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Memorial Hospital of Martinsville & Henry County
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Why is this important?Why is this important?
Hospital financial information was originally intended to benefit of large employers and purchasers of care. However, consumers should know that financially healthy hospitals may be better able to provide charity care and invest in infrastructure, and technology.

Rankings on financial measures are found within the Efficiency tab


Financial Information


For Fiscal Year 1/1/2008 - 12/31/2008

Gross inpatient revenueGross inpatient revenue
Total established full charges for all hospital services provided to inpatients, including charity care.
$116,163,899
Gross outpatient revenueGross outpatient revenue
Total established full charges for all hospital services provided to outpatients, including charity care.
$140,916,935
Gross patient revenueGross patient revenue
Total established full charges for all services provided to patients.
$257,080,834
Contractual allowanceContractual allowance
The difference between a hospital's established charges and the rates paid by third-party payers under contractual agreements.
$141,178,551
Charity careCharity care
Services provided to patients meeting the hospital's criteria for indigent care.
$4,517,251
Indigent care trustIndigent care trust
Payments from the Indigent Care Trust Fund net of payments to the Fund, calculated on an accrual basis. A net payment from the Fund is reported as a negative number.
$45,127
Net patient revenueNet patient revenue
Net patient service revenue is total gross patient service revenue, minus total contractual allowances, minus charity care @100% of poverty, minus charity care @200% of poverty, plus or minus accrued payments from/to the Indigent Care Trust Fund or the disproportionate share program.
$111,385,032
Other operating revenueOther operating revenue
Revenue or gains from the hospital’s ongoing or central operations other than patient care. These may include such activities as educational or research programs, sales of goods and services to other than patients, and sales of personal convenience items and services to patients. Operating gains may be difficult to distinguish from non-operating gains. Providers are asked to report other revenue (or other operating revenue) and operating gains as defined per the 1990 AICPA audit guide.
$960,285
Labor expenseLabor expense
All expenses related to employment of personnel by the hospital.
$40,956,587
Non-labor expenseNon-labor expense
Any expenses that are not related to labor. Excluding capital and capital-related expenses.
$31,613,950
Capital expenseCapital expense
Capital expenses are those defined by Medicare as capital expenses. This includes depreciation and interest for capital assets reported as used for patient care, plus Medicare inpatient costs for other capital-related expenses. Medicare inpatient costs for other capital-related expenses including leases, rentals (including license and royalty fees for the use of depreciable assets), insurance expense on depreciable assets, related-organization capital-related costs for assets that are not maintained on the hospital's premises, and taxes on land or depreciable assets used for patient care. Depreciation expenses are calculated on a straight-line basis, using Medicare useful lives. Includes the allocated portion of home office capital expenses. This capital expense amount is not necessarily the same as the Medicare-allowable cost figure.
$16,294,737
TaxesTaxes/Tax expense
All taxes reported on the hospital's income statement, including: state income tax, federal income tax, real estate tax, business property tax, and business license fees. Does not include payroll taxes, which are reported under Labor Expenses.
$5,531,167
Bad-debt expenseBad-debt expense
Bad-debt expense (or provision for bad debts) as reported on the hospital’s income statement.
$11,787,831
Total operating expenseTotal operating expense
The sum of all operating expenses.
$106,184,272
Operating incomeOperating income
The net of Net patient revenue plus Other operating income minus Total operating income. This is the value that should be used in the calculation of Operating margin.
$6,161,045
Net non-operating gainsNet non-operating gains
Non-operating gains and losses resulting from transactions incidental or peripheral to the hospital’s central ongoing operations. This may include such items as gifts received, tax support and subsidies, returns on investment of general funds, and gain or loss on sale of properties, as well as other items.
$0
Revenue and gains
in excess of expensesRevenue and gains in excess of expenses
The net amount of change in the net assets of the facility. The sum of Operating income and Non-operating income.
Note: In proprietary facilities this is called Net Income. This is the value that should be used in the calculation of Total margin.

$6,161,045
Current assetsCurrent assets
Cash and other assets that are expected to be converted into cash, sold, or consumed within one year.
$31,885,780
Net fixed assetsNet fixed assets
The value of property, plant, and equipment, net of accumulated depreciation using the straight-line method.
$99,975,754
Other assetsOther assets
The assets, other than fixed assets, that are not expected to be converted into cash, sold, or consumed within one year.
$121,331,111
Total assetsTotal assets
Total assets as reported on the hospital’s balance sheet.
$253,192,645
Current liabilitiesCurrent liabilities
Obligations expected to be liquidated within one year.
$11,116,387
Long term liabilitiesLong-term liabilities/debt
Obligations not expected to be liquidated within one year.
$116,431,357
Total liabilitiesTotal liabilities
The total obligations of the hospital.
$127,547,744
Fund balanceFund balance
The end-of –year sum of general, temporarily restricted, and permanently restricted fund balances. This is the net worth of the corporation at year-end.
$125,644,901


