IOWA LUTHERAN HOSPITAL (DES MOINES, IA) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 36%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
State:	3%

Usually

Here:	20%
Iowa:	17%

Always

Here:	76%
Iowa:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Iowa:	3%

Usually

This Hospital:	18%
State:	13%

Always

Here:	77%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	9%
State:	6%

Usually

Here:	32%
State:	25%

Always

This Hospital:	59%
Iowa:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
State:	5%

Usually

Here:	26%
Iowa:	24%

Always

Here:	69%
State:	71%

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

Sometimes or never

This Hospital:	20%
State:	15%

Usually

Here:	22%
State:	21%

Always

This Hospital:	58%
State:	64%

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

Sometimes or never

This Hospital:	7%
Iowa:	6%

Usually

Here:	20%
Iowa:	16%

Always

Here:	73%
State:	78%

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

Sometimes or never

Here:	12%
State:	7%

Usually

Here:	37%
State:	30%

Always

Here:	51%
State:	63%

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

Yes

Here:	84%
Iowa:	85%

This Hospital:	16%
State:	15%

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

6 or lower

Here:	7%
Iowa:	6%

7 or 8

Here:	20%
Iowa:	20%

9 or 10

This Hospital:	73%
State:	74%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
Iowa:	3%

Yes, probably

This Hospital:	18%
Iowa:	22%

Yes, definitely

This Hospital:	78%
Iowa:	75%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$61,087
State:	$30,156

Average Total Payments

This Hospital:	$12,363
State:	$10,757

Number of discharges: 13

This Hospital:	0.84%
State:	1.01%

Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications

Average Covered Charges

This Hospital:	$13,011
State:	$11,417

Average Total Payments

Here:	$4,360
State:	$4,078

Number of discharges: 34

This Hospital:	2.21%
State:	0.61%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$16,397
Iowa:	$14,064

Average Total Payments

Here:	$5,350
Iowa:	$5,086

Number of discharges: 27

This Hospital:	1.75%
Iowa:	1.40%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$18,582
State:	$20,085

Average Total Payments

This Hospital:	$7,824
State:	$7,436

Number of discharges: 31

Here:	2.01%
Iowa:	1.06%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$12,168
Iowa:	$10,063

Average Total Payments

Here:	$3,733
Iowa:	$3,469

Number of discharges: 49

This Hospital:	3.18%
State:	1.74%

Cellulitis without Major Complications

Average Covered Charges

Here:	$11,935
State:	$13,154

Average Total Payments

This Hospital:	$5,391
State:	$5,126

Number of discharges: 31

Here:	2.01%
State:	1.90%

Chest Pain

Average Covered Charges

Here:	$16,464
Iowa:	$11,577

Average Total Payments

This Hospital:	$3,913
Iowa:	$3,347

Number of discharges: 22

Here:	1.43%
Iowa:	1.46%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$16,929
Iowa:	$16,587

Average Total Payments

This Hospital:	$6,063
Iowa:	$5,845

Number of discharges: 32

This Hospital:	2.08%
State:	1.73%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$23,388
State:	$19,159

Average Total Payments

Here:	$7,474
Iowa:	$7,031

Number of discharges: 15

This Hospital:	0.97%
Iowa:	1.99%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$11,835
Iowa:	$12,605

Average Total Payments

This Hospital:	$4,588
Iowa:	$4,509

Number of discharges: 21

This Hospital:	1.36%
Iowa:	1.27%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

Here:	$31,137
State:	$24,739

Average Total Payments

This Hospital:	$7,704
Iowa:	$6,989

Number of discharges: 38

Here:	2.47%
Iowa:	1.97%

Cranial and Peripheral Nerve Disorders without Major Complications

Average Covered Charges

Here:	$14,551
State:	$17,919

Average Total Payments

Here:	$5,478
State:	$6,159

Number of discharges: 11

This Hospital:	0.71%
Iowa:	0.17%

Diabetes with Complications

Average Covered Charges

Here:	$17,352
Iowa:	$13,724

Average Total Payments

Here:	$5,322
Iowa:	$4,958

Number of discharges: 14

This Hospital:	0.91%
State:	0.44%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$17,074
Iowa:	$14,219

Average Total Payments

Here:	$4,617
State:	$4,496

Number of discharges: 37

Here:	2.40%
State:	3.04%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

This Hospital:	$12,012
Iowa:	$11,460

Average Total Payments

This Hospital:	$4,602
State:	$4,417

Number of discharges: 11

This Hospital:	0.71%
Iowa:	0.33%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$18,996
State:	$17,952

Average Total Payments

This Hospital:	$6,689
State:	$6,324

Number of discharges: 36

Here:	2.34%
Iowa:	2.18%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$14,884
Iowa:	$11,408

