CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL (SAULT SAINTE MARIE, MI) Detailed Hospital Profile

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%
Michigan:	36.057%

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

Here:	7.100%
Michigan:	7.381%

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

This Hospital:	0.203%
State:	0.111%

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

Here:	0.062%
State:	0.051%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	3.500%
Michigan:	5.222%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	2.7%
Michigan:	14.8%

Percent of long-stay high-risk residents with pressure ulcers

Here:	22.6%
State:	6.3%

Percent of long-stay residents who lose too much weight

Here:	2.6%
Michigan:	7.4%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Hospital:	5.7%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

This Hospital:	5.3%
Michigan:	6.2%

Percent of long-stay residents who have depressive symptoms

Here:	18.4%
Michigan:	4.8%

Percent of long-stay residents who were physically restrained

Here:	5.3%
State:	2.6%

Percent of long-stay residents experiencing one or more falls with major injury

This Hospital:	2.6%
Michigan:	2.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	92.5%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Michigan:	94.6%

Percent of short-stay residents who self-report moderate to severe pain

This Hospital:	40.5%
Michigan:	21.5%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Hospital:	4.4%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.0%
Michigan:	84.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	98.1%
State:	82.9%

Percent of short-stay residents who newly received an antipsychotic medication

This Hospital:	7.9%
State:	1.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	32.4%
Michigan:	16.0%

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:	4%

Usually

Here:	16%
Michigan:	18%

Always

Here:	81%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	4%

Usually

This Hospital:	16%
Michigan:	17%

Always

Here:	79%
State:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	4%
State:	8%

Usually

Here:	21%
State:	24%

Always

Here:	75%
State:	68%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	6%

Usually

Here:	22%
State:	23%

Always

This Hospital:	72%
Michigan:	71%

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

Sometimes or never

This Hospital:	21%
State:	20%

Usually

Here:	17%
Michigan:	19%

Always

Here:	62%
Michigan:	61%

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

Sometimes or never

Here:	8%
State:	9%

Usually

Here:	20%
Michigan:	20%

Always

Here:	72%
State:	71%

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

Sometimes or never

Here:	10%
State:	12%

Usually

Here:	36%
State:	31%

Always

This Hospital:	54%
Michigan:	57%

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

Yes

Here:	81%
State:	86%

Here:	19%
Michigan:	14%

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

6 or lower

Here:	7%
State:	8%

7 or 8

This Hospital:	25%
State:	22%

9 or 10

This Hospital:	68%
Michigan:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
State:	5%

Yes, probably

Here:	33%
State:	25%

Yes, definitely

This Hospital:	64%
State:	70%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	90.0%
Michigan:	99.4%

Percent of Patients Given Aspirin at Discharge

This Hospital:	95.0%
State:	99.1%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	92.0%
State:	99.1%

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

This Hospital:	14
State:	9

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

Here:	99.0%
Michigan:	95.4%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	81.0%
State:	97.4%

Heart Failure

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

This Hospital:	97.0%
Michigan:	99.5%

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

This Hospital:	93.0%
Michigan:	95.9%

Percent of Patients Given Discharge Instructions

Here:	85.0%
State:	92.1%

Pneumonia

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

Here:	92.0%
Michigan:	96.5%

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

This Hospital:	94.0%
State:	97.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	92.0%
State:	98.8%

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

Here:	95.0%
State:	95.7%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	95.0%
Michigan:	92.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
State:	95.8%

Surgery

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

This Hospital:	98.0%
State:	98.3%

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

Here:	97.0%
State:	97.3%

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

Here:	99.0%
Michigan:	98.5%

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:	97.5%

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

Here:	99.0%
State:	98.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
Michigan:	99.8%

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

Here:	91.0%
State:	93.2%

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

Here:	100.0%
State:	96.1%

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

This Hospital:	100.0%
Michigan:	93.9%

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

This Hospital:	100.0%
Michigan:	95.7%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Hospital:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	16.4%
State:	14.7%

30-Day Mortality Rates from Heart Failure

Here:	13.1%
Michigan:	10.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	12.5%
State:	11.4%

