical Center1 Mocksville, NC 6,073 3

DePaul Hospital-St. Louis1 Bridgeton, MO 106,650 6

DePaul Medical Center1 Norfolk, VA - 3

Deaconess Gateway Hospital1 Newburgh, IN 63,718 5

Deaconess Hospital1 Evansville, IN 447,625 5

Decatur County Memorial Hospital1 Greensburg, IN - 5

Decatur Morgan Hospital - Decatur C12 Decatur, AL 442,565 4

Decatur Morgan Hospital - Parkway C12 Decatur, AL 91,415 4

Del Sol Medical Center1 El Paso, TX - -

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionDelnor Hospital1 Geneva, IL 148,000 5

Denton Regional Medical Center1 Denton, TX 101,493 -

Desert Radiologists1 Las Vegas, NV 1,300,000 9

Diagnostic Center at West Kendall12 Miami, FL 12,279 4

District One Hospital1 Faribault, MN 78,500 6

Divine Savior Health Care1 Portage, WI 116,000 5

Doctors Hospital1 Columbus, OH 296,241 5

Doctors Hospital12 Coral Gables, FL 42,455 4

Doctors Hospital Of Augusta12 Augusta, GA 6,951 -

Doctors Hospital Of Sarasota12 Sarasota, FL 3,900 -

Doctors Hospital Site: 21 Laredo, TX 66,854 7

Doylestown Hospital1 Doylestown, PA 110,545 2

Dr. P. Phillips Hospital12 Orlando, FL 11,040 4

Dublin Methodist Hospital1 Dublin, OH 43,000 5

Duke Raleigh Hospital1 Raleigh, NC 46,000 3

Duke Regional Hospital1 Durham, NC 52,143 3

Duke University Hospital13 Durham, NC - 3

Dupage Medical Group- Corp1 Downers Grove, IL - 5

East Houston Regional Medical Cente1 Houston, TX - -

East Jefferson General Hospital1 Metairie, LA 202,539 7

Eastern Idaho Regional Medical Ctr1 Idaho Falls, ID - -

Eastside Medical Center12 Shellville, GA 89,705 -

Ector County Hospital District/Medi1 Odessa, TX - 7

Edward Hospital1 Naperville, IL 276,129 5

Eisenhower Medical Center1 Rancho Mirage, CA 419,199 9

El Camino Hospital Mountain View1 Mountain View, CA 60,500 9

El Paso Children's Hospital1 El Paso, TX 10,000 7

Elkhart General Hospital1 Elkhart, IN 150,767 5

Emerson Hospital1 Concord, MA 583,578 1

Emory Johns Creek Hospital12 Duluth, GA - 4

Emory University Hospital123 Atlanta, GA 935,793 4

Emory University Hospital Midtown123 Atlanta, GA 1,665,490 4

Englewood Community Hospital12 Englewood, Fl 19,175 -

Ephrata Community Hospital1 Ephrata, PA 634,614 2

Euclid Hospital1 Euclid, OH 150,000 5

Evangelical Community Hospital1 Lewisburg, PA 279,403 2

Evanston Hospital (The)1 Evanston, IL 2,962,004 5

Everett Clinic (The)1 Everett, WA - 9

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionEvergreenHealth1 Kirkland, WA 101,377 9

FSAH - Michigan City1 Michigan City, IN 215,791 5

FSAH-Crown Point1 Crown Point, IN 86,953 5

FSEH - Lafayette East1 Lafayette, IN 109,062 5

FSEH-Crawfordsville1 Crawfordville, IN - 5

FSFH - Indianapolis1 Indianapolis, IN 74,018 5

FSFH-Mooresville1 Mooresville, IN 28,424 5

FSJH1 Chicago Heights, IL 258,769 5

FSMH - Dyer1 Dyer, IN 424,758 5

FSMH - Hammond1 Hammond, IN 418,652 5

Faculty Physicians, Inc.1 Baltimore, MD - 3

Fairfield Medical Center1 Lancaster, OH 803,467 5

Fairfield Memorial Hospital1 Fairfield, IL - 5

Fairview Hospital1 Great Barrington, MA 22,336 1

Fairview Hospital1 Cleveland, OH 160,000 5

Fairview Park Hospital12 Dublin, GA 32,918 -

Faith Regional Health Services1 Norfolk, NE - 6

Falmouth Hospital1 Falmouth, MA 100,001 1

Fawcett Memorial Hospital12 Port Charlotte, FL 30,289 -

Fayette County Hospital1 Vandalia, IL - 5

Fayette Medical Center12 Fayette, AL 38,205 4

Finley Hospital1 Dubuque, IA 50,000 6

Firelands Regional Medical Center1 Sandusky, OH 250,001 5

Fisher-Titus Medical Center1 Norwalk, OH - 5

Flagstaff Medical Center1 Flagstaff, AZ - 8

Florida Hospital Altamonte12 Altamonte Springs, FL 72,553 4

Florida Hospital Apopka12 Apopka, FL 18,199 4

Florida Hospital Celebration Health12 Celebration, FL 66,546 4

Florida Hospital DeLand12 DeLand, FL 11,797 4

Florida Hospital East Orlando12 Orlando, FL 77,566 4

Florida Hospital Heartland Med Ctr12 Sebring, FL 58,837 4

Florida Hospital Kissimmee12 Kissimmee, FL 12,890 4

Florida Hospital Memorial Med Ctr12 Daytona Beach, FL 798,484 4

Florida Hospital New Smyrna12 New Smyna Beach, FL - 4

Florida Hospital North Pinellas12 Tarpon Springs, FL 36,840 4

Florida Hospital Orlando12 Orlando, FL 144,376 4

Florida Hospital Waterman12 Tavares, FL 157,262 4

Florida Hospital Wesley Chapel12 Wesley Chapel, FL 2,930 4

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

https://www.pressganey.com/forumhttp://www.pressganey.com/gti/gti25.htm

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionFlorida Hospital Zephyrhills12 Zephyrhills, FL 29,800 4

Florida Radiology Imaging12 Orlando, FL 84,000 4

Floyd Medical Center12 Rome, GA 108,323 4

Forbes Regional Hospital1 Monroeville, PA 150,181 2

Fort Hamilton Hospital1 Hamiliton, OH 24,805 5

Fort Madison Community Hospital1 Fort Madison, IA 39,996 6

Fort Walton Beach Medical Center12 Fort- Walton Beach, FL 78,000 -

Fort Wright1 Cincinnati, OH - 5

Fox Chase Cancer Center1 Philadelphia, PA 119,811 2

Frankfort Regional Medical Center1 Frankfort, KY 44,651 -

Franklin Woods Community Hospital12 Johnson City, TN - 4

Frederick Memorial Hospital-Main1 Frederick, MD 122,547 3

Garden Park Medical Center12 Gulfport, MS 22,779 -

Geisinger Radiology1 Danville, PA - 2

George Washington Site: 21 Washington, DC 14,048 3

Georgetown Memorial Hospital12 Georgetown, SC 230,767 4

Georgia Regents Medical Center1 Augusta, GA - 4

Gerber Memorial Health Service1 Fremont, MI 112,155 5

Gettysburg Hospital1 Gettysburg, PA - 2

Gibson General Hospital1 Princeton, IN - 5

Glenbrook Hospital (The)1 Evanston, IL 647,004 5

Good Samaritan Hosp-Mount Vernon1 Mount Vernon, IL 63,966 5

Good Samaritan Hospital1 Vincennes, IN 807,421 5

Good Samaritan Hospital1 Puyallup, WA 79,626 9

Good Samaritan Hospital1 Downers Grove, IL 152,400 5

Good Samaritan Hospital1 Cincinnati, OH 81,814 5

Good Samaritan Hospital1 San Jose, CA - -

Good Samaritan Hospital (The)1 Lebanon, PA 616,513 2

Good Samaritan Hospital of Suffern1 Suffern, NY - 2

Good Samaritan Medical Center1 Lafayette, CO 143,000 8

Gordon Hospital12 Calhoun, GA 12,970 4

Gottlieb Memorial Hospital1 Melrose Park, IL - 5

Grady Memorial Hospital1 Delaware, OH 162,089 5

Grand Itasca Clinic & Hospital1 Grand Rapids, MN 1,906 6

Grand Strand Medical Center12 Myrtle Beach, SC 2,024 -

Grandview Hospital1 Dayton, OH 27,000 5

Grant Medical Center13 Columbus, OH 45,780 5

Graves-Gilbert Clinic1 Bowling Green, KY 169,000 3

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

https://www.pressganey.com/forumhttp://www.pressganey.com/gti/gti25.htm

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionGreat River Medical Center1 West Burlington, IA 180,000 6