  Updated on: 12/10/2009



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2008 Hospital Service Line Report

Click any column to sort.
Service
LineService Line
Broad categories of care based on 3M's All Patient Refined-Diagnosis Related Groups (APR-DRGs).
Inlier
CasesInlier Cases
The number of hospital inpatient cases that were within the pre-set range for the particular service line. Inlier cases were used to calculate length of stay and total charge values. Inlier cases do not include hospice patients. VHI removed those patients who had length of stays equal to 0 days or less or patients who had 0 dollar ($) charges or less.
Outlier
CasesOutlier Cases
The number of hospital inpatient cases in a calendar year that were outside the pre-set range for the particular service line. Outlier cases do not include hospice patients. VHI removed those patients who had length of stays equal to 0 days or less or patients who had 0 dollar ($) charges or less.
% of
Hospital
Total% of Hospital Total
The number of cases for that hospital's particular service line divided by the total number of hospital cases multiplied by 100.
% of
Regional
Total% of Regional Total
The number of cases for that hospital's particular service line divided by the total number of that service line's cases in that specified region multiplied by 100.
BurnsBurns
Damage to skin and tissue due to some element of extreme temperature contact. Burns are classified as first, second or third degree burns. First degree burns are usually superficial and third degree burns have extensive damage to the point of skin or tissue death.

1 0 0.01% 2.17%
Invasive CardiologyInvasive Cardiology
Diagnostic and invasive procedures that includes cardiac catheterizations, percutaneous procedures and angiograms of the heart.

412 5 5.38% 7.82%
Cardiology - MedicalCardiology - Medical
The study of the heart’s action; the medical specialty that deals with the diagnosis and therapy of heart diseases.

856 10 11.18% 5.44%
Open Heart Surgery Open Heart Surgery 
A surgical procedure that provides through an incision of the chest cavity a full view of the heart. Procedure may be used for, but is not limited to, cardiopulmonary bypass or heart valve surgery.

0 0 0.00% 0.00%
DentalDental
Medical and/or surgical treatment of the teeth and surrounding structures and oral tissues. The services may or may not include endodontics, oral pathology, maxofacial surgery, orthodontics, periodontics, etc.

0 0 0.00% 0.00%
DermatologyDermatology
The study of the skin’s structure, function and diseases; includes diagnosis and treatment of skin and nail disorders.

23 0 0.30% 4.67%
EndocrinologyEndocrinology
The study and treatment of the ductless organs and structures (glands) that secrete internally and of hormones. Endocrinology typically includes the endocrine glands, the hypothalamus, pituitary and adrenal glands, thyroid and parathyroid glands, pancreatic islet cells, the testes and the ovaries.

323 0 4.17% 7.46%
Ear, Nose and Throat (ENT) Surgery Ear, Nose and Throat (ENT) Surgery 
The combined surgical treatment that includes otology (ear), rhinology (nose) and laryngology (larynx/throat). Treatments, including surgery, may involve:
· Ears — the exterior and interior portions of the otological system;
· Nose — the olfactory system including exterior nasal passages and the anterior nasal cavity; and
· Throat — the pharyngeal, naso-pharyngeal or laryngeal areas including tonsils, adenoids and trachea.
See Also Otolaryngology

7 0 0.09% 1.99%
GastroenterologyGastroenterology
Specialty involving the study and treatment of the function and disorders of the organs of digestion, the alimentary (or gastrointestinal) tract: the esophagus, the stomach, large intestines (colon and cecum) and small intestines (duodenum, jejunum, ileum), sigmoid colon, rectum, gallbladder, pancreas, liver, spleen, biliary tract and bile duct.

679 7 8.85% 4.63%
General MedicineGeneral Medicine
Treatment for those disorders that can fall under family practice or primary medical needs, which may include internal medicine or the diagnosis or treatment of internal organs, and that are not otherwise grouped into the specialty services listed in this report.

480 3 6.23% 5.51%
General SurgeryGeneral Surgery
Those surgical procedures not otherwise grouped into the specialty services listed in this report.

300 5 3.94% 4.15%
Gynecological SurgeryGynecological Surgery
Surgical treatment of the female reproductive system including ectopic pregnancy and early abortion. See Obstetrics.

178 0 2.30% 6.14%
GynecologyGynecology
The medical specialty focused on the health care of women and on the diseases of the female genital tract, as well as the endocrinology and reproductive function of the female. The breast may be treated except for surgery.

13 0 0.17% 5.65%
HematologyHematology
The scientific medical study of blood and blood-forming tissues, including therapeutics and anatomy, physiology, pathology and symptomatology of blood cells. This category may include the laboratory study of the response of blood cells to radiation or chemotherapy.

