PEMISCOT MEMORIAL HOSPITAL (HAYTI, MO) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 15%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	24%
Missouri:	5%

Usually

This Hospital:	22%
Missouri:	18%

Always

This Hospital:	54%
Missouri:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
Missouri:	4%

Usually

Here:	11%
Missouri:	15%

Always

This Hospital:	84%
Missouri:	81%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	34%
Missouri:	9%

Usually

This Hospital:	24%
State:	26%

Always

This Hospital:	42%
Missouri:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	27%
Missouri:	7%

Usually

Here:	25%
State:	24%

Always

This Hospital:	48%
State:	69%

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

Sometimes or never

This Hospital:	45%
Missouri:	21%

Usually

Here:	20%
Missouri:	18%

Always

Here:	35%
Missouri:	61%

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

Sometimes or never

Here:	27%
Missouri:	9%

Usually

This Hospital:	17%
Missouri:	19%

Always

This Hospital:	56%
State:	72%

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

Sometimes or never

Here:	23%
State:	11%

Usually

This Hospital:	29%
State:	31%

Always

This Hospital:	48%
State:	58%

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

Yes

This Hospital:	59%
Missouri:	84%

Here:	41%
Missouri:	16%

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

6 or lower

This Hospital:	37%
State:	9%

7 or 8

Here:	30%
State:	23%

9 or 10

This Hospital:	33%
Missouri:	68%

Would patients recommend the hospital to friends and family?

Here:	32%
Missouri:	5%

Yes, probably

Here:	41%
State:	27%

Yes, definitely

Here:	27%
Missouri:	68%

Use of Medical Imaging

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

Here:	4.500%
Missouri:	8.189%

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

This Hospital:	0.043%
Missouri:	0.184%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Hospital:	6.800%
State:	3.267%

Process of Care

Heart Attack

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

This Hospital:	26
State:	9

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

This Hospital:	92.0%
State:	95.8%

Heart Failure

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

This Hospital:	53.0%
State:	98.0%

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

This Hospital:	29.0%
State:	95.8%

Percent of Patients Given Discharge Instructions

Here:	1.0%
Missouri:	91.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	72.0%
Missouri:	99.3%

Pneumonia

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

This Hospital:	65.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	64.0%
State:	98.4%

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

This Hospital:	77.0%
Missouri:	93.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	20.0%
State:	95.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.2%
Missouri:	11.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.6%
Missouri:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	24.1%
State:	24.9%

30-Day Readmission Rates from Pneumonia

Here:	21.0%
Missouri:	18.9%

Complaint Deficiency

Proper backup exit lighting
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Potential for minimal harm
- Scope: Many
An automatic smoke detection system in all hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly sized and located linen or trash receptacles
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide access to a telephone for resident to use in private
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Bronchitis and Asthma without Complications

Average Covered Charges

Here:	$7,926
Missouri:	$13,350

Average Total Payments

This Hospital:	$3,621
Missouri:	$4,015

Number of discharges: 12

This Hospital:	2.34%
Missouri:	0.14%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$9,878
Missouri:	$16,957

Average Total Payments

Here:	$4,756
State:	$5,280

Number of discharges: 28

This Hospital:	5.46%
State:	1.81%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$15,276
Missouri:	$19,616

Average Total Payments

This Hospital:	$5,731
Missouri:	$6,146

Number of discharges: 46

This Hospital:	8.97%
State:	1.91%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$13,660
State:	$25,312

Average Total Payments

This Hospital:	$6,628
Missouri:	$7,445

Number of discharges: 11

This Hospital:	2.14%
State:	1.91%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$10,805
Missouri:	$15,094

Average Total Payments

This Hospital:	$4,310
Missouri:	$4,582

Number of discharges: 214

Here:	41.72%
Missouri:	1.51%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$11,914
Missouri:	$17,168

Average Total Payments

This Hospital:	$4,289
Missouri:	$4,547

Number of discharges: 30

This Hospital:	5.85%
State:	3.74%

G.I. Hemorrhage without Complications

Average Covered Charges

Here:	$13,290
Missouri:	$15,457

Average Total Payments

This Hospital:	$4,167
Missouri:	$4,509

Number of discharges: 11

Here:	2.14%
State:	0.48%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$16,475
State:	$21,078

Average Total Payments

Here:	$5,969
Missouri:	$6,410

Number of discharges: 33

This Hospital:	6.43%
Missouri:	2.86%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$40,099
State:	$30,318

Average Total Payments

This Hospital:	$8,989
State:	$9,156

Number of discharges: 12

This Hospital:	2.34%
State:	2.89%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$8,531
Missouri:	$14,823

Average Total Payments

This Hospital:	$4,079
State:	$4,257

Number of discharges: 13

This Hospital:	2.53%
State:	1.14%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$8,966
Missouri:	$16,038

Average Total Payments

Here:	$4,839
Missouri:	$4,806

Number of discharges: 24

This Hospital:	4.68%
Missouri:	2.53%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

This Hospital:	$10,461
Missouri:	$14,611

Average Total Payments

Here:	$4,153
Missouri:	$4,370

Number of discharges: 41

Here:	7.99%
State:	2.11%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$11,857
State:	$17,531

Average Total Payments

Here:	$4,724
Missouri:	$5,193

Number of discharges: 13

This Hospital:	2.53%
State:	1.20%

Seizures without Major Complications

Average Covered Charges

Here:	$9,539
Missouri:	$17,972

Average Total Payments

Here:	$4,477
State:	$4,979

Number of discharges: 13

This Hospital:	2.53%
State:	0.77%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$22,935
Missouri:	$22,459

Average Total Payments

This Hospital:	$6,090
State:	$6,369

Number of discharges: 12

Here:	2.34%
State:	2.85%

PEMISCOT MEMORIAL HOSPITAL - HAYTI, MO

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

Process of Care

Heart Attack

Heart Failure

Pneumonia

Outcome of Care

Complaint Deficiency

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

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