Greater Regional Medical Center1 Creston, IA 24,000 6

Green Township1 Cincinnati, OH - 5

Greene County Medical Center1 Jefferson, IA 26,829 6

Greensboro Imaging Administration1 Greensboro, NC 96,323 3

Greenville Memorial Hospital12 Greenville, SC 439 4

Greenwich Hospital1 Greenwich, CT 287,266 1

Group Health Ancillary Services1 Seattle, WA - 9

Grundy County Hospital1 Grundy Center, IA 7,344 6

Gulf Coast Regional Medical Center12 Panama City, FL - -

Gwinnett Medical Center12 Lawrenceville, GA 170,000 4

Gwinnett Medical Center- Duluth12 Duluth, GA 42,500 4

HPMC Occupational Medical Services1 Richland, WA - 9

HSF Ambulatory12 Birmingham, AL 110,189 4

Hackensack University M.C.1 Hackensack, NJ 500,000 2

Hanger Prosthetics and Orthotics1 Bethesda, MD 600,000 3

Hanover Hospital1 Hanover, PA 773,641 2

Harbor Medical Associates1 South Weymouth, MA - 1

Hardin Memorial Hospital1 Kenton, OH 896 5

Hardin Memorial Hospital1 Elizabethtown, KY - 3

Harrington Memorial Hospital1 Southbridge, MA 188,000 1

Harrisburg Medical Center1 Harrisburg, IL 100,000 5

Heart Hospital Baylor Denton (The)1 Denton, TX 1,207 7

Heart Hospital Baylor Plano (The)1 Plano, TX 25,062 7

Heart Hospital Of Austin1 Austin, TX 5,000 -

Heart Hospital at Deaconess Gateway1 Newburgh, IN 3,883 5

Helen Devos Children's Hospital1 Grand Rapids, MI - 5

Helen Keller Hospital12 Sheffield, AL 107,650 4

Hendricks Regional Health1 Danville, IN - 5

Hennepin County Medical Center1 Minneapolis, MN - 6

Henrico Doctors' Hospital1 Richmond, VA 75,906 -

Henry County Hospital1 New Castle, IN 55,049 5

Henry Ford Health Ctr. - Brownstown1 Brownstown Township, MI 26,000 5

Henry Ford Macomb Hospital1 Clinton Township, MI 109,728 5

Henry Ford Medical Group1 Detroit, MI - 5

Henry Ford West Bloomfield Hospital1 West Bloomfield, MI 35,000 5

Henry Ford Wyandotte Hospital1 Wyandotte, MI 50,000 5

Heritage Valley Beaver1 Beaver, PA 361,104 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

https://www.pressganey.com/forumhttp://www.pressganey.com/gti/gti25.htm

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionHeritage Valley Sewickley1 Sewickley, PA 175,793 2

Herrin Hospital1 Herrin, IL 89,315 5

Higgins General Hospital12 Bremen, GA 237,294 4

High Tech Medical Park1 Palos Heights, IL 60,000 5

Highland Hospital1 Rochester, NY 36,180 2

Highland Park Hospital1 Highland Park, IL 555,202 5

Hillcrest Hospital1 Cleveland, OH 250,000 5

Hillsboro Area Hospital1 Hillsboro, IL 32,974 5

Hoag Memorial Hospital Presbyterian1 Newport Beach, CA 346,813 9

Hoboken University Medical Center1 Hoboken, NJ - 2

Holy Cross Hospital-Fort Lauderdale12 Fort Lauderdale, FL - 4

Holy Family Hospital1 Greenville, IL - 5

Holy Redeemer Health System1 Huntington Valley, PA 22,869 2

Holy Rosary Healthcare1 Miles City, MT 34,687 8

Holzer1 Gallipolis, OH 168,000 5

Homestead Hospital12 Homestead, FL 67,495 4

Houston Methodist1 Houston, TX 110,500 7

Houston Methodist San Jacinto Hosp1 Houston, TX - 7

Houston Methodist St. John1 Nassau Bay, TX 279,888 7

Houston Methodist Sugar Land Hosp1 Houston, TX 23,501 7

Houston Methodist West Hospital1 Houston, TX 13,250 7

Houston Methodist Willowbrook Hosp1 Houston, TX 6,864 7

Howard County General Hospital1 Columbia, MD 45,685 3

Howard University Hospital1 Washington, DC - 3

Hudson Valley Hospital Center1 Cortlandt Manor, NY - 2

Huggins Hospital1 Wolfeboro, NH 240,000 1

Humboldt County Memorial Hospital1 Humboldt, IA 26,964 6

Hunterdon Medical Center1 Flemington, NJ 392,489 2

Huntington Memorial Hospital13 Pasadena, CA 289,534 9

Huntsville Hospital12 Huntsville, AL 575,524 4

Hutchinson Health1 Hutchinson, MN 15,095 6

INTEGRIS Grove Hospital1 Oklahoma City, OK - 7

INTEGRIS Miami Hospital1 Miami, OK 12,675 7

INTEGRIS Rural Facilities1 Oklahoma City, OK - 7

INVISION1 Englewood, CO 250,000 8

Iberia Medical Center1 New Iberia, LA 1,620 7

Illinois Ambulatory Services1 Rosemont, IL - 5

Illinois Valley Community Hospital1 Peru, IL 30,000 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

https://www.pressganey.com/forumhttp://www.pressganey.com/gti/gti25.htm

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionImaging Center for Women1 Fredericksburg, VA 50,000 3

Indian Path Medical Center12 Johnson City, TN 173,482 4

Indiana Regional Medical Center1 Indiana, PA 142,175 2

Indiana University Health Goshen Ho1 Goshen, IN 528,290 5

Inova Alexandria Hospital1 Alexandria, VA - 3

Inova Fair Oaks Hospital1 Fairfax, VA - 3

Inova Fair Oaks Hospital Cardiac Di1 Fairfax, VA - 3

Inova Fairfax Hospital1 Falls Church, VA - 3

Inova Fairfax Hospital Cardiac Diag1 Fairfax, VA - 3

Inova Fairfax Hospital Cardiac Diag1 Falls Church, VA - 3

Inova Loudon Hospital Cardiac Diagn1 Leesburg, VA - 3

Inova Loudoun Hospital1 Leesburg, VA - 3

Inova Mount Vernon Hospital1 Alexandria, VA 41,922 3

Inspira Medical Center Elmer1 Elmer, NJ 101,606 2

Inspira Medical Center Vineland1 Vineland, NJ 371,838 2

Inspira Medical Center Woodbury1 Woodbury, NJ 106,454 2

Institute for Orthopaedic Surgery1 Lima, OH 3,717 5

Integris Baptist Medical Center1 Oklahoma City, OK - 7

Integris Health Edmond1 Edmond, OK - 7

Integris Southwest Medical Center1 Oklahoma City, OK - 7

Iowa City VA Medical Center1 Iowa City, IA 10,000 6

Iowa Lutheran Hospital1 Des Moines, IA 7,447 6

Iowa Methodist Medical Center1 Des Moines, IA 35,520 6

J. C. Blair Memorial Hospital1 Huntingdon, PA 100,001 2

J.F.K. Medical Center1 Edison, NJ 240,922 2

JFK Medical Center12 Atlantis, FL - -

JTD Memorial Hospital1 St. Mary's, OH - 5

James Cancer Hospital & Richard Sol1 Columbus, OH - 5

Jeans Hospital1 Philadelphia, PA - 2

Jefferson Hospital1 Pittsburgh, PA 561,174 2

Jefferson Medical Center- 21 Ranson, WV - 3

Jersey Shore University Med. Ctr.13 Neptune, NJ 291,020 2

Joanie Abdu Comprehensive Breast Ct1 Youngstown, OH 6,000 5

Joe DiMaggio Children's Hospital12 Hollywood, FL 312,707 4

John Dempsey Hospital1 Farmington, CT - 1

John Muir Health1 Concord, CA 22,200 9

John Randolph Medical Center1 Hopewell, VA 66,281 -

John T. Mather Memorial Hospital1 Port Jefferson, NY - 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

https://www.pressganey.com/forumhttp://www.pressganey.com/gti/gti25.htm

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionJohns Hopkins Bayview Medical Ctr1 Baltimore, MD - 3

