ST ANTHONYS MEMORIAL HOSPITAL (EFFINGHAM, IL) Detailed Hospital Profile

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%
Illinois:	37.406%

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

This Hospital:	9.900%
State:	8.337%

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

Here:	0.311%
State:	0.171%

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

Here:	0.003%
Illinois:	0.056%

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

Here:	2.700%
State:	5.573%

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

This Hospital:	4.300%
State:	2.790%

Complaint Deficiency

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Potential for minimal harm
- Scope: Many

Hospital Acquired Conditions

Falls and injuries

Here:	0.811%
State:	0.524%

Blood infection from a catheter in a large vein

Here:	0.135%
Illinois:	0.445%

Infection from a Urinary Catheter

This Hospital:	0.811%
Illinois:	0.419%

Severe pressure sores (bed sores)

Here:	0.135%
Illinois:	0.198%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$9,595
State:	$30,117

Average Total Payments

This Hospital:	$4,852
State:	$7,908

Number of discharges: 13

Here:	0.52%
Illinois:	0.47%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

This Hospital:	$7,482
Illinois:	$22,542

Average Total Payments

Here:	$4,145
State:	$5,541

Number of discharges: 12

Here:	0.48%
State:	0.21%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$6,877
Illinois:	$15,889

Average Total Payments

Here:	$3,122
State:	$4,105

Number of discharges: 15

This Hospital:	0.59%
State:	0.28%

Bronchitis and Asthma with Complications

Average Covered Charges

Here:	$7,357
State:	$23,477

Average Total Payments

This Hospital:	$4,563
Illinois:	$6,355

Number of discharges: 19

This Hospital:	0.75%
State:	0.48%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$9,502
State:	$21,268

Average Total Payments

This Hospital:	$4,453
Illinois:	$5,793

Number of discharges: 43

Here:	1.70%
Illinois:	1.46%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$14,621
State:	$31,273

Average Total Payments

Here:	$6,679
State:	$8,519

Number of discharges: 28

Here:	1.11%
Illinois:	0.88%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$7,016
State:	$15,251

Average Total Payments

This Hospital:	$3,049
State:	$4,043

Number of discharges: 38

Here:	1.51%
Illinois:	1.56%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$10,824
Illinois:	$18,733

Average Total Payments

This Hospital:	$4,583
State:	$5,908

Number of discharges: 74

Here:	2.93%
State:	2.24%

Chest Pain

Average Covered Charges

Here:	$8,259
State:	$16,928

Average Total Payments

This Hospital:	$2,966
State:	$4,015

Number of discharges: 34

This Hospital:	1.35%
Illinois:	2.08%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$11,702
Illinois:	$24,404

Average Total Payments

Here:	$5,728
State:	$6,718

Number of discharges: 90

Here:	3.57%
Illinois:	2.13%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$13,688
State:	$30,400

Average Total Payments

Here:	$6,675
State:	$8,130

Number of discharges: 88

This Hospital:	3.49%
Illinois:	2.07%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$10,006
State:	$17,974

Average Total Payments

This Hospital:	$3,834
Illinois:	$5,059

Number of discharges: 57

Here:	2.26%
State:	1.69%

Diabetes with Complications

Average Covered Charges

Here:	$7,337
State:	$21,008

Average Total Payments

This Hospital:	$4,125
Illinois:	$6,163

Number of discharges: 12

This Hospital:	0.48%
Illinois:	0.70%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$10,756
State:	$19,895

Average Total Payments

Here:	$4,130
State:	$5,151

Number of discharges: 132

Here:	5.23%
Illinois:	3.69%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$7,787
Illinois:	$16,522

Average Total Payments

This Hospital:	$3,638
State:	$4,548

Number of discharges: 14

Here:	0.55%
State:	0.34%

Fx, Sprn, Strn and Disl Except Femur, Hip, Pelvis and Thigh without Major Complications

Average Covered Charges

This Hospital:	$10,712
Illinois:	$19,075

Average Total Payments

This Hospital:	$4,853
Illinois:	$4,842

Number of discharges: 14

This Hospital:	0.55%
Illinois:	0.35%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$10,784
Illinois:	$26,358

