ST MARY'S MEDICAL CENTER (SAN FRANCISCO, CA) Detailed Hospital Profile

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$182,065
State:	$83,364

Average Total Payments

This Hospital:	$27,144
State:	$15,491

Number of discharges: 11

Here:	0.88%
State:	0.94%

Back and Neck Procedures Except Spinal Fusion without Complications

Average Covered Charges

Here:	$130,922
California:	$57,529

Average Total Payments

This Hospital:	$14,518
California:	$8,621

Number of discharges: 11

This Hospital:	0.88%
California:	0.62%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$45,576
California:	$39,980

Average Total Payments

This Hospital:	$8,263
California:	$7,146

Number of discharges: 30

This Hospital:	2.40%
State:	1.30%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$69,106
State:	$59,369

Average Total Payments

Here:	$12,106
State:	$10,810

Number of discharges: 14

Here:	1.12%
State:	0.79%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$34,603
State:	$28,713

Average Total Payments

This Hospital:	$5,658
State:	$4,819

Number of discharges: 26

Here:	2.08%
State:	1.18%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$38,852
State:	$36,707

Average Total Payments

Here:	$8,159
State:	$7,245

Number of discharges: 55

Here:	4.41%
California:	2.08%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$63,355
State:	$46,809

Average Total Payments

This Hospital:	$9,842
State:	$8,290

Number of discharges: 12

Here:	0.96%
State:	1.75%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$67,268
State:	$58,013

Average Total Payments

Here:	$12,281
State:	$10,305

Number of discharges: 26

Here:	2.08%
State:	2.00%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

Here:	$60,925
State:	$62,234

Average Total Payments

This Hospital:	$10,496
California:	$9,681

Number of discharges: 11

Here:	0.88%
State:	1.28%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$43,647
California:	$36,899

Average Total Payments

This Hospital:	$7,139
State:	$6,233

Number of discharges: 28

This Hospital:	2.24%
California:	3.09%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$57,246
State:	$46,039

Average Total Payments

Here:	$12,733
State:	$8,685

Number of discharges: 41

This Hospital:	3.29%
State:	1.95%

G.I. Hemorrhage with Major Complications

Average Covered Charges

Here:	$67,643
California:	$80,936

Average Total Payments

Here:	$14,793
California:	$15,696

Number of discharges: 15

This Hospital:	1.20%
State:	0.79%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$63,415
State:	$44,086

Average Total Payments

Here:	$9,429
State:	$8,042

Number of discharges: 16

This Hospital:	1.28%
State:	0.72%

G.I. Obstruction without Complications

Average Covered Charges

Here:	$38,170
State:	$30,586

Average Total Payments

This Hospital:	$6,467
State:	$5,436

Number of discharges: 11

Here:	0.88%
State:	0.47%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$52,367
State:	$47,292

Average Total Payments

Here:	$9,431
State:	$8,831

Number of discharges: 52

This Hospital:	4.17%
State:	2.91%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$87,865
State:	$70,963

Average Total Payments

This Hospital:	$14,344
State:	$13,159

Number of discharges: 49

Here:	3.93%
California:	3.03%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$36,184
State:	$32,995

Average Total Payments

This Hospital:	$6,463
State:	$5,851

Number of discharges: 16

This Hospital:	1.28%
State:	1.02%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

Here:	$122,821
California:	$88,197

Average Total Payments

This Hospital:	$17,338
State:	$15,201

Number of discharges: 18

This Hospital:	1.44%
State:	1.05%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

This Hospital:	$181,281
California:	$139,101

Average Total Payments

This Hospital:	$29,121
California:	$25,918

Number of discharges: 11

This Hospital:	0.88%
State:	0.25%

Hip and Femur Procedures Except Major Joint without Complications

Average Covered Charges

This Hospital:	$106,617
State:	$68,603

Average Total Payments

Here:	$17,070
State:	$12,359

Number of discharges: 17

Here:	1.36%
California:	0.32%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$61,629
State:	$55,669

Average Total Payments

Here:	$12,202
California:	$9,837

Number of discharges: 22

Here:	1.76%
State:	1.65%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$157,994
State:	$95,326

Average Total Payments

This Hospital:	$24,491
State:	$17,327

Number of discharges: 15

Here:	1.20%
State:	1.11%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$51,663
California:	$42,438

Average Total Payments

This Hospital:	$8,123
State:	$6,978

Number of discharges: 13

This Hospital:	1.04%
California:	0.78%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$67,699
State:	$52,262

