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Mary Hitchcock Memorial Hospital - 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 Mary Hitchcock Memorial Hospital.

Basic Information

Address: 1 Medical Center Drive, Lebanon, NH 03756         Phone: 603-650-5000
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 Mary Hitchcock Memorial Hospital to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC359
Perc cardiovasc proc with drug-eluting stent without MCC163
Heart failure and shock with CC116
Bilateral or multiple major joint procs of lower extremity without MCC79
Major small and large bowel procedures with CC75
Acute myocardial infarction, discharged alive with CC67
Cardiac valve and oth maj cardiothoracic proc without card cath with CC65
Spinal fusion except cervical without MCC62
Major small and large bowel procedures with MCC61
Acute myocardial infarction, discharged alive with MCC55
Heart failure and shock with MCC55
Chest Pain53
Coronary bypass without cardiac cath without MCC46
Chronic obstructive pulmonary disease with MCC45
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair45
Extracranial procedures without CC/MCC43
Permanent cardiac pacemaker implant with CC43
Acute myocardial infarction, discharged alive without CC/MCC41
Chronic obstructive pulmonary disease with CC40
Revision of hip or knee replacement without CC/MCC36
Permanent cardiac pacemaker implant without CC/MCC34
Revision of hip or knee replacement with CC29
Simple pneumonia and pleurisy with MCC28
Stomach, esophageal duodenal proc without CC/MCC28
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim27
Major small and large bowel procedures without CC/MCC26
Cardiac valve and oth maj cardiothoracic proc without card cath without CC/MCC25
Back and neck proc exc spinal fusion without CC/MCC24
Major joint replacement or reattachment of lower extremity with MCC22
Kidney and ureter procedures for neoplasm with CC22
Heart failure and shock without CC/MCC17
Extracranial procedures with CC17
Cervical spinal fusion with CC17
Cardiac valve and oth maj cardiothoracic proc without card cath with MCC16
Kidney and ureter procedures for neoplasm without CC/MCC15
Kidney and ureter procedures for non-neoplasm with MCC14
Cardiac defibrillator implant without cardiac cath without MCC13
Chronic obstructive pulmonary disease without CC/MCC11
Laparoscopic cholecystectomy without c.d.e. with CC11
Cervical spinal fusion without CC/MCC11
Diabetes with MCC<11 (*)
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 (*)
Coronary bypass without cardiac cath with MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. without CC/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 (*)
Cervical spinal fusion with MCC<11 (*)
Spinal fusion except cervical with MCC<11 (*)
Major shoulder or elbow joint procedures without CC/MCC<11 (*)
Major shoulder or elbow joint procedures with 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 (*)
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 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 (*)
Female reproductive system reconstructive procedures<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 Mary Hitchcock Memorial Hospital 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 14.2
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 12
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 16.5
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 781
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 11.7
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 9.4
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 14.5
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 431
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 11.2
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 8.8
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 14.1
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 327
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 Mary Hitchcock Memorial Hospital 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. 4%
Percent of patients who reported that their nurses "Usually" communicated well. 19%
Percent of patients who reported that their nurses "Always" communicated well. 77%
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. 17%
Percent of patients who reported that their doctors "Always" communicated well. 79%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 8%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 22%
Percent of patients who reported that they "Always" received help as soon as they wanted. 70%
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. 27%
Percent of patients who reported that their pain was "Always" well controlled. 65%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 20%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 21%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 59%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 11%
Percent of patients who reported that their room and bathroom were "Usually" clean. 23%
Percent of patients who reported that their room and bathroom were "Always" clean. 66%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 23%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 37%
Percent of patients who reported that the area around their room was "Always" quiet at night. 40%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 90%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 10%
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). 18%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 76%
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. 13%
Percent of patients who reported YES,they would definitely recommend the hospital. 84%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 41%
Hospital Footnote