SADDLEBACK MEMORIAL MEDICAL CENTER - LAGUNA HILLS, CA

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SADDLEBACK MEMORIAL MEDICAL CENTER
24451 HEALTH CENTER DRIVE
LAGUNA HILLS, CA 92653

SHORT TERM HOSPITALS

Services provided by SADDLEBACK MEMORIAL MEDICAL CENTER:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 235

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 235

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 1985

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 1988

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

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

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Jun 1979

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 7

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 4

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 529

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): 13

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 225

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 11

Rehabilitation unit beds (The number of beds in a pps exempt rehabilitation unit of a hospital): 12

Rehabilitation unit effect date (The date a rehabilitation unit became exempt from the prospective payment system): Jul 1992

Rehabilitation unit indicator (Indicates if a hospital has a pps exempt rehabilitation unit): Yes

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: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF

Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

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 BY STAFF

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: operating rooms (Indicates how operating room 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 BY STAFF

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: rehabilitation (Indicates how rehabilitation services are provided by a hospital): PROVIDED BY STAFF

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

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

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 2

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): Mar 1984

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): Jan 1974

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	90%	87%	85%
Heart Attack Patients Given Aspirin at Arrival	97%	96%	93%
Heart Attack Patients Given Aspirin at Discharge	93%	91%	90%
Heart Attack Patients Given Beta Blocker at Arrival	92%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	96%	91%	91%
Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival	67%	51%	39%
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival	67%	60%	60%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	98%	89%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	91%	86%	84%
Heart Failure Patients Given Discharge Instructions	89%	66%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	98%	88%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	96%	88%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	95%	66%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	93%	68%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	100%	92%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	99%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	96%	82%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	91%	87%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	92%	88%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	92%	79%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	80%	68%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	94%	90%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	84%	73%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	89%	72%	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)	55%	60%	63%
Patients who gave a rating of 7 or 8 (medium)	32%	27%	26%
Patients who gave a rating of 6 or lower (low)	13%	13%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	74%	76%	79%
Doctors usually communicated well	21%	18%	16%
Doctors sometimes or never communicated well	5%	6%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	72%	67%	73%
Nurses usually communicated well	22%	25%	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	49%	54%	60%
Patients usually received help as soon as they wanted	36%	30%	28%
Patients sometimes or never received help as soon as they wanted	15%	16%	12%

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

	Here	State Average	Nation Average
Staff always explained	56%	54%	58%
Staff usually explained	20%	19%	18%
Staff sometimes or never explained	24%	27%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	68%	64%	67%
Pain was usually well controlled	25%	27%	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	41%	43%	54%
Usually quiet at night	35%	35%	32%
Sometimes or never quiet at night	24%	22%	14%

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

	Here	State Average	Nation Average
Room was always clean	66%	64%	68%
Room was usually clean	21%	23%	21%
Room was sometimes or never clean	13%	13%	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	73%	76%	79%
No, staff did not give patients this information	27%	24%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	65%	65%	67%
YES, patients would probably recommend the hospital	27%	28%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	8%	7%	6%

Average Medicare Payment

Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery: $12823
Back & Neck Operations Except Back or Neck Fusion: $5237
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $10914
Back Fusion to Join Spine Bones, not Neck: $16865
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $20217
Chest Pain: $3294
Chronic Lung Disease: $5251
Diabetes in Adults: $4233
Female Reproductive System Reconstructive Operations: $4300
Gallbladder Removal By Laparoscope: $5431
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $15770
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $11974
Head and Neck Blood Vessel Operations: $5903
Heart Attack with Major Complications: $9210
Heart Attack without Complications: $5616
Heart Bypass Surgery: $19794
Heart Bypass Surgery with Complications or Preexisting Conditions: $25645
Heart Failure: $5783
Heart Valve Operations: $33933
Hernia Operations in Adults: $4882
Hernia Operations in Adults with Complications or Preexisting Conditions: $8149
Insertion of Heart Defibrillator: $33605
Insertion of Heart Defibrillator with Examination of Heart through a Catheter: $40016
Kidney and Bladder Operations for Cancer: $12845
Kidney and Bladder Operations with Complications or Preexisting Conditions: $13758
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $6462
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $22970
Major Small & Large Intestine Operations: $7914
Minor Small and Large Bowel Procedures With Complications: $23988
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $14299
Neck Fusion to Join Neck Bones: $9609
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $6889
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $10462
Other Kidney & Urinary Tract Operations: $20680
Pacemaker Implant: $12153
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $6060
Removal of Prostate Via Urethra: $3327
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $4878
Repair of Previous Hip or Knee Replacement: $13774
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $11319
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $10203
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $23393
Two or More Hip, Knee or Ankle Operations: $18170
Uterus & Ovary Operations: $4690

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