ASHE MEMORIAL HOSPITAL - JEFFERSON, NC

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ASHE MEMORIAL HOSPITAL
200 HOSPITAL AVE
JEFFERSON, NC 28640

SHORT TERM HOSPITALS

Services provided by ASHE MEMORIAL HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 76

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 76

Physicians (The number of full-time equivalent physicians employed by a provider): 2

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): May 2000

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): May 2003

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 34D0664288

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Dieticians (Number of full-time equivalent dieticians employed by a facility): 1

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 17.75

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 176.25

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1

Physician assistants (The number of full-time equivalent physician assistants employed by a hospital or rural health clinic): 2

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 42.75

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 2

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): Yes

Srv: alcohol and/or drug (Indicates how alcohol and/or drug services are provided by a hospital): PROVIDED BY STAFF

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF

Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: long term care unit (Indicates how long term care unit services are provided in a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF

Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED BY STAFF

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

Srv: optometric (Indicates how optometric services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF

Srv: pediatric (Indicates how pediatric services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF

Srv: rehabilitation (Indicates how rehabilitation services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: social (Indicates how social services are provided): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED UNDER ARRANGEMENT

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): Yes

Swing bed size code (Indicates the size of a hospital providing swing bed services): 50 TO 99 BEDS

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED UNDER ARRANGEMENT

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 0.25

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Oct 1993

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1966

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	100%	85%	85%
Heart Attack Patients Given Aspirin at Arrival	91%	93%	93%
Heart Attack Patients Given Aspirin at Discharge	88%	92%	90%
Heart Attack Patients Given Beta Blocker at Arrival	92%	88%	88%
Heart Attack Patients Given Beta Blocker at Discharge	89%	92%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	96%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	85%	87%	84%
Heart Failure Patients Given Discharge Instructions	100%	71%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	100%	92%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	76%	91%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	64%	77%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	62%	78%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	86%	92%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	91%	91%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	89%	87%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	96%	91%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	36%	86%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	67%	77%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	79%	90%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	67%	81%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	92%	80%	78%

Hospital Consumer Assessment of Healthcare Providers & Systems Survey

How do patients rate the hospital overall?

	Here	State Average	Nation Average
Patients who gave a rating of 9 or 10 (high)	75%	68%	63%
Patients who gave a rating of 7 or 8 (medium)	20%	23%	26%
Patients who gave a rating of 6 or lower (low)	5%	9%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	91%	84%	79%
Doctors usually communicated well	8%	12%	16%
Doctors sometimes or never communicated well	1%	4%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	84%	78%	73%
Nurses usually communicated well	13%	17%	21%
Nurses sometimes or never communicated well	3%	5%	6%

How often did patients receive help quickly from hospital staff?

	Here	State Average	Nation Average
Patients always received help as soon as they wanted	77%	66%	60%
Patients usually received help as soon as they wanted	19%	23%	28%
Patients sometimes or never received help as soon as they wanted	4%	11%	12%

How often did staff explain about medicines before giving them to patients?

	Here	State Average	Nation Average
Staff always explained	67%	62%	58%
Staff usually explained	18%	17%	18%
Staff sometimes or never explained	15%	21%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	76%	71%	67%
Pain was usually well controlled	21%	22%	25%
Pain was sometimes or never well controlled	3%	7%	8%

How often was the area around patients' rooms kept quiet at night?

	Here	State Average	Nation Average
Always quiet at night	64%	60%	54%
Usually quiet at night	30%	29%	32%
Sometimes or never quiet at night	6%	11%	14%

How often were the patients' rooms and bathrooms kept clean?

	Here	State Average	Nation Average
Room was always clean	81%	70%	68%
Room was usually clean	15%	19%	21%
Room was sometimes or never clean	4%	11%	11%

Were patients given information about what to do during their recovery at home?

	Here	State Average	Nation Average
Yes, staff did give patients this information	85%	81%	79%
No, staff did not give patients this information	15%	19%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	69%	72%	67%
YES, patients would probably recommend the hospital	28%	23%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	3%	5%	6%

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