70 0 0.90% 4.46%
Infectious DiseasesInfectious Diseases
The clinical study and treatment of those diseases that can be caused by an infection; i.e., any communicable disease. These diseases can be transmitted from human to human, from animal to human, by direct or indirect contact; e.g., fevers of unknown origin, sexually transmitted diseases (including HIV infection), herpes, central nervous system (CNS) infections, measles, rubella, mumps, hepatitis, rabies, and rickettsial infections (such as Rocky Mountain spotted fever). Bacterial infections such as streptococcal and chlamydial infections also fall under this classification, as well as those of spirochetal, protozoal, helminthic and mycotic causes.

172 8 2.32% 3.81%
NeonatologyNeonatology
A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the neonate requires additional treatment or care beyond a normal birth, such as intensive care for a premature infant.

24 0 0.31% 2.13%
NephrologyNephrology
The medical science primarily concerned with the anatomy, physiology and diseases of the kidneys (the renal or nephric system) including treatment by dialysis and transplantation. Note: Not to be confused with urology, which deals primarily with the diseases and treatment of the genitourinary tract.

131 3 1.73% 5.15%
Neurological SurgeryNeurological Surgery
Any of various kinds of surgery of the nervous system. Often included are those procedures designed to restore physiological activity of nerves (functional neurosurgery), psychosurgery and stereotactic surgery.

12 1 0.17% 0.74%
NeurologyNeurology
The field of medicine dealing with the normal or diseased nervous systems (central, peripheral and autonomic, plus the neuromuscular junction and muscle). May include clinical neurology that deals with the diagnosis and treatment of nervous system disorders.

422 2 5.47% 6.06%
Normal NewbornsNormal Newborns
A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the infant experienced a normal delivery.

470 4 6.12% 4.16%
Obstetrics/DeliveryObstetrics/Delivery
The specialty of medicine concerned with the obstetrical care of a woman and the fetus during pregnancy, childbirth (delivery of the fetus vaginally or by cesarean section, a surgical procedure) and the puerperium (approximately 6 weeks following birth).

547 10 7.19% 4.31%
OncologyOncology
Science/branch of medicine concerned with the study of the physical, chemical and biologic properties and features of abnormal tissue (neoplasm), including the treatment of both malignant and benign tumors.

68 0 0.88% 3.37%
Oncology SurgeryOncology Surgery
Surgical procedures related to diagnostic or treatment of malignant and/or benign tumors.

7 0 0.09% 6.25%
Ophthalmologic Surgery Ophthalmologic Surgery 
Surgical treatment of eye and lid disorders, such as cataract removal with lens implantation.

0 0 0.00% 0.00%
OphthalmologyOphthalmology
The study and treatment of the physiology, anatomy and pathology of the eye and surrounding tissues such as the eye lid. This includes ocular infections, refractive errors, glaucoma, cataracts and other ocular disorders.

5 0 0.06% 4.81%
Orthopedic Surgery Orthopedic Surgery 
Preservation or restoration from disease or injury by surgical means of the function or condition of the musculoskeletal system, the spine and the extremities.

248 5 3.27% 3.07%
OrthopedicsOrthopedics
Branch of medicine concerned with the prevention and correction of disorders of the locomotor system of the body, including the skeleton, muscles, joints and related tissues.

107 0 1.38% 4.59%
Other ObstetricsOther Obstetrics
Medical care provided by an obstetrician other than delivery; for example, nutrition counseling, immunizations, treatment for spontaneous abortion (miscarriage), prevention of preterm labor and anemia. See Obstetrics; Also see Gynecological Surgery

60 0 0.77% 4.47%
OtolaryngologyOtolaryngology
Branch of medicine concerned with medical and surgical treatment of head and neck, including the ears, nose and throat. See ENT.

58 0 0.75% 4.85%
Plastic SurgeryPlastic Surgery
Surgical procedures related to cosmetic or reconstructive surgery of face and body.

0 0 0.00% 0.00%
PsychiatryPsychiatry
The diagnosis, prevention and treatment of mental disorders by those medical specialists trained in the science of psychiatry.

655 3 8.49% 6.65%
PulmonaryPulmonary
Of or pertaining to lungs/respiratory system, to the pulmonary artery; to aperture leading from right ventricle into the pulmonary artery.

979 10 12.76% 5.07%
RehabilitationRehabilitation
Following a disabling disease, injury or addiction, spontaneous or therapeutic restoration of normal function or in a nearly normal manner.

0 0 0.00% 0.00%
RheumatologyRheumatology
The science and medical study relating to diseases or disorders where inflammation or degeneration of tissue occur in the musculoskeletal system.

