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Bethesda North - 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 Bethesda North.

Basic Information

Address: 10500 Montgomery Road, Cincinnati, OH 45242         Phone: 513-865-1241
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 Bethesda North to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC334
Heart failure and shock with MCC181
Simple pneumonia and pleurisy with MCC180
Chest Pain134
Perc cardiovasc proc with drug-eluting stent without MCC134
Chronic obstructive pulmonary disease with MCC128
Heart failure and shock with CC120
Chronic obstructive pulmonary disease with CC117
Heart failure and shock without CC/MCC67
Spinal fusion except cervical without MCC61
Cardiac defibrillator implant without cardiac cath without MCC49
Acute myocardial infarction, discharged alive with MCC47
Major small and large bowel procedures with MCC39
Major small and large bowel procedures with CC37
Cervical spinal fusion without CC/MCC37
Chronic obstructive pulmonary disease without CC/MCC35
Permanent cardiac pacemaker implant without CC/MCC34
Major joint replacement or reattachment of lower extremity with MCC26
Transurethral prostatectomy without CC/MCC26
Uterine and adnexa proc for non-malignancy without CC/MCC26
Extracranial procedures without CC/MCC25
Permanent cardiac pacemaker implant with CC23
Revision of hip or knee replacement with CC20
Major small and large bowel procedures without CC/MCC18
Kidney and ureter procedures for neoplasm with CC18
Laparoscopic cholecystectomy without c.d.e. without CC/MCC17
Transurethral prostatectomy with CC/MCC15
Acute myocardial infarction, discharged alive with CC14
Diabetes with MCC14
Extracranial procedures with CC14
Back and neck proc exc spinal fusion without CC/MCC14
Coronary bypass without cardiac cath without MCC13
Coronary bypass without cardiac cath with MCC13
Hernia procedures except inguinal and femoral with CC13
Kidney and ureter procedures for neoplasm with MCC13
Other kidney and urinary tract procedures with MCC13
Acute myocardial infarction, discharged alive without CC/MCC12
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair12
Laparoscopic cholecystectomy without c.d.e. with MCC12
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim11
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 (*)
Cardiac defibrillator implant without cardiac cath with MCC<11 (*)
Cardiac defib implant with cardiac cath without AMI/HF/shock 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 (*)
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 with CC/MCC<11 (*)
Bilateral or multiple major joint procs of lower extremity without MCC<11 (*)
Bilateral or multiple major joint procs 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 (*)
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 without CC/MCC<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 CC<11 (*)
Female reproductive system reconstructive procedures<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 Bethesda North 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 14.5
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 11.9
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 17.4
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 388
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 11.8
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 10
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 13.7
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 812
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 10.5
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 8.9
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 12.4
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 776
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 Bethesda North 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. 19%
Percent of patients who reported that their nurses "Always" communicated well. 78%
Percent of patients who reported that their doctors "Sometimes" or "Never" communicated well. 3%
Percent of patients who reported that their doctors "Usually" communicated well. 19%
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. 8%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 28%
Percent of patients who reported that they "Always" received help as soon as they wanted. 64%
Percent of patients who reported that their pain was "Sometimes" or "Never" well controlled. 4%
Percent of patients who reported that their pain was "Usually" well controlled. 24%
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. 20%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 20%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 60%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 8%
Percent of patients who reported that their room and bathroom were "Usually" clean. 19%
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. 88%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 12%
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