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Borgess 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 Borgess Medical Center.

Basic Information

Address: 1521 Gull Road, Kalamazoo, MI 49048         Phone: 269-226-7000
Hospital Type: Acute Care Hospitals         Emergency Services: Yes
Hospital Owner: Voluntary non-profit - Other

Major Inpatient Hospital Services

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

Service Name Number of Cases Treated i
Perc cardiovasc proc with drug-eluting stent without MCC523
Major joint replacement or reattachment of lower extremity without MCC356
Chest Pain207
Heart failure and shock with CC182
Heart failure and shock with MCC143
Chronic obstructive pulmonary disease with CC105
Acute myocardial infarction, discharged alive with MCC90
Simple pneumonia and pleurisy with MCC89
Chronic obstructive pulmonary disease with MCC79
Spinal fusion except cervical without MCC71
Heart failure and shock without CC/MCC69
Chronic obstructive pulmonary disease without CC/MCC66
Extracranial procedures without CC/MCC63
Permanent cardiac pacemaker implant with CC58
Acute myocardial infarction, discharged alive with CC50
Back and neck proc exc spinal fusion without CC/MCC49
Coronary bypass without cardiac cath without MCC46
Permanent cardiac pacemaker implant without CC/MCC44
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair38
Major small and large bowel procedures with CC35
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim35
Cardiac defibrillator implant without cardiac cath without MCC27
Acute myocardial infarction, discharged alive without CC/MCC26
Major small and large bowel procedures with MCC24
Cardiac valve and oth maj cardiothoracic proc without card cath with CC22
Extracranial procedures with CC22
Cardiac valve and oth maj cardiothoracic proc without card cath with MCC19
Cervical spinal fusion without CC/MCC18
Laparoscopic cholecystectomy without c.d.e. with CC16
Major joint replacement or reattachment of lower extremity with MCC16
Revision of hip or knee replacement without CC/MCC16
Uterine and adnexa proc for non-malignancy without CC/MCC16
Diabetes with MCC15
Major small and large bowel procedures without CC/MCC15
Laparoscopic cholecystectomy without c.d.e. without CC/MCC13
Female reproductive system reconstructive procedures13
Cardiac valve and oth maj cardiothoracic proc without card cath without CC/MCC12
Coronary bypass without cardiac cath with MCC12
Cardiac defibrillator implant without cardiac cath with MCC<11 (*)
Cardiac defib implant with cardiac cath without AMI/HF/shock without MCC<11 (*)
Cardiac defib implant with cardiac cath without AMI/HF/shock with MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. with MCC<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 (*)
Stomach, esophageal duodenal proc without CC/MCC<11 (*)
Cervical spinal fusion with MCC<11 (*)
Cervical spinal fusion with CC<11 (*)
Spinal fusion except cervical with MCC<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 with MCC<11 (*)
Revision of hip or knee replacement with CC<11 (*)
Biopsies of musculoskeletal system and connective tissue without CC/MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue with CC<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 CC<11 (*)
Kidney and ureter procedures for non-neoplasm with MCC<11 (*)
Transurethral procedures with MCC<11 (*)
Other kidney and urinary tract procedures without CC/MCC<11 (*)
Other kidney and urinary tract procedures with MCC<11 (*)
Other kidney and urinary tract procedures with CC<11 (*)
Transurethral prostatectomy without CC/MCC<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 Borgess 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 17.3
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 15
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 20
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 702
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 13.8
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 11.6
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 740
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 14.3
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 11.9
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 16.9
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 459
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 Borgess 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. 5%
Percent of patients who reported that their nurses "Usually" communicated well. 16%
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. 6%
Percent of patients who reported that their doctors "Usually" communicated well. 16%
Percent of patients who reported that their doctors "Always" communicated well. 78%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 9%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 26%
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. 8%
Percent of patients who reported that their pain was "Usually" well controlled. 22%
Percent of patients who reported that their pain was "Always" well controlled. 70%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 22%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 17%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 61%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 12%
Percent of patients who reported that their room and bathroom were "Usually" clean. 20%
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. 9%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 36%
Percent of patients who reported that the area around their room was "Always" quiet at night. 55%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 86%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 14%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 7%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 19%
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. 5%
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. 76%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 38%
Hospital Footnote