NACOGDOCHES MEDICAL CENTER - NACOGDOCHES, TX

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NACOGDOCHES MEDICAL CENTER
4920 NE STALLINGS DRIVE
NACOGDOCHES, TX, 75961

Phone (make sure to verify first before calling): (936) 569-9481

Hospital Type: Acute Care Hospitals
Hospital Owner: Proprietary
Emergency Services: Yes

Provided Services

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

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 35.50
Registered Professional Nurses : 60.00
Other Salaried Personnel : 265.00
Certified Registered Nurse Anesthetists (CRNA) : 5.00
Dieticians : 1.00
Physical Therapists : 2.00
Registered Pharmacists : 3.50
Respiratory Therapists : 13.00
Medical Social Workers : 1.00

Number Of Beds

Total: 150
Total Certified: 150

Use of Medical Imaging

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

This Hospital:	40.500%
Texas:	34.035%

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

This Hospital:	6.500%
Texas:	8.248%

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

Here:	0.730%
Texas:	0.316%

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

Here:	0.264%
State:	0.116%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	93.0%
Texas:	98.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
State:	97.9%

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

This Hospital:	100.0%
Texas:	95.7%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	95.0%
State:	98.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	100.0%
Texas:	88.7%

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

This Hospital:	14
State:	9

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

Here:	100.0%
State:	94.2%

Heart Failure

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

Here:	97.0%
State:	97.5%

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

Here:	94.0%
State:	94.7%

Percent of Patients Given Discharge Instructions

This Hospital:	98.0%
State:	89.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Texas:	98.5%

Pneumonia

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

This Hospital:	92.0%
State:	95.0%

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

Here:	99.0%
State:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	98.0%
State:	97.9%

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

Here:	92.0%
Texas:	90.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	99.0%
Texas:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
Texas:	93.7%

Surgery

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

This Hospital:	98.0%
Texas:	96.9%

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

This Hospital:	95.0%
Texas:	93.7%

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

This Hospital:	97.0%
State:	97.4%

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

Here:	91.0%
Texas:	90.8%

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

Here:	92.0%
State:	92.8%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	82.0%
State:	91.0%

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

This Hospital:	100.0%
Texas:	99.6%

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

Here:	78.0%
Texas:	88.5%

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

This Hospital:	86.0%
Texas:	92.3%

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

This Hospital:	97.0%
State:	92.8%

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

Here:	94.0%
State:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.2%
State:	16.1%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.9%
State:	10.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.3%
Texas:	11.3%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.2%
Texas:	19.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	28.0%
State:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.1%
Texas:	17.7%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,790

Acute myocardial infarction, discharged alive w MCC: $10,688

Acute myocardial infarction, discharged alive w CC: $6,727

Heart failure and shock w/o CC/MCC: $3,977

Heart failure and shock w MCC: $8,043

Heart failure and shock w CC: $5,546

Chronic obstructive pulmonary disease w/o CC/MCC: $3,996

Chronic obstructive pulmonary disease w MCC: $7,177

Chronic obstructive pulmonary disease w CC: $5,374

Simple pneumonia and pleurisy w MCC: $7,892

Diabetes w MCC: $7,489

Chest Pain: $2,927

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $39,590

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $15,076

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $27,950

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $14,294

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $32,502

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $70,035

Extracranial procedures w/o CC/MCC: $5,511

Extracranial procedures w CC: $8,552

Coronary bypass w/o cardiac cath w/o MCC: $21,086

Coronary bypass w/o cardiac cath w MCC: $48,731

Permanent cardiac pacemaker implant w/o CC/MCC: $11,049

Permanent cardiac pacemaker implant w CC: $14,102

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,536

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,205

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,641

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,093

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,256

Hernia procedures except inguinal and femoral w MCC: $43,154

Hernia procedures except inguinal and femoral w CC: $7,723

Major small and large bowel procedures w/o CC/MCC: $8,937

Major small and large bowel procedures w CC: $14,095

Major small and large bowel procedures w MCC: $28,459

Cervical spinal fusion w/o CC/MCC: $10,543

Spinal fusion except cervical w/o MCC: $19,614

Spinal fusion except cervical w MCC: $32,823

Back and neck proc exc spinal fusion w/o CC/MCC: $5,168

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,475

Bilateral or multiple major joint procs of lower extremity w/o MCC: $17,317

Major joint replacement or reattachment of lower extremity w/o MCC: $11,059

Major joint replacement or reattachment of lower extremity w MCC: $18,123

Revision of hip or knee replacement w/o CC/MCC: $13,198

Revision of hip or knee replacement w CC: $16,872

Other musculoskelet sys and conn tiss O.R. proc w MCC: $16,894

Kidney and ureter procedures for neoplasm w/o CC/MCC: $7,582

Other kidney and urinary tract procedures w CC: $11,629

Transurethral prostatectomy w CC/MCC: $6,160

Female reproductive system reconstructive procedures: $4,496

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,647

Hospital Acquired Conditions

Falls And Trauma

Here:	1.013%
State:	0.585%

Vascular Catheter-Associated Infection

Here:	0.253%
State:	0.480%

Catheter-Associated UTI

Here:	0.253%
Texas:	0.207%

Manifestations Of Poor Glycemic Control

This Hospital:	0.253%
State:	0.063%

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

Here:	5%
Texas:	6%

Usually

Here:	18%
Texas:	18%

Always

Here:	77%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
Texas:	4%

Usually

This Hospital:	12%
Texas:	14%

Always

Here:	86%
Texas:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	10%
State:	11%

Usually

This Hospital:	22%
State:	24%

Always

Here:	68%
Texas:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	5%
Texas:	7%

Usually

Here:	20%
State:	22%

Always

Here:	75%
Texas:	71%

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

Sometimes or never

Here:	19%
Texas:	21%

Usually

This Hospital:	19%
Texas:	17%

Always

Here:	62%
Texas:	62%

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

Sometimes or never

This Hospital:	14%
State:	9%

Usually

Here:	21%
State:	19%

Always

This Hospital:	65%
Texas:	72%

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

Sometimes or never

This Hospital:	5%
Texas:	8%

Usually

Here:	22%
State:	26%

Always

This Hospital:	73%
Texas:	66%

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

Yes

Here:	80%
Texas:	82%

This Hospital:	20%
Texas:	18%

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

6 or lower

Here:	8%
State:	9%

7 or 8

Here:	24%
Texas:	22%

9 or 10

This Hospital:	68%
Texas:	69%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	6%

Yes, probably

This Hospital:	24%
State:	23%

Yes, definitely

This Hospital:	72%
Texas:	71%

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