MERCY HLTH SYS CORP - JANESVILLE, WI

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MERCY HLTH SYS CORP
1000 MINERAL POINT AVE
JANESVILLE, WI, 53548

Phone (make sure to verify first before calling): (608) 756-6161

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

Dialysis Facility located within this hospital: MERCY REGIONAL DIALYSIS CENTER

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Cardio-Thoracic Surgery Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) 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
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 34.00
Registered Professional Nurses : 250.75
Other Salaried Personnel : 1273.00
Certified Registered Nurse Anesthetists (CRNA) : 5.00
Dieticians : 4.50
Occupational Therapists : 11.75
Physical Therapists : 16.00
Registered Pharmacists : 18.25
Respiratory Therapists : 11.25
Speech Pathologists Or Audiologists : 1.75
Physicians : 171.75
Medical Social Workers : 7.50
Physician Assistants : 13.50
Residents (Physicians) : 18.00

Number Of Beds

Total: 240
Total Certified: 240
Psychiatric Unit Beds: 12
Rehabilitation Unit Beds: 20

Hospital Acquired Conditions

Falls And Trauma

Here:	1.663%
Wisconsin:	0.606%

Catheter-Associated UTI

Here:	0.454%
Wisconsin:	0.497%

Use of Medical Imaging

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

Here:	33.300%
State:	31.414%

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

This Hospital:	3.900%
State:	8.255%

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

This Hospital:	0.032%
Wisconsin:	0.101%

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

This Hospital:	0.024%
State:	0.023%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	99.0%
State:	99.0%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
State:	99.1%

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

Here:	100.0%
State:	96.7%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
State:	99.0%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	91.0%
State:	89.4%

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

This Hospital:	6
State:	7

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

Here:	100.0%
State:	96.5%

Heart Failure

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

Here:	96.0%
Wisconsin:	97.2%

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

This Hospital:	96.0%
Wisconsin:	94.6%

Percent of Patients Given Discharge Instructions

Here:	95.0%
Wisconsin:	86.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	97.0%

Pneumonia

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

Here:	97.0%
State:	97.3%

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

This Hospital:	98.0%
State:	96.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
State:	95.3%

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

This Hospital:	92.0%
State:	93.5%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	94.0%
Wisconsin:	91.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	95.0%
State:	93.2%

Surgery

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

Here:	98.0%
State:	96.9%

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

Here:	89.0%
State:	95.4%

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

This Hospital:	97.0%
Wisconsin:	98.0%

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

This Hospital:	95.0%
State:	92.6%

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

This Hospital:	96.0%
State:	94.4%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

Here:	95.0%
State:	93.3%

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

Here:	100.0%
Wisconsin:	99.7%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	90.0%
Wisconsin:	91.2%

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

Here:	94.0%
State:	92.2%

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

This Hospital:	85.0%
State:	91.4%

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

Here:	91.0%
Wisconsin:	95.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	17.3%
State:	15.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.5%
State:	11.4%

30-Day Mortality Rates from Pneumonia

Here:	9.3%
Wisconsin:	11.5%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.4%
State:	19.5%

30-Day Readmission Rates from Heart Failure

Here:	24.6%
Wisconsin:	23.5%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.1%
State:	18.3%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,226

Acute myocardial infarction, discharged alive w MCC: $11,660

Acute myocardial infarction, discharged alive w CC: $7,339

Heart failure and shock w/o CC/MCC: $4,339

Heart failure and shock w MCC: $8,774

Heart failure and shock w CC: $6,082

Chronic obstructive pulmonary disease w/o CC/MCC: $4,359

Chronic obstructive pulmonary disease w MCC: $7,830

Chronic obstructive pulmonary disease w CC: $5,863

Simple pneumonia and pleurisy w MCC: $8,609

Diabetes w MCC: $8,213

Chest Pain: $3,193

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $26,362

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $48,522

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $31,728

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $30,743

Extracranial procedures w/o CC/MCC: $6,012

Extracranial procedures w CC: $9,406

Coronary bypass w/o cardiac cath w/o MCC: $21,712

Coronary bypass w/o cardiac cath w MCC: $34,079

Permanent cardiac pacemaker implant w/o CC/MCC: $12,085

Permanent cardiac pacemaker implant w CC: $15,661

Perc cardiovasc proc w drug-eluting stent w/o MCC: $11,524

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,769

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $14,959

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,945

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $21,452

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,798

Hernia procedures except inguinal and femoral w MCC: $15,062

Hernia procedures except inguinal and femoral w CC: $8,425

Major small and large bowel procedures w/o CC/MCC: $9,749

Major small and large bowel procedures w CC: $15,457

Major small and large bowel procedures w MCC: $31,047

Stomach, esophageal duodenal proc w/o CC/MCC: $8,731

Cervical spinal fusion w/o CC/MCC: $11,561

Cervical spinal fusion w CC: $15,674

Spinal fusion except cervical w/o MCC: $21,453

Back and neck proc exc spinal fusion w/o CC/MCC: $5,668

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $10,364

Major shoulder or elbow joint procedures w/o CC/MCC: $6,696

Bilateral or multiple major joint procs of lower extremity w/o MCC: $18,990

Major joint replacement or reattachment of lower extremity w/o MCC: $12,065

Major joint replacement or reattachment of lower extremity w MCC: $19,771

Revision of hip or knee replacement w/o CC/MCC: $14,722

Revision of hip or knee replacement w CC: $18,406

Other musculoskelet sys and conn tiss O.R. proc w MCC: $18,582

Kidney and ureter procedures for neoplasm w/o CC/MCC: $8,340

Kidney and ureter procedures for neoplasm w MCC: $19,802

Kidney and ureter procedures for neoplasm w CC: $11,268

Revision of hip or knee replacement w MCC: $14,087

Kidney and ureter procedures for non-neoplasm w MCC: $20,041

Transurethral procedures w MCC: $13,510

Other kidney and urinary tract procedures w/o CC/MCC: $7,932

Other kidney and urinary tract procedures w MCC: $16,648

Transurethral prostatectomy w/o CC/MCC: $3,811

Transurethral prostatectomy w CC/MCC: $6,720

Female reproductive system reconstructive procedures: $4,905

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,070

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	3%

Usually

This Hospital:	20%
State:	18%

Always

Here:	77%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	3%

Usually

Here:	17%
Wisconsin:	15%

Always

Here:	78%
Wisconsin:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	7%
Wisconsin:	6%

Usually

This Hospital:	30%
State:	25%

Always

Here:	63%
Wisconsin:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	5%

Usually

Here:	26%
Wisconsin:	25%

Always

Here:	68%
State:	70%

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

Sometimes or never

This Hospital:	18%
Wisconsin:	16%

Usually

Here:	19%
Wisconsin:	19%

Always

This Hospital:	63%
Wisconsin:	65%

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

Sometimes or never

This Hospital:	7%
State:	6%

Usually

This Hospital:	19%
Wisconsin:	16%

Always

This Hospital:	74%
State:	78%

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

Sometimes or never

Here:	15%
Wisconsin:	8%

Usually

Here:	36%
State:	32%

Always

This Hospital:	49%
State:	60%

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

Yes

Here:	85%
State:	86%

This Hospital:	15%
Wisconsin:	14%

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

6 or lower

This Hospital:	11%
State:	7%

7 or 8

This Hospital:	32%
Wisconsin:	22%

9 or 10

This Hospital:	57%
State:	71%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	3%

Yes, probably

Here:	40%
State:	25%

Yes, definitely

This Hospital:	54%
Wisconsin:	72%

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