PEKIN MEMORIAL HOSPITAL (PEKIN, IL) Detailed Hospital Profile

Complaint Deficiency

Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- 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: Few
Provide necessary care and services to maintain the highest well being of each resident
- 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: Many

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$30,916
State:	$30,117

Average Total Payments

Here:	$6,218
Illinois:	$7,908

Number of discharges: 13

This Hospital:	1.45%
State:	0.47%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$26,228
State:	$21,268

Average Total Payments

This Hospital:	$4,590
Illinois:	$5,793

Number of discharges: 24

This Hospital:	2.67%
State:	1.46%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$41,640
State:	$31,273

Average Total Payments

Here:	$7,311
State:	$8,519

Number of discharges: 12

Here:	1.33%
Illinois:	0.88%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$15,447
Illinois:	$15,251

Average Total Payments

This Hospital:	$3,158
Illinois:	$4,043

Number of discharges: 13

Here:	1.45%
Illinois:	1.56%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$15,915
State:	$18,733

Average Total Payments

Here:	$4,580
State:	$5,908

Number of discharges: 28

This Hospital:	3.11%
State:	2.24%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$27,485
Illinois:	$24,404

Average Total Payments

This Hospital:	$5,345
Illinois:	$6,718

Number of discharges: 38

Here:	4.23%
State:	2.13%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$28,425
Illinois:	$30,400

Average Total Payments

This Hospital:	$7,059
Illinois:	$8,130

Number of discharges: 56

This Hospital:	6.23%
Illinois:	2.07%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$20,171
State:	$17,974

Average Total Payments

This Hospital:	$4,246
Illinois:	$5,059

Number of discharges: 22

This Hospital:	2.45%
State:	1.69%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$17,314
Illinois:	$19,895

Average Total Payments

This Hospital:	$4,582
State:	$5,151

Number of discharges: 56

Here:	6.23%
Illinois:	3.69%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$28,071
State:	$26,358

Average Total Payments

This Hospital:	$5,665
Illinois:	$7,033

Number of discharges: 22

This Hospital:	2.45%
Illinois:	1.90%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$35,243
State:	$24,443

Average Total Payments

Here:	$6,170
State:	$7,163

Number of discharges: 35

This Hospital:	3.89%
State:	3.19%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$40,681
State:	$36,712

Average Total Payments

This Hospital:	$10,655
State:	$10,214

Number of discharges: 20

This Hospital:	2.22%
Illinois:	2.64%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$16,100
Illinois:	$16,995

Average Total Payments

Here:	$3,804
Illinois:	$4,812

Number of discharges: 14

This Hospital:	1.56%
State:	1.36%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$39,324
Illinois:	$50,462

Average Total Payments

This Hospital:	$10,355
Illinois:	$12,385

Number of discharges: 12

This Hospital:	1.33%
Illinois:	1.01%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$18,520
Illinois:	$19,533

Average Total Payments

This Hospital:	$4,269
Illinois:	$5,411

Number of discharges: 59

This Hospital:	6.56%
Illinois:	2.92%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$37,416
Illinois:	$53,071

Average Total Payments

This Hospital:	$11,640
Illinois:	$14,841

Number of discharges: 83

This Hospital:	9.23%
State:	5.56%

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

Average Covered Charges

Here:	$18,535
Illinois:	$17,353

Average Total Payments

This Hospital:	$3,759
Illinois:	$4,937

Number of discharges: 46

This Hospital:	5.12%
Illinois:	2.56%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

Here:	$31,902
State:	$39,278

Average Total Payments

Here:	$8,179
Illinois:	$11,533

Number of discharges: 11

Here:	1.22%
State:	0.40%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$17,366
State:	$16,789

Average Total Payments

This Hospital:	$3,449
Illinois:	$4,522

Number of discharges: 11

Here:	1.22%
State:	0.35%

Pulmonary Embolism without Major Complications

Average Covered Charges

This Hospital:	$28,952
State:	$27,959

Average Total Payments

This Hospital:	$5,914
Illinois:	$7,539

Number of discharges: 19

This Hospital:	2.11%
State:	0.51%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$18,807
Illinois:	$19,956

Average Total Payments

Here:	$5,402
State:	$5,858

Number of discharges: 34

Here:	3.78%
State:	1.62%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$22,500
Illinois:	$24,747

Average Total Payments

Here:	$5,687
State:	$7,044

Number of discharges: 19

This Hospital:	2.11%
Illinois:	1.98%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$74,733
Illinois:	$64,580

Average Total Payments

This Hospital:	$16,596
State:	$16,645

Number of discharges: 11

This Hospital:	1.22%
Illinois:	0.79%

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

Average Covered Charges

This Hospital:	$30,904
State:	$48,201

Average Total Payments

Here:	$10,054
Illinois:	$13,223

Number of discharges: 44

Here:	4.89%
Illinois:	4.32%

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

Average Covered Charges

This Hospital:	$22,492
Illinois:	$28,109

Average Total Payments

This Hospital:	$6,216
State:	$7,726

Number of discharges: 26

This Hospital:	2.89%
Illinois:	1.38%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$12,869
Illinois:	$18,649

