FLAGLER HOSPITAL - SAINT AUGUSTINE, FL

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FLAGLER HOSPITAL
400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL, 32086

Phone (make sure to verify first before calling): (904) 819-4426

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Psychiatric Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Burn Care Unit Services
CT Scanner Services
Cardiac Catheterization Laboratory Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Extracorporeal Shock Wave Lithotripter Services
Hospice Services
ICU - Medical/Surgical Services
ICU - Surgical Services
Inpatient Surgical Services
Magnetic Resonance Imaging (Mri) Services
Neonatal Nursery Services
Neurosurgical Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Orthopedic Surgery Services
Outpatient Services
Outpatient Surgery Unit Services
Outppatient Psychiatric Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 35.52
Registered Professional Nurses : 2.50
Certified Registered Nurse Anesthetists (CRNA) : 20.00
Dieticians : 4.00
Occupational Therapists : 1.80
Physical Therapists : 7.80
Registered Pharmacists : 12.00
Respiratory Therapists : 33.70
Speech Pathologists Or Audiologists : 1.60
Medical Social Workers : 6.00
Medical Laboratory Technologists : 23.30
Nuclear Medicine Technicians : 6.10
Diagnostic Radiology Technicians : 19.50
Nurse Practitioners: 250.00

Number Of Beds

Total: 316
Total Certified: 316
Psychiatric Unit Beds: 21

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

This Hospital:	0.166%
State:	0.118%

Falls And Trauma

This Hospital:	0.416%
Florida:	0.577%

Vascular Catheter-Associated Infection

Here:	0.416%
State:	0.415%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,679