53 0 0.68% 5.20%
Transplant SurgeryTransplant Surgery
The procedures that involve the movement of tissue or organs from one part of the body, or from a separate body, for the purpose of treatment by implantation or grafting. Included in this grouping are bone marrow, heart, liver and lung transplants.

0 0 0.00% 0.00%
Trauma, Multiple SignificantTrauma, Multiple Significant
Injury or injuries to the face, head and/or body. Trauma scored for severity and prevalence of injuries are categorized in the service line of Multiple Significant Trauma. Less severe or prevalent injuries may be categorized under a different, specific service line.

51 1 0.67% 3.14%
Urological SurgeryUrological Surgery
Treatment provided by surgical means of urinary and genitourinary tract disorders; for example, tumors of the prostate, bladder, kidney or testis.

40 0 0.52% 3.58%
UrologyUrology
The medical specialty that is concerned with the study, diagnosis and treatment of diseases of the urinary tract in the female and both urinary and genitourinary tract in the male.

174 1 2.26% 4.52%
Vascular SurgeryVascular Surgery
Surgical procedures relating to the blood vessels.

45 0 0.58% 2.53%
  Total 7,670 78 100% 4.81%


  Updated on: 12/10/2009




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Efficiency Indicators


For Fiscal Year 1/1/2008 - 12/31/2008

Composite Score:Composite Score
Scores on individual measures may help with specific aspects of efficiency and productivity, whereas a Composite Score helps with the big picture. Which hospitals are the most efficient? (..Click on Composite Score to read more ..)
(Lower is better)
More  
2.4
Less  
Efficient  
Efficient
  1.33.8  


What are Efficiency Indicators?What are Efficiency Indicators?
VHI’s Efficiency (and Productivity) indicators were designed to help large employers, and purchasers (health insurance companies) to find the most efficient and productive health care providers. (..Click on What are Efficiency Indicators? to read more ..)


Indicator Description Quartile Rank 1 through 4
Lower is More Efficient.
 Facility value is over red arrow.
Charges
1) Gross revenue per adj. admission ($)

The average full patient charge based on charge schedules per adjusted admission.
The desired direction is toward a lower value.

Quartile MinimumMaximum
1 10,147.98 16,807.34
2 16,807.35 20,388.72
3 20,388.73 24,884.79
4 24,884.80 44,171.18

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16,949.71
1 2 3 4
2) Net revenue per adj. admission ($)

The average dollar amount expected to be collected per adjusted admission. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 5,318.50 7,351.82
2 7,351.83 7,886.53
3 7,886.54 8,560.85
4 8,560.86 13,080.67

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7,343.78
1 2 3 4
Costs
3) Cost per adj. admission ($)

The average total operating cost per adjusted admission. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 4,697.15 7,147.30
2 7,147.31 7,890.17
3 7,890.18 8,434.38
4 8,434.39 11,807.18

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7,000.88
1 2 3 4
4) Labor cost per adj. admission ($)

The average personnel expense per adjusted admission. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 1,863.58 3,206.49
2 3,206.50 3,681.54
3 3,681.55 4,105.83
4 4,105.84 5,540.81

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2,700.33
1 2 3 4
5) Non-labor cost per adj. admission ($)

The average supply, maintenance and non-personnel expense per adjusted admission. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 1,855.03 2,404.33
2 2,404.34 2,670.68
3 2,670.69 3,122.03
4 3,122.04 4,807.45

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2,084.35
1 2 3 4
6) Capital cost per adj. admission ($)

The average physical plant costs (e.g., purchasing costs, financing costs and capital taxes) per adjusted admission. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 5.58 495.07
2 495.08 638.14
3 638.15 879.91
4 879.92 1,874.21

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1,167.91
1 2 3 4
Productivity/Utilization
7) Full-time equiv. per adj. occupied bed

The number of staff, converted to the average number of employees who work full time, for each occupied bed. The number of occupied beds has been adjusted to account for outpatient service revenue and case mix. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 2.58 3.46
2 3.47 4.16
3 4.17 4.77
4 4.78 7.22

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3.86
1 2 3 4
8) Paid hours per adj. admission

The average number of hours the hospital paid to employees or an agency, per adjusted admission. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 57.86 91.93
2 91.94 101.41
3 101.42 118.99
4 119.00 162.17

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93.41
1 2 3 4
9) Staffed bed occupancy (%)

Expressed as a percentage, the average utilization of the average number of beds, excluding long-term care beds and normal newborn bassinets that are operational to receive patients during the reporting period. The desired direction is toward a higher value.
Quartile MaximumMinimum
1 99.32 79.26
2 79.25 67.18
3 67.17 53.89
4 53.88 27.68

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40.16
1 2 3 4
10) Licensed bed occupancy (%)

