MEMORIAL HEALTHCARE (OWOSSO, MI) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 34%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	3%
Michigan:	4%

Usually

This Hospital:	17%
Michigan:	18%

Always

Here:	80%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	4%

Usually

This Hospital:	17%
State:	17%

Always

Here:	79%
Michigan:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	6%
Michigan:	8%

Usually

Here:	25%
Michigan:	24%

Always

This Hospital:	69%
Michigan:	68%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	6%

Usually

This Hospital:	23%
Michigan:	23%

Always

Here:	71%
Michigan:	71%

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

Sometimes or never

Here:	22%
State:	20%

Usually

Here:	17%
State:	19%

Always

Here:	61%
Michigan:	61%

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

Sometimes or never

This Hospital:	5%
Michigan:	9%

Usually

This Hospital:	16%
State:	20%

Always

Here:	79%
Michigan:	71%

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

Sometimes or never

This Hospital:	8%
Michigan:	12%

Usually

This Hospital:	34%
Michigan:	31%

Always

Here:	58%
State:	57%

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

Yes

This Hospital:	86%
State:	86%

Here:	14%
State:	14%

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

6 or lower

Here:	6%
Michigan:	8%

7 or 8

This Hospital:	23%
Michigan:	22%

9 or 10

This Hospital:	71%
State:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
State:	5%

Yes, probably

This Hospital:	32%
Michigan:	25%

Yes, definitely

This Hospital:	65%
State:	70%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.4%

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

This Hospital:	10
State:	9

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

Here:	96.0%
State:	95.4%

Heart Failure

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

This Hospital:	100.0%
Michigan:	99.5%

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

Here:	100.0%
Michigan:	95.9%

Percent of Patients Given Discharge Instructions

This Hospital:	78.0%
State:	92.1%

Pneumonia

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

This Hospital:	95.0%
State:	96.5%

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

Here:	92.0%
State:	97.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Michigan:	98.8%

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

Here:	85.0%
State:	95.7%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	93.0%
State:	92.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	97.0%
Michigan:	95.8%

Surgery

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

This Hospital:	98.0%
Michigan:	98.3%

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

This Hospital:	97.0%
Michigan:	97.3%

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

This Hospital:	98.0%
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

Here:	95.0%
State:	97.5%

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

Here:	97.0%
Michigan:	98.4%

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

This Hospital:	100.0%
State:	99.8%

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

This Hospital:	97.0%
State:	93.2%

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

Here:	95.0%
Michigan:	96.1%

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

Here:	96.0%
Michigan:	93.9%

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

This Hospital:	96.0%
Michigan:	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 Attack

This Hospital:	15.7%
Michigan:	14.7%

30-Day Mortality Rates from Heart Failure

Here:	15.4%
Michigan:	10.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	15.0%
State:	11.4%

30-Day Readmission Rates from Heart Attack

Here:	19.9%
Michigan:	19.6%

30-Day Readmission Rates from Heart Failure

This Hospital:	21.9%
State:	25.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	16.9%
Michigan:	18.7%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$23,748
Michigan:	$30,858

Average Total Payments

This Hospital:	$8,349
State:	$12,898

Number of discharges: 12

Here:	1.50%
State:	1.21%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$14,079
State:	$15,249

Average Total Payments

This Hospital:	$5,011
State:	$5,957

Number of discharges: 20

Here:	2.50%
Michigan:	1.56%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$28,351
State:	$22,828

Average Total Payments

Here:	$7,238
Michigan:	$8,957

Number of discharges: 15

This Hospital:	1.87%
State:	1.02%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$17,821
State:	$10,848

Average Total Payments

Here:	$3,695
State:	$4,054

Number of discharges: 12

Here:	1.50%
Michigan:	1.51%

Cellulitis without Major Complications

Average Covered Charges

Here:	$18,318
Michigan:	$13,281

Average Total Payments

Here:	$5,099
State:	$5,883

Number of discharges: 14

Here:	1.75%
State:	1.97%

Chest Pain

Average Covered Charges

Here:	$13,213
Michigan:	$11,866

Average Total Payments

Here:	$3,396
Michigan:	$3,947

Number of discharges: 13

This Hospital:	1.62%
State:	1.87%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$19,348
Michigan:	$16,752

Average Total Payments

Here:	$5,920
Michigan:	$6,838

Number of discharges: 40

This Hospital:	4.99%
State:	2.43%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$20,357
State:	$20,754

Average Total Payments

Here:	$6,821
State:	$8,256

Number of discharges: 36

This Hospital:	4.49%
State:	2.41%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$17,597
State:	$12,026

Average Total Payments

Here:	$4,514
Michigan:	$5,048

Number of discharges: 34

Here:	4.24%
Michigan:	1.55%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$15,833
State:	$13,870

Average Total Payments

Here:	$4,434
State:	$5,175

Number of discharges: 18

Here:	2.25%
State:	3.40%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$18,955
State:	$18,450

