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Castle Medical Center - Profile, Major Services, Health Measures, and Patient Experience

The following tables show the profile, major inpatient hospital services, 30-day mortality measures, and patient hospital experience survey at Castle Medical Center.

Basic Information

Address: 640 Ulukahiki St, Kailua, HI 96734         Phone: 808-263-5500
Hospital Type: Acute Care Hospitals         Emergency Services: Yes
Hospital Owner: Voluntary non-profit - Church

Major Inpatient Hospital Services

The information in this table reflects inpatient hospital services provided by Castle Medical Center to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC74
Heart failure and shock with CC28
Acute myocardial infarction, discharged alive with MCC27
Heart failure and shock with MCC26
Chest Pain23
Chronic obstructive pulmonary disease with CC18
Chronic obstructive pulmonary disease with MCC14
Simple pneumonia and pleurisy with MCC14
Heart failure and shock without CC/MCC11
Major small and large bowel procedures with MCC11
Acute myocardial infarction, discharged alive without CC/MCC<11 (*)
Acute myocardial infarction, discharged alive with CC<11 (*)
Chronic obstructive pulmonary disease without CC/MCC<11 (*)
Diabetes with MCC<11 (*)
Permanent cardiac pacemaker implant without CC/MCC<11 (*)
Permanent cardiac pacemaker implant with CC<11 (*)
Perc cardiovasc proc with drug-eluting stent without MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. without CC/MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. with MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. with CC<11 (*)
Hernia procedures except inguinal and femoral with MCC<11 (*)
Major small and large bowel procedures without CC/MCC<11 (*)
Major small and large bowel procedures with CC<11 (*)
Cervical spinal fusion without CC/MCC<11 (*)
Spinal fusion except cervical without MCC<11 (*)
Back and neck proc exc spinal fusion without CC/MCC<11 (*)
Bilateral or multiple major joint procs of lower extremity with MCC<11 (*)
Major joint replacement or reattachment of lower extremity with MCC<11 (*)
Revision of hip or knee replacement without CC/MCC<11 (*)
Revision of hip or knee replacement with MCC<11 (*)
Revision of hip or knee replacement with CC<11 (*)
Kidney and ureter procedures for neoplasm with CC<11 (*)
Other kidney and urinary tract procedures with MCC<11 (*)
Transurethral prostatectomy without CC/MCC<11 (*)
Uterine and adnexa proc for non-malignancy without CC/MCC<11 (*)

Note: (*) indicates data cannot be disclosed to protect personal health information due to the small number of Medicare patients.
CC: Complicating or Comorbid condition; MCC: Major Complicating or Comorbid Condition.

30-Day Mortality Measures

The 30-day mortality rate at Castle Medical Center was calculated by CMS (Centers for Medicare & Medicaid Services) using Medicare claims and eligibility information as well as VA administrative information.

Measure Name Result
Hospital 30-Day Death (Mortality) Rates from Heart Attack 14.6
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Heart Attack No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 11.3
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 18.5
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 118
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 12.3
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Heart Failure No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 9.3
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 16.2
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 132
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 12.7
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Pneumonia No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 9.4
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 17
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 137
Footnote - Hospital 30-Day Death (Mortality) Rates from Pneumonia

Patient Hospital Experience Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Survey is a 32-item survey instrument and data collection methodology for measuring patients’ perceptions of their hospital experience. This survey at Castle Medical Center is administered to a random sample of adult inpatients between 48 hours and six weeks after discharge.

Survey Question Result
Percent of patients who reported that their nurses "Sometimes" or "Never" communicated well. 3%
Percent of patients who reported that their nurses "Usually" communicated well. 18%
Percent of patients who reported that their nurses "Always" communicated well. 79%
Percent of patients who reported that their doctors "Sometimes" or "Never" communicated well. 4%
Percent of patients who reported that their doctors "Usually" communicated well. 15%
Percent of patients who reported that their doctors "Always" communicated well. 81%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 7%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 27%
Percent of patients who reported that they "Always" received help as soon as they wanted. 66%
Percent of patients who reported that their pain was "Sometimes" or "Never" well controlled. 5%
Percent of patients who reported that their pain was "Usually" well controlled. 21%
Percent of patients who reported that their pain was "Always" well controlled. 74%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 17%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 19%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 64%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 3%
Percent of patients who reported that their room and bathroom were "Usually" clean. 13%
Percent of patients who reported that their room and bathroom were "Always" clean. 84%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 10%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 32%
Percent of patients who reported that the area around their room was "Always" quiet at night. 58%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 85%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 15%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 6%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 20%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 74%
Percent of patients who reported NO,they would not recommend the hospital. 3%
Percent of patients who reported YES,they would probably recommend the hospital. 20%
Percent of patients who reported YES,they would definitely recommend the hospital. 77%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 34%
Hospital Footnote