LEGACY MOUNT HOOD MEDICAL CENTER - GRESHAM, OR

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Addresss:
24800 SE STARK STREET
GRESHAM, OR, 97030
Phone (make sure to verify first before calling): (503) 674-1122

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

Other nearby nursing homes

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 8.00
Registered Professional Nurses : 232.00
Other Salaried Personnel : 269.00
Certified Registered Nurse Anesthetists (CRNA) : 9.00
Dieticians : 1.00
Occupational Therapists : 9.00
Physical Therapists : 17.00
Registered Pharmacists : 7.00
Respiratory Therapists : 13.00
Speech Pathologists Or Audiologists : 5.00
Medical Social Workers : 1.00

Number Of Beds
Total: 115
Total Certified: 115

Provided Services
Nuclear Medicine Services
Acute Renal Dialysis Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency 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
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never
This Hospital:

6%
Oregon:

4%
Usually
Here:

22%
Oregon:

19%
Always
This Hospital:

72%
Oregon:

77%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

4%
Oregon:

4%
Usually
This Hospital:

19%
State:

16%
Always
This Hospital:

77%
State:

80%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Hospital:

14%
Oregon:

8%
Usually
Here:

30%
Oregon:

26%
Always
Here:

56%
State:

66%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

10%
Oregon:

6%
Usually
Here:

28%
State:

24%
Always
Here:

62%
Oregon:

70%

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

Sometimes or never
Here:

20%
State:

19%
Usually
This Hospital:

19%
State:

19%
Always
This Hospital:

61%
Oregon:

62%

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

Sometimes or never
This Hospital:

11%
Oregon:

8%
Usually
This Hospital:

24%
Oregon:

20%
Always
Here:

65%
State:

72%

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

Sometimes or never
Here:

16%
State:

12%
Usually
This Hospital:

35%
Oregon:

34%
Always
This Hospital:

49%
Oregon:

54%

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

Yes
This Hospital:

85%
Oregon:

84%
No
This Hospital:

15%
State:

16%

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

6 or lower
Here:

10%
State:

8%
7 or 8
Here:

21%
Oregon:

23%
9 or 10
This Hospital:

69%
State:

69%

Would patients recommend the hospital to friends and family?

No
This Hospital:

8%
Oregon:

4%
Yes, probably
Here:

20%
Oregon:

24%
Yes, definitely
This Hospital:

72%
State:

72%

Hospital Acquired Conditions

Blood infection from a catheter in a large vein
Here:

0.954%
Oregon:

0.419%
Infection from a Urinary Catheter
Here:

0.477%
Oregon:

0.751%

Use of Medical Imaging

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

7.900%
State:

8.820%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Hospital:

0.029%
Oregon:

0.082%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
This Hospital:

3.800%
State:

5.064%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Back and Neck Procedures Except Spinal Fusion without Complications
Average Covered Charges
This Hospital:

$19,547
Oregon:

$19,694
Average Total Payments
Here:

$6,644
State:

$7,256
Number of discharges: 17
Here:

2.78%
State:

2.18%
Bronchitis and Asthma with Complications
Average Covered Charges
This Hospital:

$14,188
State:

$18,659
Average Total Payments
Here:

$5,645
State:

$6,360
Number of discharges: 12
Here:

1.96%
Oregon:

0.14%
Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$17,568
Oregon:

$15,307
Average Total Payments
This Hospital:

$5,503
State:

$5,925
Number of discharges: 16
This Hospital:

2.62%
State:

1.51%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$15,236
State:

$10,702
Average Total Payments
Here:

$3,826
State:

$4,145
Number of discharges: 14
Here:

2.29%
Oregon:

1.41%
Cellulitis without Major Complications
Average Covered Charges
Here:

$14,508
State:

$15,646
Average Total Payments
Here:

$5,659
State:

$6,162
Number of discharges: 12
Here:

1.96%
Oregon:

1.72%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
This Hospital:

$19,862
State:

$18,029
Average Total Payments
This Hospital:

$6,817
Oregon:

$6,935
Number of discharges: 13
This Hospital:

2.13%
Oregon:

1.51%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
This Hospital:

$21,484
Oregon:

$23,033
Average Total Payments
Here:

$7,990
Oregon:

$8,365
Number of discharges: 15
Here:

2.45%
Oregon:

1.38%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
Here:

$18,260
State:

$14,028
Average Total Payments
This Hospital:

$6,318
Oregon:

$5,407
Number of discharges: 17
Here:

2.78%
State:

1.02%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$13,653
State:

$14,858
Average Total Payments
Here:

$5,455
Oregon:

$5,377
Number of discharges: 17
Here:

2.78%
Oregon:

2.85%
G.I. Hemorrhage with Complications
Average Covered Charges
This Hospital:

$20,271
State:

$19,645
Average Total Payments
This Hospital:

$6,730
State:

$7,289
Number of discharges: 19
This Hospital:

3.11%
State:

2.26%
G.I. Hemorrhage with Major Complications
Average Covered Charges
This Hospital:

$31,810
State:

$34,049
Average Total Payments
This Hospital:

$10,045
State:

$12,809
Number of discharges: 11
This Hospital:

1.80%
State:

0.66%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$24,714
Oregon:

$18,042
Average Total Payments
This Hospital:

$7,605
Oregon:

$7,282
Number of discharges: 14
Here:

2.29%
State:

3.22%
Heart Failure and Shock with Major Complications
Average Covered Charges
Here:

$29,515
State:

$27,504
Average Total Payments
Here:

$10,114
State:

$10,906
Number of discharges: 23
Here:

3.76%
State:

2.28%
Heart Failure and Shock without Complications
Average Covered Charges
This Hospital:

