THE MCDOWELL HOSPITAL - MARION, NC

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THE MCDOWELL HOSPITAL
430 RANKIN DRIVE P O BOX 730
MARION, NC, 28752

Phone (make sure to verify first before calling): (828) 659-5000

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Swing Bed Hospitals

Provided Services

Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
CT Scanner Services
Chemotherapy Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Extracorporeal Shock Wave Lithotripter Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Magnetic Resonance Imaging (Mri) Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Orthopedic Surgery Services
Outpatient Rehabilitation Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services
Urgent Care Center Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 16.63
Registered Professional Nurses : 72.33
Other Salaried Personnel : 153.44
Dieticians : 1.00
Occupational Therapists : 0.20
Physical Therapists : 3.08
Registered Pharmacists : 3.00
Respiratory Therapists : 7.62
Speech Pathologists Or Audiologists : 0.21
Physicians : 30.00
Medical Social Workers : 3.36
Medical Laboratory Technologists : 3.80
Nuclear Medicine Technicians : 0.91
Physician Assistants : 5.10
Diagnostic Radiology Technicians : 7.66
Nurse Practitioners: 4.84

Number Of Beds

Total: 65
Total Certified: 65

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
State:	98.8%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
North Carolina:	98.7%

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

This Hospital:	50.0%
State:	97.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.9%

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

This Hospital:	7
North Carolina:	9

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

Here:	32
State:	60

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

Here:	96.0%
State:	95.1%

Heart Failure

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

Here:	100.0%
North Carolina:	98.7%

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

This Hospital:	96.0%
North Carolina:	94.8%

Percent of Patients Given Discharge Instructions

This Hospital:	94.0%
State:	88.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
North Carolina:	99.3%

Pneumonia

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

This Hospital:	100.0%
State:	95.3%

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

This Hospital:	100.0%
State:	96.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
North Carolina:	98.8%

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

This Hospital:	94.0%
State:	91.7%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	94.0%
State:	92.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
North Carolina:	94.8%

Surgery

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

Here:	95.0%
North Carolina:	97.7%

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

This Hospital:	89.0%
State:	96.0%

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

This Hospital:	91.0%
North Carolina:	98.2%

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

Here:	92.0%
North Carolina:	93.0%

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

Here:	94.0%
North Carolina:	94.8%

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:	99.7%

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

Here:	81.0%
State:	91.0%

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

This Hospital:	75.0%
North Carolina:	93.8%

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

This Hospital:	95.0%
North Carolina:	94.3%

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

Here:	96.0%
State:	94.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.7%
North Carolina:	15.8%

30-Day Mortality Rates from Heart Failure

This Hospital:	14.7%
State:	11.1%

30-Day Mortality Rates from Pneumonia

Here:	14.6%
North Carolina:	12.2%

30-Day Readmission Rates from Heart Attack

This Hospital:	18.7%
State:	19.6%

30-Day Readmission Rates from Heart Failure

Here:	23.2%
North Carolina:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.6%
North Carolina:	18.7%

Hospital Acquired Conditions

Falls And Trauma

Here:	1.390%
State:	0.550%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $3,956

Acute myocardial infarction, discharged alive w MCC: $8,904

Acute myocardial infarction, discharged alive w CC: $7,223

Heart failure and shock w/o CC/MCC: $4,270

Heart failure and shock w MCC: $8,635

Heart failure and shock w CC: $5,955

Chronic obstructive pulmonary disease w/o CC/MCC: $4,290

Chronic obstructive pulmonary disease w MCC: $7,706

Chronic obstructive pulmonary disease w CC: $5,770

Simple pneumonia and pleurisy w MCC: $8,473

Diabetes w MCC: $8,041

Chest Pain: $3,143

Permanent cardiac pacemaker implant w/o CC/MCC: $11,863

Permanent cardiac pacemaker implant w CC: $15,309

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,661

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,762

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,706

Hernia procedures except inguinal and femoral w CC: $8,291

Major small and large bowel procedures w CC: $15,133

Major small and large bowel procedures w MCC: $30,555

Major joint replacement or reattachment of lower extremity w/o MCC: $11,873

Major joint replacement or reattachment of lower extremity w MCC: $19,458

Female reproductive system reconstructive procedures: $4,827

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,990

Use of Medical Imaging

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

This Hospital:	5.000%
State:	8.078%

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

This Hospital:	0.028%
North Carolina:	0.120%

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

This Hospital:	0.003%
State:	0.037%

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

Here:	4%
State:	5%

Usually

This Hospital:	16%
North Carolina:	16%

Always

Here:	80%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
North Carolina:	4%

Usually

This Hospital:	15%
North Carolina:	13%

Always

Here:	81%
North Carolina:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	7%
North Carolina:	10%

Usually

This Hospital:	23%
North Carolina:	23%

Always

Here:	70%
North Carolina:	67%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	7%
State:	7%

Usually

This Hospital:	21%
North Carolina:	22%

Always

Here:	72%
State:	71%

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

Sometimes or never

This Hospital:	20%
State:	20%

Usually

Here:	16%
North Carolina:	17%

Always

Here:	64%
North Carolina:	63%

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

Sometimes or never

Here:	6%
North Carolina:	10%

Usually

Here:	17%
State:	20%

Always

Here:	77%
North Carolina:	70%

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

Sometimes or never

Here:	7%
North Carolina:	9%

Usually

Here:	29%
North Carolina:	29%

Always

Here:	64%
State:	62%

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

Yes

This Hospital:	84%
State:	83%

This Hospital:	16%
State:	17%

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

6 or lower

Here:	6%
North Carolina:	8%

7 or 8

This Hospital:	25%
North Carolina:	23%

9 or 10

Here:	69%
North Carolina:	69%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	5%

Yes, probably

Here:	26%
State:	24%

Yes, definitely

Here:	68%
State:	71%

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