CASTLE MEDICAL CENTER - KAILUA, HI

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CASTLE MEDICAL CENTER
640 ULUKAHIKI ST
KAILUA, HI, 96734

Phone (make sure to verify first before calling): (808) 263-5500

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Church
Emergency Services: Yes
Type: Swing Bed Hospitals

Provided Services

Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Obstetric Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 0.50
Registered Professional Nurses : 51.50
Other Salaried Personnel : 109.00
Dieticians : 1.00
Registered Pharmacists : 2.50
Respiratory Therapists : 3.75
Medical Social Workers : 0.80

Number Of Beds

Total: 39
Total Certified: 36

Hospital Acquired Conditions

Falls And Trauma

Here:	0.588%
State:	0.424%

Catheter-Associated UTI

This Hospital:	1.176%
Hawaii:	0.976%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
Hawaii:	7%

Usually

This Hospital:	21%
State:	22%

Always

This Hospital:	73%
State:	71%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
Hawaii:	6%

Usually

This Hospital:	17%
State:	17%

Always

This Hospital:	78%
Hawaii:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	9%
State:	15%

Usually

This Hospital:	27%
State:	27%

Always

Here:	64%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
Hawaii:	10%

Usually

This Hospital:	23%
Hawaii:	25%

Always

Here:	69%
Hawaii:	65%

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

Sometimes or never

This Hospital:	20%
State:	21%

Usually

This Hospital:	18%
Hawaii:	20%

Always

This Hospital:	62%
Hawaii:	59%

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

Sometimes or never

This Hospital:	11%
Hawaii:	8%

Usually

This Hospital:	18%
Hawaii:	22%

Always

Here:	71%
State:	70%

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

Sometimes or never

This Hospital:	10%
Hawaii:	15%

Usually

Here:	33%
State:	33%

Always

This Hospital:	57%
State:	52%

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

Yes

This Hospital:	87%
Hawaii:	79%

This Hospital:	13%
Hawaii:	21%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	9%
State:	12%

7 or 8

This Hospital:	23%
Hawaii:	27%

9 or 10

This Hospital:	68%
State:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	7%
State:	7%

Yes, probably

This Hospital:	22%
Hawaii:	29%

Yes, definitely

Here:	71%
Hawaii:	64%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $7,005

Acute myocardial infarction, discharged alive w MCC: $15,631

Acute myocardial infarction, discharged alive w CC: $9,838

Heart failure and shock w/o CC/MCC: $5,816

Heart failure and shock w MCC: $11,762

Heart failure and shock w CC: $8,111

Chronic obstructive pulmonary disease w/o CC/MCC: $5,843

Chronic obstructive pulmonary disease w MCC: $10,496

Chronic obstructive pulmonary disease w CC: $7,860

Simple pneumonia and pleurisy w MCC: $11,541

Diabetes w MCC: $10,959

Chest Pain: $4,281

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $39,800

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $47,384

Cardiac defibrillator implant w/o cardiac cath w MCC: $63,655

Extracranial procedures w/o CC/MCC: $9,489

Extracranial procedures w CC: $13,288

Permanent cardiac pacemaker implant w/o CC/MCC: $16,158

Permanent cardiac pacemaker implant w CC: $20,853

Perc cardiovasc proc w drug-eluting stent w/o MCC: $15,407

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $9,073

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $19,949

Laparoscopic cholecystectomy w/o c.d.e. w CC: $13,297

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $33,858

Hernia procedures except inguinal and femoral w/o CC/MCC: $7,772

Hernia procedures except inguinal and femoral w MCC: $19,499

Hernia procedures except inguinal and femoral w CC: $10,997

Major small and large bowel procedures w/o CC/MCC: $15,381

Major small and large bowel procedures w CC: $10,570

Major small and large bowel procedures w MCC: $40,525

Stomach, esophageal duodenal proc w/o CC/MCC: $11,704

Cervical spinal fusion w/o CC/MCC: $18,153

Cervical spinal fusion w MCC: $81,587

Cervical spinal fusion w CC: $23,532

Spinal fusion except cervical w/o MCC: $28,700

Back and neck proc exc spinal fusion w/o CC/MCC: $7,563

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $13,873

Major shoulder or elbow joint procedures w/o CC/MCC: $8,740

Major shoulder or elbow joint procedures w CC/MCC: $13,828

Major joint replacement or reattachment of lower extremity w/o MCC: $16,173

Major joint replacement or reattachment of lower extremity w MCC: $26,503

Revision of hip or knee replacement w/o CC/MCC: $19,735

Revision of hip or knee replacement w CC: $24,673

Other musculoskelet sys and conn tiss O.R. proc w MCC: $13,829

Kidney and ureter procedures for neoplasm w MCC: $27,872

Kidney and ureter procedures for neoplasm w CC: $17,658

Revision of hip or knee replacement w MCC: $36,596

Transurethral procedures w MCC: $17,561

Other kidney and urinary tract procedures w/o CC/MCC: $10,545

Other kidney and urinary tract procedures w MCC: $22,316

Transurethral prostatectomy w/o CC/MCC: $5,095

Transurethral prostatectomy w CC/MCC: $10,602

Female reproductive system reconstructive procedures: $6,575

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $6,796

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	97.0%
State:	98.4%

Percent of Patients Given Aspirin at Discharge

This Hospital:	94.0%
State:	97.8%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	94.0%
Hawaii:	93.9%

Percent of Patients Given Beta Blocker at Discharge

Here:	95.0%
State:	97.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	97.1%

Percent of Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

Here:	100.0%
State:	33.2%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	67.0%
Hawaii:	84.7%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	7
Hawaii:	9

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	113
Hawaii:	133

Median Time to Fibrinolysis

Here:	28
State:	26

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Hospital:	99.0%
State:	97.2%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

This Hospital:	67
State:	59

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	97.0%
Hawaii:	96.5%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	93.0%
State:	95.6%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
State:	85.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	97.4%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	97.0%
State:	95.9%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	94.0%
State:	94.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Hawaii:	95.1%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	94.0%
State:	90.6%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	87.0%
Hawaii:	85.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	91.0%
Hawaii:	86.9%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	96.0%
Hawaii:	96.8%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:	99.0%
State:	92.9%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

This Hospital:	97.0%
Hawaii:	97.5%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	83.0%
State:	88.1%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	88.0%
Hawaii:	89.9%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
Hawaii:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	88.0%
Hawaii:	85.0%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Hospital:	88.0%
Hawaii:	91.4%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	89.0%
State:	95.2%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	93.0%
State:	96.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.1%
Hawaii:	16.3%

30-Day Mortality Rates from Heart Failure

Here:	11.5%
State:	11.4%

30-Day Mortality Rates from Pneumonia

Here:	12.8%
Hawaii:	12.1%

30-Day Readmission Rates from Heart Attack

Here:	20.2%
State:	19.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.2%
State:	23.9%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.7%
State:	17.7%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	30.000%
State:	29.869%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	7.100%
Hawaii:	8.569%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.022%
Hawaii:	0.111%

Outpatient CT scans of the chest that were combination (double) scans.

This Hospital:	0.029%
Hawaii:	0.012%

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