ST JOHNS MERCY HOSPITAL - WASHINGTON, MO

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ST JOHNS MERCY HOSPITAL
901 EAST 5TH STREET
WASHINGTON, MO, 63090

Phone (make sure to verify first before calling): (636) 239-8000

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

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	98.8%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
Missouri:	98.9%

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

This Hospital:	100.0%
State:	96.1%

Percent of Patients Given Beta Blocker at Discharge

Here:	95.0%
State:	98.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Missouri:	99.4%

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

Here:	9
Missouri:	10

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

Here:	76
State:	87

Median Time to Fibrinolysis

This Hospital:	39
State:	42

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

This Hospital:	98.0%
Missouri:	95.0%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

This Hospital:	33
State:	29

Heart Failure

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

This Hospital:	99.0%
Missouri:	97.0%

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

Here:	97.0%
Missouri:	94.4%

Percent of Patients Given Discharge Instructions

This Hospital:	96.0%
Missouri:	87.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.1%

Pneumonia

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

Here:	99.0%
State:	95.1%

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

This Hospital:	94.0%
Missouri:	96.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Missouri:	97.4%

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

Here:	93.0%
Missouri:	91.1%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	100.0%
Missouri:	89.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	99.0%
Missouri:	92.5%

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%
State:	96.7%

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

This Hospital:	98.0%
Missouri:	94.6%

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

Here:	99.0%
State:	97.5%

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

This Hospital:	95.0%
Missouri:	92.3%

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

Here:	97.0%
State:	94.3%

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:	99.6%

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

This Hospital:	93.0%
Missouri:	87.7%

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

This Hospital:	85.0%
Missouri:	92.9%

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

Here:	96.0%
State:	94.1%

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

This Hospital:	98.0%
Missouri:	95.0%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	18.0%
State:	15.7%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.8%
State:	11.2%

30-Day Mortality Rates from Pneumonia

Here:	12.2%
State:	11.5%

30-Day Readmission Rates from Heart Attack

Here:	19.9%
Missouri:	20.2%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.2%
State:	25.0%

30-Day Readmission Rates from Pneumonia

Here:	16.6%
Missouri:	18.5%

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

Here:	0.274%
Missouri:	0.086%

Vascular Catheter-Associated Infection

This Hospital:	0.274%
State:	0.328%

Catheter-Associated UTI

This Hospital:	0.823%
State:	0.364%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,650

Acute myocardial infarction, discharged alive w MCC: $9,834

Acute myocardial infarction, discharged alive w CC: $6,648

Heart failure and shock w/o CC/MCC: $3,889

Heart failure and shock w MCC: $7,947

Heart failure and shock w CC: $5,481

Chronic obstructive pulmonary disease w/o CC/MCC: $3,948

Chronic obstructive pulmonary disease w MCC: $7,092

Chronic obstructive pulmonary disease w CC: $5,311

Simple pneumonia and pleurisy w MCC: $7,798

Diabetes w MCC: $7,400

Chest Pain: $2,892

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $27,329

Cardiac defibrillator implant w/o cardiac cath w MCC: $31,654

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $1,024

Extracranial procedures w/o CC/MCC: $5,446

Extracranial procedures w CC: $8,492

Permanent cardiac pacemaker implant w/o CC/MCC: $1,068

Permanent cardiac pacemaker implant w CC: $14,090

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,131

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,480

Laparoscopic cholecystectomy w/o c.d.e. w CC: $8,892

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,251

Hernia procedures except inguinal and femoral w MCC: $13,598

Hernia procedures except inguinal and femoral w CC: $7,631

Major small and large bowel procedures w/o CC/MCC: $8,875

Major small and large bowel procedures w CC: $13,928

Major small and large bowel procedures w MCC: $25,046

Stomach, esophageal duodenal proc w/o CC/MCC: $7,909

Bilateral or multiple major joint procs of lower extremity w/o MCC: $1,024

Major joint replacement or reattachment of lower extremity w/o MCC: $10,928

Major joint replacement or reattachment of lower extremity w MCC: $12,910

Revision of hip or knee replacement w/o CC/MCC: $13,198

Revision of hip or knee replacement w CC: $13,893

Biopsies of musculoskeletal system and connective tissue w CC: $11,553

Other musculoskelet sys and conn tiss O.R. proc w MCC: $14,158

Revision of hip or knee replacement w MCC: $24,728

Transurethral procedures w MCC: $5,926

Transurethral prostatectomy w/o CC/MCC: $3,407

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,592

Use of Medical Imaging

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

Here:	40.300%
State:	35.740%

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

This Hospital:	4.200%
Missouri:	7.579%

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

This Hospital:	0.038%
State:	0.231%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 38%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	5%

Usually

Here:	22%
State:	18%

Always

This Hospital:	75%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	3%
Missouri:	4%

Usually

Here:	14%
State:	15%

Always

This Hospital:	83%
State:	81%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
State:	9%

Usually

Here:	31%
State:	26%

Always

Here:	59%
Missouri:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	4%
State:	7%

Usually

This Hospital:	28%
State:	24%

Always

This Hospital:	68%
Missouri:	69%

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

Sometimes or never

Here:	22%
State:	21%

Usually

This Hospital:	17%
Missouri:	19%

Always

Here:	61%
Missouri:	60%

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

Sometimes or never

Here:	6%
Missouri:	9%

Usually

This Hospital:	19%
Missouri:	19%

Always

Here:	75%
State:	72%

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

Sometimes or never

Here:	10%
Missouri:	11%

Usually

This Hospital:	33%
State:	31%

Always

Here:	57%
State:	58%

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

Yes

Here:	82%
Missouri:	83%

Here:	18%
Missouri:	17%

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

6 or lower

Here:	8%
State:	9%

7 or 8

Here:	29%
State:	23%

9 or 10

This Hospital:	63%
Missouri:	68%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
Missouri:	5%

Yes, probably

This Hospital:	30%
State:	26%

Yes, definitely

This Hospital:	67%
Missouri:	69%

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