Johnson City Medical Center12 Johnson City, TN 243,559 4

Johnson County Community Hospital12 Johnson City, TN 3,016 4

Johnston Memorial Hospital1 Abingdon, VA 267,312 3

Johnston-Willis Hospital1 Richmond, VA - -

Kadlec Medical Center1 Richland, WA 658,690 9

Kaiser Permanente Northwest1 Portland, OR 1,894,504 9

Kalkaska Memorial Health Center1 Kalkaska, MI - 5

Kent General Hospital1 Dover, DE 151,000 3

Kettering Memorial Hospital13 Kettering, OH 229,028 5

King's Daughters Medical Center1 Ashland, KY 129,000 3

King's Daughters Medical Cntr Ohio1 Portsmouth, OH - 5

King's Daughters' Health1 Madison, IN 257,764 5

Kingman Regional Medical Center1 Kingman, AZ 5,732 8

Kingwood Medical Center1 Kingwood, TX 27,602 -

Kirby Hospital1 Monticello, IL 12,395 5

Kishwaukee Hospital1 DeKalb, IL 237,151 5

Knox Community Hospital1 Mount Vernon, OH - 5

Kosair Children's M.C. - Brownsboro1 Louisville, KY - 3

Lafayette General Medical Center1 Lafayette, LA 55,315 7

Lahey Hospital and Medical Center1 Burlington, MA 220,000 1

Lahey Outpatient Center, Danvers1 Danvers, MA 150,000 1

Lake City Medical Center12 Lake City, FL 13,461 -

Lake Health1 Painesville, OH - 5

Lakeside Women's Hospital LLC1 Oklahoma City, OK 1,000 7

Lakeview Hospital1 Bountiful, UT 24,011 -

Lakeview Regional Medical Center1 Covington, LA 7,447 -

Lakewood Ranch Site: 212 Bradenton, FL 19,000 4

Lancaster General Hospital1 Lancaster, PA 800,000 2

Lankenau Medical Center1 Wynnewood, PA 107,088 2

Largo Medical Center12 Largo, FL - -

Las Colinas Medical Center1 Irving, TX 22,412 -

Las Palmas Medical Center1 El Paso, TX 236,386 -

Lee's Summit Medical Center1 Lees Summit, MO 96,832 -

Lehigh Valley Hospital13 Allentown, PA 24,747 2

Lehigh Valley Hospital - Muhlenberg1 Bethlehem, PA 119,329 2

Lehigh Valley Hospital Hazleton1 Hazleton, PA 150,000 2

Leonard J. Chabert Medical Center1 Houma, LA 660,000 7

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionLewisGale Hospital Montgomery1 Blacksburg, VA 37,825 -

LewisGale Hospital Pulaski1 Pulaski, VA - -

LewisGale Medical Center1 Salem, VA 89,568 -

Lexington Medical Center12 West Columbia, SC 168,343 4

Lexington Memorial Hospital1 Lexington, NC 98,121 3

Littleton Adventist Hospital1 Littleton, CO 77,000 8

Lodi Community Hospital1 Lodi, OH 77,400 5

Lone Peak Hospital1 Draper, UT 10,751 -

Longmont United Hospital1 Longmont, CO 139,966 8

Los Robles Hospital and Medical Cen1 Thousand Oaks, CA 38,500 -

Lourdes Hospital1 Paducah, KY 641,433 3

Loyola University Medical Center1 Maywood, IL - 5

Lutheran Medical Center1 Wheat Ridge, CO 145,500 8

MCCH - Outpatient Services/Testing1 Murray, KY 83,794 3

MUSC-Medical Univ of South Carolina12 Charleston, SC - 4

Magnolia Regional Health Center12 Corinth, MS 96,000 4

Mahaska Health Partnership1 Oskaloosa, IA 4,600 6

Mainland Medical Center1 Texas City, TX 1,290 -

Major Hospital1 Shelbyville, IN - 5

Manatee Memorial Site: 212 Bradenton, FL 2,929 4

Marcus Daly Memorial Hospital1 Hamilton, MT 30,000 8

Margaret Mary Health1 Batesville, IN 1,700 5

Mariners Hospital12 Tavernier, FL 180,293 4

Marion General Hospital1 Marion, IN 1,110,830 5

Marion General Hospital1 Marion, OH - 5

Marlborough Hospital1 Marlborough, MA 65,016 1

Marshfield Clinic - Corp1 Marshfield, WI 697,069 5

Martin Hospital South12 Stuart, FL 40,089 4

Martin Medical Center North12 Stuart, FL 68,591 4

Mary Immaculate Hospital1 Newport News, VA - 3

Mary Rutan Hospital1 Bellefontaine, OH 4,800 5

Mary Washington Hospital1 Fredericksburg, VA 1,310,122 3

Marymount Hospital1 Garfield Heights, OH 90,000 5

Maryview Medical Center1 Portsmouth, VA - 3

Massachusetts General Hospital1 Boston, MA - 1

Massachusetts General/North Shore1 Danvers, MA 25,000 1

Maury Regional Hospital12 Columbia, TN 106,790 4

McConnell Heart Health Center1 Columbus, OH 42,636 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionMcLaren Northern Michigan1 Petoskey, MI - 5

McLaren-Macomb1 Mt. Clemens, MI - 5

Meadville Medical Center1 Meadville, PA 370,000 2

Mease Countryside Hospital12 Safety Harbor, FL 15,742 4

Mease Dunedin Hospital12 Dunedin, FL 10,479 4

Mease Outpatient Imaging 12 Safety Harbor, FL 69,000 4

MedQuest1 Winston-Salem, NC - 3

Medical Center Alliance1 Nashville, TN - -

Medical Center Arlington1 Arlington, TX 9,000 -

Medical Center Of Lewisville1 Lewisville, TX 10,125,967 -

Medical Center Of McKinney1 McKinney, TX 983 -

Medical Center Of Plano1 Plano, TX 272,409 -

Medical Center Of Trinity12 Trinity, FL 66,205 -

Medical Center of Aurora1 Aurora, CO 52,663 -

Medical City Dallas Hospital1 Dallas, TX 72,109 -

Medical Imaging at Lee's Hill1 Fredericksburg, VA 51,040 3

Medical Imaging of Fredericksburg1 Fredericksburg, VA 60,000 3

Medina Hospital1 Medina, OH 81,000 5

Meeker Memorial Hospital1 Litchfield, MN 156,369 6

Melrose-Wakefield Hospital1 Melrose, MA - 1

Memorial Health University Med Ctr12 Savannah, GA 12,281 4

Memorial Healthcare1 Owosso, MI - 5

Memorial Hermann Greater Heights1 Houston, TX - 7

Memorial Hermann Health Care System1 Houston, TX 65,000 7

Memorial Hermann Katy Hospital1 Houston, TX - 7

Memorial Hermann Mem. City Hospital1 Houston, TX 58,793 7

Memorial Hermann Outreach Labs1 Houston, TX 117,000 7

Memorial Hermann Sleep Disorder Ctr1 Houston, TX - 7

Memorial Hermann Southeast Hospital1 Houston, TX - 7

Memorial Hermann Southwest Hospital1 Houston, TX - 7

Memorial Hermann Texas Medical Ctr.1 Houston, TX - 7

Memorial Hermann The Woodlands Hos.1 Houston, TX 19,991 7

Memorial Hospital1 Belleville, IL - 5

Memorial Hospital Miramar12 Miramar, FL 83,016 4

Memorial Hospital Pembroke12 Pembroke Pines, FL 82,484 4

Memorial Hospital West12 Hollywood, FL 175,000 4

Memorial Hospital and Health Center1 Jasper, IN 23,706 5

Memorial Hospital of Carbondale1 Carbondale, IL 109,773 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionMemorial Hospital of Converse Cnty1 Douglas, WY 287,124 8

