CULPEPER MEMORIAL HOSPITAL INC - CULPEPER, VA

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CULPEPER MEMORIAL HOSPITAL INC
501 SUNSET LANE
CULPEPER, VA 22701

SHORT TERM HOSPITALS

Services provided by CULPEPER MEMORIAL HOSPITAL INC:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 96

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 96

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 1993

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 1996

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

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): Yes

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

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 4.50

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 18

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

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 2

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 206.60

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): 4

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

Psychiatric unit beds (The number of beds in a pps exempt psychiatric unit of a hospital): 12

Psychiatric unit effective date (The date a psychiatric unit became exempt from the prospective payment system (pps)): Oct 1986

Psychiatric unit indicator (Indicates if a hospital has a pps exempt psychiatric unit): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 97

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 2.50

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: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF

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 AND UNDER ARRANGEMENT

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

Srv: hospice (Indicates how hospice 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: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF

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

Srv: laboratory (clinical) (Indicates how clinical laboratory 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 BY STAFF

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

Srv: organ transplant (Indicates how organ transplant 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: psychiatric (Indicates how psychiatric 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

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

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

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

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 1

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

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 3

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 1995

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%	90%	85%
Heart Attack Patients Given Aspirin at Arrival	84%	95%	93%
Heart Attack Patients Given Aspirin at Discharge	94%	94%	90%
Heart Attack Patients Given Beta Blocker at Arrival	87%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	100%	94%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	67%	90%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	92%	86%	84%
Heart Failure Patients Given Discharge Instructions	72%	72%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	61%	90%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	98%	89%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	82%	81%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	69%	79%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	85%	94%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	79%	88%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	83%	87%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	81%	91%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	81%	82%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	59%	75%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	98%	86%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	78%	80%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	84%	77%	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)	60%	61%	63
Patients who gave a rating of 7 or 8 (medium)	29%	27%	26
Patients who gave a rating of 6 or lower (low)	11%	12%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	74%	79%	79
Doctors usually communicated well	20%	16%	16
Doctors sometimes or never communicated well	6%	5%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	73%	72%	73
Nurses usually communicated well	21%	21%	21
Nurses sometimes or never communicated well	6%	7%	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	59%	59%	60
Patients usually received help as soon as they wanted	27%	27%	28
Patients sometimes or never received help as soon as they wanted	14%	14%	12

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

	Here	State Average	Nation Average
Staff always explained	56%	57%	58
Staff usually explained	21%	18%	18
Staff sometimes or never explained	23%	25%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	62%	66%	67
Pain was usually well controlled	32%	25%	25
Pain was sometimes or never well controlled	6%	9%	8

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

	Here	State Average	Nation Average
Always quiet at night	53%	55%	54
Usually quiet at night	34%	31%	32
Sometimes or never quiet at night	13%	14%	14

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

	Here	State Average	Nation Average
Room was always clean	72%	66%	68
Room was usually clean	20%	21%	21
Room was sometimes or never clean	8%	13%	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	77%	80%	79
No, staff did not give patients this information	23%	20%	21

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	63%	67%	67
YES, patients would probably recommend the hospital	32%	26%	27
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	5%	7%	6

Average Medicare Payment

Back & Neck Operations Except Back or Neck Fusion: $6960
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $8608
Back Fusion to Join Spine Bones, not Neck: $33573
Chest Pain: $3521
Chronic Lung Disease: $5666
Diabetes in Adults: $4762
Female Reproductive System Reconstructive Operations: $4621
Gallbladder Removal By Laparoscope: $6399
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $15065
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $11410
Heart Attack with Major Complications: $7984
Heart Attack without Complications: $5127
Heart Failure: $6331
Hernia Operations in Adults with Complications or Preexisting Conditions: $8759
Kidney and Bladder Operations for Cancer: $13807
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $6949
Major Small & Large Intestine Operations: $8913
Minor Small and Large Bowel Procedures With Complications: $20503
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $10032
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $11940
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $6618
Removal of Prostate Via Urethra: $3577
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $5244
Repair of Previous Hip or Knee Replacement: $16746
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $13697
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $11904
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $25145
Two or More Hip, Knee or Ankle Operations: $36577
Uterus & Ovary Operations: $4947

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