MARIN GENERAL HOSPITAL - GREENBRAE, CA

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MARIN GENERAL HOSPITAL
BOX 2129 250 BON AIR ROAD
GREENBRAE, CA 94904

SHORT TERM HOSPITALS

Services provided by MARIN GENERAL HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 325

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 235

Physicians (The number of full-time equivalent physicians employed by a provider): 7

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

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)): Feb 1992

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)): Feb 1995

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

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

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Feb 1993

Dieticians (Number of full-time equivalent dieticians employed by a facility): 2

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 10

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 1

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

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 2

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 935

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

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 4

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

Psychiatric unit beds (The number of beds in a pps exempt psychiatric unit of a hospital): 17

Psychiatric unit effective date (The date a psychiatric unit became exempt from the prospective payment system (pps)): Mar 1995

Psychiatric unit indicator (Indicates if a hospital has a pps exempt psychiatric unit): Yes

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Regional override #3 (nurse - Bed) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 402

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 10

Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 050360

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: acute renal dialysis (Indicates how acute renal dialysis services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

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

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

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

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

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

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

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 BY STAFF

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

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

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 BY STAFF

Srv: open heart surgery facility (Indicates how open heart surgery facility services are provided by a hospital): PROVIDED BY STAFF

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 BY STAFF

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

Srv: psychiatric (Indicates how psychiatric 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

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 1

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

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

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

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 1

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): 5

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): Feb 1993

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): Jul 1966

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	95%	87%	85%
Heart Attack Patients Given Aspirin at Arrival	98%	96%	93%
Heart Attack Patients Given Aspirin at Discharge	98%	91%	90%
Heart Attack Patients Given Beta Blocker at Arrival	97%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	99%	91%	91%
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival	100%	60%	60%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	89%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	97%	86%	84%
Heart Failure Patients Given Discharge Instructions	94%	66%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	92%	88%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	98%	88%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	40%	66%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	57%	68%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	100%	92%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	99%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	92%	82%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	98%	87%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	97%	88%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	86%	79%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	80%	68%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	89%	90%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	84%	73%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	83%	72%	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)	60%	60%	63%
Patients who gave a rating of 7 or 8 (medium)	28%	27%	26%
Patients who gave a rating of 6 or lower (low)	12%	13%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	78%	76%	79%
Doctors usually communicated well	18%	18%	16%
Doctors sometimes or never communicated well	4%	6%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	71%	67%	73%
Nurses usually communicated well	23%	25%	21%
Nurses sometimes or never communicated well	6%	8%	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	60%	54%	60%
Patients usually received help as soon as they wanted	27%	30%	28%
Patients sometimes or never received help as soon as they wanted	13%	16%	12%

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

	Here	State Average	Nation Average
Staff always explained	54%	54%	58%
Staff usually explained	21%	19%	18%
Staff sometimes or never explained	25%	27%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	63%	64%	67%
Pain was usually well controlled	27%	27%	25%
Pain was sometimes or never well controlled	10%	9%	8%

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

	Here	State Average	Nation Average
Always quiet at night	41%	43%	54%
Usually quiet at night	33%	35%	32%
Sometimes or never quiet at night	26%	22%	14%

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

	Here	State Average	Nation Average
Room was always clean	57%	64%	68%
Room was usually clean	27%	23%	21%
Room was sometimes or never clean	16%	13%	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	72%	76%	79%
No, staff did not give patients this information	28%	24%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	68%	65%	67%
YES, patients would probably recommend the hospital	27%	28%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	5%	7%	6%

Average Medicare Payment

Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery: $16836
Back & Neck Operations Except Back or Neck Fusion: $6487
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $11783
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $30656
Chest Pain: $4670
Chronic Lung Disease: $6642
Diabetes in Adults: $5302
Female Reproductive System Reconstructive Operations: $5305
Gallbladder Removal By Laparoscope: $7358
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $19734
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $16175
Head and Neck Blood Vessel Operations: $7293
Heart Attack with Major Complications: $11930
Heart Attack without Complications: $7045
Heart Bypass Surgery: $25261
Heart Bypass Surgery with Complications or Preexisting Conditions: $37943
Heart Failure: $7542
Heart Valve Operations: $44677
Hernia Operations in Adults: $6038
Hernia Operations in Adults with Complications or Preexisting Conditions: $10071
Insertion of Heart Defibrillator: $40904
Insertion of Heart Defibrillator with Examination of Heart through a Catheter: $65965
Kidney and Bladder Operations for Cancer: $21227
Kidney and Bladder Operations with Complications or Preexisting Conditions: $19786
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $7988
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $35710
Major Small & Large Intestine Operations: $10238
Minor Small and Large Bowel Procedures With Complications: $27993
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $26317
Neck Fusion to Join Neck Bones: $14292
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $8881
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $13504
Other Kidney & Urinary Tract Operations: $15690
Pacemaker Implant: $15012
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $7552
Removal of Prostate Via Urethra: $4109
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $6026
Repair of Previous Hip or Knee Replacement: $18003
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $15632
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $15936
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $28934
Two or More Hip, Knee or Ankle Operations: $21630
Uterus & Ovary Operations: $5685

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