Memorial Hospital of Jacksonville12 Jacksonville, FL 38,102 -

Memorial Hospital of South Bend1 South Bend, IN - 5

Memorial Hospital of Tampa12 Tampa, FL - -

Memorial Hospital of Union County1 Marysville, OH - 5

Memorial Medical Center1 Ashland, WI 235,000 5

Memorial Medical Center1 Springfield, IL - 5

Memorial Regional Hospital12 Hollywood, FL 312,707 4

Memorial Regional Hospital South12 Hollywood, FL 8,500 4

Memorial Regional Medical Center1 Mechanicsville, VA 2,691 3

Menorah Medical Center1 Overland Park, KS 64,934 -

Mercer Health1 Coldwater, OH 374,000 5

Mercy Hospital1 Iowa City, IA 82,946 6

Mercy Hospital12 MIami, FL - -

Mercy Hospital & Healthcare Center1 Moose Lake, MN 20,611 6

Mercy Hospitals1 Coon Rapids, MN 256,649 6

Mercy Medical Center1 Cedar Rapids, IA 140,000 6

Mercy Medical Center1 Centerville, IA 63,321 6

Mercy Medical Center - North Iowa1 Mason City, IA 98,416 6

Mercy Medical Center - Roseburg1 Roseburg, OR 414,512 9

Mercy Memorial Hospital1 Monroe, MI 183,491 5

Mercy Regional M.C. - Durango1 Durango, CO - 8

Meriter UnityPoint Health1 Madison, WI - 5

Methodist Hospital1 Henderson, KY 85,092 3

Methodist Hospital1 Philadelphia, PA 95,172 2

Methodist Hospital1 San Antonio, TX 445,521 -

Methodist Hospitals Northlake Camp.1 Gary, IN - 5

Methodist Specialty & Transplant Ho1 San Antonio, TX 29,588 -

Methodist Stone Oak Hospital1 San Antonio, TX 36,646 -

Methodist Texsan Hospital1 San Antonio, TX 5,000 -

Methodist West Hospital1 West Des Moines, IA 10,000 6

Metroplex Hospital1 Killeen, TX 60,004 7

Miami Cardiac & Vascular Institute12 Miami, FL 100,000 4

Middlesex Hosp Med Ctr - Saybrook1 Middletown, CT 79,041 1

Middlesex Hospital1 Middletown, CT 132,749 1

Middlesex Hospital MC - Marlborough1 Marlborough, CT 20,437 1

Middlesex Hospital MC - Shoreline1 Essex, CT 41,602 1

Midland Memorial Hospital1 Midland, TX 50,800 7

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionMidtown Medical Center12 Columbus, GA - 4

Milford Hospital1 Milford, CT - 1

Milford Memorial Hospital1 Milford, DE 51,000 3

Milton Hospital1 Milton, MA - 1

Monmouth Medical Center1 Long Beach, NJ - 2

Monongalia General Hospital1 Morgantown, WV 124,113 3

Monroe Clinic (The)1 Monroe, WI 94,888 5

Montefiore Medical Center1 Bronx, NY 10,000 2

Montrose Memorial Hospital1 Montrose, CO - 8

Morgan Stanley Children's Hospital1 New York, NY 30,309 2

Morristown Medical Center1 Morristown, NJ 2,130,516 2

Morrow County Hospital1 Mt. Gilead, OH 23,342 5

Morton Plant Hospital12 Clearwater, FL 18,089 4

Moses H. Cone Memorial Hospital1 Greensboro, NC 168,286 3

Moses Ludington Hospital1 Ticonderoga, NY - 2

Mount Nittany Medical Center1 State College, PA 213,223 2

Mount Sinai Beth Israel1 New York, NY 17,708 2

Mountain View Hospital1 Payson, UT 161,453 -

Mountainview Hospital1 Las Vegas, NV 17,921 -

Mt. Baker Imaging, L.L.C.1 Bellingham, WA 165,000 9

Munson Healthcare Grayling Hospital1 Grayling, MI 25,111 5

Munson Medical Center1 Traverse City, MI 153,363 5

NEA Baptist Memorial Hospital1 Jonesboro, AR 188,000 7

NH Brunswick Medical Center1 Bolivia, NC - 3

NH Forsyth Medical Center1 Winston-Salem, NC - 3

NH Huntersville Medical Center1 Huntersville, NC - -

NH Matthews Medical Center1 Matthews, NC - -

NH Presbyterian Medical Center1 Charlotte, NC - -

NH Rowan Medical Center1 Salisbury, NC - -

NH UVA Culpeper Medical Center1 Culpeper, VA - 3

NH UVA Haymarket Medical Center1 Haymarket, VA - -

NH UVA Prince William Medical Cente1 Manassas, VA - 3

NMMC - Barnes Crossing/Crossover12 Tupelo, MS 14,410 4

NMMC - Center for Digestive Health12 Tupelo, MS 9,000 4

NMMC - Hamilton12 Hamilton, AL 14,244 4

NMMC - Iuka12 Iuka, MS 23,443 4

NMMC - Tupelo NMMC - Tupelo12 Tupelo, MS 559,000 4

NMMC - West Point12 West Point, MS 50,000 4

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionNYU Medical Center1 New York, NY - 2

Nantucket Cottage Hospital1 Nantucket, MA 24,474 1

Naples Community Hospital12 Naples, FL 180,000 4

Nash Health Care1 Rocky Mount, NC 1,083,189 3

National Jewish Medical & Research1 Denver, CO 104,200 8

Neosho Regional Medical Center1 Chanute, KS - 6

New Hanover Regional Medical Center1 Wilmington, NC 31,588 3

New Ulm Medical Center1 New Ulm, MN 212,000 6

New York - Presbyterian/Columbia1 New York, NY 104,973 2

New York Hospital Queens1 Flushing, NY - 2

New York-Presbyterian/Weill Cornell1 New York, NY 8,861 2

Newton Medical Center1 Newton, NJ 160,000 2

Newton-Wellesley Hospital1 Newton, MA 1,545,398 1

Non-Oncology Infusion Center1 Seattle, WA - 9

Noran Neurological Clinic- MD1 Minneapolis, MN - 6

North Austin Medical Center1 Austin, TX 58,698 -

North Cypress Medical Center1 Cypress, TX 204,981 7

North Florida Regional Medical Cent12 Gainesville, FL - -

North Hills Hospital1 North Richland Hills, TX 1,553 -

North Kansas City Hospital1 North Kansas City, MO - 6

North Memorial Health Care1 Robbinsdale, MN 120,000 6

North Oaks Medical Center1 Hammond, LA 156,000 7

North Suburban1 Thornton, CO 22,495 -

NorthShore Offsite Outpatient Serv1 Evanston, IL 589,665 5

Northeast Vermont Regional Hospital1 St. Johnsbury, VT - 1

Northport Medical Center12 Northport, AL 68,849 4

Northside Chemo Infusion Center12 Atlanta, GA - 4

Northside Hospital12 Atlanta, GA - 4

Northside Hospital12 St. Petersburg, FL 2,800 -

Northside Hospital - Cherokee12 Canton, GA - 4

Northside Hospital - Forsyth12 Cumming, GA - 4

Northside Medical Center12 Columbus, GA 2,228 4

Northwell Health - 611 N Blvd1 Great Neck, NY 17,500 2

Northwell Health - 935 N Blvd1 Great Neck, NY 28,373 2

Northwell Health - CFAM1 Great Neck, NY - 2

Northwell Health - Garden City1 Manhasset, NY 18,112 2

Northwell Health - Glen Cove1 Glen Cove, NY - 2

Northwell Health - Great South Bay1 Great Neck, NY 16,500 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionNorthwell Health - LafayetteSyosset1 Great Neck, NY - 2

Northwell Health - Lenox Hill1 Great Neck, NY 55,000 2

Northwell Health - NSUH1 Great Neck, NY - 2

Northwell Health - Reichert Family1 Manhasset, NY 12,000 2

Northwell Health - Verrazano1 Staten Island, NY 37,000 2

Northwest Community Hospital1 Arlington Heights, IL 320,950 5

Northwest Texas Site: 21 Amarillo, TX 736,758 7

Northwestern Lake Forest Hospital1 Lake Forest, IL 129,000 5

Nyack Hospital1 Nyack, NY 135,000 2

O'Bleness Memorial Hospital1 Athens, OH - 5

OMC - Baton Rouge1 Baton Rouge, LA 18,300 7

OSF Center for Health - Rock Cut1 Loves Park, IL 30,000 5

OSF Saint Francis Medical Center1 Peoria, IL - 5

OSF Saint James Medical Center1 Pontiac, IL 71,025 5

OSF St. Joseph Medical Center1 Bloomington, IL 135,000 5

OSU Medical Center1 Tulsa, OK - 7

OU - Pavilion for Women1 Houston, TX 24,000 7

OU - TCH Medical Center1 Houston, TX 627,000 7

OU - TCH West Campus1 Houston, TX 174,000 7

OU Children's Hospital1 Oklahoma City, OK 68,574 -

OU Medical Center1 Oklahoma City, OK 143,063 -

OUMC Breast Imaging of Oklahoma1 Edmond, OK 24,000 7

Oak Hill Hospital12 Brooksville, FL 156,954 -

Oaklawn Hospital1 Marshall, MI - 5

Oakwood Hospital - Dearborn1 Dearborn, MI - 5

Ocala Regional Medical Center12 Ocala, FL 127,836 -

Ocean Medical Center1 Brick, NJ 421,034 2

Ochsner Health System1 New Orleans, LA 500,001 7

Ochsner Medical Center - Kenner1 Kenner, LA 60,500 7

Ochsner Medical Center -North Shore1 Slidell, LA 4,734 7

Ochsner Medical Center- West Bank1 Gretna, LA 3,400 7

Ochsner-Baptist Medical Center1 New Orleans, LA 10,936 7

Ochsner-St. Anne General Hospital1 Raceland, LA 703 7

Oconee Medical Center12 Seneca, SC 124,315 4

Ogden Regional Medical Center1 Ogden, UT - -

Ohio State University Wexner Medica1 Columbus, OH 100,000 5

Ohio Valley Hospital1 McKees Rocks, PA 2,850 2

OhioHealth Infusion Center1 Columbus, OH 1,044 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionOhioHealth Mansfield Hospital 1 Mansfield, OH - 5

