ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER - WARREN, MI

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ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER
11800 EAST TWELVE MILE ROAD
WARREN, MI, 48093

Phone (make sure to verify first before calling): (586) 573-5000

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - Federal
Emergency Services: Yes
Type: Rehabilitation Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 132.00
Registered Professional Nurses : 230.75
Other Salaried Personnel : 932.50
Certified Registered Nurse Anesthetists (CRNA) : 20.50
Dieticians : 4.50
Occupational Therapists : 7.50
Physical Therapists : 15.25
Registered Pharmacists : 12.00
Respiratory Therapists : 20.50
Speech Pathologists Or Audiologists : 8.00
Physicians : 80.00
Medical Social Workers : 8.75
Residents (Physicians) : 2.00

Number Of Beds

Total: 348
Total Certified: 348
Psychiatric Unit Beds: 28
Rehabilitation Unit Beds: 47

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	99.0%
State:	99.1%

Percent of Patients Given Aspirin at Discharge

This Hospital:	98.0%
State:	98.7%

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

This Hospital:	97.0%
Michigan:	96.1%

Percent of Patients Given Beta Blocker at Discharge

Here:	99.0%
State:	98.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Michigan:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	85.0%
State:	88.5%

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

Here:	14
State:	10

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

This Hospital:	54
Michigan:	61

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

This Hospital:	96.0%
Michigan:	93.8%

Heart Failure

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

Here:	99.0%
Michigan:	98.7%

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

Here:	97.0%
State:	94.7%

Percent of Patients Given Discharge Instructions

Here:	95.0%
Michigan:	89.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	99.0%
State:	98.6%

Pneumonia

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

Here:	96.0%
Michigan:	95.6%

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

Here:	98.0%
Michigan:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	98.0%
Michigan:	97.9%

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

Here:	96.0%
Michigan:	93.7%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	98.0%
Michigan:	91.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	99.0%
Michigan:	93.0%

Surgery

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

Here:	97.0%
State:	96.9%

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

Here:	97.0%
Michigan:	95.2%

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

Here:	99.0%
State:	97.6%

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

Here:	99.0%
Michigan:	93.9%

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

This Hospital:	99.0%
State:	95.4%

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

This Hospital:	94.0%
State:	93.5%

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

Here:	97.0%
Michigan:	90.4%

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

Here:	97.0%
Michigan:	92.1%

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

This Hospital:	91.0%
Michigan:	87.7%

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

Here:	97.0%
State:	92.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.2%
State:	15.3%

30-Day Mortality Rates from Heart Failure

This Hospital:	9.6%
Michigan:	10.5%

30-Day Mortality Rates from Pneumonia

Here:	11.6%
State:	10.9%

30-Day Readmission Rates from Heart Attack

Here:	19.6%
State:	19.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	26.2%
Michigan:	24.8%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.6%
Michigan:	18.4%

Hospital Acquired Conditions

Foreign Object Retained After Surgery

This Hospital:	0.808%
Michigan:	0.086%

Pressure Ulcer Stages III And IV

Here:	0.044%
Michigan:	0.096%

Falls And Trauma

Here:	0.578%
Michigan:	0.519%

Vascular Catheter-Associated Infection

This Hospital:	0.489%
State:	0.312%

Catheter-Associated UTI

This Hospital:	0.489%
State:	0.250%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,588

