SANTA TERESA COMMUNITY HOSPITAL - SAN JOSE, CA

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SANTA TERESA COMMUNITY HOSPITAL
250 HOSPITAL PARKWAY
SAN JOSE, CA 95119

SHORT TERM HOSPITALS

Services provided by SANTA TERESA COMMUNITY HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 228

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 228

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 1998

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 2001

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)): 05D0063339

Clia - Hosp lab id #2 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 05D0702032

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

Dieticians (Number of full-time equivalent dieticians employed by a facility): 2.20

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 22.97

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 16.40

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): 716.70

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

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

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 138.30

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 11.24

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): 1

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

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED 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: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

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 surgery unit (Indicates how outpatient surgery unit 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 BY STAFF

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

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 UNDER ARRANGEMENT

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 2

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): 6

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): Nov 2001

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	86%	87%	85%
Heart Attack Patients Given Aspirin at Arrival	100%	96%	93%
Heart Attack Patients Given Aspirin at Discharge	100%	91%	90%
Heart Attack Patients Given Beta Blocker at Arrival	100%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	100%	91%	91%
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival	82%	60%	60%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	96%	89%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	94%	86%	84%
Heart Failure Patients Given Discharge Instructions	86%	66%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	100%	88%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	100%	88%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	73%	66%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	79%	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	100%	82%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	90%	87%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	91%	88%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	87%	79%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	82%	68%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	93%	90%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	87%	73%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	92%	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)	46%	60%	63
Patients who gave a rating of 7 or 8 (medium)	37%	27%	26
Patients who gave a rating of 6 or lower (low)	17%	13%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	75%	76%	79
Doctors usually communicated well	18%	18%	16
Doctors sometimes or never communicated well	7%	6%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	59%	67%	73
Nurses usually communicated well	30%	25%	21
Nurses sometimes or never communicated well	11%	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	47%	54%	60
Patients usually received help as soon as they wanted	32%	30%	28
Patients sometimes or never received help as soon as they wanted	21%	16%	12

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

	Here	State Average	Nation Average
Staff always explained	49%	54%	58
Staff usually explained	22%	19%	18
Staff sometimes or never explained	29%	27%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	58%	64%	67
Pain was usually well controlled	31%	27%	25
Pain was sometimes or never well controlled	11%	9%	8

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

	Here	State Average	Nation Average
Always quiet at night	32%	43%	54
Usually quiet at night	37%	35%	32
Sometimes or never quiet at night	31%	22%	14

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

	Here	State Average	Nation Average
Room was always clean	54%	64%	68
Room was usually clean	31%	23%	21
Room was sometimes or never clean	15%	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	72%	76%	79
No, staff did not give patients this information	28%	24%	21

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	52%	65%	67
YES, patients would probably recommend the hospital	38%	28%	27
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	10%	7%	6

Average Medicare Payment

Back & Neck Operations Except Back or Neck Fusion: $11333
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $18391
Back Fusion to Join Spine Bones, not Neck: $23385
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $25346
Chest Pain: $5582
Chronic Lung Disease: $7061
Diabetes in Adults: $10948
Female Reproductive System Reconstructive Operations: $5196
Heart Attack with Major Complications: $12866
Heart Attack without Complications: $7091
Heart Failure: $8808
Hernia Operations in Adults: $5899
Hernia Operations in Adults with Complications or Preexisting Conditions: $28632
Insertion of Heart Defibrillator: $37216
Kidney and Bladder Operations for Cancer: $19532
Kidney and Bladder Operations with Complications or Preexisting Conditions: $16621
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $108697
Minor Small and Large Bowel Procedures With Complications: $32951
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $17274
Neck Fusion to Join Neck Bones: $12652
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $8323
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $57396
Pacemaker Implant: $14687
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $9052
Removal of Prostate Via Urethra: $4020
Repair of Previous Hip or Knee Replacement: $15866
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $13608
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $198018
Two or More Hip, Knee or Ankle Operations: $21958
Uterus & Ovary Operations: $5561

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