SAINT AGNES MEDICAL CENTER - FRESNO, CA

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Jackie Austin, Admin Asst./Communications Dept.

Saint Agnes Medical Center
1303 E. Herndon Ave.
Fresno, CA 93720
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SAINT AGNES MEDICAL CENTER
1303 E HERNDON AVE
FRESNO, CA, 93710

Phone (make sure to verify first before calling): (559) 450-3000

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Church
Emergency Services: Yes

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Cardio-Thoracic Surgery Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 29.50
Registered Professional Nurses : 424.50
Other Salaried Personnel : 1611.75
Dieticians : 5.25
Occupational Therapists : 2.50
Physical Therapists : 15.25
Registered Pharmacists : 19.50
Respiratory Therapists : 31.25
Medical Social Workers : 7.50

Number Of Beds

Total: 436
Total Certified: 436

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
California:	98.6%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
California:	98.2%

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

Here:	97.0%
California:	95.6%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	97.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	96.0%
State:	91.0%

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

This Hospital:	5
California:	9

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

This Hospital:	100.0%
California:	96.2%

Heart Failure

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

Here:	99.0%
State:	98.1%

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

This Hospital:	96.0%
California:	94.9%

Percent of Patients Given Discharge Instructions

Here:	93.0%
California:	91.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.6%

Pneumonia

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

This Hospital:	94.0%
State:	95.2%

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

This Hospital:	100.0%
California:	95.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	98.0%
California:	97.3%

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

This Hospital:	91.0%
State:	92.5%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	99.0%
State:	91.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	99.0%
California:	93.1%

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%
California:	96.1%

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

This Hospital:	93.0%
State:	92.5%

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

This Hospital:	98.0%
State:	96.7%

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

This Hospital:	82.0%
State:	89.4%

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

This Hospital:	83.0%
State:	90.8%

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

This Hospital:	99.0%
California:	93.2%

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:	99.4%

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

This Hospital:	82.0%
State:	88.3%

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

Here:	90.0%
State:	91.5%

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

Here:	94.0%
California:	90.3%

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

This Hospital:	95.0%
California:	92.5%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.5%
California:	15.8%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.5%
State:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	13.4%
State:	11.8%

30-Day Readmission Rates from Heart Attack

Here:	20.3%
State:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	24.3%
State:	24.6%

30-Day Readmission Rates from Pneumonia

Here:	18.2%
California:	18.1%

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

This Hospital:	0.269%
State:	0.142%

Falls And Trauma

Here:	0.913%
State:	0.456%

Vascular Catheter-Associated Infection

Here:	0.161%
California:	0.437%

Catheter-Associated UTI

Here:	0.054%
California:	0.313%

Manifestations Of Poor Glycemic Control

Here:	0.054%
California:	0.036%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $6,331