$16,441
State:

$13,286
Average Total Payments
Here:

$4,592
Oregon:

$4,897
Number of discharges: 16
Here:

2.62%
Oregon:

1.22%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
Here:

$25,495
State:

$21,192
Average Total Payments
This Hospital:

$7,818
State:

$8,156
Number of discharges: 17
Here:

2.78%
State:

2.01%
Intracranial Hemorrhage or Cerebral Infarction without Complications
Average Covered Charges
Here:

$21,704
State:

$15,265
Average Total Payments
Here:

$5,494
State:

$6,050
Number of discharges: 11
This Hospital:

1.80%
State:

1.07%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
Here:

$20,571
State:

$18,284
Average Total Payments
Here:

$8,016
Oregon:

$8,024
Number of discharges: 19
This Hospital:

3.11%
State:

0.63%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
Here:

$14,787
State:

$13,356
Average Total Payments
This Hospital:

$5,106
Oregon:

$5,471
Number of discharges: 17
Here:

2.78%
State:

2.07%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
This Hospital:

$37,572
Oregon:

$41,007
Average Total Payments
Here:

$15,158
State:

$15,328
Number of discharges: 48
This Hospital:

7.86%
State:

10.71%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
This Hospital:

$15,167
Oregon:

$13,111
Average Total Payments
This Hospital:

$4,635
State:

$5,010
Number of discharges: 18
This Hospital:

2.95%
State:

1.92%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$25,447
Oregon:

$25,396
Average Total Payments
This Hospital:

$8,584
Oregon:

$9,037
Number of discharges: 31
This Hospital:

5.07%
Oregon:

1.66%
Renal Failure with Complications
Average Covered Charges
This Hospital:

$24,409
Oregon:

$17,913
Average Total Payments
This Hospital:

$6,864
State:

$7,510
Number of discharges: 20
Here:

3.27%
Oregon:

1.92%
Renal Failure with Major Complications
Average Covered Charges
This Hospital:

$38,749
Oregon:

$29,859
Average Total Payments
Here:

$11,896
Oregon:

$11,721
Number of discharges: 22
This Hospital:

3.60%
Oregon:

1.50%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
Here:

$55,674
State:

$52,579
Average Total Payments
This Hospital:

$14,485
Oregon:

$16,842
Number of discharges: 14
This Hospital:

2.29%
State:

0.72%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$32,610
Oregon:

$34,559
Average Total Payments
Here:

$12,525
State:

$13,707
Number of discharges: 70
Here:

11.46%
Oregon:

6.17%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
This Hospital:

$22,125
Oregon:

$19,363
Average Total Payments
Here:

$7,553
State:

$8,035
Number of discharges: 14
Here:

2.29%
State:

1.66%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
Here:

$19,407
Oregon:

$18,344
Average Total Payments
Here:

$7,002
Oregon:

$7,302
Number of discharges: 27
Here:

4.42%
State:

3.18%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
This Hospital:

$28,221
State:

$27,393
Average Total Payments
Here:

$9,606
State:

$10,198
Number of discharges: 30
Here:

4.91%
State:

1.86%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
This Hospital:

$13,243
State:

$13,443
Average Total Payments
Here:

$4,755
State:

$4,959
Number of discharges: 15
Here:

2.45%
State:

1.20%
Syncope and Collapse
Average Covered Charges
This Hospital:

$14,280
Oregon:

$13,407
Average Total Payments
This Hospital:

$4,806
Oregon:

$5,253
Number of discharges: 22
This Hospital:

3.60%
Oregon:

1.16%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
This Hospital:

100.0%
Oregon:

99.5%
Percent of Patients Given Aspirin at Discharge
Here:

92.0%
Oregon:

99.4%
Percent of Patients Given Beta Blocker at Discharge
Here:

96.0%
Oregon:

98.4%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
This Hospital:

12
Oregon:

10
Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital
Here:

57
Oregon:

49
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

98.0%
State:

97.9%
Patients Given a Prescription for a Statin at Discharge
This Hospital:

84.0%
Oregon:

97.3%

Heart Failure

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

100.0%
Oregon:

98.6%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Here:

97.0%
State:

97.1%
Percent of Patients Given Discharge Instructions
Here:

86.0%
State:

91.5%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
Oregon:

99.3%

Pneumonia

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

99.0%
Oregon:

97.0%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
This Hospital:

98.0%
Oregon:

96.5%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

98.0%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

96.0%
Oregon:

95.4%
Percent of Patients Assessed and Given Influenza Vaccination
This Hospital:

84.0%
Oregon:

89.2%
Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

94.0%
Oregon:

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:

94.0%
State:

96.6%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

97.0%
Oregon:

96.6%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

95.0%
State:

98.3%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
This Hospital:

94.0%
State:

95.0%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

95.0%
State:

96.2%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

100.0%
Oregon:

99.8%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
This Hospital:

90.0%
State:

92.1%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
This Hospital:

89.0%
State:

94.0%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
Here:

93.0%
Oregon:

94.1%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Hospital:

88.0%
State:

97.3%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Hospital:

100.0%
Oregon:

99.5%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Hospital:

16.3%
Oregon:

15.7%
30-Day Mortality Rates from Heart Failure
This Hospital:

11.8%
Oregon:

12.4%
30-Day Mortality Rates from Pneumonia
This Hospital:

11.6%
Oregon:

12.2%
30-Day Readmission Rates from Heart Attack
This Hospital:

21.0%
State:

18.1%
30-Day Readmission Rates from Heart Failure
This Hospital:

22.9%
Oregon:

22.6%
30-Day Readmission Rates from Pneumonia
Here:

18.1%
State:

17.5%

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