30-Day Readmission Rates from Heart Attack

Here:	19.3%
Michigan:	19.6%

30-Day Readmission Rates from Heart Failure

Here:	22.9%
State:	25.2%

30-Day Readmission Rates from Pneumonia

Here:	17.0%
State:	18.7%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Evaluate a residents decrease in social interaction and increase in depressive behaviors, and if the behavior was avoidable if these problems did not exist before
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

This Hospital:	$11,991
State:	$21,049

Average Total Payments

Here:	$8,830
Michigan:	$8,422

Number of discharges: 20

Here:	2.33%
State:	0.72%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$17,184
Michigan:	$30,858

Average Total Payments

This Hospital:	$13,819
State:	$12,898

Number of discharges: 17

Here:	1.98%
Michigan:	1.21%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

Here:	$8,417
State:	$15,656

Average Total Payments

Here:	$6,132
Michigan:	$5,534

Number of discharges: 15

Here:	1.75%
Michigan:	0.41%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$10,799
State:	$15,249

Average Total Payments

This Hospital:	$6,586
Michigan:	$5,957

Number of discharges: 13

This Hospital:	1.51%
State:	1.56%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$11,938
State:	$22,828

Average Total Payments

Here:	$9,689
State:	$8,957

Number of discharges: 12

This Hospital:	1.40%
State:	1.02%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$7,675
Michigan:	$10,848

Average Total Payments

Here:	$4,475
State:	$4,054

Number of discharges: 20

Here:	2.33%
Michigan:	1.51%

Cellulitis without Major Complications

Average Covered Charges

Here:	$11,749
Michigan:	$13,281

Average Total Payments

This Hospital:	$6,463
State:	$5,883

Number of discharges: 26

Here:	3.03%
Michigan:	1.97%

Chest Pain

Average Covered Charges

Here:	$9,248
Michigan:	$11,866

Average Total Payments

Here:	$4,318
Michigan:	$3,947

Number of discharges: 19

Here:	2.21%
Michigan:	1.87%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$9,515
Michigan:	$16,752

Average Total Payments

Here:	$7,612
State:	$6,838

Number of discharges: 38

This Hospital:	4.42%
State:	2.43%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$14,129
State:	$20,754

Average Total Payments

Here:	$9,256
State:	$8,256

Number of discharges: 59

This Hospital:	6.87%
Michigan:	2.41%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$7,926
State:	$12,026

Average Total Payments

Here:	$5,572
Michigan:	$5,048

Number of discharges: 31

Here:	3.61%
Michigan:	1.55%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$10,765
State:	$13,870

Average Total Payments

Here:	$5,589
State:	$5,175

Number of discharges: 28

Here:	3.26%
Michigan:	3.40%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$14,650
State:	$18,450

Average Total Payments

This Hospital:	$8,010
State:	$7,226

Number of discharges: 30

Here:	3.49%
Michigan:	2.09%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$11,467
State:	$17,110

Average Total Payments

This Hospital:	$8,033
State:	$7,317

Number of discharges: 27

This Hospital:	3.14%
Michigan:	3.09%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$14,909
State:	$25,094

Average Total Payments

This Hospital:	$11,369
Michigan:	$10,533

Number of discharges: 22

Here:	2.56%
State:	3.04%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$7,749
Michigan:	$11,986

Average Total Payments

Here:	$5,286
State:	$4,982

Number of discharges: 12

This Hospital:	1.40%
Michigan:	1.13%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$12,397
Michigan:	$20,410

Average Total Payments

This Hospital:	$9,161
State:	$8,126

Number of discharges: 15

Here:	1.75%
State:	1.41%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

Here:	$20,470
Michigan:	$32,645

Average Total Payments

Here:	$14,969
Michigan:	$13,419

Number of discharges: 11

This Hospital:	1.28%
State:	0.88%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$9,557
State:	$12,900

Average Total Payments

This Hospital:	$6,085
State:	$5,490

Number of discharges: 33

Here:	3.84%
State:	2.37%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$37,766
State:	$34,590