Average Total Payments

Here:	$13,352
State:	$10,172

Number of discharges: 24

This Hospital:	1.92%
State:	0.99%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$42,948
State:	$36,114

Average Total Payments

Here:	$7,691
State:	$6,728

Number of discharges: 57

Here:	4.57%
California:	2.98%

Major Cardiovasc Procedures without Major Complications

Average Covered Charges

This Hospital:	$152,588
California:	$143,072

Average Total Payments

Here:	$29,293
State:	$27,615

Number of discharges: 17

Here:	1.36%
State:	0.37%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$127,862
California:	$88,239

Average Total Payments

This Hospital:	$20,655
California:	$17,187

Number of discharges: 146

This Hospital:	11.70%
California:	6.26%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$43,310
State:	$42,156

Average Total Payments

This Hospital:	$8,120
California:	$6,908

Number of discharges: 12

Here:	0.96%
California:	0.92%

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

Average Covered Charges

Here:	$40,036
California:	$32,446

Average Total Payments

Here:	$6,740
State:	$5,975

Number of discharges: 24

This Hospital:	1.92%
California:	2.21%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$58,108
California:	$49,604

Average Total Payments

This Hospital:	$9,804
State:	$8,812

Number of discharges: 12

Here:	0.96%
State:	0.66%

Other Vascular Procedures with Major Complications

Average Covered Charges

This Hospital:	$162,462
State:	$141,530

Average Total Payments

This Hospital:	$29,441
State:	$28,554

Number of discharges: 11

This Hospital:	0.88%
State:	0.56%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or 4+ Vessels/Stents

Average Covered Charges

This Hospital:	$131,040
California:	$166,637

Average Total Payments

This Hospital:	$30,328
State:	$28,878

Number of discharges: 15

This Hospital:	1.20%
State:	0.42%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$95,080
State:	$102,086

Average Total Payments

Here:	$18,764
State:	$16,769

Number of discharges: 34

Here:	2.72%
California:	1.40%

Peripheral Vascular Disorders with Complications

Average Covered Charges

Here:	$60,124
State:	$46,464

Average Total Payments

This Hospital:	$9,538
California:	$8,334

Number of discharges: 22

Here:	1.76%
State:	0.45%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$41,966
State:	$35,878

Average Total Payments

This Hospital:	$7,915
State:	$7,039

Number of discharges: 14

Here:	1.12%
California:	1.21%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$59,436
State:	$48,439

Average Total Payments

Here:	$10,046
California:	$8,967

Number of discharges: 12

Here:	0.96%
California:	1.90%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$78,538
State:	$70,949

Average Total Payments

Here:	$15,088
State:	$12,543

Number of discharges: 38

Here:	3.04%
State:	1.04%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$70,959
California:	$101,885

Average Total Payments

This Hospital:	$17,119
State:	$17,925

Number of discharges: 22

Here:	1.76%
State:	1.30%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$147,561
State:	$120,888

Average Total Payments

Here:	$23,132
State:	$21,006

Number of discharges: 13

Here:	1.04%
State:	0.92%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$46,109
California:	$38,752

Average Total Payments

This Hospital:	$7,384
State:	$6,932

Number of discharges: 11

This Hospital:	0.88%
State:	0.59%

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

Average Covered Charges

Here:	$85,729
State:	$90,173

Average Total Payments

Here:	$17,557
State:	$16,748

Number of discharges: 51

Here:	4.09%
State:	7.21%

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

Average Covered Charges

Here:	$60,874
State:	$50,385

Average Total Payments

Here:	$10,605
State:	$9,612

Number of discharges: 12

Here:	0.96%
State:	2.35%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$52,637
State:	$48,755

Average Total Payments

This Hospital:	$10,587
State:	$8,695

Number of discharges: 66

Here:	5.29%
California:	2.75%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$82,061
California:	$70,362

Average Total Payments

Here:	$14,715
State:	$12,496

Number of discharges: 22

This Hospital:	1.76%
California:	1.89%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$42,652
State:	$34,477

