DEFIANCE REGIONAL MEDICAL CENTER - DEFIANCE, OH

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DEFIANCE REGIONAL MEDICAL CENTER
1200 RALSTON AVENUE
DEFIANCE, OH 43512

SHORT TERM HOSPITALS

Services provided by DEFIANCE REGIONAL MEDICAL CENTER:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 144

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 144

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)): Mar 1998

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)): Mar 2001

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)): 36D0331203

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

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Apr 1998

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

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 10.30

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 23

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

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

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): 68.30

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 3

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): No

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): 3

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

Srv: home care unit (Indicates how home care 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 BY STAFF

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 UNDER ARRANGEMENT

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

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 UNDER ARRANGEMENT

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 AND UNDER ARRANGEMENT

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 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): No

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 BY STAFF

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 1

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

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): Apr 1998

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)	67%	85%	85%
Heart Attack Patients Given Aspirin at Arrival	100%	95%	93%
Heart Attack Patients Given Aspirin at Discharge	67%	93%	90%
Heart Attack Patients Given Beta Blocker at Arrival	100%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	80%	93%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	95%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	94%	86%	84%
Heart Failure Patients Given Discharge Instructions	91%	78%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	50%	92%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	96%	92%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	93%	82%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	91%	82%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	88%	95%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	83%	92%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	88%	89%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	94%	91%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	95%	85%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	97%	83%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	100%	93%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	97%	86%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	91%	79%	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)	72%	63%	63%
Patients who gave a rating of 7 or 8 (medium)	23%	26%	26%
Patients who gave a rating of 6 or lower (low)	5%	11%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	78%	77%	79%
Doctors usually communicated well	19%	18%	16%
Doctors sometimes or never communicated well	3%	5%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	74%	73%	73%
Nurses usually communicated well	23%	22%	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	68%	61%	60%
Patients usually received help as soon as they wanted	23%	28%	28%
Patients sometimes or never received help as soon as they wanted	9%	11%	12%

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

	Here	State Average	Nation Average
Staff always explained	60%	56%	58%
Staff usually explained	18%	20%	18%
Staff sometimes or never explained	22%	24%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	67%	66%	67%
Pain was usually well controlled	29%	26%	25%
Pain was sometimes or never well controlled	4%	8%	8%

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

	Here	State Average	Nation Average
Always quiet at night	57%	49%	54%
Usually quiet at night	34%	35%	32%
Sometimes or never quiet at night	9%	16%	14%

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

	Here	State Average	Nation Average
Room was always clean	71%	67%	68%
Room was usually clean	20%	22%	21%
Room was sometimes or never clean	9%	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	84%	80%	79%
No, staff did not give patients this information	16%	20%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	76%	65%	67%
YES, patients would probably recommend the hospital	21%	29%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	3%	6%	6%

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