HOLY ROSARY HEALTHCARE - MILES CITY, MT

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HOLY ROSARY HEALTHCARE
2600 WILSON ST
MILES CITY, MT, 59301

Phone (make sure to verify first before calling): (406) 233-2600

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

Provided Services

Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Audiology Services
Blood Bank Services
CT Scanner Services
Chemotherapy Services
Child/Adolescent Psychiatric Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Psychiatric Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
ICU - Pediatric Services
ICU - Surgical Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Magnetic Resonance Imaging (Mri) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Organ Transplant Services
Orthopedic Surgery Services
Outpatient Rehabilitation Services
Outpatient Services
Outpatient Surgery Unit Services
Outppatient Psychiatric 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
Urgent Care Center Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 37.00
Registered Professional Nurses : 81.70
Other Salaried Personnel : 148.50
Dieticians : 0.60
Occupational Therapists : 1.60
Physical Therapists : 5.90
Registered Pharmacists : 4.00
Respiratory Therapists : 4.60
Speech Pathologists Or Audiologists : 1.00
Physicians : 2.00
Medical Social Workers : 3.30
Medical Laboratory Technologists : 1.00
Nuclear Medicine Technicians : 1.00
Physician Assistants : 5.00
Diagnostic Radiology Technicians : 7.80
Nurse Practitioners: 2.00
Psychologists : 1.00

Number Of Beds

Total: 49
Total Certified: 49
Psychiatric Unit Beds: 6

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	99.0%
State:	98.8%

Percent of Patients Given Aspirin at Discharge

Here:	99.0%
State:	99.0%

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

Here:	93.0%
Montana:	96.5%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	98.0%
State:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.7%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	96.0%
State:	87.9%

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

Here:	16
Montana:	12

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

This Hospital:	100.0%
State:	94.6%

Heart Failure

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

This Hospital:	100.0%
State:	94.3%

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

Here:	94.0%
State:	92.5%

Percent of Patients Given Discharge Instructions

This Hospital:	64.0%
Montana:	79.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	93.6%

Pneumonia

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

Here:	90.0%
State:	96.6%

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

Here:	94.0%
State:	95.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Montana:	94.8%

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

This Hospital:	92.0%
Montana:	92.3%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	87.0%
Montana:	88.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	94.0%
Montana:	90.2%

Surgery

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

Here:	97.0%
State:	97.3%

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

This Hospital:	96.0%
State:	96.6%

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

Here:	98.0%
Montana:	98.1%

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

This Hospital:	95.0%
State:	92.3%

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

Here:	97.0%
State:	95.5%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	89.0%
Montana:	94.2%

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

This Hospital:	99.0%
Montana:	99.5%

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

Here:	93.0%
State:	92.7%

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

This Hospital:	92.0%
Montana:	92.9%

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

This Hospital:	94.0%
State:	93.2%

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

Here:	99.0%
State:	96.0%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.2%
State:	15.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	9.5%
State:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	10.9%
Montana:	11.6%

30-Day Readmission Rates from Heart Attack

Here:	21.4%
Montana:	19.2%

30-Day Readmission Rates from Heart Failure

Here:	24.1%
Montana:	23.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	20.9%
State:	18.0%

Hospital Acquired Conditions

Falls And Trauma

This Hospital:	0.580%
Montana:	0.611%

Vascular Catheter-Associated Infection

Here:	0.580%
State:	0.291%

Catheter-Associated UTI

This Hospital:	0.527%
State:	0.509%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,107

