CITIZENS MEMORIAL HOSPITAL - BOLIVAR, MO

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Addresss:
1500 N OAKLAND
BOLIVAR, MO, 65613
Phone (make sure to verify first before calling): (417) 326-6000

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - Hospital District or Authority
Emergency Services: Yes
Type: Swing Bed Hospitals

Other nearby nursing homes

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 13.66
Registered Professional Nurses : 98.38
Other Salaried Personnel : 287.12
Dieticians : 1.00
Occupational Therapists : 3.70
Physical Therapists : 5.10
Registered Pharmacists : 1.39
Respiratory Therapists : 9.25
Speech Pathologists Or Audiologists : 2.33
Physicians : 9.32
Medical Social Workers : 4.65
Physician Assistants : 1.00
Residents (Physicians) : 5.07

Number Of Beds
Total: 74
Total Certified: 74
Psychiatric Unit Beds: 10

Provided Services
Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Obstetric Services
Occupational Therapy Services
Operating Room 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

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
This Hospital:

100.0%
Missouri:

99.2%
Percent of Patients Given Aspirin at Discharge
Here:

98.0%
State:

99.3%
Percent of Patients Given Beta Blocker at Discharge
Here:

100.0%
State:

99.2%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
Missouri:

99.8%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
Here:

7
Missouri:

9
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
This Hospital:

100.0%
Missouri:

95.8%
Patients Given a Prescription for a Statin at Discharge
This Hospital:

96.0%
State:

97.7%

Heart Failure

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

98.0%
State:

98.0%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

100.0%
State:

95.8%
Percent of Patients Given Discharge Instructions
Here:

87.0%
Missouri:

91.2%

Pneumonia

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

98.0%
State:

95.8%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

97.0%
State:

97.5%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

98.4%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

90.0%
State:

93.6%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

100.0%
Missouri:

92.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

99.0%
Missouri:

95.7%

Surgery

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

99.0%
Missouri:

98.1%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Here:

97.0%
Missouri:

96.7%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

99.0%
Missouri:

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:

97.0%
State:

97.0%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
This Hospital:

98.0%
Missouri:

97.9%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

100.0%
State:

99.8%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
This Hospital:

93.0%
Missouri:

91.7%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
This Hospital:

85.0%
State:

95.3%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
Here:

98.0%
State:

97.2%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Hospital:

94.0%
Missouri:

97.4%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

100.0%
Missouri:

99.4%

Outcome of Care

30-Day Mortality Rates from Heart Attack
Here:

15.0%
State:

15.2%
30-Day Mortality Rates from Heart Failure
This Hospital:

15.1%
Missouri:

11.6%
30-Day Mortality Rates from Pneumonia
Here:

17.0%
Missouri:

11.9%
30-Day Readmission Rates from Heart Attack
Here:

18.3%
Missouri:

20.4%
30-Day Readmission Rates from Heart Failure
Here:

26.2%
Missouri:

24.9%
30-Day Readmission Rates from Pneumonia
Here:

17.0%
State:

18.9%

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

Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$11,077
State:

$17,951
Average Total Payments
Here:

$5,441
Missouri:

$5,186
Number of discharges: 22
Here:

3.36%
Missouri:

1.40%
Cardiac Arrhythmia and Conduction Disorders with Major Complications
Average Covered Charges
Here:

$14,122
Missouri:

$25,800
Average Total Payments
This Hospital:

$7,603
Missouri:

$7,799
Number of discharges: 12
Here:

1.83%
State:

0.93%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$6,898
Missouri:

$12,487
Average Total Payments
This Hospital:

$3,735
State:

$3,574
Number of discharges: 15
Here:

2.29%
State:

1.63%
Cellulitis without Major Complications
Average Covered Charges
This Hospital:

$16,703
State:

$16,957
Average Total Payments
Here:

$5,550
Missouri:

$5,280
Number of discharges: 11
This Hospital:

1.68%
Missouri:

1.81%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
Here:

$12,606
Missouri:

$19,616
Average Total Payments
This Hospital:

$6,388
State:

$6,146
Number of discharges: 24
Here:

3.66%
State:

1.91%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
This Hospital:

$15,705
State:

$25,312
Average Total Payments
This Hospital:

$7,696
Missouri:

$7,445
Number of discharges: 33
This Hospital:

5.04%
Missouri:

1.91%
Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications
Average Covered Charges
This Hospital:

$21,138
Missouri:

$27,366
Average Total Payments
This Hospital:

$7,110
Missouri:

$6,889
Number of discharges: 16
This Hospital:

2.44%
Missouri:

2.03%
Diabetes with Complications
Average Covered Charges
This Hospital:

$10,060
Missouri:

$17,711
Average Total Payments
Here:

$5,314
State:

$5,388
Number of discharges: 15
This Hospital:

2.29%
Missouri:

0.63%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
This Hospital:

$11,975
Missouri:

$17,168
Average Total Payments
Here:

$4,708
State:

$4,547
Number of discharges: 20
Here:

3.05%
Missouri:

3.74%
G.I. Hemorrhage with Complications
Average Covered Charges
Here:

$15,222
State:

$21,879
Average Total Payments
Here:

$6,721
State:

$6,229
Number of discharges: 20
Here:

3.05%
Missouri:

1.92%
Heart Failure and Shock with Complications
Average Covered Charges
This Hospital:

$15,123
Missouri:

$21,078
Average Total Payments
This Hospital:

$6,704
Missouri:

$6,410
Number of discharges: 21
Here:

3.21%
Missouri:

2.86%
Heart Failure and Shock with Major Complications
Average Covered Charges
This Hospital:

$14,177
State:

$30,318
Average Total Payments
This Hospital:

$8,351
Missouri:

$9,156
Number of discharges: 16
Here:

2.44%
State:

2.89%
Hip and Femur Procedures Except Major Joint with Complications
Average Covered Charges
This Hospital:

$33,285
State:

$41,557
Average Total Payments
This Hospital:

$12,129
State:

$11,401
Number of discharges: 26
Here:

3.97%
State:

1.13%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
This Hospital:

$16,762
Missouri:

$25,604
Average Total Payments
Here:

$7,302
Missouri:

$7,175
Number of discharges: 19
Here:

2.90%
State:

1.53%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
This Hospital:

$11,961
Missouri:

$16,038
Average Total Payments
Here:

$4,973
State:

$4,806
Number of discharges: 12
Here:

1.83%
State:

2.53%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
This Hospital:

$36,013
Missouri:

$40,743
Average Total Payments
Here:

$13,529
State:

$12,852
Number of discharges: 74
This Hospital:

11.30%
Missouri:

6.00%
Major Small and Large Bowel Procedures with Complications
Average Covered Charges
This Hospital:

$36,519
State:

$51,513
Average Total Payments
This Hospital:

$16,780
State:

$15,665
Number of discharges: 13
This Hospital:

1.98%
State:

0.81%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
This Hospital:

$8,622
State:

$14,611
Average Total Payments
This Hospital:

$4,504
State:

$4,370
Number of discharges: 30
This Hospital:

4.58%
Missouri:

2.11%
Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications
Average Covered Charges
This Hospital:

$45,714
State:

$51,374
Average Total Payments
Here:

$12,806
State:

$12,306
Number of discharges: 21
This Hospital:

3.21%
Missouri:

1.80%
Percutaneous Cardiovascular Procedures with Non-Drug-Eluting Stent without Major Complications
Average Covered Charges
This Hospital:

$38,648
State:

$50,165
Average Total Payments
This Hospital:

$11,520
State:

$11,277
Number of discharges: 12
Here:

1.83%
Missouri:

0.51%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$20,824
State:

$28,250
Average Total Payments
Here:

$8,267
State:

$8,058
Number of discharges: 15
This Hospital:

2.29%
Missouri:

2.05%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
This Hospital:

$7,966
Missouri:

$17,531
Average Total Payments
This Hospital:

$5,204
State:

$5,193
Number of discharges: 12
Here:

1.83%
Missouri:

1.20%
Renal Failure with Complications
Average Covered Charges
This Hospital:

$14,674
Missouri:

$21,181
Average Total Payments
Here:

$6,593
Missouri:

$6,298
Number of discharges: 19
This Hospital:

2.90%
Missouri:

1.95%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
This Hospital:

$13,380
State:

$29,149
Average Total Payments
Here:

$8,564
State:

$8,649
Number of discharges: 21
This Hospital:

3.21%
Missouri:

0.73%
Respiratory Infections and Inflammations with Major Complications
Average Covered Charges
Here:

$26,904
Missouri:

$39,631
Average Total Payments
This Hospital:

$12,621
State:

$11,742
Number of discharges: 24
Here:

3.66%
State:

1.21%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
This Hospital:

$23,484
Missouri:

$41,930
Average Total Payments
Here:

$11,108
Missouri:

$11,968
Number of discharges: 35
This Hospital:

5.34%
State:

4.42%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
This Hospital:

$16,402
Missouri:

$24,576
Average Total Payments
This Hospital:

$6,790
Missouri:

$7,135
Number of discharges: 26
This Hospital:

3.97%
Missouri:

1.41%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
This Hospital:

$15,062
Missouri:

$22,459
Average Total Payments
This Hospital:

$6,386
Missouri:

$6,369
Number of discharges: 31
This Hospital:

4.73%
Missouri:

2.85%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
This Hospital:

$20,744
State:

$31,582
Average Total Payments
Here:

$9,230
Missouri:

$8,887
Number of discharges: 28
This Hospital:

4.27%
State:

2.09%
Transient Ischemia
Average Covered Charges
Here:

$9,902
State:

$18,690
Average Total Payments
Here:

$4,789
Missouri:

$4,601
Number of discharges: 12
Here:

1.83%
State:

1.08%

Use of Medical Imaging

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

45.700%
Missouri:

40.106%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

3.300%
State:

8.189%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Hospital:

0.162%
Missouri:

0.184%
Outpatient CT scans of the chest that were combination (double) scans.
This Hospital:

0.015%
State:

0.040%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
This Hospital:

3.500%
Missouri:

5.915%

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:

18%
Missouri:

18%
Always
Here:

79%
State:

77%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

3%
State:

4%
Usually
Here:

15%
Missouri:

15%
Always
Here:

82%
Missouri:

81%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Hospital:

8%
State:

9%
Usually
This Hospital:

25%
State:

26%
Always
Here:

67%
Missouri:

65%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

6%
State:

7%
Usually
Here:

23%
State:

24%
Always
This Hospital:

71%
Missouri:

69%

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

Sometimes or never
This Hospital:

17%
Missouri:

21%
Usually
Here:

21%
State:

18%
Always
This Hospital:

62%
State:

61%

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

Sometimes or never
This Hospital:

8%
Missouri:

9%
Usually
This Hospital:

15%
State:

19%
Always
This Hospital:

77%
State:

72%

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

Sometimes or never
This Hospital:

11%
State:

11%
Usually
Here:

30%
Missouri:

31%
Always
Here:

59%
State:

58%

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

Yes
Here:

89%
Missouri:

84%
No
Here:

11%
Missouri:

16%

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

6 or lower
This Hospital:

6%
Missouri:

9%
7 or 8
This Hospital:

21%
State:

23%
9 or 10
Here:

73%
Missouri:

68%

Would patients recommend the hospital to friends and family?

No
This Hospital:

4%
State:

5%
Yes, probably
Here:

25%
State:

27%
Yes, definitely
This Hospital:

71%
Missouri:

68%

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