Expressed as a percentage, the average utilization of the number of beds reported by the facility, as approved by the Virginia Department of Health. For hospitals, this excludes normal newborn bassinets, but includes neonatal ICU bassinets. The desired direction is toward a higher value.
Quartile MaximumMinimum
1 84.25 64.82
2 64.81 51.14
3 51.13 36.70
4 36.69 14.03

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39.24
1 2 3 4
11) Special services utilization (%)

Expressed as a percentage, the average utilization of high capital-cost services that are subject to Certificate of Public Need (COPN) law. Special services include: ICU/CCU, obstetrics, neonatal ICU, MRI, CT, lithotripsy, cardiac catheterization, radiation therapy and cardiac surgery. The desired direction is toward a higher value.
Quartile MaximumMinimum
1 136.55 91.54
2 91.53 76.53
3 76.52 60.61
4 60.60 32.73

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76.20
1 2 3 4
12) Case mix adj. avg. length of stay

The average number of days a patient stays in the hospital, adjusted for case mix using Version 20.0 of the 3M APR-DRGs. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 2.66 3.64
2 3.65 4.00
3 4.01 4.43
4 4.44 7.11

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4.19
1 2 3 4
Financial Viability
13) Cash debt coverage

A measure of the facility's ability to generate cash to cover its long-term debt. The desired direction is toward a higher value.
Quartile MaximumMinimum
1 358.68 4.10
2 4.09 2.43
3 2.42 0.19
4 0.18 -42.26

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2.98
1 2 3 4
14) Total margin (%)

Total margin expresses the difference between total revenue and cost as a proportion of total revenue. The desired direction is towards a higher value.
Quartile MaximumMinimum
1 18.93 6.05
2 6.04 2.28
3 2.27 -3.66
4 -3.67 -87.95

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5.48
1 2 3 4
15) Return on assets (%)

Expressed as a percentage, the facility's ability to generate cash on its financial resources (e.g., investments, receivables, inventory, physical plant, etc.) The desired direction is toward a higher value.
Quartile MaximumMinimum
1 33.86 9.43
2 9.42 5.68
3 5.67 1.38
4 1.37 -44.53

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5.33
1 2 3 4
16) Fixed asset financing ratio

The percentage of asset value financed by long-term debt. The desired direction is toward a lower value.
Quartile MinimumMaximum
1 0.00 0.22
2 0.23 0.72
3 0.73 1.16
4 1.17 3.97

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1.16
1 2 3 4
Community Support
17) Charity, bad debt, tax (%)

Expressed as a percentage, the amount of charity care (converted to a cost basis,) bad debt and taxes the facility incurred in relation to its total expenses. The desired direction is toward a higher value.
Quartile MaximumMinimum
1 22.28 16.29
2 16.28 12.46
3 12.45 9.69
4 9.68 5.16

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18.09
1 2 3 4
18) Medicaid participation (%)

Expressed as a percentage, it is the amount of patient days for patients enrolled in the Medicaid program in relation to total patient days. The number of patient days has been adjusted to account for outpatient service revenue. The desired direction is toward a higher value.
Quartile MaximumMinimum
1 29.39 14.51
2 14.50 11.23
3 11.22 8.30
4 8.29 4.39

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9.12
1 2 3 4





  Updated on: 12/10/2009




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Cardiac Care Information


About Cardiac Care InformationAbout Cardiac Care Information
VHI'S CARDIAC CARE INFORMATION will help you learn about heart disease and compare the quality of heart care at Virginia hospitals. (.. Click About Cardiac Care Information to read more ..)





KEY
Cases Category
(Based on Adjusted Volume)

Size Medical Invasive Open Heart
High  1500+   1000+   1000+
Mid-High   800 - 1499   250 - 999   500 - 999
Mid-Low   250 - 799   100 - 249   100 - 499
Low   1 - 249   1 - 99   1 - 99
N/A   0 Cases   0 Cases   0 Cases
 Rating (More hearts are better)
  - More than Expected
  - As Expected
  - Less than Expected
  - Too Few to Calculate (Adjusted Volume < 30)
  - Letter from Facility


  
Show Detailed View

Service Line Total
Cases
Mortality
Rating
Readmission
Rating
Cardiology Medical Cardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.
899       
  -  Heart Failure Congestive Heart Failure (CHF)
or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs.

