HOLMES REGIONAL MEDICAL CENTER - MELBOURNE, FL

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HOLMES REGIONAL MEDICAL CENTER
1350 S HICKORY ST
MELBOURNE, FL, 32901

Phone (make sure to verify first before calling): (321) 434-7000

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

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Cardio-Thoracic Surgery Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room 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 : 85.50
Registered Professional Nurses : 510.70
Other Salaried Personnel : 1472.10
Dieticians : 7.00
Occupational Therapists : 1.00
Physical Therapists : 1.10
Registered Pharmacists : 20.20
Respiratory Therapists : 34.80
Speech Pathologists Or Audiologists : 0.50
Medical Social Workers : 17.10

Number Of Beds

Total: 447
Total Certified: 447

Use of Medical Imaging

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

Here:	31.000%
State:	28.328%

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

Here:	6.700%
Florida:	9.789%

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

This Hospital:	0.067%
State:	0.223%

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

This Hospital:	0.023%
Florida:	0.050%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
Florida:	8%

Usually

Here:	20%
Florida:	20%

Always

This Hospital:	74%
Florida:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	6%
State:	7%

Usually

Here:	18%
State:	16%

Always

This Hospital:	76%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
State:	15%

Usually

Here:	32%
State:	27%

Always

This Hospital:	55%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
State:	9%

Usually

Here:	25%
State:	24%

Always

Here:	67%
State:	67%

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

Sometimes or never

This Hospital:	24%
Florida:	26%

Usually

Here:	18%
Florida:	18%

Always

Here:	58%
Florida:	56%

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

Sometimes or never

This Hospital:	8%
State:	13%

Usually

This Hospital:	20%
State:	20%

Always

Here:	72%
Florida:	67%

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

Sometimes or never

This Hospital:	10%
Florida:	14%

Usually

This Hospital:	34%
Florida:	30%

Always

This Hospital:	56%
Florida:	56%

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

Yes

Here:	82%
State:	80%

This Hospital:	18%
Florida:	20%

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

6 or lower

This Hospital:	8%
State:	12%

7 or 8

Here:	24%
State:	25%

9 or 10

This Hospital:	68%
Florida:	63%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	8%

Yes, probably

Here:	22%
Florida:	25%

Yes, definitely

Here:	74%
State:	67%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	98.0%
State:	98.8%

Percent of Patients Given Aspirin at Discharge

This Hospital:	98.0%
Florida:	98.8%

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

This Hospital:	93.0%
Florida:	97.2%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	98.0%
State:	98.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Florida:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	59.0%
Florida:	90.9%

Heart Failure

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

This Hospital:	99.0%
Florida:	98.9%

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

Here:	82.0%
Florida:	95.9%

Percent of Patients Given Discharge Instructions

Here:	98.0%
State:	91.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Florida:	99.6%

Pneumonia

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

This Hospital:	92.0%
Florida:	95.4%

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

This Hospital:	95.0%
State:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Florida:	99.1%

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

This Hospital:	91.0%
Florida:	94.4%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	91.0%
State:	94.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	95.0%
State:	96.3%

Surgery

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

This Hospital:	95.0%
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

This Hospital:	91.0%
State:	93.5%

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

This Hospital:	91.0%
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

This Hospital:	100.0%
State:	99.7%

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

This Hospital:	73.0%
Florida:	91.2%

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

This Hospital:	92.0%
Florida:	94.7%

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

Here:	94.0%
Florida:	93.4%

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

This Hospital:	93.0%
Florida:	93.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.9%
Florida:	15.6%

30-Day Mortality Rates from Heart Failure

Here:	10.9%
State:	10.7%

30-Day Mortality Rates from Pneumonia

Here:	11.5%
Florida:	11.0%

30-Day Readmission Rates from Heart Attack

Here:	20.2%
Florida:	19.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.5%
Florida:	24.2%

