Frances Mahon Deaconess Hospital

(406) 228-3500 · 621 3rd St S, Glasgow, MT 59230

Overview

Frances Mahon Deaconess Hospital is a hospital registered with U.S Centers for Medicare & Medicaid Services. The facility number is #271316. The hospital type is critical access hospitals. The address is 621 3rd St S, Glasgow, MT 59230. The overall rating is 2.

Facility ID 271316
Facility Name FRANCES MAHON DEACONESS HOSPITAL
Address 621 3rd St S
Glasgow
MT 59230
County Valley
Telephone (406) 228-3500
Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Emergency Services Yes
Overall Rating 2

Overall Quality Star Rating Measures

Mortality Measure Total measures in the group: 7. Facility reported measures count: 3.
Better than the national value: 0, No different: 3, Worse: 0
Safety of Care Measure Total measures in the group: 8. Facility reported measures count: 1.
Better than the national value: 0, No different: 1, Worse: 0
Readmission Measure Total measures in the group: 11. Facility reported measures count: 9.
Better than the national value: 1, No different: 8, Worse: 0
Patient Experience Measure Total measures in the group: 8. Facility reported measures count: .
Better than the national value: , No different: , Worse:
5
Timly Effectiveness Measure Total measures in the group: 14. Facility reported measures count: 6.
Better than the national value: , No different: , Worse:
Notes The Overall Hospital Quality Star rating summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s overall star rating is calculated using only those measures for which data are available. The average is about 37 measures. Hospitals report data to the Centers for Medicare & Medicaid Services through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall star ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.
The methodology uses a simple average of measure scores to calculate measure group scores and Z-score standardization to standardize measure group scores for these 5 measure groups: 1. Mortality 2. Safety of Care 3. Readmission 4. Patient Experience 5. Timely & Effective Care
After estimating the group score for each hospital and each group, CMS calculates a weighted average to combine the 5 group scores into a single hospital summary score. If a hospital is missing a measure category or group, the weights are redistributed proportionally amongst the qualifying measure categories or groups.

HCAHPS Patient Survey Ratings Hospital Consumer Assessment of Healthcare Providers and Systems
Completed Surveys: 86, Response Rate: 32% (2019-01-01~2019-12-31)

QuestionResponses
Patients who reported that they "Always" received bathroom help as soon as they wantedPercent: 77%
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wantedPercent: 1%
Patients who reported that they "Usually" received bathroom help as soon as they wantedPercent: 22%
Patients who reported that they "Always" received help after using the call button as soon as they wantedPercent: 89%
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wantedPercent: 89%
Patients who reported that they "Usually" received help after using the call button as soon as they wantedPercent: 11%
Patients who reported that their room and bathroom were "Always" cleanPercent: 85%
Patients who reported that their room and bathroom were "Sometimes" or "Never" cleanPercent: 2%
Patients who reported that their room and bathroom were "Usually" cleanPercent: 13%
Cleanliness - linear mean scorePercent: 13%
Cleanliness - star ratingPercent: 13%
Patients who reported that their nurses "Always" communicated wellPercent: 94%
Nurse communication - linear mean scorePercent: 94%
Patients who reported that their nurses "Sometimes" or "Never" communicated wellPercent: 94%
Nurse communication - star ratingPercent: 94%
Patients who reported that their nurses "Usually" communicated wellPercent: 6%
Patients who reported that their doctors "Always" communicated wellPercent: 90%
Doctor communication - linear mean scorePercent: 90%
Patients who reported that their doctors "Sometimes" or "Never" communicated wellPercent: 1%
Doctor communication - star ratingPercent: 1%
Patients who reported that their doctors "Usually" communicated wellPercent: 9%
Patients who reported that they "Always" received help as soon as they wantedPercent: 83%
Staff responsiveness - linear mean scorePercent: 83%
Patients who reported that they "Sometimes" or "Never" received help as soon as they wantedPercent: 1%
Staff responsiveness - star ratingPercent: 1%
Patients who reported that they "Usually" received help as soon as they wantedPercent: 16%
Patients who reported that staff "Always" explained about medicines before giving it to themPercent: 78%
Communication about medicines - linear mean scorePercent: 78%
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to themPercent: 8%
Communication about medicines - star ratingPercent: 8%
Patients who reported that staff "Usually" explained about medicines before giving it to themPercent: 14%
Discharge information - linear mean scorePercent: 14%
Patients who reported that NO, they were not given information about what to do during their recovery at homePercent: 7%
Discharge information - star ratingPercent: 7%
Patients who reported that YES, they were given information about what to do during their recovery at homePercent: 93%
Patients who "Agree" they understood their care when they left the hospitalPercent: 34%
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospitalPercent: 3%
Care transition - linear mean scorePercent: 3%
Patients who "Strongly Agree" they understood their care when they left the hospitalPercent: 63%
Care transition - star ratingPercent: 63%
Patients who "Agree" that they understood the purposes of their medications when leaving the hospitalPercent: 27%
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospitalPercent: 3%
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospitalPercent: 70%
Patients who "Agree" that the staff took my preferences into account when determining my health care needsPercent: 40%
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needsPercent: 2%
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needsPercent: 58%
Patients who "Agree" that they understood their responsiblities in managing their healthPercent: 37%
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their healthPercent: 3%
Patients who "Strongly Agree" that they understood their responsiblities in managing their healthPercent: 60%
Patients who reported that NO, they did not discuss whether they would need help after dischargePercent: 6%
Patients who reported that YES, they did discuss whether they would need help after dischargePercent: 94%
Patients who reported that their doctors "Always" explained things in a way they could understandPercent: 89%
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understandPercent: 1%
Patients who reported that their doctors "Usually" explained things in a way they could understandPercent: 10%
Patients who reported that their doctors "Always" listened carefully to themPercent: 86%
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to themPercent: 1%
Patients who reported that their doctors "Usually" listened carefully to themPercent: 13%
Patients who reported that their doctors "Always" treated them with courtesy and respectPercent: 96%
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respectPercent: 1%
Patients who reported that their doctors "Usually" treated them with courtesy and respectPercent: 3%
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)Percent: 3%
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)Percent: 10%
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)Percent: 90%
Overall hospital rating - linear mean scorePercent: 90%
Overall hospital rating - star ratingPercent: 90%
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was forPercent: 88%
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was forPercent: 2%
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.Percent: 10%
Patients who reported that their nurses "Always" explained things in a way they could understandPercent: 93%
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understandPercent: 93%
Patients who reported that their nurses "Usually" explained things in a way they could understandPercent: 7%
Patients who reported that their nurses "Always" listened carefully to themPercent: 93%
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to themPercent: 93%
Patients who reported that their nurses "Usually" listened carefully to themPercent: 7%
Patients who reported that their nurses "Always" treated them with courtesy and respectPercent: 96%
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respectPercent: 96%
Patients who reported that their nurses "Usually" treated them with courtesy and respectPercent: 4%
Patients who reported that the area around their room was "Always" quiet at nightPercent: 71%
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at nightPercent: 3%
Patients who reported that the area around their room was "Usually" quiet at nightPercent: 26%
Quietness - linear mean scorePercent: 26%
Quietness - star ratingPercent: 26%
Patients who reported NO, they would probably not or definitely not recommend the hospitalPercent: 26%
Patients who reported YES, they would definitely recommend the hospitalPercent: 74%
Recommend hospital - linear mean scorePercent: 74%
Patients who reported YES, they would probably recommend the hospitalPercent: 26%
Recommend hospital - star ratingPercent: 26%
Patients who reported that when receiving new medication the staff "Always" discussed possible side effectsPercent: 68%
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effectsPercent: 15%
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effectsPercent: 17%
Summary star ratingPercent: 17%
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after dischargePercent: 8%
Patients who reported that YES, they did receive written information about possible symptoms to look out for after dischargePercent: 92%