Average Total Payments

This Hospital:	$4,075
Iowa:	$3,874

Number of discharges: 11

This Hospital:	0.71%
Iowa:	0.64%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$19,561
Iowa:	$16,806

Average Total Payments

This Hospital:	$6,563
Iowa:	$6,239

Number of discharges: 51

Here:	3.31%
Iowa:	2.83%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$28,661
State:	$25,059

Average Total Payments

This Hospital:	$9,227
State:	$8,916

Number of discharges: 50

Here:	3.25%
State:	2.16%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$14,347
State:	$11,964

Average Total Payments

This Hospital:	$4,628
State:	$4,146

Number of discharges: 33

Here:	2.14%
Iowa:	1.28%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$46,714
Iowa:	$35,552

Average Total Payments

This Hospital:	$12,093
Iowa:	$11,140

Number of discharges: 25

Here:	1.62%
State:	1.61%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

This Hospital:	$90,567
State:	$97,206

Average Total Payments

This Hospital:	$34,461
State:	$35,390

Number of discharges: 13

This Hospital:	0.84%
State:	0.53%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$23,334
State:	$20,141

Average Total Payments

Here:	$7,372
Iowa:	$7,017

Number of discharges: 25

Here:	1.62%
Iowa:	1.56%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$38,790
Iowa:	$32,824

Average Total Payments

This Hospital:	$12,342
Iowa:	$11,990

Number of discharges: 13

This Hospital:	0.84%
State:	0.69%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$21,170
Iowa:	$17,007

Average Total Payments

This Hospital:	$5,448
Iowa:	$5,213

Number of discharges: 18

Here:	1.17%
State:	0.82%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$12,901
Iowa:	$13,302

Average Total Payments

Here:	$4,953
Iowa:	$4,858

Number of discharges: 50

This Hospital:	3.25%
State:	2.36%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$26,303
State:	$19,824

Average Total Payments

Here:	$8,515
Iowa:	$7,888

Number of discharges: 11

Here:	0.71%
Iowa:	0.42%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$42,331
State:	$37,395

Average Total Payments

Here:	$13,361
Iowa:	$12,819

Number of discharges: 188

This Hospital:	12.21%
State:	9.59%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

This Hospital:	$48,121
Iowa:	$45,138

Average Total Payments

This Hospital:	$16,551
Iowa:	$15,879

Number of discharges: 12

Here:	0.78%
Iowa:	0.83%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

This Hospital:	$107,023
State:	$91,016

Average Total Payments

This Hospital:	$32,986
Iowa:	$32,145

Number of discharges: 15

Here:	0.97%
State:	0.57%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$18,637
Iowa:	$15,255

Average Total Payments

Here:	$5,249
State:	$5,177

Number of discharges: 14

This Hospital:	0.91%
Iowa:	1.02%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

This Hospital:	$22,604
Iowa:	$21,581

Average Total Payments

Here:	$7,295
Iowa:	$7,193

Number of discharges: 13

This Hospital:	0.84%
State:	0.66%

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

Average Covered Charges

This Hospital:	$11,006
State:	$12,163

Average Total Payments

Here:	$4,424
State:	$4,344

Number of discharges: 34

Here:	2.21%
State:	2.12%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

Here:	$20,192
Iowa:	$27,088

Average Total Payments

This Hospital:	$9,526
Iowa:	$10,023

Number of discharges: 13

Here:	0.84%
State:	0.34%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$51,300
State:	$47,353

Average Total Payments

Here:	$12,533
State:	$12,273

Number of discharges: 40

This Hospital:	2.60%
Iowa:	2.16%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$18,638
State:	$16,807

Average Total Payments

This Hospital:	$6,041
Iowa:	$6,124

Number of discharges: 13

Here:	0.84%
State:	0.40%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$11,239
Iowa:	$11,248

Average Total Payments

Here:	$3,926
Iowa:	$3,968

Number of discharges: 28

Here:	1.82%
State:	0.54%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$27,006
State:	$24,601

Average Total Payments

This Hospital:	$8,298
Iowa:	$7,871

Number of discharges: 56

Here:	3.64%
Iowa:	1.86%

Pulmonary Embolism without Major Complications

Average Covered Charges

This Hospital:	$20,001
State:	$18,419

Average Total Payments

This Hospital:	$6,849
Iowa:	$6,487

Number of discharges: 13

This Hospital:	0.84%
Iowa:	0.61%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$14,390
Iowa:	$15,354

Average Total Payments

This Hospital:	$5,126
State:	$4,947

Number of discharges: 19

Here:	1.23%
Iowa:	0.86%

Renal Failure with Complications

Average Covered Charges

Here:	$18,461
Iowa:	$16,911

Average Total Payments

This Hospital:	$6,486
State:	$6,278

Number of discharges: 40

Here:	2.60%
State:	2.15%

Renal Failure with Major Complications

Average Covered Charges

Here:	$30,438
Iowa:	$30,832

Average Total Payments

Here:	$9,866
Iowa:	$10,243

Number of discharges: 29

This Hospital:	1.88%
State:	1.27%

Renal Failure without Complications

Average Covered Charges

Here:	$16,651
Iowa:	$12,090

Average Total Payments

This Hospital:	$4,529
State:	$4,140

Number of discharges: 13

Here:	0.84%
Iowa:	0.31%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$19,933
Iowa:	$21,855