30-Day Readmission Rates from Pneumonia

Here:	18.7%
State:	18.2%

Hospital Acquired Conditions

Falls And Trauma

Here:	0.505%
State:	0.577%

Vascular Catheter-Associated Infection

Here:	0.354%
Florida:	0.415%

Catheter-Associated UTI

Here:	0.101%
Florida:	0.301%

Manifestations Of Poor Glycemic Control

This Hospital:	0.051%
State:	0.041%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,652

Acute myocardial infarction, discharged alive w MCC: $10,380

Acute myocardial infarction, discharged alive w CC: $6,533

Heart failure and shock w/o CC/MCC: $3,862

Heart failure and shock w MCC: $7,811

Heart failure and shock w CC: $5,386

Chronic obstructive pulmonary disease w/o CC/MCC: $3,880

Chronic obstructive pulmonary disease w MCC: $6,970

Chronic obstructive pulmonary disease w CC: $5,219

Simple pneumonia and pleurisy w MCC: $7,664

Diabetes w MCC: $7,273

Chest Pain: $2,843

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $23,467

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $42,970

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $28,244

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $27,143

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $26,726

Cardiac defibrillator implant w/o cardiac cath w MCC: $35,903

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $31,564

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $42,538

Extracranial procedures w/o CC/MCC: $5,352

Extracranial procedures w CC: $8,305

Coronary bypass w/o cardiac cath w/o MCC: $19,228

Coronary bypass w/o cardiac cath w MCC: $30,337

Permanent cardiac pacemaker implant w/o CC/MCC: $10,730

Permanent cardiac pacemaker implant w CC: $13,848

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,232

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,025

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,248

Laparoscopic cholecystectomy w/o c.d.e. w CC: $8,830

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,096

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,161

Hernia procedures except inguinal and femoral w MCC: $13,298

Hernia procedures except inguinal and femoral w CC: $7,500

Major small and large bowel procedures w/o CC/MCC: $8,679

Major small and large bowel procedures w CC: $13,688

Major small and large bowel procedures w MCC: $27,638

Stomach, esophageal duodenal proc w/o CC/MCC: $7,773

Cervical spinal fusion w/o CC/MCC: $10,239

Cervical spinal fusion w MCC: $28,195

Cervical spinal fusion w CC: $13,953

Spinal fusion except cervical w/o MCC: $19,047

Spinal fusion except cervical w MCC: $31,875

Back and neck proc exc spinal fusion w/o CC/MCC: $5,019

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,202

Major shoulder or elbow joint procedures w/o CC/MCC: $13,203

Major shoulder or elbow joint procedures w CC/MCC: $9,182

Bilateral or multiple major joint procs of lower extremity w/o MCC: $16,817

Major joint replacement or reattachment of lower extremity w/o MCC: $10,740

Major joint replacement or reattachment of lower extremity w MCC: $17,600

Revision of hip or knee replacement w/o CC/MCC: $13,106

Revision of hip or knee replacement w CC: $16,385

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $7,886

Biopsies of musculoskeletal system and connective tissue w MCC: $17,536

Biopsies of musculoskeletal system and connective tissue w CC: $11,354

Other musculoskelet sys and conn tiss O.R. proc w MCC: $16,406

Kidney and ureter procedures for neoplasm w/o CC/MCC: $7,363

Kidney and ureter procedures for neoplasm w MCC: $17,536

Kidney and ureter procedures for neoplasm w CC: $9,964

Revision of hip or knee replacement w MCC: $19,876

Kidney and ureter procedures for non-neoplasm w MCC: $17,840

Transurethral procedures w MCC: $11,977

Other kidney and urinary tract procedures w MCC: $14,820

Other kidney and urinary tract procedures w CC: $11,548

Transurethral prostatectomy w/o CC/MCC: $3,383

Transurethral prostatectomy w CC/MCC: $5,982

Female reproductive system reconstructive procedures: $8,942

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,513

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