Surgical Complications and Mortality Measures
(2016-04-01~2019-03-31)

Measure NameCompared to NationalDenominatorScore
Rate of complications for hip/knee replacement patientsNo Different Than the National Rate353.1
Death rate for heart attack patients
Death rate for CABG surgery patients
Death rate for COPD patientsNo Different Than the National Rate369
Death rate for heart failure patientsNo Different Than the National Rate3112.1
Death rate for pneumonia patientsNo Different Than the National Rate3716.5
Death rate for stroke patientsNumber of Cases Too Small
Postoperative Acute Kidney Injury Requiring Dialysis Rate
Postoperative Respiratory Failure Rate
Serious blood clots after surgery
Blood stream infection after surgery
A wound that splits open after surgery on the abdomen or pelvis
Accidental cuts and tears from medical treatment
Pressure sores
Deaths among Patients with Serious Treatable Complications after Surgery
Collapsed lung due to medical treatment
Broken hip from a fall after surgery
Serious complications
Perioperative Hemorrhage or Hematoma Rate

Location Information

Street Address 621 3RD ST S
City GLASGOW
State MT
Zip Code 59230

Hospitals in the same city

Hospital NameAddressTelephoneOverall Rating
T J Samson Community Hospital 1301 North Race Street, Glasgow, KY 42141(270) 651-41593

Hospitals in the state of MT

Hospital NameAddressTelephoneOverall Rating
P H S Indian Hospital At Browning - Blackfeet 760 Hospital Circle, Post Office Box 760, Browning, MT 59417(406) 338-6154
St Luke Community Hospital 107 6th Ave Sw, Ronan, MT 59864(406) 676-44414
Community Medical Center 2827 Fort Missoula Rd, Missoula, MT 59804(406) 728-41003
Cabinet Peaks Medical Center 209 Health Park Dr, Libby, MT 59923(406) 283-70003
Community Hospital of Anaconda 401 W Pennsylvania, Anaconda, MT 59711(406) 563-85004
St Vincent Healthcare 1233 N 30th St, Billings, MT 59107(406) 657-70004
Billings Clinic 2800 10th Ave N, Billings, MT 59101(406) 657-40004
Livingston Healthcare 320 Alpenglow Lane, Livingston, MT 59047(406) 823-35414
St. Patrick Hospital 500 W Broadway, Missoula, MT 59802(406) 543-72715
Holy Rosary Healthcare 2600 Wilson St, Miles City, MT 59301(406) 233-26003
Find all hospitals in the state of MT

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Dataset Information

This dataset includes 5 thousand hospitals registered with the U.S Centers for Medicare & Medicaid Services. Each hospital is registered with addresses, phone numbers, hospital type, and overall hospital rating, etc.