METHODIST WILLOWBROOK HOSPITAL - HOUSTON, TX

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METHODIST WILLOWBROOK HOSPITAL
18220 TOMBALL PARKWAY
HOUSTON, TX 77070

SHORT TERM HOSPITALS

Services provided by METHODIST WILLOWBROOK HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 64

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 64

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)): Oct 2001

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)): Oct 2003

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)): 45D0979146

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

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 6.50

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

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 93.50

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): 1

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): 57

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): 2

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 AND UNDER ARRANGEMENT

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 UNDER ARRANGEMENT

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

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

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 AND UNDER ARRANGEMENT

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

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): 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): Feb 2001

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): Feb 2001

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	81%	88%	85%
Heart Attack Patients Given Aspirin at Arrival	95%	92%	93%
Heart Attack Patients Given Aspirin at Discharge	93%	88%	90%
Heart Attack Patients Given Beta Blocker at Arrival	89%	86%	88%
Heart Attack Patients Given Beta Blocker at Discharge	88%	89%	91%
Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival	50%	40%	39%
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival	36%	56%	60%
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)	92%	85%	84%
Heart Failure Patients Given Discharge Instructions	68%	66%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	98%	86%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	97%	84%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	88%	78%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	90%	77%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	93%	93%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	93%	86%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	86%	84%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	91%	90%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	90%	74%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	91%	69%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	80%	86%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	91%	74%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	52%	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)	78%	62%	63
Patients who gave a rating of 7 or 8 (medium)	16%	25%	26
Patients who gave a rating of 6 or lower (low)	6%	13%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	78%	80%	79
Doctors usually communicated well	16%	15%	16
Doctors sometimes or never communicated well	6%	5%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	77%	71%	73
Nurses usually communicated well	18%	21%	21
Nurses sometimes or never communicated well	5%	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	69%	59%	60
Patients usually received help as soon as they wanted	22%	26%	28
Patients sometimes or never received help as soon as they wanted	9%	15%	12

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

	Here	State Average	Nation Average
Staff always explained	59%	57%	58
Staff usually explained	16%	18%	18
Staff sometimes or never explained	25%	25%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	72%	67%	67
Pain was usually well controlled	22%	24%	25
Pain was sometimes or never well controlled	6%	9%	8

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

	Here	State Average	Nation Average
Always quiet at night	67%	60%	54
Usually quiet at night	23%	28%	32
Sometimes or never quiet at night	10%	12%	14

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

	Here	State Average	Nation Average
Room was always clean	71%	66%	68
Room was usually clean	19%	22%	21
Room was sometimes or never clean	10%	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	82%	78%	79
No, staff did not give patients this information	18%	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: $4851
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $7393
Back Fusion to Join Spine Bones, not Neck: $19628
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $22738
Chest Pain: $3288
Chronic Lung Disease: $4945
Diabetes in Adults: $3974
Female Reproductive System Reconstructive Operations: $3970
Gallbladder Removal By Laparoscope: $5498
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $13664
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $10149
Head and Neck Blood Vessel Operations: $5453
Heart Attack with Major Complications: $8554
Heart Attack without Complications: $6268
Heart Failure: $5784
Insertion of Heart Defibrillator: $29668
Kidney and Bladder Operations for Cancer: $11857
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $5967
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $10676
Major Small & Large Intestine Operations: $7671
Minor Small and Large Bowel Procedures With Complications: $26678
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $13559
Neck Fusion to Join Neck Bones: $8990
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $6360
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $10254
Other Kidney & Urinary Tract Operations: $11130
Pacemaker Implant: $11249
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $5524
Repair of Previous Hip or Knee Replacement: $13271
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $11913
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $10263
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $23971
Two or More Hip, Knee or Ankle Operations: $16313
Uterus & Ovary Operations: $4248

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