JOHN RANDOLPH MEDICAL CENTER - HOPEWELL, VA

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JOHN RANDOLPH MEDICAL CENTER
411 WEST RANDOLPH ROAD
HOPEWELL, VA, 23860

Phone (make sure to verify first before calling): (804) 541-1600

Hospital Type: Acute Care Hospitals
Hospital Owner: Proprietary
Emergency Services: Yes
Type: Psychiatric Units

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
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical 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

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 85.00
Registered Professional Nurses : 197.00
Other Salaried Personnel : 607.00
Occupational Therapists : 3.00
Physical Therapists : 8.00
Respiratory Therapists : 13.00
Physicians : 8.00
Medical Social Workers : 11.00

Number Of Beds

Total: 271
Total Certified: 271
Psychiatric Unit Beds: 20

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.2%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
Virginia:	99.0%

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

This Hospital:	100.0%
Virginia:	97.2%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.8%

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

Here:	8
Virginia:	10

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

Here:	49
State:	201

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

This Hospital:	100.0%
Virginia:	95.4%

Heart Failure

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

This Hospital:	100.0%
State:	98.9%

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

This Hospital:	100.0%
Virginia:	96.7%

Percent of Patients Given Discharge Instructions

Here:	97.0%
Virginia:	91.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.1%

Pneumonia

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

Here:	98.0%
State:	95.7%

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

This Hospital:	100.0%
Virginia:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Virginia:	97.9%

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

This Hospital:	96.0%
Virginia:	93.0%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Virginia:	93.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
Virginia:	95.1%

Surgery

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

Here:	100.0%
State:	97.1%

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

Here:	100.0%
State:	95.8%

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

Here:	100.0%
State:	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:	100.0%
Virginia:	94.3%

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

This Hospital:	100.0%
State:	95.6%

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:	100.0%
Virginia:	92.7%

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

This Hospital:	100.0%
State:	94.4%

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

Here:	98.0%
Virginia:	92.9%

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

Here:	97.0%
Virginia:	95.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.9%
State:	15.5%

30-Day Mortality Rates from Heart Failure

Here:	8.5%
Virginia:	11.3%

30-Day Mortality Rates from Pneumonia

Here:	8.8%
State:	12.0%

30-Day Readmission Rates from Heart Attack

Here:	20.3%
Virginia:	19.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	26.1%
Virginia:	24.5%

30-Day Readmission Rates from Pneumonia

Here:	17.7%
Virginia:	18.8%

Hospital Acquired Conditions

Falls And Trauma

This Hospital:	0.525%
State:	0.627%

Vascular Catheter-Associated Infection

This Hospital:	0.525%
State:	0.336%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,843

Acute myocardial infarction, discharged alive w MCC: $10,806

Acute myocardial infarction, discharged alive w CC: $6,802

Heart failure and shock w/o CC/MCC: $4,021

Heart failure and shock w MCC: $8,131

Heart failure and shock w CC: $5,608

Chronic obstructive pulmonary disease w/o CC/MCC: $4,040

Chronic obstructive pulmonary disease w MCC: $7,257

Chronic obstructive pulmonary disease w CC: $5,434

Simple pneumonia and pleurisy w MCC: $7,979

Diabetes w MCC: $7,572

Chest Pain: $2,959

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,273

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,792

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,193

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,373

Hernia procedures except inguinal and femoral w MCC: $15,701

Hernia procedures except inguinal and femoral w CC: $7,808

Major small and large bowel procedures w/o CC/MCC: $9,035

Major small and large bowel procedures w CC: $14,251

Major small and large bowel procedures w MCC: $28,773

Stomach, esophageal duodenal proc w/o CC/MCC: $8,092

Cervical spinal fusion w/o CC/MCC: $10,659

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $27,747

Major joint replacement or reattachment of lower extremity w/o MCC: $11,181

Major joint replacement or reattachment of lower extremity w MCC: $18,323

Revision of hip or knee replacement w CC: $22,676

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $8,210

Biopsies of musculoskeletal system and connective tissue w CC: $12,306

Kidney and ureter procedures for non-neoplasm w MCC: $18,573

Other kidney and urinary tract procedures w MCC: $25,276

Use of Medical Imaging

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

This Hospital:	40.000%
Virginia:	31.424%

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

Here:	4.500%
Virginia:	7.587%

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

This Hospital:	0.384%
Virginia:	0.146%

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

Here:	0.007%
State:	0.030%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

Here:	9%
State:	6%

Usually

This Hospital:	18%
State:	19%

Always

This Hospital:	73%
State:	75%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	8%
State:	5%

Usually

This Hospital:	15%
State:	15%

Always

This Hospital:	77%
Virginia:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	17%
State:	12%

Usually

This Hospital:	26%
Virginia:	26%

Always

Here:	57%
State:	62%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	11%
Virginia:	8%

Usually

Here:	19%
State:	24%

Always

This Hospital:	70%
State:	68%

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

Sometimes or never

Here:	26%
State:	23%

Usually

Here:	18%
Virginia:	18%

Always

Here:	56%
State:	59%

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

Sometimes or never

Here:	12%
State:	11%

Usually

Here:	18%
Virginia:	21%

Always

Here:	70%
State:	68%

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

Sometimes or never

This Hospital:	13%
Virginia:	12%

Usually

This Hospital:	26%
Virginia:	31%

Always

Here:	61%
State:	57%

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

Yes

Here:	81%
State:	82%

Here:	19%
Virginia:	18%

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

6 or lower

Here:	13%
State:	10%

7 or 8

Here:	28%
Virginia:	25%

9 or 10

This Hospital:	59%
State:	65%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
State:	6%

Yes, probably

This Hospital:	34%
State:	27%

Yes, definitely

Here:	58%
State:	67%

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