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ST MARGARETS HOSPITAL - SPRING VALLEY, IL

 



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ST MARGARETS HOSPITAL
600 E 1ST ST
SPRING VALLEY, IL 61362


SHORT TERM HOSPITALS

Services provided by ST MARGARETS HOSPITAL:

    Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 188

    Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 188

    Physicians (The number of full-time equivalent physicians employed by a provider): 14.50

    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)): Feb 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)): Feb 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)): 14D0431111

    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

    Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Jul 1996

    Dieticians (Number of full-time equivalent dieticians employed by a facility): 0.82

    Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 10.70

    Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 8.64

    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): 1.42

    Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 296.35

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

    Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 5.73

    Physician assistants (The number of full-time equivalent physician assistants employed by a hospital or rural health clinic): 5.08

    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): 134.32

    Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 4

    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: 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): 2

    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: home care unit (Indicates how home care services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

    Srv: hospice (Indicates how hospice 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 (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

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

    Srv: long term care unit (Indicates how long term care unit services are provided in 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: 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 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: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 2

    Srv: rehabilitation (Indicates how rehabilitation 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 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): 2.13

    Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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): Jan 2001

    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): Jul 1966


    Quality Measure Score

       HereState AverageNation Average
    Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic
    Dysfunction (LVSD)
       100%   84%   85%  
    Heart Attack Patients Given Aspirin at Arrival   50%   93%   93%  
    Heart Attack Patients Given Aspirin at Discharge   100%   90%   90%  
    Heart Attack Patients Given Beta Blocker at Arrival   50%   88%   88%  
    Heart Attack Patients Given Beta Blocker at Discharge   100%   89%   91%  
    Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of
    Arrival
       25%   31%   39%  

       HereState AverageNation Average
    Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular
    Systolic Dysfunction (LVSD)
       81%   85%   84%  
    Heart Failure Patients Given Discharge Instructions   62%   71%   66%  
    Heart Failure Patients Given Smoking Cessation Advice/Counseling   78%   86%   86%  
    Heart Failure Patients Given an Evaluation of Left Ventricular Systolic
    (LVS) Function
       97%   90%   85%  

       HereState AverageNation Average
    Pneumonia Patients Assessed and Given Influenza Vaccination   58%   71%   75%  
    Pneumonia Patients Assessed and Given Pneumococcal Vaccination   31%   71%   75%  
    Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival   100%   94%   93%  
    Pneumonia Patients Given Oxygenation Assessment   100%   99%   99%  
    Pneumonia Patients Given Smoking Cessation Advice/Counseling   69%   84%   84%  
    Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)   76%   86%   86%  
    Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed
    Prior To The Administration Of The First Hospital Dose Of Antibiotics
       83%   90%   90%  

       HereState AverageNation Average
    Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before
    Incision
       83%   79%   82%  
    Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24
    Hours Before or After Selected Surgeries to Prevent Blood Clots
       98%   78%   75%  
    Surgery Patients Who Received the Appropriate Preventative Antibiotic(s)
    for Their Surgery
       100%   91%   90%  
    Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots
    (Venous Thromboembolism) For Certain Types of Surgeries
       98%   81%   79%  
    Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24
    hours After Surgery
       54%   74%   78%  

    Average Medicare Payment

    Chest Pain: $2723
    Chronic Lung Disease: $4370
    Diabetes in Adults: $3632
    Female Reproductive System Reconstructive Operations: $3526
    Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $12068
    Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $8702
    Heart Attack with Major Complications: $6503
    Heart Attack without Complications: $4006
    Heart Failure: $4796
    Hernia Operations in Adults with Complications or Preexisting Conditions: $6683
    Kidney and Bladder Operations for Cancer: $10529
    Kidney and Bladder Operations with Complications or Preexisting Conditions: $11278
    Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $5299
    Major Small & Large Intestine Operations: $6799
    Minor Small and Large Bowel Procedures With Complications: $16441
    Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $6707
    Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $4912
    Removal of Prostate Via Urethra: $2728
    Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $3999
    Repair of Previous Hip or Knee Replacement: $11719
    Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $9435
    Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $17771
    Two or More Hip, Knee or Ankle Operations: $17294
    Uterus & Ovary Operations: $3772

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