Average Total Payments

This Hospital:	$7,076
State:	$5,838

Number of discharges: 22

Here:	1.76%
State:	0.97%

Spinal Fusion Except Cervical without Major Complications

Average Covered Charges

This Hospital:	$223,432
California:	$154,326

Average Total Payments

This Hospital:	$38,574
State:	$32,547

Number of discharges: 40

This Hospital:	3.21%
California:	0.83%

Syncope and Collapse

Average Covered Charges

Here:	$52,406
State:	$37,038

Average Total Payments

This Hospital:	$7,228
California:	$6,233

Number of discharges: 19

Here:	1.52%
State:	1.60%

Transient Ischemia

Average Covered Charges

This Hospital:	$44,262
State:	$37,396

Average Total Payments

This Hospital:	$7,225
State:	$6,120

Number of discharges: 12

This Hospital:	0.96%
State:	0.94%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
California:	99.3%

Percent of Patients Given Aspirin at Discharge

Here:	99.0%
State:	99.0%

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

This Hospital:	100.0%
State:	96.8%

Percent of Patients Given Beta Blocker at Discharge

Here:	99.0%
State:	98.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	100.0%
California:	93.9%

Patients Given a Prescription for a Statin at Discharge

Here:	99.0%
California:	97.5%

Heart Failure

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

Here:	100.0%
State:	98.9%

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

This Hospital:	100.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

Here:	96.0%
California:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	96.0%
California:	99.4%

Pneumonia

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

This Hospital:	99.0%
California:	96.1%

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

This Hospital:	98.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.1%

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

Here:	100.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	98.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	99.0%
State:	95.8%

Surgery

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

Here:	97.0%
California:	98.1%

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

Here:	96.0%
California:	96.3%

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

This Hospital:	98.0%
California:	98.2%

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

Here:	96.0%
California:	96.0%

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

Here:	99.0%
California:	96.9%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

Here:	90.0%
State:	94.7%

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:	96.0%
California:	93.9%

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

This Hospital:	100.0%
State:	96.1%

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

This Hospital:	97.0%
State:	95.1%

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

Here:	97.0%
California:	95.5%

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

Here:	100.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	14.4%
California:	14.9%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.6%
State:	10.9%

30-Day Mortality Rates from Pneumonia

This Hospital:	13.1%
California:	11.7%

30-Day Readmission Rates from Heart Attack

Here:	17.9%
California:	19.3%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.6%
California:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	18.6%
California:	18.3%

Quality Measures

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

This Hospital:	42.1%
California:	21.2%

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

This Hospital:	70.4%
State:	81.9%

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

This Hospital:	93.1%
State:	79.7%

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

Here:	3.7%
California:	2.2%

Complaint Deficiency

Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Ensure the activities program is directed by a qualified professional
- Harm: Potential for minimal harm
- Scope: Many
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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide food in a way that meets a resident's needs
- 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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Hospital Acquired Conditions

Falls and injuries

Here:	0.513%
California:	0.625%

Blood infection from a catheter in a large vein

This Hospital:	0.171%
California:	0.530%

Use of Medical Imaging

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

Here:	38.000%
California:	33.932%

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

This Hospital:	5.800%
State:	8.180%

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

This Hospital:	0.106%
State:	0.170%

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

This Hospital:	5.000%
California:	5.492%

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

Here:	1.500%
California:	1.898%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	8%
California:	7%

Usually

Here:	24%
State:	21%

Always

Here:	68%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	7%
California:	6%

Usually

This Hospital:	18%
State:	17%

Always

Here:	75%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	15%
State:	13%

Usually

This Hospital:	30%
California:	28%

Always

Here:	55%
State:	59%

How often was patients' pain well controlled?

Sometimes or never

Here:	11%
State:	8%

Usually

This Hospital:	25%
California:	25%

Always

This Hospital:	64%
California:	67%

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

Sometimes or never

Here:	21%
State:	23%

Usually

This Hospital:	19%
State:	19%

Always

Here:	60%
California:	58%

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

Sometimes or never

Here:	8%
State:	10%

Usually

Here:	24%
California:	21%

Always

This Hospital:	68%
State:	69%

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

Sometimes or never

This Hospital:	25%
California:	18%

Usually

Here:	37%
State:	33%

Always

Here:	38%
State:	49%

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

Yes

This Hospital:	83%
California:	81%

Here:	17%
California:	19%

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

6 or lower

This Hospital:	11%
State:	10%

7 or 8

Here:	25%
State:	24%

9 or 10

This Hospital:	64%
State:	66%

Would patients recommend the hospital to friends and family?

This Hospital:	7%
State:	7%

Yes, probably

Here:	24%
State:	24%

Yes, definitely

This Hospital:	69%
California:	69%

ST MARY'S MEDICAL CENTER - SAN FRANCISCO, CA

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

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Quality Measures

Complaint Deficiency

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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