METHODIST SUGAR LAND HOSPITAL - SUGAR LAND, TX

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METHODIST SUGAR LAND HOSPITAL
16655 SOUTHWEST FREEWAY
SUGAR LAND, TX 77479

SHORT TERM HOSPITALS

Services provided by METHODIST SUGAR LAND HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 22

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 22

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)): Jul 1998

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)): Jul 2000

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

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 45D0936485

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

Dieticians (Number of full-time equivalent dieticians employed by a facility): 1

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 4

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): 70

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

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): 59

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: 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): 3

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: inpatient surgical (Indicates how inpatient surgical 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: obstetrics (Indicates how obstetrics 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: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

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 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): SHORT - TERM

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

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): Aug 1998

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 1998

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	80%	88%	85%
Heart Attack Patients Given Aspirin at Arrival	96%	92%	93%
Heart Attack Patients Given Aspirin at Discharge	93%	88%	90%
Heart Attack Patients Given Beta Blocker at Arrival	100%	86%	88%
Heart Attack Patients Given Beta Blocker at Discharge	92%	89%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	92%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	100%	85%	84%
Heart Failure Patients Given Discharge Instructions	88%	66%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	100%	86%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	92%	84%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	95%	78%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	93%	77%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	92%	93%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	96%	86%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	63%	84%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	89%	90%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	80%	74%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	84%	69%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	70%	86%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	84%	74%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	71%	74%	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)	74%	62%	63
Patients who gave a rating of 7 or 8 (medium)	18%	25%	26
Patients who gave a rating of 6 or lower (low)	8%	13%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	84%	80%	79
Doctors usually communicated well	13%	15%	16
Doctors sometimes or never communicated well	3%	5%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	76%	71%	73
Nurses usually communicated well	18%	21%	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	66%	59%	60
Patients usually received help as soon as they wanted	24%	26%	28
Patients sometimes or never received help as soon as they wanted	10%	15%	12

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

	Here	State Average	Nation Average
Staff always explained	64%	57%	58
Staff usually explained	15%	18%	18
Staff sometimes or never explained	21%	25%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	73%	67%	67
Pain was usually well controlled	20%	24%	25
Pain was sometimes or never well controlled	7%	9%	8

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

	Here	State Average	Nation Average
Always quiet at night	68%	60%	54
Usually quiet at night	25%	28%	32
Sometimes or never quiet at night	7%	12%	14

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

	Here	State Average	Nation Average
Room was always clean	79%	66%	68
Room was usually clean	16%	22%	21
Room was sometimes or never clean	5%	12%	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	81%	78%	79
No, staff did not give patients this information	19%	22%	21

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	79%	67%	67
YES, patients would probably recommend the hospital	18%	26%	27
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	3%	7%	6

Average Medicare Payment

Back & Neck Operations Except Back or Neck Fusion: $5606
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $7443
Back Fusion to Join Spine Bones, not Neck: $14964
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $19629
Chest Pain: $3046
Chronic Lung Disease: $5227
Diabetes in Adults: $4118
Female Reproductive System Reconstructive Operations: $3997
Gallbladder Removal By Laparoscope: $5536
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $10033
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $12305
Head and Neck Blood Vessel Operations: $5489
Heart Attack with Major Complications: $8439
Heart Attack without Complications: $5110
Heart Failure: $5987
Hernia Operations in Adults: $4537
Hernia Operations in Adults with Complications or Preexisting Conditions: $7577
Kidney and Bladder Operations for Cancer: $11952
Kidney and Bladder Operations with Complications or Preexisting Conditions: $12786
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $6007
Major Small & Large Intestine Operations: $7708
Minor Small and Large Bowel Procedures With Complications: $19695
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $13289
Neck Fusion to Join Neck Bones: $9034
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $6402
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $10323
Other Kidney & Urinary Tract Operations: $11205
Pacemaker Implant: $11309
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $5476
Removal of Prostate Via Urethra: $3093
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $4534
Repair of Previous Hip or Knee Replacement: $13112
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $10782
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $10295
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $21739
Two or More Hip, Knee or Ankle Operations: $16892
Uterus & Ovary Operations: $4280

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