Average Total Payments

This Hospital:	$8,756
State:	$8,886

Number of discharges: 13

Here:	0.84%
Iowa:	0.79%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$39,090
State:	$31,794

Average Total Payments

Here:	$13,026
State:	$11,832

Number of discharges: 27

Here:	1.75%
State:	1.05%

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

Average Covered Charges

Here:	$29,702
Iowa:	$32,614

Average Total Payments

This Hospital:	$11,947
Iowa:	$11,654

Number of discharges: 92

Here:	5.97%
Iowa:	3.97%

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

Average Covered Charges

Here:	$17,904
Iowa:	$18,145

Average Total Payments

Here:	$7,167
State:	$6,920

Number of discharges: 58

Here:	3.77%
Iowa:	1.72%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$16,207
Iowa:	$16,050

Average Total Payments

This Hospital:	$6,217
Iowa:	$6,064

Number of discharges: 29

Here:	1.88%
Iowa:	3.31%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$24,983
State:	$24,809

Average Total Payments

This Hospital:	$9,478
Iowa:	$8,640

Number of discharges: 22

This Hospital:	1.43%
State:	2.33%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$11,972
Iowa:	$12,176

Average Total Payments

This Hospital:	$4,502
State:	$4,314

Number of discharges: 18

This Hospital:	1.17%
Iowa:	1.47%

Syncope and Collapse

Average Covered Charges

Here:	$15,424
State:	$14,006

Average Total Payments

Here:	$4,743
Iowa:	$4,339

Number of discharges: 19

This Hospital:	1.23%
Iowa:	1.21%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	98.0%
State:	99.4%

Percent of Patients Given Aspirin at Discharge

Here:	99.0%
State:	99.6%

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

Here:	94.0%
State:	97.7%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	99.0%
Iowa:	99.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	86.0%
State:	93.5%

Patients Given a Prescription for a Statin at Discharge

Here:	94.0%
State:	97.1%

Heart Failure

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

Here:	98.0%
State:	96.9%

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

Here:	96.0%
Iowa:	95.7%

Percent of Patients Given Discharge Instructions

Here:	79.0%
State:	90.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.0%

Pneumonia

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

This Hospital:	98.0%
Iowa:	97.4%

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

This Hospital:	96.0%
Iowa:	97.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	96.0%
Iowa:	97.7%

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

This Hospital:	95.0%
Iowa:	93.4%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	83.0%
State:	91.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
State:	94.3%

Surgery

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

Here:	100.0%
State:	97.8%

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

Here:	99.0%
State:	96.3%

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

Here:	99.0%
Iowa:	98.7%

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

Here:	93.0%
State:	96.3%

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

Here:	95.0%
Iowa:	97.2%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	86.0%
Iowa:	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%
Iowa:	99.8%

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

This Hospital:	98.0%
Iowa:	94.2%

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

This Hospital:	99.0%
State:	96.5%

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

Here:	98.0%
Iowa:	95.7%

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

Here:	96.0%
State:	97.7%

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

This Hospital:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.5%
State:	14.9%

30-Day Mortality Rates from Heart Failure

Here:	10.0%
Iowa:	12.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.9%
Iowa:	12.0%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.9%
State:	18.5%

30-Day Readmission Rates from Heart Failure

Here:	24.0%
Iowa:	23.7%

30-Day Readmission Rates from Pneumonia

Here:	19.1%
Iowa:	17.9%

Complaint Deficiency

A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- 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: Many
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Use of Medical Imaging

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

Here:	48.100%
Iowa:	34.389%

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

Here:	17.400%
State:	8.069%

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

Here:	0.030%
Iowa:	0.138%

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

Here:	0.010%
State:	0.031%

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

Here:	5.400%
Iowa:	4.961%

Quality Measures

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

This Hospital:	52.0%
Iowa:	21.7%

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

This Hospital:	87.2%
State:	91.0%

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

This Hospital:	84.9%
Iowa:	88.8%

Hospital Acquired Conditions

Falls and injuries

Here:	0.187%
State:	0.754%

Blood infection from a catheter in a large vein

Here:	0.187%
State:	0.298%

Infection from a Urinary Catheter

Here:	0.187%
State:	0.689%

IOWA LUTHERAN HOSPITAL - DES MOINES, IA

Hospital Consumer Assessment of Healthcare Providers

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Use of Medical Imaging

Quality Measures

Hospital Acquired Conditions

User Contributions:

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