Acute myocardial infarction, discharged alive w MCC: $9,182

Acute myocardial infarction, discharged alive w CC: $9,452

Heart failure and shock w/o CC/MCC: $4,613

Heart failure and shock w MCC: $9,328

Heart failure and shock w CC: $6,433

Chronic obstructive pulmonary disease w/o CC/MCC: $3,885

Chronic obstructive pulmonary disease w MCC: $8,325

Chronic obstructive pulmonary disease w CC: $6,234

Simple pneumonia and pleurisy w MCC: $9,153

Diabetes w MCC: $8,686

Chest Pain: $3,395

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $33,950

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $58,577

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $40,861

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $39,268

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $38,665

Cardiac defibrillator implant w/o cardiac cath w MCC: $51,942

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $45,665

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $61,661

Extracranial procedures w/o CC/MCC: $6,392

Extracranial procedures w CC: $12,015

Coronary bypass w/o cardiac cath w/o MCC: $27,818

Coronary bypass w/o cardiac cath w MCC: $36,960

Permanent cardiac pacemaker implant w/o CC/MCC: $10,743

Permanent cardiac pacemaker implant w CC: $13,864

Perc cardiovasc proc w drug-eluting stent w/o MCC: $14,802

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $7,196

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $15,822

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,546

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,118

Hernia procedures except inguinal and femoral w/o CC/MCC: $7,467

Hernia procedures except inguinal and femoral w MCC: $19,276

Hernia procedures except inguinal and femoral w CC: $10,892

Major small and large bowel procedures w/o CC/MCC: $8,689

Major small and large bowel procedures w CC: $14,218

Major small and large bowel procedures w MCC: $33,009

Stomach, esophageal duodenal proc w/o CC/MCC: $11,245

Cervical spinal fusion w/o CC/MCC: $14,812

Cervical spinal fusion w MCC: $34,213

Cervical spinal fusion w CC: $20,186

Spinal fusion except cervical w/o MCC: $27,556

Spinal fusion except cervical w MCC: $25,750

Back and neck proc exc spinal fusion w/o CC/MCC: $7,261

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $13,313

Major shoulder or elbow joint procedures w CC/MCC: $10,967

Bilateral or multiple major joint procs of lower extremity w/o MCC: $24,330

Major joint replacement or reattachment of lower extremity w/o MCC: $12,827

Major joint replacement or reattachment of lower extremity w MCC: $25,462

Revision of hip or knee replacement w/o CC/MCC: $18,781

Revision of hip or knee replacement w CC: $19,831

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $11,409

Biopsies of musculoskeletal system and connective tissue w MCC: $2,813

Biopsies of musculoskeletal system and connective tissue w CC: $16,427

Other musculoskelet sys and conn tiss O.R. proc w MCC: $23,735

Kidney and ureter procedures for neoplasm w/o CC/MCC: $10,653

Kidney and ureter procedures for neoplasm w MCC: $25,370

Kidney and ureter procedures for neoplasm w CC: $14,415

Revision of hip or knee replacement w MCC: $35,159

Kidney and ureter procedures for non-neoplasm w MCC: $25,810

Bilateral or multiple major joint procs of lower extremity w MCC: $3,967

Transurethral procedures w MCC: $17,394

Other kidney and urinary tract procedures w/o CC/MCC: $1,143

Other kidney and urinary tract procedures w MCC: $21,440

Other kidney and urinary tract procedures w CC: $16,739

Transurethral prostatectomy w/o CC/MCC: $4,895

Transurethral prostatectomy w CC/MCC: $8,655

Female reproductive system reconstructive procedures: $4,793

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,954

Use of Medical Imaging

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

This Hospital:	31.100%
Montana:	35.368%

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

Here:	15.900%
State:	8.373%

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

Here:	0.058%
Montana:	0.149%

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

Here:	0.007%
State:	0.016%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
Montana:	5%

Usually

This Hospital:	22%
State:	20%

Always

Here:	72%
State:	75%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
State:	5%

Usually

Here:	18%
Montana:	17%

Always

This Hospital:	77%
State:	78%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	15%
State:	8%

Usually

Here:	30%
Montana:	24%

Always

This Hospital:	55%
State:	68%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	8%
Montana:	7%

Usually

Here:	26%
State:	25%

Always

Here:	66%
State:	68%

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

Sometimes or never

This Hospital:	26%
Montana:	19%

Usually

Here:	20%
State:	22%

Always

Here:	54%
Montana:	59%

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

Sometimes or never

This Hospital:	11%
Montana:	8%

Usually

This Hospital:	23%
Montana:	18%

Always

This Hospital:	66%
Montana:	74%

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

Sometimes or never

This Hospital:	19%
State:	9%

Usually

Here:	34%
Montana:	32%

Always

Here:	47%
Montana:	59%

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

Yes

This Hospital:	82%
State:	79%

This Hospital:	18%
Montana:	21%

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

6 or lower

This Hospital:	11%
State:	9%

7 or 8

This Hospital:	27%
Montana:	28%

9 or 10

Here:	62%
State:	63%

Would patients recommend the hospital to friends and family?

This Hospital:	5%
State:	5%

Yes, probably

This Hospital:	24%
State:	28%

Yes, definitely

Here:	71%
State:	67%

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