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Holy Family Memorial Inc - 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 Holy Family Memorial Inc.

Basic Information

Address: 2300 Western Ave Po Box 1450, Manitowoc, WI 54221         Phone: 920-320-2011
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 Holy Family Memorial Inc to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC125
Heart failure and shock with CC29
Heart failure and shock without CC/MCC18
Chronic obstructive pulmonary disease with MCC16
Heart failure and shock with MCC14
Simple pneumonia and pleurisy with MCC13
Extracranial procedures without CC/MCC13
Revision of hip or knee replacement with CC13
Transurethral prostatectomy without CC/MCC13
Chronic obstructive pulmonary disease without CC/MCC12
Chronic obstructive pulmonary disease with CC12
Spinal fusion except cervical without MCC11
Acute myocardial infarction, discharged alive without CC/MCC<11 (*)
Acute myocardial infarction, discharged alive with MCC<11 (*)
Acute myocardial infarction, discharged alive with CC<11 (*)
Diabetes with MCC<11 (*)
Chest Pain<11 (*)
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair<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 CC<11 (*)
Hernia procedures except inguinal and femoral without CC/MCC<11 (*)
Hernia procedures except inguinal and femoral with CC<11 (*)
Major small and large bowel procedures with CC<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 (*)
Back and neck proc exc spinal fusion without CC/MCC<11 (*)
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim<11 (*)
Bilateral or multiple major joint procs of lower extremity without MCC<11 (*)
Major joint replacement or reattachment of lower extremity with MCC<11 (*)
Revision of hip or knee replacement without CC/MCC<11 (*)
Other musculoskelet sys and conn tiss O.R. proc with MCC<11 (*)
Kidney and ureter procedures for neoplasm with MCC<11 (*)
Transurethral prostatectomy with CC/MCC<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 Holy Family Memorial Inc 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 18.9
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 15.1
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 23.2
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 83
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 13.5
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 10.2
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 17.6
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 157
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 12.9
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 9.6
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 16.7
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 146
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 Holy Family Memorial Inc 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. 2%
Percent of patients who reported that their nurses "Usually" communicated well. 19%
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. 4%
Percent of patients who reported that their doctors "Usually" communicated well. 18%
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. 6%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 24%
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. 7%
Percent of patients who reported that their pain was "Usually" well controlled. 26%
Percent of patients who reported that their pain was "Always" well controlled. 67%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 16%
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. 64%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 6%
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. 74%
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. 85%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 15%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 8%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 23%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 69%
Percent of patients who reported NO,they would not recommend the hospital. 4%
Percent of patients who reported YES,they would probably recommend the hospital. 26%
Percent of patients who reported YES,they would definitely recommend the hospital. 70%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 41%
Hospital Footnote