Average Total Payments

Here:	$6,567
Michigan:	$7,226

Number of discharges: 22

This Hospital:	2.75%
State:	2.09%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$20,056
State:	$17,110

Average Total Payments

This Hospital:	$6,155
State:	$7,317

Number of discharges: 30

This Hospital:	3.75%
State:	3.09%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$27,371
Michigan:	$25,094

Average Total Payments

Here:	$8,747
Michigan:	$10,533

Number of discharges: 28

Here:	3.50%
Michigan:	3.04%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$36,571
State:	$34,665

Average Total Payments

This Hospital:	$11,454
State:	$12,956

Number of discharges: 22

This Hospital:	2.75%
State:	0.86%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$21,047
Michigan:	$20,410

Average Total Payments

This Hospital:	$7,214
State:	$8,126

Number of discharges: 14

This Hospital:	1.75%
Michigan:	1.41%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$16,639
Michigan:	$12,900

Average Total Payments

This Hospital:	$4,856
State:	$5,490

Number of discharges: 41

Here:	5.12%
Michigan:	2.37%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$48,723
Michigan:	$34,590

Average Total Payments

Here:	$13,090
State:	$14,454

Number of discharges: 93

This Hospital:	11.61%
State:	5.70%

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

Average Covered Charges

Here:	$20,714
Michigan:	$19,497

Average Total Payments

This Hospital:	$6,779
Michigan:	$8,609

Number of discharges: 11

Here:	1.37%
Michigan:	0.83%

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

Average Covered Charges

This Hospital:	$19,697
State:	$11,978

Average Total Payments

This Hospital:	$4,279
State:	$4,928

Number of discharges: 36

Here:	4.49%
State:	1.81%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$20,889
Michigan:	$22,359

Average Total Payments

This Hospital:	$7,912
Michigan:	$8,891

Number of discharges: 29

This Hospital:	3.62%
Michigan:	1.42%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$27,450
State:	$16,644

Average Total Payments

This Hospital:	$6,206
State:	$7,327

Number of discharges: 26

This Hospital:	3.25%
Michigan:	2.06%

Renal Failure with Major Complications

Average Covered Charges

Here:	$28,875
Michigan:	$27,214

Average Total Payments

This Hospital:	$9,721
State:	$11,944

Number of discharges: 16

This Hospital:	2.00%
State:	1.56%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$25,023
Michigan:	$23,028

Average Total Payments

This Hospital:	$8,139
Michigan:	$10,117

Number of discharges: 13

Here:	1.62%
Michigan:	0.57%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$28,484
Michigan:	$33,415

Average Total Payments

This Hospital:	$11,792
State:	$14,054

Number of discharges: 12

Here:	1.50%
Michigan:	0.86%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$57,826
Michigan:	$44,210

Average Total Payments

Here:	$14,500
State:	$16,708

Number of discharges: 12

Here:	1.50%
Michigan:	0.99%

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

Average Covered Charges

Here:	$30,615
Michigan:	$31,268

Average Total Payments

This Hospital:	$11,529
State:	$13,308

Number of discharges: 47

This Hospital:	5.87%
Michigan:	5.26%

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

Average Covered Charges

This Hospital:	$20,287
State:	$18,305

Average Total Payments

Here:	$6,659
State:	$8,034

Number of discharges: 23

This Hospital:	2.87%
Michigan:	1.82%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$22,433
State:	$16,425

Average Total Payments

Here:	$6,239
Michigan:	$7,142

Number of discharges: 60

This Hospital:	7.49%
Michigan:	2.16%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$25,159
Michigan:	$24,354

Average Total Payments

This Hospital:	$8,527
State:	$10,062

Number of discharges: 38

This Hospital:	4.74%
Michigan:	1.66%

Syncope and Collapse

Average Covered Charges

Here:	$15,079
Michigan:	$13,390

Average Total Payments

Here:	$4,382
Michigan:	$5,119

Number of discharges: 14

This Hospital:	1.75%
Michigan:	2.41%

Quality Measures

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

Here:	53.5%
Michigan:	21.5%

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

This Hospital:	100.0%
Michigan:	84.1%

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

Here:	100.0%
State:	82.9%

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

This Hospital:	3.4%
Michigan:	1.9%

Hospital Acquired Conditions

Signs of Uncontrolled Blood Sugar

This Hospital:	0.338%
Michigan:	0.149%

Complaint Deficiency

Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Potential for minimal harm
- Scope: Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Potential for minimal 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: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- 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: Few
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: Some
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: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual 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
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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: Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Potential for minimal harm
- Scope: Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- Harm: Potential for minimal harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Potential for minimal 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
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- 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:	33.800%
State:	36.057%

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

This Hospital:	5.900%
State:	7.381%

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

This Hospital:	0.074%
State:	0.111%

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

Here:	8.300%
Michigan:	5.222%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Hospital:	1.800%
State:	2.361%

MEMORIAL HEALTHCARE - OWOSSO, MI

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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

Quality Measures

Hospital Acquired Conditions

Complaint Deficiency

Use of Medical Imaging

User Contributions:

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