Acute myocardial infarction, discharged alive w MCC: $10,441

Acute myocardial infarction, discharged alive w CC: $6,571

Heart failure and shock w/o CC/MCC: $3,885

Heart failure and shock w MCC: $7,856

Heart failure and shock w CC: $5,418

Chronic obstructive pulmonary disease w/o CC/MCC: $3,903

Chronic obstructive pulmonary disease w MCC: $7,011

Chronic obstructive pulmonary disease w CC: $5,250

Simple pneumonia and pleurisy w MCC: $7,709

Diabetes w MCC: $7,316

Chest Pain: $2,859

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $22,860

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $41,192

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $28,410

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $27,302

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $26,883

Cardiac defibrillator implant w/o cardiac cath w MCC: $36,114

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $42,091

Extracranial procedures w/o CC/MCC: $5,383

Extracranial procedures w CC: $8,354

Coronary bypass w/o cardiac cath w/o MCC: $19,024

Coronary bypass w/o cardiac cath w MCC: $30,515

Permanent cardiac pacemaker implant w/o CC/MCC: $10,793

Permanent cardiac pacemaker implant w CC: $13,929

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,292

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,061

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,325

Laparoscopic cholecystectomy w/o c.d.e. w CC: $8,882

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,209

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,191

Major small and large bowel procedures w/o CC/MCC: $8,730

Major small and large bowel procedures w CC: $13,769

Major small and large bowel procedures w MCC: $27,800

Stomach, esophageal duodenal proc w/o CC/MCC: $7,818

Cervical spinal fusion w/o CC/MCC: $10,299

Cervical spinal fusion w MCC: $22,968

Cervical spinal fusion w CC: $14,035

Spinal fusion except cervical w/o MCC: $19,159

Back and neck proc exc spinal fusion w/o CC/MCC: $5,049

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,256

Bilateral or multiple major joint procs of lower extremity w/o MCC: $16,916

Major joint replacement or reattachment of lower extremity w/o MCC: $10,803

Major joint replacement or reattachment of lower extremity w MCC: $17,703

Revision of hip or knee replacement w/o CC/MCC: $13,183

Revision of hip or knee replacement w CC: $16,239

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $7,803

Biopsies of musculoskeletal system and connective tissue w CC: $11,235

Other musculoskelet sys and conn tiss O.R. proc w MCC: $14,875

Kidney and ureter procedures for neoplasm w/o CC/MCC: $7,407

Kidney and ureter procedures for neoplasm w MCC: $17,639

Kidney and ureter procedures for neoplasm w CC: $10,022

Revision of hip or knee replacement w MCC: $18,889

Kidney and ureter procedures for non-neoplasm w MCC: $18,834

Transurethral procedures w MCC: $12,047

Other kidney and urinary tract procedures w/o CC/MCC: $7,044

Other kidney and urinary tract procedures w MCC: $14,907

Other kidney and urinary tract procedures w CC: $11,426

Transurethral prostatectomy w/o CC/MCC: $3,403

Transurethral prostatectomy w CC/MCC: $6,314

Female reproductive system reconstructive procedures: $4,392

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,540

Use of Medical Imaging

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

Here:	30.400%
Florida:	28.328%

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

Here:	17.300%
State:	9.789%

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

This Hospital:	0.126%
State:	0.223%

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

Here:	0.026%
State:	0.050%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	94.0%
Florida:	98.8%

Percent of Patients Given Aspirin at Discharge

This Hospital:	99.0%
Florida:	98.8%

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

Here:	87.0%
Florida:	97.2%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	97.0%
Florida:	98.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	89.0%
Florida:	90.9%

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

Here:	2
Florida:	8

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

This Hospital:	74
Florida:	76

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

This Hospital:	100.0%
State:	96.9%

Heart Failure

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

Here:	100.0%
State:	98.9%

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

This Hospital:	95.0%
Florida:	95.9%

Percent of Patients Given Discharge Instructions

This Hospital:	71.0%
State:	91.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Florida:	99.6%

Pneumonia

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

Here:	89.0%
Florida:	95.4%

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

Here:	96.0%
Florida:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.1%

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

This Hospital:	93.0%
Florida:	94.4%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	74.0%
Florida:	94.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	94.0%
Florida:	96.3%

Surgery

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

Here:	92.0%
State:	97.8%

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

This Hospital:	91.0%
State:	95.5%

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

This Hospital:	94.0%
Florida:	97.3%

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

Here:	94.0%
State:	93.5%

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

This Hospital:	97.0%
State:	95.1%

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

Here:	90.0%
Florida:	94.4%

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

Here:	99.0%
Florida:	99.7%

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

Here:	84.0%
Florida:	91.2%

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

Here:	94.0%
State:	94.7%

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

Here:	90.0%
Florida:	93.4%

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

This Hospital:	95.0%
Florida:	93.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	14.6%
State:	15.6%

30-Day Mortality Rates from Heart Failure

Here:	8.8%
Florida:	10.7%

30-Day Mortality Rates from Pneumonia

This Hospital:	8.8%
Florida:	11.0%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.0%
State:	19.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.2%
Florida:	24.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.4%
State:	18.2%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

Here:	7%
Florida:	8%

Usually

Here:	25%
State:	20%

Always

This Hospital:	68%
State:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
Florida:	7%

Usually

This Hospital:	19%
Florida:	16%

Always

This Hospital:	74%
Florida:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	19%
State:	15%

Usually

This Hospital:	29%
State:	27%

Always

This Hospital:	52%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
Florida:	9%

Usually

Here:	31%
State:	24%

Always

This Hospital:	60%
Florida:	67%

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

Sometimes or never

Here:	33%
Florida:	26%

Usually

Here:	19%
State:	18%

Always

This Hospital:	48%
Florida:	56%

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

Sometimes or never

Here:	11%
State:	13%

Usually

Here:	24%
Florida:	20%

Always

Here:	65%
Florida:	67%

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

Sometimes or never

Here:	17%
Florida:	14%

Usually

Here:	35%
Florida:	30%

Always

Here:	48%
State:	56%

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

Yes

Here:	81%
Florida:	80%

This Hospital:	19%
State:	20%

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

6 or lower

This Hospital:	11%
Florida:	12%

7 or 8

Here:	25%
Florida:	25%

9 or 10

Here:	64%
Florida:	63%

Would patients recommend the hospital to friends and family?

This Hospital:	6%
State:	8%

Yes, probably

Here:	22%
State:	25%

Yes, definitely

Here:	72%
Florida:	67%

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