Average Total Payments

This Hospital:	$3,729
State:	$4,973

Number of discharges: 12

Here:	1.33%
Illinois:	0.92%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$26,148
Illinois:	$25,731

Average Total Payments

Here:	$5,433
State:	$6,879

Number of discharges: 72

Here:	8.01%
State:	2.78%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$48,614
State:	$39,486

Average Total Payments

Here:	$8,855
State:	$9,878

Number of discharges: 17

This Hospital:	1.89%
Illinois:	1.64%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$18,165
State:	$17,950

Average Total Payments

This Hospital:	$3,932
State:	$4,908

Number of discharges: 36

Here:	4.00%
Illinois:	1.13%

Syncope and Collapse

Average Covered Charges

This Hospital:	$18,673
Illinois:	$19,781

Average Total Payments

Here:	$3,949
Illinois:	$5,089

Number of discharges: 21

Here:	2.34%
State:	2.34%

Transient Ischemia

Average Covered Charges

This Hospital:	$17,375
Illinois:	$21,920

Average Total Payments

This Hospital:	$4,562
Illinois:	$5,050

Number of discharges: 13

Here:	1.45%
Illinois:	1.26%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
Illinois:	99.4%

Percent of Patients Given Aspirin at Discharge

Here:	100.0%
Illinois:	99.3%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
Illinois:	99.3%

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

Here:	5
Illinois:	8

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

This Hospital:	32
Illinois:	66

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

Here:	98.0%
State:	96.6%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	93.0%
State:	97.8%

Heart Failure

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

Here:	100.0%
State:	99.0%

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

This Hospital:	100.0%
Illinois:	96.7%

Percent of Patients Given Discharge Instructions

This Hospital:	97.0%
Illinois:	94.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.3%

Pneumonia

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

This Hospital:	99.0%
State:	96.2%

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

Here:	100.0%
State:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.5%

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

This Hospital:	98.0%
Illinois:	93.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	91.0%
State:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	97.0%
State:	95.5%

Surgery

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

Here:	99.0%
State:	98.2%

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

This Hospital:	97.0%
Illinois:	97.1%

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

This Hospital:	97.0%
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:	100.0%
State:	96.7%

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

Here:	100.0%
Illinois:	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%
State:	99.9%

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

Here:	99.0%
Illinois:	94.3%

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

Here:	99.0%
State:	96.8%

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

This Hospital:	92.0%
Illinois:	96.3%

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

This Hospital:	93.0%
Illinois:	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:	15.4%
State:	14.6%

30-Day Mortality Rates from Heart Failure

Here:	13.7%
Illinois:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	13.8%
State:	11.7%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.7%
Illinois:	20.1%

30-Day Readmission Rates from Heart Failure

This Hospital:	27.2%
Illinois:	25.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.6%
Illinois:	19.4%

Quality Measures

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

Here:	51.1%
Illinois:	19.2%

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

Here:	100.0%
Illinois:	81.0%

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

Here:	96.8%
State:	80.2%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.893%
Illinois:	0.524%

Blood infection from a catheter in a large vein

Here:	0.298%
Illinois:	0.445%

Severe pressure sores (bed sores)

Here:	0.298%
State:	0.198%

Use of Medical Imaging

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

This Hospital:	28.800%
State:	37.406%

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

This Hospital:	12.000%
Illinois:	8.337%

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

This Hospital:	0.045%
Illinois:	0.171%

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

Here:	2.900%
State:	5.573%

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

Here:	1.500%
State:	2.790%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 30%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
State:	5%

Usually

Here:	19%
State:	18%

Always

Here:	77%
State:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Illinois:	4%

Usually

Here:	14%
State:	16%

Always

Here:	81%
State:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	8%
State:	11%

Usually

This Hospital:	24%
State:	25%

Always

This Hospital:	68%
State:	64%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
Illinois:	7%

Usually

Here:	22%
Illinois:	24%

Always

Here:	74%
Illinois:	69%

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

Sometimes or never

This Hospital:	23%
State:	21%

Usually

This Hospital:	19%
State:	19%

Always

Here:	58%
State:	60%

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

Sometimes or never

This Hospital:	6%
State:	9%

Usually

Here:	19%
Illinois:	19%

Always

Here:	75%
State:	72%

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

Sometimes or never

Here:	12%
Illinois:	12%

Usually

This Hospital:	35%
State:	31%

Always

Here:	53%
State:	57%

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

Yes

This Hospital:	87%
State:	83%

This Hospital:	13%
Illinois:	17%

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

6 or lower

This Hospital:	11%
State:	9%

7 or 8

Here:	21%
State:	24%

9 or 10

This Hospital:	68%
State:	67%

Would patients recommend the hospital to friends and family?

This Hospital:	6%
Illinois:	5%

Yes, probably

Here:	28%
State:	27%

Yes, definitely

This Hospital:	66%
State:	68%

PEKIN MEMORIAL HOSPITAL - PEKIN, IL

Complaint Deficiency

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Quality Measures

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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