HOLY FAMILY MEMORIAL INC - MANITOWOC, WI

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HOLY FAMILY MEMORIAL INC
2300 WESTERN AVE PO BOX 1450
MANITOWOC, WI, 54221

Phone (make sure to verify first before calling): (920) 684-2011

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Rehabilitation Units

Dialysis Facility located within this hospital: HOLY FAMILY MEMORIAL DIALYSIS CTR

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical 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
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 21.00
Registered Professional Nurses : 124.65
Other Salaried Personnel : 730.75
Certified Registered Nurse Anesthetists (CRNA) : 3.00
Dieticians : 1.50
Occupational Therapists : 6.00
Physical Therapists : 13.30
Registered Pharmacists : 8.00
Respiratory Therapists : 8.00
Speech Pathologists Or Audiologists : 1.90
Physicians : 37.00
Medical Social Workers : 1.90

Number Of Beds

Total: 167
Total Certified: 167
Psychiatric Unit Beds: 20
Rehabilitation Unit Beds: 11

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	97.0%
Wisconsin:	99.0%

Percent of Patients Given Aspirin at Discharge

Here:	98.0%
Wisconsin:	99.1%

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

This Hospital:	90.0%
Wisconsin:	96.7%

Percent of Patients Given Beta Blocker at Discharge

Here:	92.0%
Wisconsin:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Wisconsin:	99.0%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	67.0%
State:	89.4%

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

Here:	5
Wisconsin:	7

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

This Hospital:	49
Wisconsin:	54

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

Here:	80.0%
State:	96.5%

Heart Failure

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

Here:	100.0%
State:	97.2%

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

Here:	100.0%
State:	94.6%

Percent of Patients Given Discharge Instructions

Here:	97.0%
State:	86.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	97.0%

Pneumonia

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

Here:	97.0%
Wisconsin:	97.3%

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

Here:	96.0%
Wisconsin:	96.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	95.3%

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

This Hospital:	96.0%
Wisconsin:	93.5%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Wisconsin:	91.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	93.2%

Surgery

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

This Hospital:	98.0%
Wisconsin:	96.9%

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

This Hospital:	93.0%
State:	95.4%

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

This Hospital:	99.0%
Wisconsin:	98.0%

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

Here:	92.0%
Wisconsin:	92.6%

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

This Hospital:	95.0%
State:	94.4%

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:	99.7%

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

Here:	94.0%
State:	91.2%

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

This Hospital:	86.0%
State:	92.2%

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

Here:	100.0%
State:	91.4%

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

This Hospital:	98.0%
State:	95.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.8%
Wisconsin:	15.6%

30-Day Mortality Rates from Heart Failure

Here:	12.1%
State:	11.4%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.0%
Wisconsin:	11.5%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.6%
Wisconsin:	19.5%

30-Day Readmission Rates from Heart Failure

Here:	23.2%
State:	23.5%

30-Day Readmission Rates from Pneumonia

Here:	18.4%
State:	18.3%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,801

Acute myocardial infarction, discharged alive w MCC: $9,451

Acute myocardial infarction, discharged alive w CC: $6,855

Heart failure and shock w/o CC/MCC: $4,052

Heart failure and shock w MCC: $8,195

Heart failure and shock w CC: $5,651

Chronic obstructive pulmonary disease w/o CC/MCC: $4,071

Chronic obstructive pulmonary disease w MCC: $7,313

Chronic obstructive pulmonary disease w CC: $5,476

Simple pneumonia and pleurisy w MCC: $8,041

Diabetes w MCC: $7,631

Chest Pain: $2,982

Extracranial procedures w/o CC/MCC: $5,615

Extracranial procedures w CC: $8,713

Permanent cardiac pacemaker implant w/o CC/MCC: $11,258

Permanent cardiac pacemaker implant w CC: $14,529

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,735

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $1,046

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,899

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,265

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $39,207

Hernia procedures except inguinal and femoral w/o CC/MCC: $1,068

Hernia procedures except inguinal and femoral w CC: $4,469

Major small and large bowel procedures w/o CC/MCC: $8,099

Major small and large bowel procedures w CC: $14,362

Major small and large bowel procedures w MCC: $25,089

Stomach, esophageal duodenal proc w/o CC/MCC: $8,155

Cervical spinal fusion w/o CC/MCC: $10,742

Cervical spinal fusion w CC: $14,640

Spinal fusion except cervical w/o MCC: $19,984

Spinal fusion except cervical w MCC: $33,443

Back and neck proc exc spinal fusion w/o CC/MCC: $5,266

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,655

Bilateral or multiple major joint procs of lower extremity w/o MCC: $17,645

Major joint replacement or reattachment of lower extremity w/o MCC: $11,268

Major joint replacement or reattachment of lower extremity w MCC: $16,029

Revision of hip or knee replacement w/o CC/MCC: $13,751

Revision of hip or knee replacement w CC: $15,818

Other musculoskelet sys and conn tiss O.R. proc w MCC: $17,213

Kidney and ureter procedures for neoplasm w/o CC/MCC: $1,068

Kidney and ureter procedures for neoplasm w CC: $10,454

Revision of hip or knee replacement w MCC: $14,268

Transurethral procedures w MCC: $12,566

Other kidney and urinary tract procedures w MCC: $15,549

Transurethral prostatectomy w/o CC/MCC: $3,550

Transurethral prostatectomy w CC/MCC: $6,276

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,735

Hospital Acquired Conditions

Foreign Object Retained After Surgery

This Hospital:	1.377%
State:	0.164%

Use of Medical Imaging

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

This Hospital:	31.900%
State:	31.414%

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

Here:	9.000%
Wisconsin:	8.255%

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

Here:	0.113%
State:	0.101%

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

Here:	0.101%
State:	0.023%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	3%

Usually

This Hospital:	21%
State:	18%

Always

This Hospital:	76%
Wisconsin:	79%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	6%
Wisconsin:	3%

Usually

Here:	16%
Wisconsin:	15%

Always

Here:	78%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	8%
Wisconsin:	6%

Usually

Here:	30%
Wisconsin:	25%

Always

This Hospital:	62%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
Wisconsin:	5%

Usually

This Hospital:	25%
State:	25%

Always

This Hospital:	69%
State:	70%

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

Sometimes or never

Here:	17%
Wisconsin:	16%

Usually

This Hospital:	21%
Wisconsin:	19%

Always

Here:	62%
State:	65%

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

Sometimes or never

Here:	7%
State:	6%

Usually

This Hospital:	16%
State:	16%

Always

This Hospital:	77%
Wisconsin:	78%

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

Sometimes or never

This Hospital:	13%
Wisconsin:	8%

Usually

This Hospital:	36%
Wisconsin:	32%

Always

This Hospital:	51%
Wisconsin:	60%

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

Yes

Here:	87%
State:	86%

This Hospital:	13%
Wisconsin:	14%

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

6 or lower

Here:	7%
State:	7%

7 or 8

Here:	30%
Wisconsin:	22%

9 or 10

Here:	63%
Wisconsin:	71%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
Wisconsin:	3%

Yes, probably

Here:	28%
Wisconsin:	25%

Yes, definitely

Here:	68%
State:	72%

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