MEMORIAL MEDICAL CTR - NEILLSVILLE, WI

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MEMORIAL MEDICAL CTR
216 SUNSET PLACE
NEILLSVILLE, WI 54456

CRITICAL ACCESS HOSPITALS HOSPITALS

Services provided by MEMORIAL MEDICAL CTR:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 15

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 15

Physicians (The number of full-time equivalent physicians employed by a provider): 8

Certified rn anesthetists (Number of full-time equivalent certified registered nurse anesthetists (crna) employed by a hospital): 1

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

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): Yes

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

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 3.19

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): 63.23

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): 0.25

Physician assistants (The number of full-time equivalent physician assistants employed by a hospital or rural health clinic): 4

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): 27.05

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 2

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: dietary (Indicates how dietary services are provided): PROVIDED UNDER ARRANGEMENT

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: hospice (Indicates how hospice 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: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: long term care unit (Indicates how long term care unit services are provided in 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 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): COMBINATION

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

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): CRITICAL ACCESS HOSPITALS

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

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 2.57

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): May 2002

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): Aug 2002

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given Aspirin at Arrival	100%	96%	93%
Heart Attack Patients Given Aspirin at Discharge	100%	94%	90%
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)	0%	88%	84%
Heart Failure Patients Given Discharge Instructions	91%	75%	66%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	77%	87%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	67%	82%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	54%	82%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	100%	97%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	27%	85%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	100%	90%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	75%	94%	90%

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)	61%	69%	63
Patients who gave a rating of 7 or 8 (medium)	30%	24%	26
Patients who gave a rating of 6 or lower (low)	9%	7%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	84%	82%	79
Doctors usually communicated well	13%	15%	16
Doctors sometimes or never communicated well	3%	3%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	76%	77%	73
Nurses usually communicated well	18%	20%	21
Nurses sometimes or never communicated well	6%	3%	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	64%	68%	60
Patients usually received help as soon as they wanted	29%	25%	28
Patients sometimes or never received help as soon as they wanted	7%	7%	12

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

	Here	State Average	Nation Average
Staff always explained	54%	63%	58
Staff usually explained	25%	20%	18
Staff sometimes or never explained	21%	17%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	63%	69%	67
Pain was usually well controlled	31%	26%	25
Pain was sometimes or never well controlled	6%	5%	8

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

	Here	State Average	Nation Average
Always quiet at night	53%	58%	54
Usually quiet at night	37%	32%	32
Sometimes or never quiet at night	10%	10%	14

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

	Here	State Average	Nation Average
Room was always clean	83%	75%	68
Room was usually clean	13%	19%	21
Room was sometimes or never clean	4%	6%	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	82%	84%	79
No, staff did not give patients this information	18%	16%	21

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	68%	71%	67
YES, patients would probably recommend the hospital	30%	25%	27
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	2%	4%	6

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