MIMBRES MEMORIAL HOSPITAL
900 W ASH
DEMING, NM 88030
SHORT TERM HOSPITALS
Services provided by MIMBRES MEMORIAL HOSPITAL:
Beds – Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 49
Beds – Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 49
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Prior change of ownership (The date of a prior change of ownership): Mar 1996
Certified rn anesthetists (Number of full-time equivalent certified registered nurse anesthetists (crna) employed by a hospital): 1.10
Clia – Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 32D0537202
Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): No
Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): Yes
Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No
Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 3.90
Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 2.90
Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION
Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 93.45
Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes
Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1.24
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Regional override #2 (staffing) (This field is set to “y” when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes
Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 32.57
Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 2
Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No
Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No
Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No
Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No
Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT
Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 3
Srv: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF
Srv: dietary (Indicates how dietary services are provided): PROVIDED UNDER ARRANGEMENT
Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT
Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED BY STAFF
Srv: hospice (Indicates how hospice services are provided by a hospital): PROVIDED BY STAFF
Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF
Srv: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF
Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED UNDER ARRANGEMENT
Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT
Srv: long term care unit (Indicates how long term care unit services are provided in a hospital): PROVIDED BY STAFF
Srv: neonatal nursery (Indicates how neonatal nursery services are provided by a hospital): PROVIDED BY STAFF
Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED BY STAFF
Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF
Srv: optometric (Indicates how optometric services are provided by a hospital): PROVIDED UNDER ARRANGEMENT
Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF
Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF
Srv: pediatric (Indicates how pediatric services are provided by a hospital): PROVIDED BY STAFF
Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF
Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF
Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF
Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT
Srv: social (Indicates how social services are provided): PROVIDED BY STAFF
Swing bed indicator (Indicates if a hospital provides swing bed services – Beds can be used for either hospital or long term care services): No
Type of facility (Indicates the category which represents the type of facility): SHORT – TERM
Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED BY STAFF
Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 1
Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC
Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE
Current survey date (The date of the health or life safety code survey, whichever is later. the “official” survey date for the provider): Jun 2001
Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE
Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1966
Quality Measure Score
|
Here |
State Average |
Nation Average |
| Heart Attack Patients Given Aspirin at Arrival |
100% |
94% |
93% |
| Heart Attack Patients Given Aspirin at Discharge |
71% |
89% |
90% |
| Heart Attack Patients Given Beta Blocker at Arrival |
56% |
79% |
88% |
| Heart Attack Patients Given Beta Blocker at Discharge |
67% |
82% |
91% |
| Heart Attack Patients Given Smoking Cessation Advice/Counseling |
0% |
72% |
91% |
|
Here |
State Average |
Nation Average |
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular
Systolic Dysfunction (LVSD) |
45% |
81% |
84% |
| Heart Failure Patients Given Discharge Instructions |
20% |
36% |
66% |
| Heart Failure Patients Given Smoking Cessation Advice/Counseling |
42% |
65% |
86% |
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic
(LVS) Function |
36% |
66% |
85% |
|
Here |
State Average |
Nation Average |
| Pneumonia Patients Assessed and Given Influenza Vaccination |
24% |
65% |
75% |
| Pneumonia Patients Assessed and Given Pneumococcal Vaccination |
39% |
66% |
75% |
| Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
100% |
91% |
93% |
| Pneumonia Patients Given Oxygenation Assessment |
100% |
100% |
99% |
| Pneumonia Patients Given Smoking Cessation Advice/Counseling |
70% |
72% |
84% |
| Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s) |
90% |
81% |
86% |
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed
Prior To The Administration Of The First Hospital Dose Of Antibiotics |
93% |
89% |
90% |
|
Here |
State Average |
Nation Average |
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before
Incision |
31% |
68% |
82% |
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24
Hours Before or After Selected Surgeries to Prevent Blood Clots |
14% |
60% |
75% |
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s)
for Their Surgery |
13% |
88% |
90% |
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots
(Venous Thromboembolism) For Certain Types of Surgeries |
29% |
67% |
79% |
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24
hours After Surgery |
76% |
79% |
78% |
Average Medicare Payment
Chest Pain: $2961
Chronic Lung Disease: $4594
Diabetes in Adults: $4004
Gallbladder Removal By Laparoscope: $5382
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $13305
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $9594
Head and Neck Blood Vessel Operations: $5338
Heart Attack with Major Complications: $7138
Heart Attack without Complications: $4417
Heart Failure: $5466
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $20104
Major Small & Large Intestine Operations: $7496
Minor Small and Large Bowel Procedures With Complications: $14585
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $5222
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $15909
Uterus & Ovary Operations: $4159