OhioHealth Neighborhood Care1 Columbus, OH 350,000 5

OhioHealth Shelby Hospital1 Shelby, OH - 5

OhioHealth Sleep Services1 Worthington, OH 5,500 5

Oklahoma Surgical Hospital1 Tulsa, OK 31,912 7

Olean General Hospital1 Olean, NY 117,615 2

Onslow Memorial Hospital1 Jacksonville, NC 70,298 3

Opelousas General Health System1 Opelousas, LA - 7

Orange Park Medical Center12 Orange Park, FL - -

Orlando Regional Medical Center12 Orlando, FL 25,884 4

Orthopaedic Hospital of Wisconsin1 Glendale, WI 6,004 5

Ortoncille Area Health Services1 Ortonville, MN 650 6

Osceola Regional Medical Center12 Kissimmee, FL - -

Oswego Hospital1 Oswego, NY 152,899 2

Our Lady of Bellefonte Hospital1 Ashland, KY - 3

Our Lady of Lourdes Regional M.C.1 Lafayette, LA 36,148 7

Our Lady of The Lake Reg. M.C.1 Baton Rouge, LA 212,908 7

Outpatient Imaging Affiliates, LLC12 Franklin, TN - 4

Outpatient Services1 Lima, OH 133,554 5

Overlake Hospital Medical Center1 Bellevue, WA 98,951 9

Overland Park Regional Medical1 Overland Park, KS 43,585 -

Overlook Medical Center1 Summit, NJ 134,225 2

Palmerton Hospital1 Palmerton, PA 559 2

Palmetto Health Baptist1 Columbia, SC - 4

Palmetto Health Parkridge12 Columbia, SC 30,684 4

Palmetto Health Richland12 Columbia, SC 128,000 4

Palms West Hospital12 Loxahatchee, FL 61,000 -

Palms of Pasadena Hospital12 Saint Petersburg, FL 18,000 -

Palomar Medical Center1 Escondido, CA 66,526 9

Paoli Hospital1 Paoli, PA 84,442 2

Parham Doctors' Hospital1 Richmond, VA - -

Paris Community Hospital1 Paris, IN - 5

Park Ridge Health1 Fletcher, NC - 3

Parker Adventist Hospital1 Parker, CO - 8

Parkland Health & Hospital System1 Dallas, TX 506,625 7

Parkland Medical Center1 Derry, NH 46,987 -

Parkridge Medical Center12 Chattanooga, TN 148,300 -

Passavant Area Hospital1 Jacksonville, IL - 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionPathology/Lab Medicine1 Philadelphia, PA 155,000 2

Paul Oliver Memorial Hospital1 Frankfort, MI - 5

Pekin Hospital1 Pekin, IL 47,218 5

Penn Highlands Brookville1 Brookville, PA 33,879 2

Penn Highlands Elk1 St. Mary's, PA 2,100,000 2

Penn Medicine CCH Cardiology1 West Chester, PA 4,641 2

Penn Medicine CCH Radiology1 West Chester, PA 3,019 2

Penrose Hospital1 Colorado Springs, CO 115,347 8

Perry County Memorial Hospital1 Tell City, IN - 5

Phoebe Putney Memorial Hospital12 Albany, GA 718,691 4

Piedmont Atlanta Hospital12 Atlanta, GA - 4

Piedmont Fayette Hospital12 Fayetteville, GA - 4

Piedmont Henry Hospital12 Stockbridge, GA - 4

Piedmont Newnan Hospital12 Newnan, GA 54,338 4

Piedmont Newton Hospital12 Covington, GA - 4

Plains Regional Medical Center1 Clovis, NM 76,361 8

Platte Valley Medical Center1 Brighton, CO 58,864 8

Plaza Medical Center Of Fort Worth1 Fort Worth, TX 37,887 -

Pleasant Valley Hospital, Inc.1 Point Pleasant, WV 228,000 3

Pocahontas Community Hospital1 Pocahontas, IA 96,000 6

Pomerado Hospital1 Poway, CA 36,625 9

Pomona Valley Hospital1 Pomona, CA 300,000 9

Porter Adventist Hospital1 Denver, CO 180,000 8

Portsmouth Regional Hospital1 Portsmouth, NH 174,283 -

Presbyterian Hospital1 Albuquerque, NM - 8

Presbyterian Kaseman Hospital1 Albuquerque, NM - 8

Presbyterian/Espanola Hospital1 Espanola, NM - 8

Presbyterian/Lincoln County M. C.1 Ruidoso, NM - 8

Presbyterian/Socorro General Hosp.1 Socorro, NM - 8

Presbyterian/St. Luke's (P-Sl) Medi1 Denver, CO 52,220 -

Presence Mercy Medical Center1 Aurora, IL 225,083 5

Presence Resurrection Medical Cntr1 Chicago, IL - 5

Presence St Joseph Hospital - Elgin1 Elgin, IL 159,310 5

Presence St Joseph Hospital-Chicago1 Chicago, IL 140,837 5

Presence St. Joseph Medical Center1 Joliet, IL - 5

Presence St. Mary's Hospital1 Kankakee, IL 168,700 5

Providence Alaska Medical Center1 Anchorage, AK 45,722 9

Providence Imaging Center - AK1 Anchorage, AK 55,476 9

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionProvidence LCM Med Center-Torrance1 Torrance, CA 54,500 9

Providence Milwaukie Hospital1 Milwaukie, OR 199,161 9

Providence Portland Medical Center1 Portland, OR 1,115,023 9

Providence Regional Med Ctr Everett1 Everett, WA 140,330 9

Providence Sacred Heart Medical Ctr1 Spokane, WA - 9

Providence St. Vincent Medical Cntr1 Portland, OR 814,000 9

Putnam Community Medical Center12 Palatka, FL - 4

RWJ University Hospital Somerset13 Somerville, NJ 122,360 2

Radiology Services1 Philadelphia, PA 167,511 2

Raleigh Radiology1 Raleigh, NC 100,000 3

Rapides Regional Medical Centr1 Alexandria, LA 136,533 -

Reading Hospital & Medical Center1 Reading, PA - 2

Redbank Imaging1 Cincinnati, OH 11,500 5

Redmond Regional Medical Center12 Rome, GA 42,095 -

Regina Hospital1 Hastings, MN 174,000 6

Regional Health Services of Howard1 Cresco, IA 45,625 6

Regional Medical Center Anniston12 Anniston, AL 80,257 4

Reid Hosp. & Health Care Services1 Richmond, IN 1,350 5

Reliant Medical Group1 Worcester, MA 147,781 1

Renown Institute for Cancer1 Reno, NV - 9

Renown Regional X-ray and Imaging1 Reno, NV 78,912 9

Research Medical Ctr1 Kansas City, MO - -

Reston Hospital Center1 Reston, VA - -

Resurgens Ortho12 Atlanta, GA 25,000 4

Retreat Doctors' Hospital1 Richmond, VA 22,754 -

Rex Healthcare1 Raleigh, NC - 3

Rice Memorial Hospital1 Willmar, MN 78,804 6

Richland Hospital Inc (The)1 Richland Center, WI 1,771 5

Richmond Community Hospital1 Richmond, VA 25,069 3

Riddle Memorial Hospital1 Media, PA 115,000 2

Ridgecrest Regional Hospital1 Ridgecrest, CA - 9

River Falls Area Hospital1 River Falls, WI 20,000 5

Riverside Community Hospital1 Riverside, CA 22,024 -

Riverside Methodist Hospital13 Columbus, OH 252,000 5

Riverview Medical Center1 Red Bank, NJ 53,500 2

Robert J. Dole Veterans Admin Med C1 Wichita, KS 130,552 6

Robert Packer Hospital1 Sayre, PA - 2

Robert Wood Johnson Univ-Rahway1 Rahway, NJ 104,000 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionRobert Wood Johnson University Hosp1 New Brunswick, NJ - 2

