HURON VALLEY-SINAI HOSPITAL - COMMERCE, MI

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HURON VALLEY-SINAI HOSPITAL
1 WILLIAM CARLS DRIVE
COMMERCE, MI 48382

SHORT TERM HOSPITALS

Services provided by HURON VALLEY-SINAI HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 153

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 153

Physicians (The number of full-time equivalent physicians employed by a provider): 3

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jun 1987

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jun 1990

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Certified rn anesthetists (Number of full-time equivalent certified registered nurse anesthetists (crna) employed by a hospital): 8.25

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Dieticians (Number of full-time equivalent dieticians employed by a facility): 1

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 8

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 245

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physician assistants (The number of full-time equivalent physician assistants employed by a hospital or rural health clinic): 1

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 115

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 5

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 2

Srv: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: dental (Indicates how dental services are provided): PROVIDED UNDER ARRANGEMENT

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF

Srv: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED BY STAFF

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF

Srv: pediatric (Indicates how pediatric services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 3

Srv: social (Indicates how social services are provided): PROVIDED BY STAFF

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED UNDER ARRANGEMENT

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED BY STAFF

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 2

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Aug 1989

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Apr 1986

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	100%	89%	85%
Heart Attack Patients Given Aspirin at Arrival	95%	93%	93%
Heart Attack Patients Given Aspirin at Discharge	100%	93%	90%
Heart Attack Patients Given Beta Blocker at Arrival	94%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	98%	93%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	71%	90%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	95%	88%	84%
Heart Failure Patients Given Discharge Instructions	75%	76%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	97%	88%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	99%	92%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	76%	78%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	62%	78%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	93%	95%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	89%	87%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	90%	91%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	92%	91%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	97%	86%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	90%	83%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	98%	93%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	90%	85%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	93%	87%	78%

Hospital Consumer Assessment of Healthcare Providers & Systems Survey

How do patients rate the hospital overall?

	Here	State Average	Nation Average
Patients who gave a rating of 9 or 10 (high)	63%	65%	63
Patients who gave a rating of 7 or 8 (medium)	28%	25%	26
Patients who gave a rating of 6 or lower (low)	9%	10%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	81%	78%	79
Doctors usually communicated well	15%	17%	16
Doctors sometimes or never communicated well	4%	5%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	70%	74%	73
Nurses usually communicated well	25%	21%	21
Nurses sometimes or never communicated well	5%	5%	6

How often did patients receive help quickly from hospital staff?

	Here	State Average	Nation Average
Patients always received help as soon as they wanted	57%	63%	60
Patients usually received help as soon as they wanted	29%	27%	28
Patients sometimes or never received help as soon as they wanted	14%	10%	12

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

	Here	State Average	Nation Average
Staff always explained	58%	59%	58
Staff usually explained	19%	18%	18
Staff sometimes or never explained	23%	23%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	65%	68%	67
Pain was usually well controlled	27%	25%	25
Pain was sometimes or never well controlled	8%	7%	8

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

	Here	State Average	Nation Average
Always quiet at night	46%	52%	54
Usually quiet at night	33%	33%	32
Sometimes or never quiet at night	21%	15%	14

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

	Here	State Average	Nation Average
Room was always clean	66%	68%	68
Room was usually clean	25%	22%	21
Room was sometimes or never clean	9%	10%	11

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

	Here	State Average	Nation Average
Yes, staff did give patients this information	79%	82%	79
No, staff did not give patients this information	21%	18%	21

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	69%	68%	67
YES, patients would probably recommend the hospital	25%	27%	27
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	6%	5%	6

Average Medicare Payment

Back & Neck Operations Except Back or Neck Fusion: $6298
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $7783
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $22321
Chest Pain: $3185
Chronic Lung Disease: $5026
Diabetes in Adults: $4261
Female Reproductive System Reconstructive Operations: $4180
Gallbladder Removal By Laparoscope: $5788
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $14308
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $10317
Head and Neck Blood Vessel Operations: $5741
Heart Attack with Major Complications: $8678
Heart Attack without Complications: $5224
Heart Failure: $5793
Hernia Operations in Adults: $5405
Hernia Operations in Adults with Complications or Preexisting Conditions: $7924
Insertion of Heart Defibrillator: $36116
Kidney and Bladder Operations for Cancer: $12484
Kidney and Bladder Operations with Complications or Preexisting Conditions: $13372
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $6283
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $22597
Major Small & Large Intestine Operations: $8061
Minor Small and Large Bowel Procedures With Complications: $20871
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $13897
Neck Fusion to Join Neck Bones: $9448
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $6696
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $10796
Other Kidney & Urinary Tract Operations: $14071
Pacemaker Implant: $11816
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $5839
Removal of Prostate Via Urethra: $3234
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $4741
Repair of Previous Hip or Knee Replacement: $13945
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $11119
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $11049
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $27317
Two or More Hip, Knee or Ankle Operations: $19168
Uterus & Ovary Operations: $4473

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