Acute myocardial infarction, discharged alive w MCC: $14,043

Acute myocardial infarction, discharged alive w CC: $8,839

Heart failure and shock w/o CC/MCC: $5,225

Heart failure and shock w MCC: $10,567

Heart failure and shock w CC: $7,287

Chronic obstructive pulmonary disease w/o CC/MCC: $5,250

Chronic obstructive pulmonary disease w MCC: $9,430

Chronic obstructive pulmonary disease w CC: $7,061

Simple pneumonia and pleurisy w MCC: $10,369

Diabetes w MCC: $9,840

Chest Pain: $3,846

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $31,749

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $47,315

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $38,212

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $36,723

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $36,158

Cardiac defibrillator implant w/o cardiac cath w MCC: $49,355

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $42,957

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $112,045

Extracranial procedures w/o CC/MCC: $7,241

Extracranial procedures w CC: $11,236

Coronary bypass w/o cardiac cath w/o MCC: $26,015

Coronary bypass w/o cardiac cath w MCC: $42,613

Permanent cardiac pacemaker implant w/o CC/MCC: $14,517

Permanent cardiac pacemaker implant w CC: $18,735

Perc cardiovasc proc w drug-eluting stent w/o MCC: $13,843

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $8,152

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $17,923

Laparoscopic cholecystectomy w/o c.d.e. w CC: $12,087

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $25,837

Hernia procedures except inguinal and femoral w/o CC/MCC: $6,983

Hernia procedures except inguinal and femoral w MCC: $18,203

Hernia procedures except inguinal and femoral w CC: $10,147

Major small and large bowel procedures w/o CC/MCC: $11,742

Major small and large bowel procedures w CC: $18,520

Major small and large bowel procedures w MCC: $37,993

Stomach, esophageal duodenal proc w/o CC/MCC: $10,516

Cervical spinal fusion w/o CC/MCC: $13,852

Cervical spinal fusion w MCC: $32,445

Cervical spinal fusion w CC: $18,878

Spinal fusion except cervical w/o MCC: $26,073

Spinal fusion except cervical w MCC: $43,817

Back and neck proc exc spinal fusion w/o CC/MCC: $6,791

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $12,550

Bilateral or multiple major joint procs of lower extremity w/o MCC: $22,753

Major joint replacement or reattachment of lower extremity w/o MCC: $14,530

Major joint replacement or reattachment of lower extremity w MCC: $23,812

Revision of hip or knee replacement w/o CC/MCC: $17,731

Revision of hip or knee replacement w CC: $22,168

Biopsies of musculoskeletal system and connective tissue w MCC: $23,725

Biopsies of musculoskeletal system and connective tissue w CC: $15,453

Other musculoskelet sys and conn tiss O.R. proc w MCC: $22,196

Kidney and ureter procedures for neoplasm w/o CC/MCC: $10,080

Kidney and ureter procedures for neoplasm w MCC: $24,106

Kidney and ureter procedures for neoplasm w CC: $13,589

Revision of hip or knee replacement w MCC: $31,992

Kidney and ureter procedures for non-neoplasm w MCC: $24,280

Transurethral procedures w MCC: $16,464

Other kidney and urinary tract procedures w/o CC/MCC: $9,474

Other kidney and urinary tract procedures w MCC: $20,372

Other kidney and urinary tract procedures w CC: $15,623

Transurethral prostatectomy w/o CC/MCC: $4,578

Transurethral prostatectomy w CC/MCC: $8,189

Female reproductive system reconstructive procedures: $5,907

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $6,178

Use of Medical Imaging

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

This Hospital:	32.300%
State:	27.382%

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

This Hospital:	10.200%
California:	8.494%

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

Here:	0.260%
State:	0.224%

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

Here:	0.034%
California:	0.054%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 36%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	7%
State:	8%

Usually

This Hospital:	21%
State:	22%

Always

This Hospital:	72%
State:	70%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
California:	7%

Usually

Here:	17%
California:	17%

Always

This Hospital:	78%
California:	76%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	13%
State:	15%

Usually

This Hospital:	28%
California:	28%

Always

This Hospital:	59%
State:	57%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
California:	9%

Usually

Here:	25%
California:	25%

Always

Here:	69%
California:	66%

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

Sometimes or never

Here:	25%
State:	25%

Usually

This Hospital:	18%
State:	19%

Always

Here:	57%
State:	56%

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

Sometimes or never

Here:	10%
California:	11%

Usually

This Hospital:	21%
State:	21%

Always

This Hospital:	69%
State:	68%

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

Sometimes or never

This Hospital:	17%
State:	19%

Usually

This Hospital:	32%
California:	34%

Always

This Hospital:	51%
California:	47%

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

Yes

Here:	81%
State:	79%

This Hospital:	19%
State:	21%

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

6 or lower

This Hospital:	7%
State:	11%

7 or 8

This Hospital:	25%
State:	25%

9 or 10

This Hospital:	68%
California:	64%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
California:	7%

Yes, probably

This Hospital:	23%
California:	25%

Yes, definitely

Here:	73%
California:	68%

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