STEPHENS MEMORIAL HOSPITAL - BRECKENRIDGE, TX

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STEPHENS MEMORIAL HOSPITAL
200 SOUTH GENEVA
BRECKENRIDGE, TX, 76424

Phone (make sure to verify first before calling): (254) 559-2241

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Rehabilitation Units

Provided Services

Ambulance (Owned) Services
Anesthesia Services
Blood Bank Services
CT Scanner Services
Certified Trauma Center Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Hospice Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Magnetic Resonance Imaging (Mri) Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Organ Transplant Services
Orthopedic Surgery Services
Outpatient Services
Outpatient Surgery Unit Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 12.00
Registered Professional Nurses : 10.00
Other Salaried Personnel : 66.00
Physical Therapists : 1.00
Respiratory Therapists : 2.00
Medical Laboratory Technologists : 3.00
Diagnostic Radiology Technicians : 3.00

Number Of Beds

Total: 40
Total Certified: 40

Hospital Acquired Conditions

Catheter-Associated UTI

Here:	2.088%
Texas:	0.207%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,261

Acute myocardial infarction, discharged alive w MCC: $13,460

Acute myocardial infarction, discharged alive w CC: $5,984

Heart failure and shock w/o CC/MCC: $3,424

Heart failure and shock w MCC: $7,154

Heart failure and shock w CC: $4,934

Chronic obstructive pulmonary disease w/o CC/MCC: $3,554

Chronic obstructive pulmonary disease w MCC: $6,385

Chronic obstructive pulmonary disease w CC: $4,781

Simple pneumonia and pleurisy w MCC: $7,020

Diabetes w MCC: $4,812

Chest Pain: $2,604

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $35,329

Extracranial procedures w/o CC/MCC: $6,940

Extracranial procedures w CC: $10,769

Permanent cardiac pacemaker implant w/o CC/MCC: $13,914

Permanent cardiac pacemaker implant w CC: $17,957

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $7,813

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $17,179

Laparoscopic cholecystectomy w/o c.d.e. w CC: $11,450

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $24,763

Hernia procedures except inguinal and femoral w/o CC/MCC: $6,693

Hernia procedures except inguinal and femoral w CC: $9,725

Major small and large bowel procedures w/o CC/MCC: $11,254

Major small and large bowel procedures w CC: $17,750

Major small and large bowel procedures w MCC: $31,029

Stomach, esophageal duodenal proc w/o CC/MCC: $5,574

Spinal fusion except cervical w/o MCC: $24,699

Spinal fusion except cervical w MCC: $41,642

Back and neck proc exc spinal fusion w/o CC/MCC: $6,525

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $11,932

Major joint replacement or reattachment of lower extremity w/o MCC: $13,927

Major joint replacement or reattachment of lower extremity w MCC: $22,822

Revision of hip or knee replacement w/o CC/MCC: $16,995

Revision of hip or knee replacement w CC: $21,247

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $10,264

Biopsies of musculoskeletal system and connective tissue w MCC: $21,750

Biopsies of musculoskeletal system and connective tissue w CC: $13,764

Kidney and ureter procedures for neoplasm w CC: $12,920

Revision of hip or knee replacement w MCC: $33,669

Kidney and ureter procedures for non-neoplasm w MCC: $23,135

Other kidney and urinary tract procedures w MCC: $19,361

Transurethral prostatectomy w/o CC/MCC: $4,387

Transurethral prostatectomy w CC/MCC: $7,757

Female reproductive system reconstructive procedures: $5,662

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,867

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	67.0%
Texas:	98.3%

Percent of Patients Given Aspirin at Discharge

Here:	40.0%
State:	97.9%

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

Here:	100.0%
Texas:	95.7%

Percent of Patients Given Beta Blocker at Discharge

Here:	60.0%
Texas:	98.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Texas:	99.6%

Percent of Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

This Hospital:	100.0%
Texas:	56.6%

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

This Hospital:	2
State:	9

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

This Hospital:	155
Texas:	204

Median Time to Fibrinolysis

This Hospital:	34
Texas:	39

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

This Hospital:	99.0%
State:	94.2%

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

Here:	33
Texas:	46

Heart Failure

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

Here:	100.0%
State:	97.5%

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

Here:	100.0%
Texas:	94.7%

Percent of Patients Given Discharge Instructions

This Hospital:	100.0%
State:	89.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Texas:	98.5%

Pneumonia

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

This Hospital:	93.0%
State:	95.0%

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

This Hospital:	87.0%
Texas:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Texas:	97.9%

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

Here:	85.0%
Texas:	90.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	97.0%
Texas:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
Texas:	93.7%

Surgery

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

Here:	99.0%
State:	96.9%

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

Here:	100.0%
State:	93.7%

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

This Hospital:	100.0%
Texas:	97.4%

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

This Hospital:	92.0%
Texas:	90.8%

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

This Hospital:	96.0%
State:	92.8%

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

Here:	99.0%
State:	88.5%

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

Here:	93.0%
State:	92.3%

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

This Hospital:	90.0%
State:	92.8%

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

Here:	100.0%
State:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	17.2%
State:	16.1%

30-Day Mortality Rates from Heart Failure

Here:	9.8%
Texas:	10.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.3%
Texas:	11.3%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.5%
Texas:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	18.8%
Texas:	17.7%

Use of Medical Imaging

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

Here:	45.500%
Texas:	34.035%

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

Here:	9.200%
State:	8.248%

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

Here:	0.541%
State:	0.316%

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

Here:	0.018%
State:	0.116%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 39%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
Texas:	6%

Usually

This Hospital:	23%
Texas:	18%

Always

This Hospital:	72%
Texas:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
State:	4%

Usually

This Hospital:	16%
Texas:	14%

Always

Here:	80%
Texas:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	12%
State:	11%

Usually

Here:	31%
Texas:	24%

Always

Here:	57%
Texas:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
Texas:	7%

Usually

Here:	24%
State:	22%

Always

This Hospital:	70%
State:	71%

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

Sometimes or never

Here:	23%
State:	21%

Usually

Here:	21%
State:	17%

Always

This Hospital:	56%
State:	62%

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

Sometimes or never

This Hospital:	8%
Texas:	9%

Usually

This Hospital:	23%
Texas:	19%

Always

Here:	69%
State:	72%

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

Sometimes or never

This Hospital:	16%
State:	8%

Usually

This Hospital:	35%
State:	26%

Always

This Hospital:	49%
Texas:	66%

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

Yes

This Hospital:	86%
Texas:	82%

This Hospital:	14%
Texas:	18%

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

6 or lower

This Hospital:	7%
State:	9%

7 or 8

This Hospital:	26%
State:	22%

9 or 10

This Hospital:	67%
State:	69%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	6%

Yes, probably

Here:	20%
Texas:	23%

Yes, definitely

Here:	76%
Texas:	71%

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