Average Total Payments

This Hospital:	$5,330
Illinois:	$7,033

Number of discharges: 43

Here:	1.70%
Illinois:	1.90%

G.I. Hemorrhage with Major Complications

Average Covered Charges

Here:	$18,885
Illinois:	$45,373

Average Total Payments

This Hospital:	$9,261
Illinois:	$12,466

Number of discharges: 16

Here:	0.63%
State:	0.69%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$10,954
State:	$23,942

Average Total Payments

Here:	$5,001
Illinois:	$6,398

Number of discharges: 38

Here:	1.51%
Illinois:	0.70%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$8,317
Illinois:	$16,763

Average Total Payments

This Hospital:	$3,624
State:	$4,447

Number of discharges: 23

Here:	0.91%
State:	0.46%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$13,349
Illinois:	$24,443

Average Total Payments

Here:	$5,883
Illinois:	$7,163

Number of discharges: 87

This Hospital:	3.45%
State:	3.19%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$16,871
State:	$36,712

Average Total Payments

Here:	$7,789
State:	$10,214

Number of discharges: 56

Here:	2.22%
Illinois:	2.64%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$9,118
State:	$16,995

Average Total Payments

This Hospital:	$3,623
State:	$4,812

Number of discharges: 23

This Hospital:	0.91%
Illinois:	1.36%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$23,639
Illinois:	$50,462

Average Total Payments

Here:	$10,418
Illinois:	$12,385

Number of discharges: 55

This Hospital:	2.18%
Illinois:	1.01%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

This Hospital:	$38,956
Illinois:	$75,439

Average Total Payments

Here:	$16,356
Illinois:	$19,684

Number of discharges: 13

This Hospital:	0.52%
State:	0.23%

Hypertension without Major Complications

Average Covered Charges

This Hospital:	$7,753
Illinois:	$16,701

Average Total Payments

Here:	$3,281
Illinois:	$4,530

Number of discharges: 19

This Hospital:	0.75%
Illinois:	0.44%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$14,558
Illinois:	$32,014

Average Total Payments

This Hospital:	$6,115
State:	$8,101

Number of discharges: 34

This Hospital:	1.35%
Illinois:	1.43%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$18,745
State:	$48,704

Average Total Payments

Here:	$9,540
Illinois:	$13,179

Number of discharges: 16

This Hospital:	0.63%
State:	0.80%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$10,601
State:	$24,632

Average Total Payments

This Hospital:	$4,322
State:	$5,882

Number of discharges: 17

Here:	0.67%
Illinois:	0.75%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$13,007
Illinois:	$28,601

Average Total Payments

This Hospital:	$6,343
Illinois:	$8,101

Number of discharges: 22

Here:	0.87%
State:	0.96%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$9,890
State:	$19,533

Average Total Payments

This Hospital:	$4,125
State:	$5,411

Number of discharges: 57

This Hospital:	2.26%
Illinois:	2.92%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

This Hospital:	$14,456
State:	$27,276

Average Total Payments

Here:	$6,919
State:	$8,669

Number of discharges: 14

This Hospital:	0.55%
Illinois:	0.51%

Major Joint Replacement or Reattachment of Lower Extremity with Major Complications

Average Covered Charges

Here:	$39,786
State:	$81,615

Average Total Payments

Here:	$16,329
Illinois:	$21,725

Number of discharges: 15

Here:	0.59%
State:	0.25%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$33,535
Illinois:	$53,071

Average Total Payments

Here:	$11,897
Illinois:	$14,841

Number of discharges: 311

Here:	12.32%
State:	5.56%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

Here:	$38,690
State:	$67,253

Average Total Payments

Here:	$13,647
State:	$18,644

Number of discharges: 18

This Hospital:	0.71%
Illinois:	0.67%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$13,212
State:	$21,686

Average Total Payments

Here:	$4,352
State:	$5,693

Number of discharges: 44

This Hospital:	1.74%
Illinois:	1.26%

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

Average Covered Charges

Here:	$14,085
Illinois:	$27,848

Average Total Payments

Here:	$6,551
State:	$8,329

Number of discharges: 11

Here:	0.44%
State:	0.82%

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

Average Covered Charges

Here:	$7,178
State:	$17,353

Average Total Payments

This Hospital:	$3,678
State:	$4,937

Number of discharges: 49

This Hospital:	1.94%
State:	2.56%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$22,082
Illinois:	$48,875