Rochelle Community Hospital1 Rochelle, IL 94,913 5

Rogue Regional Medical Center1 Medford, OR 382,651 9

Ronald Reagan UCLA Medical Center1 Los Angeles, CA - 9

Rose Medical Center1 Denver, CO 6,738 -

Rush University Medical Center1 Chicago, IL - 5

Russell County Medical Center1 Lebanon, VA - 3

Rutland Regional Medical Center1 Rutland, VT - 1

SH Women's Imaging1 Stamford, CT 16,383 1

SMC Fargo1 Fargo, ND - 6

SSM Health Saint Louis University1 Greenville, SC - 4

Sacred Heart Hospital1 Eau Claire, WI 110,591 5

Saint Agnes Medical Center-Fresno1 Fresno, CA - 9

Saint Alphonsus Boise1 Boise, ID 90,800 8

Saint Alphonsus Nampa1 Nampa, ID 84,046 8

Saint Alphonsus Ontario1 Ontario, OR 53,529 9

Saint Anthony Medical Center1 Rockford, IL 142,781 5

Saint Barnabas Medical Center1 Livingston, NJ - 2

Saint Francis Hospital and Medical1 Hartford, CT 79,544 1

Saint Joseph Reg Med Ctr- Plymouth1 Plymouth, IN - 5

Saint Joseph Regional MC-Mishawaka1 Mishawaka, IN 75,751 5

Saint Joseph's of Atlanta12 Atlanta, GA - 4

Saint Mary's Hospital1 Waterbury, CT - 1

Saint Mary's Site: 21 Enid, OK 53,541 7

Saint Vincent Hospital1 Erie, PA 68,000 2

Salem Hospital1 Salem, OR 251,856 9

Salinas Valley Memorial Healthcare1 Salinas, CA 2,288 9

San Leandro Hospital Campus1 San Leandro, CA - 9

Sanford Aberdeen Medical Center1 Aberdeen, SD 17,275 6

Sanford Bemidji Medical Center1 Bemidj, MN 41,847 6

Sanford Luverne Medical Center1 Luverne, MN 38,000 6

Sanford USD Medical Center1 Sioux Falls, SD 46,000 6

Sanford Vermillion Medical Center1 Vermillion, SD 29,320 6

Sanford Worthington Medical Center1 Worthington, MN 40,175 6

Santa Monica-UCLA Medical Center1 Santa Monica, CA - 9

Sarasota Memorial Hospital12 Sarasota, FL - 4

Saratoga Care1 Saratoga Springs, NY 475,635 2

Sauk Prairie Healthcare1 Prairie Du Sac, WI 27,500 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionSchneck Medical Center1 Seymour, IN 360,615 5

Scotland Memorial Hospital1 Laurinburg, NC 326,605 3

Scripps Green Hospital1 San Diego, CA 129,263 9

Scripps Memorial Hospital Encinitas1 San Diego, CA 58,585 9

Scripps Memorial Hospital La Jolla1 La Jolla, CA 105,522 9

Scripps Mercy Hospital Chula Vista1 San Diego, CA 70,308 9

Scripps Mercy Hospital San Diego1 San Diego, CA 94,953 9

Self Regional Healthcare12 Greenwood, SC 131,875 4

Sharp Chula Vista Medical Center1 Chula Vista, CA 113,672 9

Sharp Coronado Hospital & Health Ct1 Coronado, CA 130,716 9

Sharp Grossmont Hospital1 LaMesa, CA - 9

Sharp Memorial Hospital1 San Diego, CA - 9

Sharp Outpatient Pavilion1 San Diego, CA 56,000 9

Shawnee Mission Medical Center1 Overland Park, KS 101,770 6

Sherman Health Systems1 Elgin, IL 530,508 5

Shore Medical Center1 Somers Point, NJ - 2

Sibley Memorial Hospital1 Washington DC - 3

Silver Cross Hospital1 Joliet, IL 150,000 5

Sioux Falls VA Medical Center1 Sioux Falls, SD - 6

Sisters of Providence Health System1 Springfield, MA - 1

Skokie Hospital1 Skokie, IL 488,085 5

Sky Ridge Medical Center1 Lone Tree, CO 47,150 -

Smyth County Communtiy Hospital1 Marion, VA 241,900 3

Soin Medical Center1 Beavercreek, OH - 5

South Bay Hospital12 Sun City Center, FL 12,035 -

South Denver Heart Center1 Littleton, CO 16,500 8

South Haven Community Hospital1 South Haven, MI 144,683 5

South Lake Hospital12 Clermont, FL 21,264 4

South Miami12 Miami, FL 134,478 4

South Pointe Hospital1 Warrensville Heights, OH 130,000 5

South Seminole Hospital12 Longwood, FL 9,552 4

South Shore Hospital1 South Weymouth, MA 241,191 1

Southeast Hospital1 Cape Girardeau, MO - 6

Southeastern Ohio Regional Medical1 Cambridge, OH 100,000 5

Southern Ocean Medical Center1 Manahawkin, NJ 109,728 2

Southside Community Hospital1 Farmville, VA - 3

Southview Hospital1 Dayton, OH 156,421 5

Southwest General Health Center1 Middleburg Heights, OH - 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionSouthwest Medical Associates1 Las Vegas, NV 200,000 9

Spectrum Health Big Rapids1 Big Rapids, MI 86,000 5

Spectrum Health Kelsey Hospital1 Lakeview, MI - 5

Spectrum Health Ludington Hospital1 Ludington, MI - 5

Spectrum Health Medical Group1 Grand Rapids, MI 21,100 5

Spectrum Health Pennock1 Hastings, MI 41,903 5

Spectrum Health Reed City Hospital1 Grand Rapids, MI - 5

Spectrum Health United Hospital1 Greenville, MI 35,638 5

Spencer Municipal Hospital1 Spencer, IA 75,000 6

Spooner Health System1 Spooner, WI - 5

Springfield Clinic, LLP1 Springfield, IL 763,566 5

St Lukes Hospital1 Columbus, NC 83,546 3

St Mark's Hospital1 Salt Lake City, UT 98,000 -

St. Anthony Community Hospital1 Warwick, NY - 2

St. Anthony Hospital1 Oklahoma City, OK 82,382 7

St. Anthony Hospital1 Denver, CO 36,231 8

St. Anthony's Hospital12 St. Petersburg, FL 31,997 4

St. Anthony's Medical Center1 St. Louis, MO - 6

St. Anthony's Memorial Hospital1 Effingham, IL 133,850 5

St. Catherine Hospital1 East Chicago, IN 411,619 5

St. Charlies Health System1 Bend, OR 148,000 9

St. Clair Hospital1 Pittsburgh, PA 489,637 2

St. Clare Hospital & Health Service1 Baraboo, WI 53,749 5

St. Clare Hospital-Fenton1 Kirkwood, MO 199,164 6

St. Clare Memorial Hospital1 Oconto Falls, WI 58,097 5

St. Cloud Hospital1 St. Cloud, MN 230,000 6

St. David's Georgetown1 Georgetown, TX 25,291 -

St. David's Medical Center1 Austin, TX - -

St. David's Round Rock Medical Cent1 Round Rock, TX 20,815 -

St. David's South Austin Medical Ce1 Austin, TX 236,398 -

St. Elizabeth Hospital1 Gonzales, LA 157,612 7

St. Elizabeth's Hospital1 Belleville, IL 85,502 5

St. Francis Downtown12 Greenville, SC 82,595 4

St. Francis Eastside12 Greenville, SC 84,626 4

St. Francis Health Center1 Topeka, KS 263,077 6

St. Francis Hospital1 Roslyn, NY - 2

St. Francis Hospital12 Columbus, GA 41,000 4

St. Francis Hospital1 Litchfield, IL 60,000 5

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionSt. Francis Hospital -The DeMatteis1 Roslyn, NY - 2

