RAPPAHANNOCK GENERAL HOSPITAL - KILMARNOCK, VA

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RAPPAHANNOCK GENERAL HOSPITAL
101 HARRIS ROAD
KILMARNOCK, VA, 22482

Phone (make sure to verify first before calling): (804) 435-8000

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Swing Bed Hospitals

Provided Services

Nuclear Medicine Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Obstetric Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 16.00
Registered Professional Nurses : 80.00
Other Salaried Personnel : 50.00
Certified Registered Nurse Anesthetists (CRNA) : 2.00
Dieticians : 1.00
Physical Therapists : 3.00
Registered Pharmacists : 3.00
Respiratory Therapists : 6.85
Physicians : 9.00
Medical Social Workers : 1.00

Number Of Beds

Total: 76
Total Certified: 76
Psychiatric Unit Beds: 10

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	3%
Virginia:	6%

Usually

Here:	16%
Virginia:	19%

Always

This Hospital:	81%
State:	75%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	5%

Usually

Here:	14%
State:	15%

Always

This Hospital:	82%
Virginia:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
State:	12%

Usually

Here:	21%
State:	26%

Always

This Hospital:	74%
Virginia:	62%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	8%

Usually

This Hospital:	24%
Virginia:	24%

Always

Here:	70%
State:	68%

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

Sometimes or never

This Hospital:	18%
Virginia:	23%

Usually

This Hospital:	20%
State:	18%

Always

This Hospital:	62%
Virginia:	59%

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

Sometimes or never

This Hospital:	5%
Virginia:	11%

Usually

This Hospital:	16%
State:	21%

Always

This Hospital:	79%
State:	68%

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

Sometimes or never

Here:	14%
Virginia:	12%

Usually

This Hospital:	37%
Virginia:	31%

Always

Here:	49%
Virginia:	57%

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

Yes

Here:	80%
State:	82%

Here:	20%
State:	18%

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

6 or lower

Here:	6%
Virginia:	10%

7 or 8

This Hospital:	26%
Virginia:	25%

9 or 10

This Hospital:	68%
Virginia:	65%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	6%

Yes, probably

Here:	24%
State:	27%

Yes, definitely

This Hospital:	72%
State:	67%

Use of Medical Imaging

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

This Hospital:	26.700%
State:	31.424%

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

Here:	4.200%
Virginia:	7.587%

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

Here:	0.110%
Virginia:	0.146%

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

Here:	0.053%
Virginia:	0.030%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,712

Acute myocardial infarction, discharged alive w MCC: $9,818

Acute myocardial infarction, discharged alive w CC: $6,179

Heart failure and shock w/o CC/MCC: $3,911

Heart failure and shock w MCC: $7,387

Heart failure and shock w CC: $5,094

Chronic obstructive pulmonary disease w/o CC/MCC: $3,670

Chronic obstructive pulmonary disease w MCC: $6,593

Chronic obstructive pulmonary disease w CC: $4,937

Simple pneumonia and pleurisy w MCC: $7,760

Diabetes w MCC: $9,240

Chest Pain: $2,878

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $5,699

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,420

Laparoscopic cholecystectomy w/o c.d.e. w CC: $8,945

Major small and large bowel procedures w/o CC/MCC: $8,209

Major small and large bowel procedures w CC: $12,947

Major small and large bowel procedures w MCC: $26,141

Major joint replacement or reattachment of lower extremity w/o MCC: $10,875

Major joint replacement or reattachment of lower extremity w MCC: $14,953

Revision of hip or knee replacement w/o CC/MCC: $12,396

Revision of hip or knee replacement w CC: $15,497

Transurethral procedures w MCC: $11,328

Transurethral prostatectomy w/o CC/MCC: $3,200

Transurethral prostatectomy w CC/MCC: $5,658

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
Virginia:	99.2%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
State:	99.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.8%

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

Here:	8
State:	10

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	63
State:	201

Median Time to Fibrinolysis

This Hospital:	43
State:	30

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

Here:	97.0%
Virginia:	95.4%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

Here:	33
Virginia:	59

Heart Failure

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

This Hospital:	98.0%
State:	98.9%

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

Here:	100.0%
State:	96.7%

Percent of Patients Given Discharge Instructions

Here:	100.0%
State:	91.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.1%

Pneumonia

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

This Hospital:	100.0%
Virginia:	95.7%

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

Here:	100.0%
State:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	87.0%
State:	97.9%

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

This Hospital:	89.0%
Virginia:	93.0%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	94.0%
State:	93.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	94.0%
State:	95.1%

Surgery

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

This Hospital:	97.0%
Virginia:	97.1%

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

This Hospital:	93.0%
State:	95.8%

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

Here:	98.0%
State:	98.0%

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

Here:	92.0%
Virginia:	94.3%

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

Here:	95.0%
State:	95.6%

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

Here:	100.0%
State:	99.7%

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

Here:	88.0%
State:	92.7%

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

Here:	90.0%
Virginia:	94.4%

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

Here:	95.0%
Virginia:	92.9%

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

Here:	98.0%
State:	95.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	17.0%
State:	15.5%

30-Day Mortality Rates from Heart Failure

Here:	11.7%
State:	11.3%

30-Day Mortality Rates from Pneumonia

This Hospital:	14.5%
State:	12.0%

30-Day Readmission Rates from Heart Attack

Here:	18.7%
State:	19.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	22.9%
Virginia:	24.5%

30-Day Readmission Rates from Pneumonia

Here:	18.8%
Virginia:	18.8%

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