Average Total Payments

This Hospital:	$8,472
State:	$14,157

Number of discharges: 14

Here:	0.55%
State:	0.77%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

Here:	$16,554
State:	$25,018

Average Total Payments

This Hospital:	$5,274
Illinois:	$7,625

Number of discharges: 27

This Hospital:	1.07%
Illinois:	0.36%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

Here:	$15,588
State:	$39,278

Average Total Payments

This Hospital:	$8,374
Illinois:	$11,533

Number of discharges: 36

Here:	1.43%
Illinois:	0.40%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$9,830
State:	$23,347

Average Total Payments

Here:	$5,228
State:	$6,909

Number of discharges: 18

This Hospital:	0.71%
State:	0.69%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$8,117
Illinois:	$16,789

Average Total Payments

Here:	$3,339
Illinois:	$4,522

Number of discharges: 11

This Hospital:	0.44%
State:	0.35%

Pulmonary Embolism without Major Complications

Average Covered Charges

This Hospital:	$14,079
State:	$27,959

Average Total Payments

Here:	$5,680
Illinois:	$7,539

Number of discharges: 20

Here:	0.79%
Illinois:	0.51%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

Here:	$12,368
Illinois:	$32,635

Average Total Payments

This Hospital:	$6,710
Illinois:	$9,195

Number of discharges: 58

Here:	2.30%
Illinois:	0.47%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$9,413
Illinois:	$19,956

Average Total Payments

This Hospital:	$4,418
State:	$5,858

Number of discharges: 39

This Hospital:	1.55%
State:	1.62%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$10,362
Illinois:	$24,747

Average Total Payments

This Hospital:	$5,340
State:	$7,044

Number of discharges: 57

Here:	2.26%
State:	1.98%

Renal Failure with Major Complications

Average Covered Charges

Here:	$15,742
Illinois:	$41,041

Average Total Payments

This Hospital:	$8,633
Illinois:	$11,762

Number of discharges: 30

Here:	1.19%
State:	1.34%

Renal Failure without Complications

Average Covered Charges

This Hospital:	$7,222
State:	$16,259

Average Total Payments

Here:	$3,455
State:	$4,544

Number of discharges: 14

This Hospital:	0.55%
State:	0.23%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$15,953
Illinois:	$34,888

Average Total Payments

Here:	$7,816
State:	$9,677

Number of discharges: 33

This Hospital:	1.31%
State:	0.71%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$25,957
State:	$51,004

Average Total Payments

This Hospital:	$10,833
State:	$13,436

Number of discharges: 33

Here:	1.31%
Illinois:	0.83%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$27,266
Illinois:	$64,580

Average Total Payments

Here:	$12,150
Illinois:	$16,645

Number of discharges: 14

This Hospital:	0.55%
State:	0.79%

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

Average Covered Charges

This Hospital:	$21,583
Illinois:	$48,201

Average Total Payments

This Hospital:	$10,296
Illinois:	$13,223

Number of discharges: 121

This Hospital:	4.79%
State:	4.32%

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

Average Covered Charges

Here:	$13,756
State:	$28,109

Average Total Payments

This Hospital:	$5,908
State:	$7,726

Number of discharges: 58

Here:	2.30%
Illinois:	1.38%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$9,442
Illinois:	$18,649

Average Total Payments

Here:	$3,802
State:	$4,973

Number of discharges: 27

This Hospital:	1.07%
Illinois:	0.92%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$15,474
Illinois:	$25,731

Average Total Payments

Here:	$5,451
State:	$6,879

Number of discharges: 61

This Hospital:	2.42%
Illinois:	2.78%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$18,704
Illinois:	$39,486

Average Total Payments

This Hospital:	$7,626
Illinois:	$9,878

Number of discharges: 35

Here:	1.39%
Illinois:	1.64%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$9,543
State:	$17,950

