GUADALUPE REGIONAL MEDICAL CENTER - SEGUIN, TX

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GUADALUPE REGIONAL MEDICAL CENTER
1215 E COURT ST
SEGUIN, TX, 78155

Phone (make sure to verify first before calling): (830) 379-2411

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - Local
Emergency Services: Yes
Type: Rehabilitation Units

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
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Operating Room Services
Organ Transplant Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 54.00
Registered Professional Nurses : 48.00
Other Salaried Personnel : 195.00
Certified Registered Nurse Anesthetists (CRNA) : 0.25
Dieticians : 1.00
Physical Therapists : 2.00
Registered Pharmacists : 4.00
Respiratory Therapists : 6.00
Medical Social Workers : 3.00

Number Of Beds

Total: 117
Total Certified: 117
Rehabilitation Unit Beds: 12

Hospital Acquired Conditions

Falls And Trauma

This Hospital:	1.028%
Texas:	0.585%

Vascular Catheter-Associated Infection

Here:	0.514%
State:	0.480%

Catheter-Associated UTI

This Hospital:	0.257%
State:	0.207%

Manifestations Of Poor Glycemic Control

Here:	0.257%
Texas:	0.063%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,035

Acute myocardial infarction, discharged alive w MCC: $11,236

Acute myocardial infarction, discharged alive w CC: $7,072

Heart failure and shock w/o CC/MCC: $4,181

Heart failure and shock w MCC: $8,455

Heart failure and shock w CC: $5,830

Chronic obstructive pulmonary disease w/o CC/MCC: $4,200

Chronic obstructive pulmonary disease w MCC: $7,545

Chronic obstructive pulmonary disease w CC: $5,650

Simple pneumonia and pleurisy w MCC: $8,296

Diabetes w MCC: $7,873

Chest Pain: $3,077

Permanent cardiac pacemaker implant w/o CC/MCC: $11,615

Permanent cardiac pacemaker implant w CC: $15,226

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,522

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $14,371

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,558

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,610

Hernia procedures except inguinal and femoral w MCC: $14,394

Hernia procedures except inguinal and femoral w CC: $8,199

Major small and large bowel procedures w/o CC/MCC: $9,394

Major small and large bowel procedures w CC: $14,817

Major small and large bowel procedures w MCC: $29,917

Stomach, esophageal duodenal proc w/o CC/MCC: $8,449

Cervical spinal fusion w/o CC/MCC: $11,130

Spinal fusion except cervical w/o MCC: $20,618

Back and neck proc exc spinal fusion w/o CC/MCC: $5,433

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,982

Major shoulder or elbow joint procedures w/o CC/MCC: $6,503

Bilateral or multiple major joint procs of lower extremity w/o MCC: $18,386

Major joint replacement or reattachment of lower extremity w/o MCC: $11,625

Major joint replacement or reattachment of lower extremity w MCC: $19,132

Revision of hip or knee replacement w/o CC/MCC: $14,187

Revision of hip or knee replacement w CC: $17,736

Kidney and ureter procedures for neoplasm w CC: $10,785

Revision of hip or knee replacement w MCC: $14,444

Other kidney and urinary tract procedures w CC: $12,500

Transurethral prostatectomy w/o CC/MCC: $3,662

Transurethral prostatectomy w CC/MCC: $6,475

Female reproductive system reconstructive procedures: $4,726

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,962

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 26%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
State:	6%

Usually

This Hospital:	20%
Texas:	18%

Always

This Hospital:	74%
Texas:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
State:	4%

Usually

This Hospital:	17%
Texas:	14%

Always

This Hospital:	77%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	12%
State:	11%

Usually

This Hospital:	26%
State:	24%

Always

This Hospital:	62%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
Texas:	7%

Usually

Here:	24%
Texas:	22%

Always

Here:	67%
Texas:	71%

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

Sometimes or never

This Hospital:	22%
State:	21%

Usually

This Hospital:	18%
Texas:	17%

Always

This Hospital:	60%
Texas:	62%

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

Sometimes or never

Here:	5%
State:	9%

Usually

This Hospital:	16%
State:	19%

Always

This Hospital:	79%
Texas:	72%

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

Sometimes or never

This Hospital:	11%
Texas:	8%

Usually

Here:	30%
State:	26%

Always

Here:	59%
Texas:	66%

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

Yes

Here:	81%
State:	82%

This Hospital:	19%
Texas:	18%

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

6 or lower

This Hospital:	11%
Texas:	9%

7 or 8

Here:	26%
State:	22%

9 or 10

Here:	63%
Texas:	69%

Would patients recommend the hospital to friends and family?

Here:	5%
State:	6%

Yes, probably

This Hospital:	30%
Texas:	23%

Yes, definitely

Here:	65%
Texas:	71%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	96.0%
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

Here:	89.0%
State:	98.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.6%

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

This Hospital:	14
Texas:	9

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

Here:	90
State:	204

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

Here:	96.0%
Texas:	94.2%

Heart Failure

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

This Hospital:	95.0%
Texas:	97.5%

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

This Hospital:	91.0%
Texas:	94.7%

Percent of Patients Given Discharge Instructions

This Hospital:	99.0%
Texas:	89.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.5%

Pneumonia

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

Here:	93.0%
Texas:	95.0%

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

Here:	97.0%
Texas:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	98.0%
State:	97.9%

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

This Hospital:	84.0%
Texas:	90.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	95.0%
State:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	92.0%
Texas:	93.7%

Surgery

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

Here:	88.0%
State:	96.9%

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

This Hospital:	95.0%
State:	93.7%

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

This Hospital:	96.0%
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:	74.0%
State:	90.8%

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

Here:	74.0%
Texas:	92.8%

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

This Hospital:	97.0%
State:	99.6%

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

This Hospital:	73.0%
State:	88.5%

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

This Hospital:	64.0%
Texas:	92.3%

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

Here:	71.0%
State:	92.8%

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

This Hospital:	79.0%
Texas:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.9%
State:	16.1%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.9%
State:	10.8%

30-Day Mortality Rates from Pneumonia

Here:	15.8%
State:	11.3%

30-Day Readmission Rates from Heart Attack

Here:	19.2%
State:	19.5%

30-Day Readmission Rates from Heart Failure

Here:	26.6%
State:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.8%
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.

Here:	34.200%
Texas:	34.035%

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

Here:	18.600%
Texas:	8.248%

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

Here:	0.668%
State:	0.316%

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

Here:	0.461%
Texas:	0.116%

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