MARSHALLTOWN MEDICAL AND SURGICAL CENTER - MARSHALLTOWN, IA

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MARSHALLTOWN MEDICAL AND SURGICAL CENTER
3 SOUTH 4TH AVENUE
MARSHALLTOWN, IA, 50158

Phone (make sure to verify first before calling): (641) 754-5151

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: No
Type: Rehabilitation Units

Provided Services

Nuclear Medicine Services
Ambulance (Owned) Services
Anatomical Laboratory Services
Anesthesia Services
CT Scanner Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Diagnostic Radiology Services
Dietary Services
Home Health Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Magnetic Resonance Imaging (Mri) Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Orthopedic Surgery Services
Outpatient Rehabilitation Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Positron Emission Tomography (Pet) Scan Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 21.00
Registered Professional Nurses : 94.60
Other Salaried Personnel : 335.40
Dieticians : 2.00
Occupational Therapists : 1.00
Physical Therapists : 6.00
Registered Pharmacists : 3.60
Respiratory Therapists : 4.20
Speech Pathologists Or Audiologists : 1.20
Physicians : 6.80
Medical Social Workers : 3.20
Medical Laboratory Technologists : 4.80
Nuclear Medicine Technicians : 2.40
Physician Assistants : 6.00
Diagnostic Radiology Technicians : 4.20
Nurse Practitioners: 1.00

Number Of Beds

Total: 70
Total Certified: 70
Psychiatric Unit Beds: 18

Use of Medical Imaging

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

Here:	44.900%
State:	31.693%

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

Here:	13.100%
State:	8.449%

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

Here:	0.023%
State:	0.144%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
Iowa:	3%

Usually

Here:	16%
State:	18%

Always

Here:	80%
Iowa:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Iowa:	3%

Usually

This Hospital:	17%
State:	14%

Always

Here:	78%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	7%
State:	6%

Usually

Here:	29%
State:	25%

Always

This Hospital:	64%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
Iowa:	5%

Usually

This Hospital:	25%
State:	24%

Always

Here:	70%
State:	71%

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

Sometimes or never

This Hospital:	17%
State:	17%

Usually

This Hospital:	20%
State:	20%

Always

This Hospital:	63%
State:	63%

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

Sometimes or never

This Hospital:	6%
Iowa:	5%

Usually

Here:	19%
Iowa:	18%

Always

This Hospital:	75%
State:	77%

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

Sometimes or never

Here:	7%
State:	8%

Usually

Here:	31%
Iowa:	30%

Always

Here:	62%
State:	62%

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

Yes

Here:	84%
Iowa:	84%

Here:	16%
State:	16%

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

6 or lower

Here:	8%
State:	6%

7 or 8

This Hospital:	21%
Iowa:	21%

9 or 10

This Hospital:	71%
State:	73%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	3%

Yes, probably

Here:	24%
State:	23%

Yes, definitely

Here:	72%
State:	74%

Hospital Acquired Conditions

Falls And Trauma

Here:	0.433%
Iowa:	0.632%

Vascular Catheter-Associated Infection

Here:	0.433%
Iowa:	0.262%

Catheter-Associated UTI

Here:	2.165%
Iowa:	0.284%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,638