For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585
262       
Invasive Cardiology Cardiology - Invasive
Includes patients with medical conditions generally described in the medical cardiology service line that also had surgery. Surgeries include cardiac catheterization, cardiac pacemaker insertion, balloon angioplasty and placement of cardiac stents.
420      
  -  Cardiac Cath Cardiac Catheterization
or angiogram is a procedure that identifies possible problems with your heart or its arteries. During a cath, a thin plastic tube, called a catheter, is inserted into a blood vessel in your groin or arm. The catheter is guided up toward your heart. A special dye is injected into the catheter so X-rays can show if you have any artery blockage or other heart problems. www.americanheart.org/ presenter.jhtml?identifier=4491
145      
  -  Percutaneous Cardiovascular Proc. Percutaneous Cardiovascular Procedures
These procedures primarily include various types of Coronary Angioplasty. Coronary angioplasty is a medical procedure used to open arteries that have narrowed to the point that they impede blood flow to the heart. This procedure can improve some of the symptoms associated with blocked arteries, such as chest pain and shortness of breath.
178      


Letter From the Facility
  
Show Normal View

  Mortality Readmission
Service Line Total
Cases
Hospice
Cases
Adj
Vol
Act Exp Ratio Rating Adj
Vol
Act Exp Ratio Rating
Cardiology Medical Cardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.
899 3 821 3.05% 1.84% 1.66     799 9.64% 11.19% 0.86   
  -  Heart Failure Congestive Heart Failure (CHF)
or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs.

For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585
262 2 253 4.74% 2.64% 1.79     243 17.28% 18.04% 0.96   
Invasive Cardiology Cardiology - Invasive
Includes patients with medical conditions generally described in the medical cardiology service line that also had surgery. Surgeries include cardiac catheterization, cardiac pacemaker insertion, balloon angioplasty and placement of cardiac stents.
420 1 397 1.51% 1.18% 1.28    392 9.44% 8.93% 1.06   
  -  Cardiac Cath Cardiac Catheterization
or angiogram is a procedure that identifies possible problems with your heart or its arteries. During a cath, a thin plastic tube, called a catheter, is inserted into a blood vessel in your groin or arm. The catheter is guided up toward your heart. A special dye is injected into the catheter so X-rays can show if you have any artery blockage or other heart problems. www.americanheart.org/ presenter.jhtml?identifier=4491
145 0 129 0.78% 0.61% 1.27    128 4.69% 8.39% 0.56   
  -  Percutaneous Cardiovascular Proc. Percutaneous Cardiovascular Procedures
These procedures primarily include various types of Coronary Angioplasty. Coronary angioplasty is a medical procedure used to open arteries that have narrowed to the point that they impede blood flow to the heart. This procedure can improve some of the symptoms associated with blocked arteries, such as chest pain and shortness of breath.
178 1 174 2.30% 1.88% 1.22    171 12.28% 9.22% 1.33   


Letter From the Facility


  Updated on: 02/24/2010




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Virginia Obstetric Report

pop up description layer
   

Click any column to sort


= Better than expected performance
Deliveries Cesarean Episiotomy Hospital Length of Stay Average Hospital Charge
TotalTotal Deliveries
The total number of deliveries by a provider (doctor or hospital.)
Primary Act. RatePrimary Cesarean Actual Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.
Primary
RatingPrimary Cesarean Rating
The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Repeat
RatingRepeat Cesarean Rating
The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal DeliveriesVaginal Deliveries
The total number of women who had a vaginal delivery with this provider.
Episiotomy
RatesEpisiotomy Rate
The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
Vaginal RatingVaginal Delivery Hospital Length of Stay Rating
The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Cesarean RatingCesarean Delivery Hospital Length of Stay Rating
The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal RatingVaginal Delivery Hospital Average Charge Rating
The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Cesarean RatingCesarean Delivery Hospital Average Charge Rating
The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
57122.98%
      38330.03%
                        


Deliveries Primary Cesareans Repeat Cesareans Episiotomy
TotalTotal Deliveries
The total number of deliveries by a provider (doctor or hospital.)
All
CesareanAll Cesarean Deliveries
The number of cesarean deliveries by this provider.
DeliveriesPrimary Cesarean Deliveries
The number of women, for a given provider, who had a cesarean delivery for the first time.
Act. RatePrimary Cesarean Actual Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.
Exp. RatePrimary Cesarean Expected Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)
RatingPrimary Cesarean Rating
The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
DeliveriesRepeat Cesarean Deliveries
The number of women, for a given provider, who had a cesarean delivery more than one time.
Act. RateRepeat Cesarean Actual Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery more than one time.
Exp. RateRepeat Cesarean Expected Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery, more than one time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)
RatingRepeat Cesarean Rating
The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal
DeliveriesVaginal Deliveries
The total number of women who had a vaginal delivery with this provider.
TotalTotal Episiotomies
The number of women who had an episiotomy during a vaginal delivery with this provider.
RateEpisiotomy Rate
The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
57118811422.98%14.3%  7498.67%90.8%    38311530.03%


Hospital Length of Stay Average Hospital Charge
Cesarean
ActualActual Cesarean Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a cesarean delivery by this provider.
Cesarean
ExpectedExpected Cesarean Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Cesarean
RatingCesarean Delivery Hospital Length of Stay Rating
The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal
ActualActual Vaginal Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a vaginal delivery by this provider.
Vaginal
ExpectedExpected Vaginal Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Vaginal
RatingVaginal Delivery Hospital Length of Stay Rating
The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Cesarean
ActualActual Cesarean Hospital Average Charge
The average hospital charge ($) for a cesarean delivery in the hospital by this provider.
Cesarean
ExpectedExpected Cesarean Hospital Average Charge
The average hospital charge ($) for a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Cesarean
RatingCesarean Delivery Hospital Average Charge Rating
The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal
ActualActual Vaginal Hospital Average Charge
The average hospital charge ($) for a vaginal delivery in the hospital by this provider.
Vaginal
ExpectedExpected Vaginal Hospital Average Charge
The average hospital charge ($) for a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Vaginal
RatingVaginal Delivery Hospital Average Charge Rating
The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
2.913.15      2.082.13      $7,948$10,326      $4,823$6,116      


Hospital type Board Certified or Eligible Other Providers Service Level
Hospital TypeHospital Type
Freestanding women's hospital; Women's hospital within a hospital system; Obstetrical care unit within a hospital or an Obstetrical services without designated unit.
Obste-triciansBoard Certified or Eligible Obstetrician
a doctor who has advanced training in caring for pregnant women through childbirth.
Neona-tologistsBoard Certified or Eligible Neonatologist
a doctor who has advanced training in taking care of newborn babies from birth through the first 28 days of life.
Perina-tologistsBoard Certified or Eligible Perinatologist
a doctor who has advanced training in taking care of the mother and baby before birth and ending 7 to 28 days after birth.
Pedia-triciansBoard Certified or Eligible Pediatrician
a doctor who has advanced training in children's health that ranges from ages new born to eighteen.
FT Maternal-
Fetal SpecialistsFull-Time Maternal-fetal Specialists
also called perinatologists, are full-time obstetricians who have advanced training in caring for pregnant women and their unborn babies, who may be at high risk for special health problems.
Certified Nurse MidwivesCertified Nurse Midwives
an Advanced Practice Nurse who has extra education and training in both Nursing and Midwifery.
Neonatal Nurse Practi-tionersNeonatal Nurse Practitioner
an advanced practice nurse with advanced education and training who cares for premature infants and other newborns who require special care due to health problems.
Service LevelService Level
the ability of the hospital to provide general or specialized medical care.
Not Reported5005000Some serious high-risk obstetric patients

Staffing and survey information updated on 7/14/2010 10:22:00 AM




Operative delivery rooms NICU Fetal Heart Rate Monitoring Postpartum
On same floor as L&DOperative Delivery Rooms on Same Floor as L&D
operating room on the same floor as labor and delivery unit.
General Surgical Suites on same floor as L&DOperative Delivery Rooms in General Surgical Suites on Same Floor as L&D
operating delivery rooms in suites setup for general surgery on the same floor as labor and delivery unit.
General Surgical Suite on a separate floor from L&DOperative Delivery Rooms in General Surgical Suite on a Seperate Floor from L&D
operating delivery rooms in suites setup for general surgery on a different floor as labor and delivery unit.
NICU on same floor as L&DNICU on Same Floor as L&D
neonatal intensive care unit on the same floor as labor and delivery unit.
Labor Room has electronic fetal heart rate monitoring and alarmsFetal Heart Monitoring- Labor Room
machines used to monitor the unborn babies heart rate during labor are located in the hospital room where a pregnant woman spends labor and is transferred.
Central station where personnel monitor the fetal heart ratesFetal Heart Monitoring- Central Station
machines used to monitor the unborn babies heart rate during labor are located in one area where patients are electronically monitored by hospital staff.
Private RoomsPostpartum Private Rooms
private, after recovery, room to give mother and baby time to bond before being discharged.
Semi-private RoomsPostpartum Semi-Private Rooms
semi-private (usually two or more beds), after recovery, room to give mother and baby time to bond before being discharged.
100Not Applicable130