St. Francis Hospital-Maryville1 Maryville, MO 98,130 6

St. Francis Medical Center1 Monroe, LA 82,972 7

St. Francis Medical Center1 Trenton, NJ - 2

St. Francis Medical Center1 Midlothian, VA - 3

St. Francis Regional Medical Center1 Shakopee, MN 144,893 6

St. James Healthcare1 Butte, MT 54,288 8

St. John's Health Center1 Santa Monica, CA - 9

St. John's Hospital1 Springfield, IL 120,996 5

St. John's Hospital1 St. Paul, MN 52,695 6

St. Joseph Hospital1 Denver, CO 146,937 8

St. Joseph Hospital-Lake St. Louis1 St. Charles, MO 58,224 6

St. Joseph Hospital-St. Charles1 St. Charles, MO 86,536 6

St. Joseph Memorial Hospital1 Murphysboro, IL 58,215 5

St. Joseph Mercy - Oakland1 Pontiac, MI 1,152,316 5

St. Joseph Mercy Chelsea1 Chelsea, MI 158,589 5

St. Joseph's Hospital1 Highland, IL 34,100 5

St. Joseph's Hospital1 Chippewa Falls, WI 53,019 5

St. Joseph's Hospital1 Breese, IL 13,655 5

St. Joseph's Hospital1 St. Paul, MN 25,792 6

St. Joseph's Hospital Health Center1 Syracuse, NY - 2

St. Joseph's Women's Hospital12 Tampa, FL 18,500 4

St. Lucie Medical Center12 Port St Lucie, FL 18,152 -

St. Luke's Hospital1 Maumee, OH - 5

St. Luke's Hospital1 Duluth, MN - 6

St. Luke's Hospital1 Chesterfield, MO - 6

St. Luke's Regional Medical Center1 Sioux City, IA - 6

St. Martin Hospital1 Breaux Bridge, LA - 7

St. Mary Medical Center1 Hobart, IN 61,571 5

St. Mary Medical Center1 Langhorne, PA - 2

St. Mary's Hospital1 Decatur, IL 50,028 5

St. Mary's Hospital1 Richmond, VA - 3

St. Mary's Hospital & Medical Cntr1 Grand Junction, CO 8,359 8

St. Mary's Hospital Medical Center1 Green Bay, WI 73,139 5

St. Mary's Hospital, Madison1 Madison, WI 62,000 5

St. Mary's Hospital-Audrain1 Mexico, MO - 6

St. Mary's Hospital-Centralia1 Centralia, IL 95,348 5

St. Mary's Hospital-Jefferson City1 Jefferson City, MO - 6

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionSt. Mary's Hospital-St. Louis1 Richmond Heights, MO 244,203 6

St. Mary-Corwin Medical Center1 Pueblo, CO - 8

St. Michael's Hospital- Sauk Centre1 Sauk Centre, MN 24,571 6

St. Nicholas Hospital1 Sheboygan, WI 77,940 5

St. Patrick Hospital1 Missoula, MT 138,904 8

St. Peter's Hospital1 Helena, MT 105,747 8

St. Thomas More Hospital1 Canon City, CO 34,179 8

St. Vincent Healthcare1 Billings, MT 113,100 8

St. Vincent Hospital1 Green Bay, WI 100,896 5

Stafford Hospital1 Stafford, VA 92,974 3

Stanford Hospital and Clinics1 Palo Alto, CA 136,809 9

Steele Memorial Hospital1 Salmon, ID 14,490 8

Stewart Memorial Community Hospital1 Lake City, IA 206,966 6

Stony Brook University Medical Ctr.13 Stony Brook, NY - 2

Stoughton Hospital1 Stoughton, WI 43,400 5

Summa Akron City Hospital1 Akron, OH - 5

Summa Wadsworth-Rittman Hospital1 Wadsworth, OH 82,714 5

Summa Western Reserve Hospital1 Akron, OH 295,211 5

Summerville Medical Center12 Summerville, SC - -

Summit Medical Group1 Berkeley Heights, NJ 240,000 2

Sunrise Hospital and Medical Center1 Las Vegas, NV 136,495 -

Susan B. Allen Memorial Hospital1 El Dorado, KS 111,536 6

Swedish Medical Center1 Englewood, CO 140,000 -

Swedish/Ballard1 Seattle, WA 45,082 9

Swedish/Cherry Hill1 Seattle, WA - 9

Swedish/Edmonds1 Edmonds, WA 481,740 9

Swedish/First Hill1 Seattle, WA 152,550 9

Swedish/Issaquah1 Issaquah, WA - 9

Swedish/Mill Creek1 Bothell, WA 19,000 9

Swedish/Redmond1 Redmond, WA 19,000 9

SwedishAmerican Hospital1 Rockford, IL 713,827 5

Sycamore Hospital13 Kettering, OH 70,189 5

Sycamore Shoals Hospital12 Elizabethton, TN 64,853 4

Sylvester Comprehensive Cancer Cntr12 Miami, FL 225,000 4

TRA Medical Imaging1 Tacoma, WA - 9

Tacoma General Hospital1 Tacoma, WA 132,000 9

Tahoe Forest Hospital District1 Truckee, CA 49,000 9

Takoma Regional Hospital12 Greeneville, TN 2,500 4

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionTanner Medical Center - Carrollton12 Carrollton, GA 665,652 4

Tanner Medical Center - Villa Rica12 Villa Rica, GA 407,534 4

Taylor Regional Hospital1 Campbellsville, KY 374,577 3

Temple University Hospital1 Philadelphia, PA - 2

Texas Health Allen1 Allen, TX 42,410 7

Texas Health Arlington Memorial1 Arlington, TX 92,776 7

Texas Health Azle1 Azle, TX 28,899 7

Texas Health Center for Diagnostics1 Plano, TX 18,788 7

Texas Health Cleburne1 Cleburne, TX 37,111 7

Texas Health Denton1 Denton, TX 30,199 7

Texas Health Flower Mound1 Flower Mound, TX 24,677 7

Texas Health Fort Worth1 Fort Worth, TX 139,172 7

Texas Health Huguley Hospital1 Burleson, TX 40,000 7

Texas Health Hurst-Euless-Bedford1 Bedford, TX 95,435 7

Texas Health Kaufman1 Kaufman, TX 35,714 7

Texas Health Plano1 Plano, TX 108,445 7

Texas Health Presbyterian-Dallas1 Dallas, TX 188,808 7

Texas Health Rockwall1 Rockwall, TX 2,600 7

Texas Health Southwest Fort Worth1 Fort Worth, TX 79,966 7

Texas Health Stephenville1 Stephenville, TX 24,356 7

Texas Orthopedic Hospital1 Houston, TX 2,500 -

Texas Spine & Joint Hospital1 Tyler, TX 53,583 7

Texoma Medical Site: 21 Denison, TX 44,725 7

The Christ Hospital1 Cincinnati, OH 133,567 5

The Emory Clinic12 Atlanta, GA - 4

The Health & Wellness Center/Doyles1 Doylestown, PA - 2

The Johns Hopkins Hospital13 Baltimore, MD 900,000 3

The Mount Sinai Hospital1 New York, NY - 2

The Queen's Medical - West O'ahu1 Ewa Beach, HI 19,032 9

The Queen's Medical Center1 Honolulu, HI 109,285 9

The Regional Medical Center12 Orangeburg, SC 50,001 4

The Uniontown Hospital1 Uniontown, PA 161,815 2

The University of Chicago Medicine1 Chicago, IL 400,000 5

The University of Vermont Medical C1 Burlington, VT - 1

The Woman's Hospital of Texas1 Houston, TX 37,900 -

Theda Clark Medical Center1 Neenah, WI - 5

ThedaCare Medical Center-Waupaca1 Waupaca, WI - 5

Thibodaux Regional Medical Center1 Thibodaux, LA 33,446 7

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionThomas Jefferson University Hosp.1 Philadelphia, PA 230,000 2