Average Total Payments

Here:	$3,798
Illinois:	$4,908

Number of discharges: 19

This Hospital:	0.75%
State:	1.13%

Spinal Fusion Except Cervical without Major Complications

Average Covered Charges

This Hospital:	$57,082
State:	$97,282

Average Total Payments

Here:	$22,815
State:	$29,406

Number of discharges: 62

Here:	2.46%
Illinois:	0.64%

Syncope and Collapse

Average Covered Charges

Here:	$9,153
State:	$19,781

Average Total Payments

This Hospital:	$3,838
Illinois:	$5,089

Number of discharges: 44

Here:	1.74%
Illinois:	2.34%

Transient Ischemia

Average Covered Charges

This Hospital:	$9,036
State:	$21,920

Average Total Payments

This Hospital:	$4,070
Illinois:	$5,050

Number of discharges: 29

This Hospital:	1.15%
Illinois:	1.26%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 39%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
Illinois:	5%

Usually

This Hospital:	21%
State:	18%

Always

This Hospital:	76%
Illinois:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	4%

Usually

Here:	16%
Illinois:	16%

Always

This Hospital:	79%
State:	80%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
State:	11%

Usually

This Hospital:	30%
State:	25%

Always

This Hospital:	60%
Illinois:	64%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
State:	7%

Usually

This Hospital:	26%
State:	24%

Always

Here:	68%
Illinois:	69%

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

Sometimes or never

This Hospital:	20%
Illinois:	21%

Usually

This Hospital:	19%
State:	19%

Always

This Hospital:	61%
State:	60%

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

Sometimes or never

This Hospital:	8%
State:	9%

Usually

Here:	22%
Illinois:	19%

Always

This Hospital:	70%
Illinois:	72%

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

Sometimes or never

Here:	11%
State:	12%

Usually

Here:	35%
Illinois:	31%

Always

This Hospital:	54%
State:	57%

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

Yes

This Hospital:	83%
State:	83%

This Hospital:	17%
State:	17%

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

6 or lower

This Hospital:	8%
Illinois:	9%

7 or 8

Here:	29%
State:	24%

9 or 10

This Hospital:	63%
State:	67%

Would patients recommend the hospital to friends and family?

This Hospital:	3%
State:	5%

Yes, probably

This Hospital:	32%
Illinois:	27%

Yes, definitely

This Hospital:	65%
State:	68%

Quality Measures

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

This Hospital:	54.5%
Illinois:	19.2%

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

This Hospital:	100.0%
State:	81.0%

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

Here:	99.5%
State:	80.2%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
Illinois:	99.4%

Percent of Patients Given Aspirin at Discharge

Here:	93.0%
Illinois:	99.3%

Percent of Patients Given Beta Blocker at Discharge

Here:	77.0%
State:	99.3%

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

Here:	10
State:	8

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

Here:	97.0%
Illinois:	96.6%

Heart Failure

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

Here:	97.0%
Illinois:	99.0%

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

This Hospital:	98.0%
Illinois:	96.7%

Percent of Patients Given Discharge Instructions

This Hospital:	97.0%
State:	94.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	94.0%
Illinois:	99.3%

Pneumonia

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

Here:	98.0%
State:	96.2%

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

Here:	99.0%
State:	97.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Illinois:	98.5%

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

This Hospital:	94.0%
Illinois:	93.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	98.0%
State:	94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	95.0%
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:	96.0%
Illinois:	98.2%

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

This Hospital:	98.0%
Illinois:	97.1%

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

This Hospital:	98.0%
Illinois:	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:	97.0%
Illinois:	96.7%

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

Here:	97.0%
Illinois:	97.4%

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

This Hospital:	100.0%
Illinois:	99.9%

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

This Hospital:	96.0%
State:	94.3%

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

This Hospital:	95.0%
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:	84.0%
State:	96.3%

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

This Hospital:	86.0%
Illinois:	96.5%

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

Here:	99.0%
Illinois:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.1%
State:	14.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	13.0%
Illinois:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.8%
State:	11.7%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.2%
State:	20.1%

30-Day Readmission Rates from Heart Failure

This Hospital:	27.1%
State:	25.6%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.4%
Illinois:	19.4%

ST ANTHONYS MEMORIAL HOSPITAL - EFFINGHAM, IL

Use of Medical Imaging

Complaint Deficiency

Hospital Acquired Conditions

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

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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