HILL COUNTRY MEMORIAL HOSPITAL INC - FREDERICKSBURG, TX

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HILL COUNTRY MEMORIAL HOSPITAL INC
1020 SOUTH STATE HIGHWAY 16
FREDERICKSBURG, TX, 78624

Phone (make sure to verify first before calling): (830) 997-4353

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Swing Bed Hospitals

Provided Services

Nuclear Medicine Services
Anesthesia Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Optometric Services
Outpatient Services
Outpatient Surgery Unit 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 : 23.00
Registered Professional Nurses : 62.00
Other Salaried Personnel : 224.00
Dieticians : 1.00
Occupational Therapists : 1.00
Registered Pharmacists : 3.00
Respiratory Therapists : 5.00
Speech Pathologists Or Audiologists : 1.00
Medical Social Workers : 2.00
Physician Assistants : 2.00

Number Of Beds

Total: 77
Total Certified: 77

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
Texas:	6%

Usually

Here:	15%
State:	18%

Always

This Hospital:	83%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	4%

Usually

This Hospital:	10%
State:	14%

Always

This Hospital:	88%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	4%
Texas:	11%

Usually

Here:	23%
Texas:	24%

Always

This Hospital:	73%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	3%
State:	7%

Usually

Here:	20%
Texas:	22%

Always

This Hospital:	77%
Texas:	71%

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

Sometimes or never

Here:	15%
State:	21%

Usually

This Hospital:	19%
State:	17%

Always

This Hospital:	66%
State:	62%

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

Sometimes or never

Here:	6%
State:	9%

Usually

This Hospital:	17%
State:	19%

Always

This Hospital:	77%
Texas:	72%

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

Sometimes or never

Here:	5%
State:	8%

Usually

This Hospital:	27%
Texas:	26%

Always

This Hospital:	68%
Texas:	66%

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

Yes

Here:	85%
State:	82%

This Hospital:	15%
State:	18%

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

6 or lower

This Hospital:	2%
State:	9%

7 or 8

This Hospital:	13%
State:	22%

9 or 10

Here:	85%
Texas:	69%

Would patients recommend the hospital to friends and family?

This Hospital:	1%
Texas:	6%

Yes, probably

Here:	10%
Texas:	23%

Yes, definitely

Here:	89%
State:	71%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	92.0%
State:	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)

Here:	100.0%
State:	95.7%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	88.0%
Texas:	98.0%

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

This Hospital:	24
State:	9

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

This Hospital:	143
Texas:	204

Median Time to Fibrinolysis

This Hospital:	170
Texas:	39

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

This Hospital:	94.0%
Texas:	94.2%

Heart Failure

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

This Hospital:	100.0%
Texas:	97.5%

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

This Hospital:	93.0%
Texas:	94.7%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
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:	95.0%
State:	95.0%

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

This Hospital:	98.0%
Texas:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Texas:	97.9%

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

This Hospital:	89.0%
Texas:	90.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	99.0%
State:	93.7%

Surgery

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

Here:	98.0%
Texas:	96.9%

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

Here:	97.0%
Texas:	93.7%

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

This Hospital:	98.0%
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:	97.0%
State:	90.8%

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

This Hospital:	99.0%
Texas:	92.8%

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

Here:	100.0%
State:	99.6%

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

Here:	84.0%
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:	96.0%
State:	92.3%

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

Here:	94.0%
State:	92.8%

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

This Hospital:	83.0%
Texas:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.6%
State:	16.1%

30-Day Mortality Rates from Heart Failure

Here:	12.2%
Texas:	10.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.1%
Texas:	11.3%

30-Day Readmission Rates from Heart Attack

Here:	18.6%
State:	19.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	21.4%
Texas:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	15.8%
State:	17.7%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,112

Acute myocardial infarction, discharged alive w MCC: $7,738

Acute myocardial infarction, discharged alive w CC: $6,208

Heart failure and shock w/o CC/MCC: $3,896

Heart failure and shock w MCC: $8,095

Heart failure and shock w CC: $5,597

Chronic obstructive pulmonary disease w/o CC/MCC: $4,033

Chronic obstructive pulmonary disease w MCC: $7,244

Chronic obstructive pulmonary disease w CC: $5,425

Simple pneumonia and pleurisy w MCC: $7,965

Chest Pain: $2,954

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $28,211

Extracranial procedures w/o CC/MCC: $5,316

Extracranial procedures w CC: $8,632

Permanent cardiac pacemaker implant w/o CC/MCC: $37,857

Permanent cardiac pacemaker implant w CC: $14,392

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,263

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,769

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,178

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,848

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,364

Hernia procedures except inguinal and femoral w CC: $7,795

Major small and large bowel procedures w/o CC/MCC: $9,020

Major small and large bowel procedures w CC: $14,225

Major small and large bowel procedures w MCC: $26,173

Back and neck proc exc spinal fusion w/o CC/MCC: $4,753

Major shoulder or elbow joint procedures w/o CC/MCC: $6,195

Major shoulder or elbow joint procedures w CC/MCC: $9,544

Bilateral or multiple major joint procs of lower extremity w/o MCC: $17,479

Major joint replacement or reattachment of lower extremity w/o MCC: $11,162

Major joint replacement or reattachment of lower extremity w MCC: $17,478

Revision of hip or knee replacement w/o CC/MCC: $13,621

Revision of hip or knee replacement w CC: $15,516

Biopsies of musculoskeletal system and connective tissue w CC: $11,801

Kidney and ureter procedures for neoplasm w/o CC/MCC: $7,653

Kidney and ureter procedures for neoplasm w MCC: $26,454

Kidney and ureter procedures for neoplasm w CC: $10,356

Kidney and ureter procedures for non-neoplasm w MCC: $18,542

Transurethral procedures w MCC: $12,448

Other kidney and urinary tract procedures w/o CC/MCC: $7,278

Other kidney and urinary tract procedures w CC: $12,002

Transurethral prostatectomy w/o CC/MCC: $3,517

Transurethral prostatectomy w CC/MCC: $6,217

Female reproductive system reconstructive procedures: $4,538

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,691

Hospital Acquired Conditions

Falls And Trauma

This Hospital:	0.626%
Texas:	0.585%

Use of Medical Imaging

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

This Hospital:	38.200%
State:	34.035%

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

Here:	17.300%
State:	8.248%

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

Here:	0.259%
Texas:	0.316%

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

This Hospital:	0.004%
State:	0.116%

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