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Lima Memorial Health System - 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 Lima Memorial Health System.

Basic Information

Address: 1001 Bellefontaine Avenue, Lima, OH 45804         Phone: 419-998-4731
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 Lima Memorial Health System to Medicare beneficiaries.

Service Name Number of Cases Treated i
Chronic obstructive pulmonary disease with MCC87
Simple pneumonia and pleurisy with MCC77
Heart failure and shock with CC58
Chronic obstructive pulmonary disease with CC54
Perc cardiovasc proc with drug-eluting stent without MCC42
Heart failure and shock with MCC41
Major joint replacement or reattachment of lower extremity without MCC36
Acute myocardial infarction, discharged alive with MCC33
Acute myocardial infarction, discharged alive with CC33
Chest Pain33
Chronic obstructive pulmonary disease without CC/MCC30
Permanent cardiac pacemaker implant with CC21
Extracranial procedures without CC/MCC19
Coronary bypass without cardiac cath without MCC18
Permanent cardiac pacemaker implant without CC/MCC13
Major small and large bowel procedures with CC12
Coronary bypass without cardiac cath with MCC11
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim11
Acute myocardial infarction, discharged alive without CC/MCC<11 (*)
Heart failure and shock without CC/MCC<11 (*)
Diabetes with MCC<11 (*)
Cardiac valve and oth maj cardiothoracic proc without card cath with MCC<11 (*)
Cardiac valve and oth maj cardiothoracic proc without card cath with CC<11 (*)
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair<11 (*)
Cardiac defibrillator implant without cardiac cath without MCC<11 (*)
Cardiac defibrillator implant without cardiac cath with MCC<11 (*)
Extracranial procedures with CC<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 with MCC<11 (*)
Hernia procedures except inguinal and femoral with CC<11 (*)
Major small and large bowel procedures without CC/MCC<11 (*)
Major small and large bowel procedures with MCC<11 (*)
Stomach, esophageal duodenal proc without CC/MCC<11 (*)
Cervical spinal fusion without CC/MCC<11 (*)
Cervical spinal fusion with CC<11 (*)
Spinal fusion except cervical without MCC<11 (*)
Spinal fusion except cervical with MCC<11 (*)
Back and neck proc exc spinal fusion without CC/MCC<11 (*)
Major shoulder or elbow joint procedures without CC/MCC<11 (*)
Major shoulder or elbow joint procedures with CC/MCC<11 (*)
Major joint replacement or reattachment of lower extremity 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 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 Lima Memorial Health System 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 15.1
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 12.2
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 18.7
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 282
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 10.1
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 7.8
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 13
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 278
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 10.7
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 8.4
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 13.4
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 360
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 Lima Memorial Health System 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. 7%
Percent of patients who reported that their nurses "Usually" communicated well. 24%
Percent of patients who reported that their nurses "Always" communicated well. 69%
Percent of patients who reported that their doctors "Sometimes" or "Never" communicated well. 9%
Percent of patients who reported that their doctors "Usually" communicated well. 21%
Percent of patients who reported that their doctors "Always" communicated well. 70%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 13%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 31%
Percent of patients who reported that they "Always" received help as soon as they wanted. 56%
Percent of patients who reported that their pain was "Sometimes" or "Never" well controlled. 9%
Percent of patients who reported that their pain was "Usually" well controlled. 29%
Percent of patients who reported that their pain was "Always" well controlled. 62%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 24%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 24%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 52%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 7%
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. 73%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 12%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 35%
Percent of patients who reported that the area around their room was "Always" quiet at night. 53%
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). 11%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 28%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 61%
Percent of patients who reported NO,they would not recommend the hospital. 8%
Percent of patients who reported YES,they would probably recommend the hospital. 32%
Percent of patients who reported YES,they would definitely recommend the hospital. 60%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 32%
Hospital Footnote