Staffing and survey information updated on 7/14/2010 10:22:00 AM


Hospital type Policy and Procedures Other Services
Contraception and permanent sterilizationContraception and/or Permanent Sterilization
counseling related to birth control and services available, such as, tubal sterilization.
Outpatient BirthsOutpatient Births
birth outside the hospital, either at home or in a birthing center.
No Elective Delivery <39 weeksPolicy and Procedures Regarding Elective Delivery < 39 weeks
professional medical guidelines discourage elective deliveries before a baby reaches 39 weeks development or gestation.
Use of corticosterioids for risk of birther <34 weeksPolicy and Procedures Regarding Use of Corticosteriods for Risk of Birth < 34 weeks
professional medical guidelines support the administration of corticosteroids to pregnant women who are at risk of delivering their baby before 34 weeks development or gestation.
Bilirubin level screen of infants prior to post-delivery dischargePolicy and Procedures Regarding Biliruban Level Screen of Infants prior to Post-delivery Discharge
professional medical guidelines or standards support infants having bilirubin screening before being discharged from the hospital.
DVT/VTE prophylaxis for c-sectionsPolicy and Procedures Regarding DVT/VTE Prophylaxis for C-sections
professional medical guidelines support the use of medical treatments given to women to prevent blood clots after cesarean section operations.
Cord blood sampling for PhCord Blood Sampling for Ph
hospital reviews birth cases for this lab test to find out if there were any problems with the care given to the patient.
Collect and review OB safety related dataCollect and Review OB Safety Related Data
collection and review of OB safety related data.
OB safety related data usedOB Safety Related Data Used
hospital reviews birth cases for these events to find out if there were any problems with the medical care given to the mother or baby.
- Apgars less than 7
- Maternal
More...- Apgars less than 7<br>- Maternal Injuries<br>- Neonatal Injuries<br>- Newborn and Maternal transfers to higher level of care

Staffing and survey information updated on 7/14/2010 10:22:00 AM


















Physician who performed deliveries at this facility
  • Jose R. Torres - (169 deliveries)
  • Richard Thomas Welham - (166 deliveries)
  • Paul Alfred Holyfield - (54 deliveries)
Click Here to Compare These 3 Physicians' Obstetric Data


 2006 data updated on: 08/25/2009



   Print this tab

Patient Satisfaction Survey

 · Memorial Hospital of Martinsville & Henry County's Overall

9 or 10 (high) 7 or 8 (medium) 6 or lower (low)
|||
 
10 How do patients rate the hospital overall?
Hospital  
60%Patients who gave a rating of 9 or 10 (high)30%Patients who gave a rating of7 or 8 (medium)10%Patients who gave a rating of 6 or lower (low)
VA  
63%27%10%
USA  
66%24%10%


Yes, Definitely Yes, Probably No
|||
 
6 Would patients recommend the hospital to friends and family?
Hospital  
55%YES, patients would definitely recommend the hospital39%YES, patients would probably recommend the hospital6%NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)
VA  
66%28%6%
USA  
68%26%6%


 ·  Memorial Hospital of Martinsville & Henry County's Comfort

Always Usually Sometimes/Never
|||

Click here to sort by Hospital Percentage
13 How often were the patients rooms and bathrooms kept clean?
Hospital  
64%Room was always clean23%Room was usually clean13%Room was sometimes or never clean
VA  
68%21%11%
USA  
70%20%10%
15 How often did patients receive help quickly from hospital staff?
Hospital  
60%Patients always received help as soon as they wanted25%Patients usually received help as soon as they wanted15%Patients sometimes or never received help as soon as they wanted
VA  
61%26%13%
USA  
63%26%11%
7 How often was patients pain well controlled?
Hospital  
67%Pain was always well controlled26%Pain was usually well controlled7%Pain was sometimes or never well controlled
VA  
68%24%8%
USA  
69%24%7%
13 How often was the area around patients rooms kept quiet at night?
Hospital  
59%Always quiet at night28%Usually quiet at night13%Sometimes or never quiet at night
VA  
56%31%13%
USA  
57%31%12%


 ·  Memorial Hospital of Martinsville & Henry County's Communication

Always Usually Sometimes/Never
|||

Click here to sort by Hospital Percentage
10 How often did nurses communicate well with patients?
Hospital  
70%Nurses always communicated well20%Nurses usually communicated well10%Nurses sometimes or never communicated well
VA  
74%20%6%
USA  
75%19%6%
5 How often did doctors communicate well with patients?
Hospital  
83%Doctors always communicated well12%Doctors usually communicated well5%Doctors sometimes or never communicated well
VA  
80%15%5%
USA  
80%15%5%
29 How often did staff explain about medicines before giving them to patients?
Hospital  
55%Staff always explained16%Staff usually explained29%Staff sometimes or never explained
VA  
57%19%24%
USA  
59%19%22%


Yes No
||
 
20 Were patients given information about what to do during their recovery at home?
Hospital  
80%Yes, staff did give patients this information20%No, staff did not give patients this information
VA  
82%18%
USA  
81%19%




VA State Average & US Average: this number is included so you have
  • a better idea of what is typical for Virginia or the US
  • a basis for comparing individual hospital's performance

Survey ResponseSurvey Response
The percentage of patients who completed the survey.
: 31%    |    Completed SurveyCompleted Survey
Total number of patients who completed a survey.
: 300 or more

Patient Survey Collection Dates: October 2008 - September 2009 , Released in July 2010

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey information obtained
from the Centers for Medicare & Medicaid Services (CMS)

METHODOLOGY

Compare Hospitals' Patient Satisfaction Surveys

Updated on: 07/01/2010



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