Average Total Payments

Here:	$15,942
State:	$14,454

Number of discharges: 77

Here:	8.96%
State:	5.70%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$13,773
State:	$15,895

Average Total Payments

Here:	$6,442
Michigan:	$5,893

Number of discharges: 11

Here:	1.28%
Michigan:	0.94%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

Here:	$7,994
State:	$11,978

Average Total Payments

Here:	$5,431
Michigan:	$4,928

Number of discharges: 30

This Hospital:	3.49%
State:	1.81%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$7,563
Michigan:	$10,975

Average Total Payments

Here:	$4,859
State:	$4,598

Number of discharges: 11

Here:	1.28%
State:	0.54%

Pulmonary Embolism without Major Complications

Average Covered Charges

This Hospital:	$12,203
Michigan:	$20,030

Average Total Payments

Here:	$8,406
State:	$7,634

Number of discharges: 11

Here:	1.28%
State:	0.48%

Renal Failure with Complications

Average Covered Charges

Here:	$10,301
State:	$16,644

Average Total Payments

This Hospital:	$7,968
Michigan:	$7,327

Number of discharges: 20

This Hospital:	2.33%
Michigan:	2.06%

Renal Failure with Major Complications

Average Covered Charges

Here:	$17,145
Michigan:	$27,214

Average Total Payments

This Hospital:	$12,292
State:	$11,944

Number of discharges: 21

Here:	2.44%
State:	1.56%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$18,993
State:	$23,028

Average Total Payments

This Hospital:	$11,689
State:	$10,117

Number of discharges: 19

Here:	2.21%
Michigan:	0.57%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$26,834
State:	$33,415

Average Total Payments

Here:	$16,160
Michigan:	$14,054

Number of discharges: 21

This Hospital:	2.44%
State:	0.86%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$41,187
Michigan:	$44,210

Average Total Payments

This Hospital:	$18,099
Michigan:	$16,708

Number of discharges: 11

Here:	1.28%
Michigan:	0.99%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

This Hospital:	$24,369
Michigan:	$31,268

Average Total Payments

This Hospital:	$14,351
State:	$13,308

Number of discharges: 68

Here:	7.92%
State:	5.26%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

This Hospital:	$12,163
Michigan:	$18,305

Average Total Payments

This Hospital:	$8,743
Michigan:	$8,034

Number of discharges: 21

This Hospital:	2.44%
Michigan:	1.82%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$11,741
State:	$16,425

Average Total Payments

This Hospital:	$7,961
State:	$7,142

Number of discharges: 28

This Hospital:	3.26%
State:	2.16%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$22,038
Michigan:	$24,354

Average Total Payments

This Hospital:	$11,499
State:	$10,062

Number of discharges: 22

Here:	2.56%
Michigan:	1.66%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$9,398
State:	$11,947

Average Total Payments

Here:	$5,573
Michigan:	$4,951

Number of discharges: 24

This Hospital:	2.79%
State:	0.82%

Syncope and Collapse

Average Covered Charges

Here:	$9,394
State:	$13,390

Average Total Payments

This Hospital:	$5,632
Michigan:	$5,119

Number of discharges: 16

This Hospital:	1.86%
Michigan:	2.41%

Hospital Acquired Conditions

Falls and injuries

Here:	0.402%
State:	0.678%

Infection from a Urinary Catheter

Here:	0.402%
State:	0.521%

Severe pressure sores (bed sores)

Here:	0.402%
Michigan:	0.171%

User Contributions:

Bonnie

⚠

I am interested in how many cases of superbugs, i.e. MRSA, C-Diff are happening at War Memorial Hospital, Sault Ste Marie, MI. I contracted C-Diff while in the hospital and a good friend is now fighting for her life due to contracting MRSA, both at War Memorial. Does anyone monitor these conditions and where would one go to find out the amount of cases present.

CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL - SAULT SAINTE MARIE, MI

Use of Medical Imaging

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Hospital Acquired Conditions

User Contributions:

Comment about this article, ask questions, or add new information about this topic: