ST ANNE MERCY HOSPITAL - TOLEDO, OH

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ST ANNE MERCY HOSPITAL
3404 SYLVANIA AVENUE
TOLEDO, OH 43623

SHORT TERM HOSPITALS

Services provided by ST ANNE MERCY HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 25

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 25

Physicians (The number of full-time equivalent physicians employed by a provider): 15.25

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)): May 2002

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)): May 2005

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)): 36D0331669

Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED

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): 1

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 13.50

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 21.50

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): 0.50

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): No

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 98.50

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 6.50

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 BY STAFF

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

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

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

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

Srv: neonatal nursery (Indicates how neonatal nursery services are provided by a hospital): PROVIDED BY STAFF

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

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 BY STAFF

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

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

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

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 1

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): 1

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): Aug 2002

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): Aug 2002

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	60%	85%	85%
Heart Attack Patients Given Aspirin at Arrival	100%	95%	93%
Heart Attack Patients Given Aspirin at Discharge	89%	93%	90%
Heart Attack Patients Given Beta Blocker at Arrival	97%	91%	88%
Heart Attack Patients Given Beta Blocker at Discharge	91%	93%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	95%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	90%	86%	84%
Heart Failure Patients Given Discharge Instructions	87%	78%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	100%	92%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	100%	92%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	83%	82%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	87%	82%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	100%	95%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	100%	92%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	93%	89%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	99%	91%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	95%	85%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	87%	83%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	97%	93%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	90%	86%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	79%	79%	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)	73%	63%	63%
Patients who gave a rating of 7 or 8 (medium)	21%	26%	26%
Patients who gave a rating of 6 or lower (low)	6%	11%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	72%	77%	79%
Doctors usually communicated well	22%	18%	16%
Doctors sometimes or never communicated well	6%	5%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	76%	73%	73%
Nurses usually communicated well	20%	22%	21%
Nurses sometimes or never communicated well	4%	5%	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	64%	61%	60%
Patients usually received help as soon as they wanted	29%	28%	28%
Patients sometimes or never received help as soon as they wanted	7%	11%	12%

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

	Here	State Average	Nation Average
Staff always explained	57%	56%	58%
Staff usually explained	21%	20%	18%
Staff sometimes or never explained	22%	24%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	68%	66%	67%
Pain was usually well controlled	26%	26%	25%
Pain was sometimes or never well controlled	6%	8%	8%

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

	Here	State Average	Nation Average
Always quiet at night	62%	49%	54%
Usually quiet at night	32%	35%	32%
Sometimes or never quiet at night	6%	16%	14%

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

	Here	State Average	Nation Average
Room was always clean	70%	67%	68%
Room was usually clean	23%	22%	21%
Room was sometimes or never clean	7%	11%	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	82%	80%	79%
No, staff did not give patients this information	18%	20%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	79%	65%	67%
YES, patients would probably recommend the hospital	18%	29%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	3%	6%	6%

Average Medicare Payment

Back & Neck Operations Except Back or Neck Fusion: $6370
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $7416
Back Fusion to Join Spine Bones, not Neck: $14696
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $18827
Chest Pain: $3200
Chronic Lung Disease: $4830
Diabetes in Adults: $4062
Female Reproductive System Reconstructive Operations: $3916
Gallbladder Removal By Laparoscope: $5744
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $13058
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $9813
Head and Neck Blood Vessel Operations: $5435
Heart Attack with Major Complications: $7626
Heart Attack without Complications: $4914
Heart Failure: $5405
Hernia Operations in Adults: $4511
Hernia Operations in Adults with Complications or Preexisting Conditions: $11319
Insertion of Heart Defibrillator: $29719
Kidney and Bladder Operations for Cancer: $34668
Kidney and Bladder Operations with Complications or Preexisting Conditions: $12714
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $5908
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $27895
Major Small & Large Intestine Operations: $7787
Minor Small and Large Bowel Procedures With Complications: $22157
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $13213
Neck Fusion to Join Neck Bones: $8895
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $6292
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $9937
Other Kidney & Urinary Tract Operations: $12689
Pacemaker Implant: $11111
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $5518
Removal of Prostate Via Urethra: $3030
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $4442
Repair of Previous Hip or Knee Replacement: $12647
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $10819
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $10111
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $34447
Two or More Hip, Knee or Ankle Operations: $17954
Uterus & Ovary Operations: $4353

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