Acute myocardial infarction, discharged alive w MCC: $10,554

Acute myocardial infarction, discharged alive w CC: $6,653

Heart failure and shock w/o CC/MCC: $3,927

Heart failure and shock w MCC: $7,941

Heart failure and shock w CC: $5,476

Chronic obstructive pulmonary disease w/o CC/MCC: $3,945

Chronic obstructive pulmonary disease w MCC: $7,087

Chronic obstructive pulmonary disease w CC: $5,307

Simple pneumonia and pleurisy w MCC: $7,792

Diabetes w MCC: $7,395

Chest Pain: $2,890

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $28,674

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $68,733

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $34,921

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $7,766

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $39,900

Cardiac defibrillator implant w/o cardiac cath w MCC: $45,719

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $49,912

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $70,178

Extracranial procedures w/o CC/MCC: $6,539

Extracranial procedures w CC: $8,444

Coronary bypass w/o cardiac cath w/o MCC: $23,494

Coronary bypass w/o cardiac cath w MCC: $48,370

Permanent cardiac pacemaker implant w/o CC/MCC: $10,910

Permanent cardiac pacemaker implant w CC: $14,080

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,419

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,126

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,470

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,004

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,416

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,262

Hernia procedures except inguinal and femoral w CC: $9,164

Major small and large bowel procedures w/o CC/MCC: $8,824

Major small and large bowel procedures w CC: $13,918

Major small and large bowel procedures w MCC: $28,101

Stomach, esophageal duodenal proc w/o CC/MCC: $9,497

Cervical spinal fusion w/o CC/MCC: $12,510

Cervical spinal fusion w MCC: $28,839

Cervical spinal fusion w CC: $17,049

Spinal fusion except cervical w/o MCC: $23,273

Spinal fusion except cervical w MCC: $37,410

Back and neck proc exc spinal fusion w/o CC/MCC: $5,132

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,383

Major shoulder or elbow joint procedures w/o CC/MCC: $6,095

Bilateral or multiple major joint procs of lower extremity w/o MCC: $17,099

Major joint replacement or reattachment of lower extremity w/o MCC: $10,920

Major joint replacement or reattachment of lower extremity w MCC: $17,948

Revision of hip or knee replacement w/o CC/MCC: $13,401

Revision of hip or knee replacement w CC: $16,659

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $9,636

Biopsies of musculoskeletal system and connective tissue w MCC: $21,426

Biopsies of musculoskeletal system and connective tissue w CC: $13,874

Other musculoskelet sys and conn tiss O.R. proc w MCC: $20,046

Kidney and ureter procedures for neoplasm w/o CC/MCC: $9,007

Kidney and ureter procedures for neoplasm w MCC: $21,427

Kidney and ureter procedures for neoplasm w CC: $12,187

Revision of hip or knee replacement w MCC: $24,784

Kidney and ureter procedures for non-neoplasm w MCC: $8,175

Bilateral or multiple major joint procs of lower extremity w MCC: $29,687

Transurethral procedures w MCC: $14,634

Other kidney and urinary tract procedures w/o CC/MCC: $8,557

Other kidney and urinary tract procedures w CC: $14,110

Transurethral prostatectomy w/o CC/MCC: $4,134

Transurethral prostatectomy w CC/MCC: $6,082

Female reproductive system reconstructive procedures: $5,335

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,615

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	98.0%
Iowa:	99.1%

Percent of Patients Given Aspirin at Discharge

Here:	98.0%
State:	99.1%

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

Here:	88.0%
Iowa:	96.6%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	98.0%
Iowa:	98.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.1%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	100.0%
State:	92.9%

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

This Hospital:	7
Iowa:	8

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

Here:	100.0%
Iowa:	96.1%

Heart Failure

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

Here:	100.0%
State:	95.6%

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

This Hospital:	99.0%
Iowa:	94.6%

Percent of Patients Given Discharge Instructions

This Hospital:	92.0%
Iowa:	86.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Iowa:	97.2%

Pneumonia

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

Here:	97.0%
Iowa:	96.8%

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

Here:	99.0%
Iowa:	97.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	98.0%
Iowa:	95.1%

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

Here:	92.0%
Iowa:	92.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	98.0%
Iowa:	91.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	98.0%
State:	94.0%

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:	97.9%

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

Here:	98.0%
State:	94.8%

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

This Hospital:	97.0%
Iowa:	97.8%

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

This Hospital:	98.0%
Iowa:	92.9%

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

This Hospital:	98.0%
Iowa:	94.0%

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

Here:	97.0%
Iowa:	89.3%

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

This Hospital:	100.0%
State:	99.7%

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

This Hospital:	92.0%
Iowa:	91.4%

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

Here:	99.0%
State:	94.4%

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

This Hospital:	98.0%
Iowa:	94.3%

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

This Hospital:	99.0%
Iowa:	96.9%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.1%
Iowa:	15.7%

30-Day Mortality Rates from Heart Failure

Here:	11.8%
Iowa:	11.6%

30-Day Mortality Rates from Pneumonia

Here:	13.3%
State:	11.4%

30-Day Readmission Rates from Heart Attack

This Hospital:	18.9%
State:	19.2%

30-Day Readmission Rates from Heart Failure

Here:	23.4%
Iowa:	23.8%

30-Day Readmission Rates from Pneumonia

Here:	14.7%
State:	17.6%

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