PORTAGE HEALTH HOSPITAL (HANCOCK, MI) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	2%
State:	4%

Usually

This Hospital:	11%
State:	18%

Always

This Hospital:	87%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
State:	4%

Usually

This Hospital:	11%
State:	17%

Always

Here:	87%
Michigan:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	3%
Michigan:	8%

Usually

This Hospital:	15%
Michigan:	24%

Always

Here:	82%
State:	68%

How often was patients' pain well controlled?

Sometimes or never

Here:	2%
State:	6%

Usually

Here:	23%
State:	23%

Always

This Hospital:	75%
State:	71%

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

Sometimes or never

Here:	15%
Michigan:	20%

Usually

Here:	18%
State:	19%

Always

This Hospital:	67%
Michigan:	61%

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

Sometimes or never

Here:	3%
State:	9%

Usually

Here:	14%
State:	20%

Always

This Hospital:	83%
State:	71%

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

Sometimes or never

This Hospital:	8%
State:	12%

Usually

This Hospital:	32%
Michigan:	31%

Always

Here:	60%
Michigan:	57%

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

Yes

This Hospital:	88%
State:	86%

This Hospital:	12%
Michigan:	14%

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

6 or lower

Here:	3%
State:	8%

7 or 8

Here:	20%
Michigan:	22%

9 or 10

Here:	77%
Michigan:	70%

Would patients recommend the hospital to friends and family?

This Hospital:	1%
Michigan:	5%

Yes, probably

Here:	20%
Michigan:	25%

Yes, definitely

Here:	79%
State:	70%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
Michigan:	99.4%

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

Here:	7
State:	9

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

Here:	100.0%
State:	95.4%

Patients Given a Prescription for a Statin at Discharge

Here:	100.0%
Michigan:	97.4%

Heart Failure

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

Here:	100.0%
Michigan:	99.5%

Percent of Patients Given Discharge Instructions

This Hospital:	97.0%
State:	92.1%

Pneumonia

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

Here:	98.0%
Michigan:	96.5%

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

Here:	100.0%
Michigan:	97.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
State:	98.8%

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

This Hospital:	97.0%
Michigan:	95.7%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	94.0%
Michigan:	92.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
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:	99.0%
State:	98.3%

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

Here:	97.0%
Michigan:	97.3%

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

Here:	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

Here:	99.0%
State:	97.5%

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

This Hospital:	100.0%
State:	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%
Michigan:	99.8%

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

Here:	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

This Hospital:	97.0%
Michigan:	96.1%

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

Here:	92.0%
Michigan:	93.9%

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

Here:	99.0%
Michigan:	95.7%

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

This Hospital:	100.0%
Michigan:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.7%
State:	14.7%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.4%
Michigan:	10.8%

30-Day Mortality Rates from Pneumonia

Here:	13.5%
Michigan:	11.4%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.7%
State:	19.6%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.9%
Michigan:	25.2%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.2%
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:	44.100%
State:	36.057%

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

Here:	9.600%
State:	7.381%

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

Here:	0.099%
Michigan:	0.111%

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

This Hospital:	0.037%
Michigan:	0.051%

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

Here:	5.100%
State:	5.222%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$13,885
Michigan:	$30,858

Average Total Payments

This Hospital:	$10,839
Michigan:	$12,898

Number of discharges: 14

Here:	5.58%
State:	1.21%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$11,526
State:	$15,249

Average Total Payments

This Hospital:	$6,210
Michigan:	$5,957

Number of discharges: 13

Here:	5.18%
State:	1.56%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$7,303
Michigan:	$13,281

Average Total Payments

Here:	$6,010
Michigan:	$5,883

Number of discharges: 11

This Hospital:	4.38%
State:	1.97%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$10,176
State:	$16,752

Average Total Payments

Here:	$7,575
State:	$6,838

Number of discharges: 15

Here:	5.98%
State:	2.43%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$10,424
State:	$20,754

Average Total Payments

Here:	$8,318
Michigan:	$8,256

Number of discharges: 16

This Hospital:	6.37%
State:	2.41%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$9,045
State:	$13,870

Average Total Payments

This Hospital:	$5,311
Michigan:	$5,175

Number of discharges: 22

This Hospital:	8.76%
Michigan:	3.40%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$11,805
State:	$18,450

Average Total Payments

Here:	$7,376
State:	$7,226

Number of discharges: 12

This Hospital:	4.78%
State:	2.09%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$7,773
State:	$17,110

Average Total Payments

Here:	$7,181
State:	$7,317

Number of discharges: 18

Here:	7.17%
State:	3.09%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$13,762
State:	$25,094

Average Total Payments

Here:	$10,367
Michigan:	$10,533

Number of discharges: 12

This Hospital:	4.78%
Michigan:	3.04%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$25,497
Michigan:	$34,665

Average Total Payments

Here:	$13,958
State:	$12,956

Number of discharges: 13

This Hospital:	5.18%
Michigan:	0.86%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$33,113
State:	$34,590

Average Total Payments

Here:	$15,382
State:	$14,454

Number of discharges: 34

Here:	13.55%
Michigan:	5.70%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$10,994
Michigan:	$23,028

Average Total Payments

Here:	$9,821
State:	$10,117

Number of discharges: 20

Here:	7.97%
Michigan:	0.57%

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

Average Covered Charges

Here:	$17,360
State:	$31,268

Average Total Payments

Here:	$13,456
State:	$13,308

Number of discharges: 20

Here:	7.97%
Michigan:	5.26%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$9,672
Michigan:	$16,425

Average Total Payments

Here:	$6,866
Michigan:	$7,142

Number of discharges: 31

Here:	12.35%
Michigan:	2.16%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Hospital:	4.1%
Michigan:	14.8%

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

Here:	20.2%
State:	10.4%

Percent of long-stay high-risk residents with pressure ulcers

This Hospital:	5.0%
Michigan:	6.3%

Percent of long-stay residents who lose too much weight

Here:	5.7%
State:	7.4%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Hospital:	9.2%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	5.7%
State:	6.2%

Percent of long-stay residents who have depressive symptoms

Here:	13.5%
State:	4.8%

Percent of long-stay residents who were physically restrained

Here:	1.9%
State:	2.6%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	3.8%
Michigan:	2.8%

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

Here:	100.0%
Michigan:	92.5%

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

This Hospital:	98.1%
State:	94.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	17.0%
State:	16.0%

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- 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
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Proper medical gas storage and administration areas
- 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: 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
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Potential for minimal harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of highly flammable materials
- 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: Many
Properly working alarms on sprinkler valves
- 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: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- 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: Some
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly maintained smoke detectors
- 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

PORTAGE HEALTH HOSPITAL - HANCOCK, MI

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

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

Quality Measures

Complaint Deficiency

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