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Saint Mary's Health Care - 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 Saint Mary's Health Care.

Basic Information

Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503         Phone: 616-685-5000
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 Saint Mary's Health Care to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC192
Heart failure and shock with MCC156
Spinal fusion except cervical without MCC97
Heart failure and shock with CC60
Chest Pain42
Cervical spinal fusion without CC/MCC42
Simple pneumonia and pleurisy with MCC39
Back and neck proc exc spinal fusion without CC/MCC33
Acute myocardial infarction, discharged alive with MCC32
Chronic obstructive pulmonary disease with MCC31
Chronic obstructive pulmonary disease with CC30
Revision of hip or knee replacement with CC27
Uterine and adnexa proc for non-malignancy without CC/MCC24
Major small and large bowel procedures with MCC23
Acute myocardial infarction, discharged alive with CC22
Major small and large bowel procedures with CC20
Major joint replacement or reattachment of lower extremity with MCC20
Heart failure and shock without CC/MCC17
Cervical spinal fusion with CC17
Transurethral prostatectomy without CC/MCC15
Female reproductive system reconstructive procedures14
Chronic obstructive pulmonary disease without CC/MCC13
Stomach, esophageal duodenal proc without CC/MCC13
Acute myocardial infarction, discharged alive without CC/MCC<11 (*)
Diabetes with MCC<11 (*)
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair<11 (*)
Cardiac defibrillator implant without cardiac cath without MCC<11 (*)
Extracranial procedures without CC/MCC<11 (*)
Extracranial procedures with CC<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 (*)
Cholecystectomy except by laparoscope without c.d.e. with MCC<11 (*)
Hernia procedures except inguinal and femoral without CC/MCC<11 (*)
Hernia procedures except inguinal and femoral with MCC<11 (*)
Hernia procedures except inguinal and femoral with CC<11 (*)
Major small and large bowel procedures without CC/MCC<11 (*)
Cervical spinal fusion with MCC<11 (*)
Spinal fusion except cervical with MCC<11 (*)
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim<11 (*)
Major shoulder or elbow joint procedures without CC/MCC<11 (*)
Bilateral or multiple major joint procs of lower extremity without MCC<11 (*)
Revision of hip or knee replacement without CC/MCC<11 (*)
Revision of hip or knee replacement with MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue without CC/MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue with MCC<11 (*)
Other musculoskelet sys and conn tiss O.R. proc with MCC<11 (*)
Kidney and ureter procedures for neoplasm without CC/MCC<11 (*)
Kidney and ureter procedures for neoplasm with MCC<11 (*)
Kidney and ureter procedures for neoplasm with CC<11 (*)
Kidney and ureter procedures for non-neoplasm with MCC<11 (*)
Transurethral procedures with MCC<11 (*)
Other kidney and urinary tract procedures with MCC<11 (*)
Other kidney and urinary tract procedures with CC<11 (*)
Transurethral prostatectomy with 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 Saint Mary's Health Care 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 16.6
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 13.1
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 20.7
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 126
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 13
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 10.5
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 16
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 371
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 13.3
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 10.3
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 17.1
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 194
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 Saint Mary's Health Care 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. 17%
Percent of patients who reported that their nurses "Always" communicated well. 80%
Percent of patients who reported that their doctors "Sometimes" or "Never" communicated well. 2%
Percent of patients who reported that their doctors "Usually" communicated well. 16%
Percent of patients who reported that their doctors "Always" communicated well. 82%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 6%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 29%
Percent of patients who reported that they "Always" received help as soon as they wanted. 65%
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. 23%
Percent of patients who reported that their pain was "Always" well controlled. 72%
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. 18%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 65%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 10%
Percent of patients who reported that their room and bathroom were "Usually" clean. 22%
Percent of patients who reported that their room and bathroom were "Always" clean. 68%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 6%
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. 62%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 89%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 11%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 5%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 18%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 77%
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. 19%
Percent of patients who reported YES,they would definitely recommend the hospital. 78%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 40%
Hospital Footnote