Thompson Health1 Canandaigua, NY 486,258 2

Three Rivers Medical Center1 Medford, OR 146,814 9

Timpanogos Regional Hospital1 Orem, UT 23,000 -

Torrance Memorial Medical Center1 Torrance, CA - 9

Tradition Medical Center12 Port St Lucie, FL 33,640 4

Tri-State Memorial Hospital1 Clarkston, WA - 9

TriStar Centennial Medical Center12 Nashville, TN 165,406 -

TriStar Greenview Regional Hospital1 Bowling Green, KY 45,000 -

TriStar Hendersonville Medical Cent12 Hendersonville, TN - -

TriStar Horizon Medical Center12 Dickson, TN 22,357 -

TriStar Skyline Medical Center12 Nashville, TN 404,083 -

TriStar Southern Hills Medical Cent12 Nashville, TN 225,000 -

TriStar StoneCrest Medical Center12 Smyrna, TN - -

TriStar Summit Medical Center12 Hermitage, TN 54,936 -

Trident Regional Medical Center12 Charleston, SC - -

Trinity Bettendorf1 Bettendorf, IA 15,859 6

Trinity Mother Francis Outpatient S1 Tyler, TX - 7

Trinity Muscatine1 Muscatine, IA - 6

Trinity Regional Medical Center1 Fort Dodge, IA 40,731 6

Trinity Rock Island1 Rock Island, IL 315,312 5

Troy Community Hospital1 Troy, PA - 2

Tulane Lakeside Hospital1 Metairie, LA 74,288 -

Tulane Medical Center1 New Orleans, LA 339,370 -

Twin Cities Hospital12 Niceville, FL 20,776 -

UC Medical Center1 Cincinnati, OH 35,599 5

UC San Diego Hlth Sys Sulpizio Card1 La Jolla, CA 15,000 9

UC San Diego Outpatient Radiology1 San Diego, CA - 9

UCSF Medical Center1 San Francisco, CA 190,650 9

UH Cleveland Medical Center1 Cleveland, OH - 5

UK HealthCare Hospital1 Lexington, KY 2,654,993 3

UM Shore Regional HH OP OP Rehab 12 Easton, MD - 3

UMC of Princeton at Plainsboro1 Princeton, NJ 183,972 2

UNM Sandoval Regional Medical Cntr1 Rio Rancho, NM 27,499 8

UPH - Methodist1 Peoria, IL - 5

UPH - Proctor1 Peoria, IL - 5

UPH - St. Luke's Hospital1 Cedar Rapids, IA 301,045 6

UPMC Centers for Rehab Services1 Pittsburgh, PA - 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionUPMC Heart and Vascular Institute1 Pittsburgh, PA - 2

UPMC Imaging1 Pittsburgh, PA 1,591,425 2

URMC - Strong1 Rochester, NY 12,000 2

URMFG1 Rochester, NY 900,000 2

USC - Norris Cancer Hospital1 Los Angeles, CA - 9

USMD1 Irving, TX - 7

Union Hospital1 Dover, OH 85,000 5

United Hospital1 St. Paul, MN 124,683 6

United Hospital Center, Inc.1 Clarksburg, WV 415,299 3

United Regional Healthcare System1 Wichita Falls, TX 174,200 7

Unity Hospital1 Rochester, NY - 2

Unity Hospital1 Fridley, MN 65,000 6

UnityPoint Health - Jones Regional1 Anamosa, IA 49,328 6

University Hospital & Clinic1 Lafayette, LA - 7

University Hospital & Medical Ctr12 Tamarac, FL 12,800 -

University of Alabama Hospital1 Birmingham, AL - 4

University of Illinois Hospital1 Chicago, IL 288 5

University of Iowa Hospitals and Cl1 Iowa City, IA - 6

University of Maryland Baltimore Wa1 Glen Burnie, MD - 3

University of Maryland St. Joseph M1 Towson, MD - 3

University of Miami Hospital12 Miami, FL 22,744 4

University of New Mexico1 Albuquerque, NM 370,000 8

University of Tennessee M.C.123 Knoxville, TN - 4

University of Texas Medical Branch1 Galveston, TX 22,656 7

University of Texas Southwestern MC1 Dallas, TX 235,001 7

University of Utah Hospital&Clinics1 Salt Lake City, UT 84,052 8

University of Virginia Health Sys1 Charlottesville, VA 630,292 3

Unversity of Maryland Charles Regio1 La Plata, MD - 3

Upland Hills Health1 Dodgeville, WI - 5

VA Black Hills Fort Meade1 Fort Meade, SD - 6

VA Black Hills Hot Springs1 Hot Springs, SD - 6

VA Central Iowa Health Care System1 Des Moines, IA - 6

VA Minneapolis Health Care System1 Minneapolis, MN - 6

VA Nebraska-Western Iowa Health Car1 Omaha, NE - 6

VA St. Cloud Health Care System1 St. Cloud, MN - 6

Valley Health1 Ridgewood, NJ 775,000 2

Valley Medical Center1 Renton, WA 49,144 9

Valley Regional Medical Center1 Brownsville, TX 80,000 -

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

3 Council of Teaching Peer Group

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionValley West Hospital1 Sandwich, IL 34,200 5

ValleyCare Health System1 Livermore, CA 170,635 9

Van Wert County Hospital1 Van Wert, OH - 5

Vanderbilt Medical Group and Clinic12 Nashville, TN 40,455 4

Verde Valley Medical Center1 Cottonwood, AZ - 8

Virginia Hospital Center1 Arlington, VA 400,000 3

Virtua Health-Voorhees1 Voorhees, NJ 494,839 2

WVU Medical Corporation1 Morgantown, WV 14,000 3

Waccamaw Community Hospital12 Murrells Inlet, SC 66,627 4

Wake Forest University Baptist MC1 Winston-Salem, NC - 3

Warren General Hospital1 Warren, PA - 2

Washington Hospital1 Washington, PA 123,179 2

Washington Hospital HealthCare Sys1 Fremont, CA 72,420 9

Washington Regional Medical Center1 Fayetteville, AR 62,826 7

Waverly Health Center1 Waverly, IA 129,268 6

Wayne Hospital1 Greenville, OH 75,338 5

Wayne Memorial Hospital1 Honesdale, PA 377,840 2

Weill Cornell Physician Org.1 New York, NY 92,000 2

WellStar Cobb Hospital12 Austell, GA 85,226 4

WellStar Douglas Hospital12 Douglasville, GA 63,746 4

WellStar Kennestone Hospital12 Marietta, GA 92,212 4

WellStar Paulding Hospital12 Dallas, GA 9,984 4

WellStar Windy Hill Hospital12 Marietta, GA 7,898 4

Wellington Regional Site: 212 West Palm Beach, FL 37,361 4

Wentworth-Douglass Hospital1 Dover, NH - 1

Wesley Long Community Hospital1 Greensboro, NC 54,431 3

Wesley Medical Center1 Wichita, KS 48,742 -

Wesley Woodlawn Hospital and ER1 Wichita, KS 3,914 -

West Chester Hospital1 West Chester, OH 153,737 5

West Florida Hospital12 Pensacola, FL 68,563 -

West Georgia Health System12 LaGrange, GA - 4

West Hills Hospital & Medical Cente1 West Hills, CA 1,146 -

West Houston Medical Center1 Houston, TX 48,500 -

West Kendall Baptist Hospital12 Miami, FL 5,700 4

West Penn Hospital1 Pittsburg, PA - 2

West Valley Medical Center1 Caldwell, ID 48,000 -

West Virginia University Hospital1 Morgantown, WV - 3

Westfield Memorial Hospital1 Westfield, NY - 2

Continued...

1 All Facility DB

2 Hospitals in AHA Region 4

Find solutions, learn best practices, and networkFor an overview of how to interpret this report page,with colleagues in other health care organizationsclick or visit the following Web page:

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OUTPATIENT SERVICES REPORTOUTPATIENT SERVICES REPORT23.0 Facilities in the Database

Number of AHAFacility City, State Procedures RegionWestside Regional Medical Center12 Plantation, FL 9,406 -

WhidbeyHealth Medical Center1 Coupeville, WA 118,099 9

White Plains Hospital Center1 White Plains, NY - 2

Wilkes Regional Medical Center1 N. Wilkesboro, NC 21,718 3

William W. Backus Hospital (The)1 Norwich, CT 7,800 1

Williamson Medical Center12 Franklin, TN 26,736 4

Winchester Hospital, Lahey Health1 Winchester, MA 1,515,690 1

Winter Haven Hospital12 Winter Haven, FL 13,089 4

Winter Park Memorial Hospital12 Winter Park, FL 66,649 4

Witham Memorial Hospital1 Lebanon, IN - 5

Woman's Hospital1 Baton Rouge, LA - 7

Women's Hospital of Greensboro1 Greensboro, NC 52,939 3

Womens and Childrens Hospital1 Lafayette, LA 56,156 -

Wood County Hospital1 Bowling Green, OH 51,000 5

Woodwinds Health Campus1 St. Paul, MN 35,370 6

Wooster Community Hospital1 Wooster, OH 400,000 5

Wyandot Memorial Hospital1 Upper Sandusky, OH 37,709 5

Wyckoff Heights Medical Center1 Brooklyn, NY 59,244 2

Yale-New Haven Hospital1 New Haven, CT 200,000 1

Yale-New Haven Hospital - 31 New Haven, CT - 1

Yampa Valley Medical Center1 Steamboat Springs, CO 81,964 8

York Hospital1 York, PA - 2

Yuma Regional Medical Center1 Yuma, AZ 13,593 8

Zeeland Community Hospital1 Zeeland, MI - 5

eOU - TCH Medical Center1 Houston, TX - 7

1 All Facility DB

2 Hospitals in AHA Region 4

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154