Acute myocardial infarction, discharged alive w MCC: $12,594

Acute myocardial infarction, discharged alive w CC: $7,848

Heart failure and shock w/o CC/MCC: $4,664

Heart failure and shock w MCC: $9,477

Heart failure and shock w CC: $6,535

Chronic obstructive pulmonary disease w/o CC/MCC: $4,708

Chronic obstructive pulmonary disease w MCC: $8,418

Chronic obstructive pulmonary disease w CC: $6,333

Simple pneumonia and pleurisy w MCC: $9,213

Diabetes w MCC: $8,825

Chest Pain: $3,449

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $46,417

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $32,917

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $32,779

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $32,275

Cardiac defibrillator implant w/o cardiac cath w MCC: $43,358

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $38,298

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $50,307

Extracranial procedures w/o CC/MCC: $6,463

Extracranial procedures w CC: $10,077

Coronary bypass w/o cardiac cath w/o MCC: $22,719

Coronary bypass w/o cardiac cath w MCC: $26,852

Permanent cardiac pacemaker implant w/o CC/MCC: $12,958

Permanent cardiac pacemaker implant w CC: $16,723

Perc cardiovasc proc w drug-eluting stent w/o MCC: $12,308

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $7,238

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $15,956

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,607

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $23,171

Hernia procedures except inguinal and femoral w/o CC/MCC: $6,217

Hernia procedures except inguinal and femoral w MCC: $16,135

Hernia procedures except inguinal and femoral w CC: $9,478

Major small and large bowel procedures w/o CC/MCC: $10,530

Major small and large bowel procedures w CC: $16,531

Major small and large bowel procedures w MCC: $33,377

Stomach, esophageal duodenal proc w/o CC/MCC: $576

Cervical spinal fusion w/o CC/MCC: $12,423

Cervical spinal fusion w MCC: $29,827

Cervical spinal fusion w CC: $16,761

Spinal fusion except cervical w/o MCC: $22,880

Spinal fusion except cervical w MCC: $38,290

Back and neck proc exc spinal fusion w/o CC/MCC: $6,090

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $11,062

Major shoulder or elbow joint procedures w/o CC/MCC: $6,866

Major shoulder or elbow joint procedures w CC/MCC: $6,046

Major joint replacement or reattachment of lower extremity w/o MCC: $12,970

Major joint replacement or reattachment of lower extremity w MCC: $21,142

Revision of hip or knee replacement w/o CC/MCC: $13,252

Revision of hip or knee replacement w CC: $19,682

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $5,145

Biopsies of musculoskeletal system and connective tissue w MCC: $9,674

Biopsies of musculoskeletal system and connective tissue w CC: $13,712

Other musculoskelet sys and conn tiss O.R. proc w MCC: $19,721

Kidney and ureter procedures for neoplasm w/o CC/MCC: $8,858

Kidney and ureter procedures for neoplasm w MCC: $21,171

Kidney and ureter procedures for neoplasm w CC: $11,477

Revision of hip or knee replacement w MCC: $29,193

Kidney and ureter procedures for non-neoplasm w MCC: $22,719

Transurethral procedures w MCC: $14,532

Other kidney and urinary tract procedures w/o CC/MCC: $8,461

Other kidney and urinary tract procedures w MCC: $17,897

Other kidney and urinary tract procedures w CC: $12,817

Transurethral prostatectomy w/o CC/MCC: $4,105

Transurethral prostatectomy w CC/MCC: $7,186

Female reproductive system reconstructive procedures: $2,838

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,429

Use of Medical Imaging

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

This Hospital:	23.900%
State:	31.839%

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

Here:	4.400%
State:	7.306%

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

This Hospital:	0.348%
Michigan:	0.133%

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

Here:	0.007%
State:	0.070%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	7%
State:	4%

Usually

This Hospital:	23%
State:	19%

Always

Here:	70%
Michigan:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	8%
Michigan:	4%

Usually

Here:	22%
State:	17%

Always

This Hospital:	70%
State:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	15%
State:	8%

Usually

Here:	30%
State:	26%

Always

This Hospital:	55%
Michigan:	66%

How often was patients' pain well controlled?

Sometimes or never

Here:	10%
State:	6%

Usually

Here:	25%
Michigan:	24%

Always

This Hospital:	65%
Michigan:	70%

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

Sometimes or never

Here:	28%
Michigan:	21%

Usually

Here:	18%
State:	19%

Always

Here:	54%
State:	60%

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

Sometimes or never

This Hospital:	14%
Michigan:	9%

Usually

This Hospital:	27%
Michigan:	20%

Always

This Hospital:	59%
Michigan:	71%

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

Sometimes or never

Here:	26%
Michigan:	12%

Usually

Here:	33%
State:	33%

Always

Here:	41%
State:	55%

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

Yes

Here:	74%
Michigan:	84%

This Hospital:	26%
State:	16%

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

6 or lower

This Hospital:	14%
State:	8%

7 or 8

This Hospital:	29%
Michigan:	23%

9 or 10

This Hospital:	57%
Michigan:	69%

Would patients recommend the hospital to friends and family?

This Hospital:	9%
Michigan:	5%

Yes, probably

Here:	36%
State:	25%

Yes, definitely

This Hospital:	55%
State:	70%

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