MC DONOUGH DISTRICT HOSPITAL (MACOMB, IL) Detailed Hospital Profile

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$11,822
Illinois:	$21,268

Average Total Payments

Here:	$5,468
Illinois:	$5,793

Number of discharges: 11

Here:	2.30%
Illinois:	1.46%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$11,342
Illinois:	$15,251

Average Total Payments

Here:	$3,705
State:	$4,043

Number of discharges: 15

This Hospital:	3.14%
State:	1.56%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$13,107
Illinois:	$24,404

Average Total Payments

This Hospital:	$6,207
Illinois:	$6,718

Number of discharges: 18

Here:	3.77%
Illinois:	2.13%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$15,573
Illinois:	$30,400

Average Total Payments

Here:	$8,053
Illinois:	$8,130

Number of discharges: 36

Here:	7.53%
State:	2.07%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$11,940
State:	$17,974

Average Total Payments

Here:	$4,932
State:	$5,059

Number of discharges: 26

This Hospital:	5.44%
Illinois:	1.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$11,763
Illinois:	$19,895

Average Total Payments

Here:	$4,677
Illinois:	$5,151

Number of discharges: 35

Here:	7.32%
Illinois:	3.69%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$18,315
State:	$26,358

Average Total Payments

Here:	$6,756
Illinois:	$7,033

Number of discharges: 28

This Hospital:	5.86%
Illinois:	1.90%

G.I. Hemorrhage without Complications

Average Covered Charges

This Hospital:	$12,071
Illinois:	$18,250

Average Total Payments

This Hospital:	$4,603
State:	$5,012

Number of discharges: 16

Here:	3.35%
State:	0.52%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$13,022
State:	$24,443

Average Total Payments

Here:	$6,617
State:	$7,163

Number of discharges: 32

This Hospital:	6.69%
State:	3.19%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$16,221
State:	$36,712

Average Total Payments

Here:	$9,431
State:	$10,214

Number of discharges: 25

Here:	5.23%
State:	2.64%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$10,378
State:	$16,995

Average Total Payments

Here:	$4,436
State:	$4,812

Number of discharges: 32

This Hospital:	6.69%
State:	1.36%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$32,390
Illinois:	$50,462

Average Total Payments

This Hospital:	$11,869
Illinois:	$12,385

Number of discharges: 20

This Hospital:	4.18%
State:	1.01%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$10,938
Illinois:	$19,533

Average Total Payments

This Hospital:	$5,108
State:	$5,411

Number of discharges: 25

This Hospital:	5.23%
State:	2.92%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$47,048
Illinois:	$53,071

Average Total Payments

Here:	$14,849
State:	$14,841

Number of discharges: 28

Here:	5.86%
Illinois:	5.56%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$10,237
State:	$21,686

Average Total Payments

Here:	$5,161
State:	$5,693

Number of discharges: 19

Here:	3.97%
Illinois:	1.26%

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

Average Covered Charges

This Hospital:	$10,035
State:	$17,353

Average Total Payments

This Hospital:	$4,720
Illinois:	$4,937

Number of discharges: 40

Here:	8.37%
State:	2.56%

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

Average Covered Charges

This Hospital:	$20,548
Illinois:	$48,201

Average Total Payments

This Hospital:	$11,687
Illinois:	$13,223

Number of discharges: 12

Here:	2.51%
State:	4.32%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$14,584
Illinois:	$25,731

Average Total Payments

Here:	$6,582
State:	$6,879

Number of discharges: 42

This Hospital:	8.79%
Illinois:	2.78%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$10,969
Illinois:	$17,950

Average Total Payments

This Hospital:	$5,006
State:	$4,908

Number of discharges: 18

Here:	3.77%
State:	1.13%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 41%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	3%
Illinois:	5%

Usually

Here:	18%
Illinois:	18%

Always

Here:	79%
Illinois:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	6%
Illinois:	4%

Usually

Here:	14%
Illinois:	16%

Always

Here:	80%
Illinois:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	4%
State:	11%

Usually

Here:	23%
State:	25%

Always

Here:	73%
Illinois:	64%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
State:	7%

Usually

This Hospital:	24%
Illinois:	24%

Always

Here:	71%
State:	69%

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

Sometimes or never

Here:	17%
Illinois:	21%

Usually

Here:	19%
Illinois:	19%

Always

This Hospital:	64%
Illinois:	60%

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

Sometimes or never

Here:	4%
State:	9%

Usually

Here:	12%
Illinois:	19%

Always

Here:	84%
Illinois:	72%

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

Sometimes or never

Here:	5%
State:	12%

Usually

Here:	31%
Illinois:	31%

Always

Here:	64%
State:	57%

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

Yes

Here:	90%
Illinois:	83%

Here:	10%
State:	17%

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

6 or lower

This Hospital:	9%
State:	9%

7 or 8

Here:	27%
Illinois:	24%

9 or 10

This Hospital:	64%
State:	67%

Would patients recommend the hospital to friends and family?

Here:	6%
State:	5%

Yes, probably

Here:	35%
State:	27%

Yes, definitely

Here:	59%
State:	68%

Complaint Deficiency

A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Potential for minimal harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Exit stairways and towers that are smoke proof
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Potential for minimal harm
- Scope: Many

Process of Care

Heart Attack

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

Here:	5
Illinois:	8

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

This Hospital:	100.0%
State:	96.6%

Heart Failure

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

Here:	93.0%
State:	99.0%

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

Here:	75.0%
Illinois:	96.7%

Percent of Patients Given Discharge Instructions

Here:	86.0%
Illinois:	94.0%

Pneumonia

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

This Hospital:	97.0%
State:	96.2%

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

This Hospital:	90.0%
Illinois:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Illinois:	98.5%

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

Here:	98.0%
State:	93.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	95.0%
State:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	98.0%
Illinois:	95.5%

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%
Illinois:	98.2%

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

Here:	97.0%
Illinois:	97.1%

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

Here:	100.0%
State:	98.4%

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%
Illinois:	96.7%

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

This Hospital:	93.0%
State:	97.4%

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

Here:	100.0%
Illinois:	99.9%

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

Here:	90.0%
Illinois:	94.3%

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

This Hospital:	89.0%
Illinois:	96.8%

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

This Hospital:	97.0%
Illinois:	96.3%

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

This Hospital:	96.0%
State:	96.5%

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

Here:	100.0%
Illinois:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.7%
Illinois:	14.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	13.4%
Illinois:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	11.1%
Illinois:	11.7%

30-Day Readmission Rates from Heart Failure

This Hospital:	22.4%
State:	25.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	17.2%
State:	19.4%

Hospital Acquired Conditions

Falls and injuries

Here:	0.930%
State:	0.524%

Infection from a Urinary Catheter

This Hospital:	1.395%
State:	0.419%

Use of Medical Imaging

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

Here:	44.800%
State:	37.406%

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

Here:	8.300%
State:	8.337%

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

This Hospital:	0.706%
Illinois:	0.171%

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

Here:	0.214%
State:	0.056%

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

This Hospital:	7.800%
State:	5.573%

Quality Measures

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

This Hospital:	34.6%
State:	19.2%

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

Here:	0.6%
Illinois:	1.9%

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

This Hospital:	98.6%
State:	81.0%

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

Here:	99.3%
State:	80.2%

MC DONOUGH DISTRICT HOSPITAL - MACOMB, IL

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

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Use of Medical Imaging

Quality Measures

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