MECOSTA COUNTY MEDICAL CENTER - BIG RAPIDS, MI

Submitted by:James Harrington, Director, Surgical Services
4 total CRNA's

SCIP data needs to be updated. (ie. Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection.

All quality data appears to be old as does the HCAAPS stuff.

Institution representatives - add corrected or new information about MECOSTA COUNTY MEDICAL CENTER »

Addresss:
605 OAK STREET
BIG RAPIDS, MI, 49307
Phone (make sure to verify first before calling): (231) 796-8691

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - Local
Emergency Services: Yes
Type: Rehabilitation Units

Other nearby hospitals and nursing homes

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 6.80
Registered Professional Nurses : 72.50
Other Salaried Personnel : 156.00
Certified Registered Nurse Anesthetists (CRNA) : 2.00
Registered Pharmacists : 3.00
Respiratory Therapists : 7.40
Medical Social Workers : 1.80

Number Of Beds
Total: 74
Total Certified: 74
Rehabilitation Unit Beds: 12

Provided Services
Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Cardiac (Non-Surgical)Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Organ Transplant 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

Hospital Acquired Conditions

Falls and injuries
Here:

1.250%
State:

0.678%
Infection from a Urinary Catheter
This Hospital:

0.625%
State:

0.521%

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

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

$6,363
Michigan:

$15,249
Average Total Payments
This Hospital:

$4,981
State:

$5,957
Number of discharges: 13
Here:

3.39%
State:

1.56%
Cardiac Arrhythmia and Conduction Disorders with Major Complications
Average Covered Charges
This Hospital:

$8,978
Michigan:

$22,828
Average Total Payments
Here:

$7,939
Michigan:

$8,957
Number of discharges: 11
This Hospital:

2.87%
Michigan:

1.02%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
This Hospital:

$4,962
State:

$10,848
Average Total Payments
Here:

$3,648
State:

$4,054
Number of discharges: 14
Here:

3.66%
Michigan:

1.51%
Cellulitis without Major Complications
Average Covered Charges
Here:

$6,886
State:

$13,281
Average Total Payments
Here:

$5,390
State:

$5,883
Number of discharges: 12
This Hospital:

3.13%
Michigan:

1.97%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
Here:

$9,056
Michigan:

$20,754
Average Total Payments
Here:

$7,365
State:

$8,256
Number of discharges: 23
This Hospital:

6.01%
State:

2.41%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
Here:

$5,383
Michigan:

$13,870
Average Total Payments
This Hospital:

$4,615
State:

$5,175
Number of discharges: 15
Here:

3.92%
Michigan:

3.40%
G.I. Hemorrhage with Complications
Average Covered Charges
Here:

$7,537
State:

$18,450
Average Total Payments
This Hospital:

$6,095
Michigan:

$7,226
Number of discharges: 11
This Hospital:

2.87%
State:

2.09%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$6,365
Michigan:

$17,110
Average Total Payments
Here:

$6,261
State:

$7,317
Number of discharges: 18
Here:

4.70%
Michigan:

3.09%
Heart Failure and Shock with Major Complications
Average Covered Charges
This Hospital:

$9,256
State:

$25,094
Average Total Payments
Here:

$8,888
Michigan:

$10,533
Number of discharges: 27
Here:

7.05%
Michigan:

3.04%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
Here:

$7,024
State:

$20,410
Average Total Payments
This Hospital:

$6,881
State:

$8,126
Number of discharges: 12
Here:

3.13%
State:

1.41%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
This Hospital:

$19,315
Michigan:

$34,590
Average Total Payments
Here:

$13,409
State:

$14,454
Number of discharges: 55
This Hospital:

14.36%
Michigan:

5.70%
Pulmonary Edema and Respiratory Failure
Average Covered Charges
Here:

$10,555
Michigan:

$22,359
Average Total Payments
Here:

$7,836
Michigan:

$8,891
Number of discharges: 17
Here:

4.44%
State:

1.42%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$9,866
State:

$31,268
Average Total Payments
This Hospital:

$10,702
State:

$13,308
Number of discharges: 68
This Hospital:

17.75%
State:

5.26%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications
Average Covered Charges
This Hospital:

$7,833
State:

$18,305
Average Total Payments
Here:

$6,897
State:

$8,034
Number of discharges: 28
This Hospital:

7.31%
State:

1.82%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
Here:

$6,172
Michigan:

$16,425
Average Total Payments
This Hospital:

$6,345
Michigan:

$7,142
Number of discharges: 22
This Hospital:

5.74%
State:

2.16%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
Here:

$9,859
Michigan:

$24,354
Average Total Payments
This Hospital:

$8,641
Michigan:

$10,062
Number of discharges: 19
Here:

4.96%
Michigan:

1.66%
Transient Ischemia
Average Covered Charges
Here:

$5,077
State:

$13,892
Average Total Payments
This Hospital:

$4,670
State:

$5,129
Number of discharges: 18
Here:

4.70%
Michigan:

1.33%

Process of Care

Heart Attack

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

12
Michigan:

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

99.0%
State:

95.4%

Heart Failure

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

90.0%
Michigan:

99.5%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

78.0%
State:

95.9%
Percent of Patients Given Discharge Instructions
This Hospital:

94.0%
Michigan:

92.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

99.2%

Pneumonia

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

98.0%
State:

96.5%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

95.0%
Michigan:

97.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
Here:

100.0%
State:

98.8%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Hospital:

96.0%
State:

95.7%
Percent of Patients Assessed and Given Influenza Vaccination
This Hospital:

80.0%
Michigan:

92.3%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Hospital:

92.0%
Michigan:

95.8%

Surgery

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

98.0%
State:

98.3%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Here:

86.0%
Michigan:

97.3%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
This Hospital:

100.0%
State:

98.5%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
This Hospital:

98.0%
State:

97.5%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

98.0%
Michigan:

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%
State:

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

99.0%
State:

93.2%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

98.0%
Michigan:

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)
Here:

98.0%
State:

95.7%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

100.0%
State:

99.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure
Here:

12.7%
Michigan:

10.8%
30-Day Mortality Rates from Pneumonia
This Hospital:

12.0%
Michigan:

11.4%
30-Day Readmission Rates from Heart Failure
This Hospital:

23.4%
Michigan:

25.2%
30-Day Readmission Rates from Pneumonia
This Hospital:

17.0%
Michigan:

18.7%

Use of Medical Imaging

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

42.700%
State:

36.057%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
This Hospital:

15.800%
Michigan:

7.381%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.462%
Michigan:

0.111%
Outpatient CT scans of the chest that were combination (double) scans.
Here:

0.037%
Michigan:

0.051%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

5.100%
Michigan:

5.222%
Outpatients with brain CT scans who got a sinus CT scan at the same time
This Hospital:

2.100%
State:

2.361%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never
Here:

3%
State:

4%
Usually
This Hospital:

21%
Michigan:

18%
Always
Here:

76%
State:

78%

How often did doctors communicate well with patients?

Sometimes or never
Here:

1%
State:

4%
Usually
This Hospital:

16%
State:

17%
Always
This Hospital:

83%
State:

79%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

5%
Michigan:

8%
Usually
This Hospital:

32%
Michigan:

24%
Always
This Hospital:

63%
State:

68%

How often was patients' pain well controlled?

Sometimes or never
Here:

4%
State:

6%
Usually
Here:

26%
Michigan:

23%
Always
This Hospital:

70%
State:

71%

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

Sometimes or never
This Hospital:

18%
State:

20%
Usually
Here:

16%
Michigan:

19%
Always
This Hospital:

66%
Michigan:

61%

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

Sometimes or never
Here:

7%
State:

9%
Usually
This Hospital:

22%
State:

20%
Always
This Hospital:

71%
Michigan:

71%

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

Sometimes or never
This Hospital:

5%
State:

12%
Usually
This Hospital:

33%
Michigan:

31%
Always
This Hospital:

62%
State:

57%

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

Yes
This Hospital:

86%
State:

86%
No
This Hospital:

14%
Michigan:

14%

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

6 or lower
Here:

5%
Michigan:

8%
7 or 8
This Hospital:

22%
State:

22%
9 or 10
Here:

73%
Michigan:

70%

Would patients recommend the hospital to friends and family?

No
This Hospital:

2%
Michigan:

5%
Yes, probably
This Hospital:

27%
State:

25%
Yes, definitely
This Hospital:

71%
Michigan:

70%

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