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Culpeper Regional Hospital

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General Information


Administrator:
H. Lee Kirk, Jr.
(Administrator)

Address:
501 Sunset Lane PO Box 592
Culpeper, 22701
(540) 829-4100

Medicare Provider Number: 490019



Website: www.culpeperhospital.com

Tax Status: Not-for-profit

Teaching StatusTeaching Status
The hospital facility reported membership or accreditation in the Council of Teaching Hospitals and Health Systems (COTH) and/or the Accreditation Council for Graduate Medical Education (ACGME) or they reported no teaching status (NONE.)
:
None

For Fiscal Year 10/1/2011 - 9/30/2012
Licensed bedsLicensed beds
The number of beds reported by the hospital to be licensed by the Virginia Department of Health. This does not include normal newborn bassinets. Staffed beds greater than licensed beds may be due to unlicensed normal newborn bassinets.
Licensed beds
The number of beds reported by the hospital to be licensed by the Virginia Department of Health. This does not include normal newborn bassinets. Staffed beds greater than licensed beds may be due to unlicensed normal newborn bassinets.
70
Staffed bedsStaffed beds
Number of beds deemed to be operational to receive patients during the reporting period. Staffed beds greater than licensed beds may be due to unlicensed normal newborn bassinets.
60
CON approved levelCON Approved Level
5.1j. General care infant stations - Infant stations, not otherwise designated on a hospital's approved licensure application, and capable of caring for newborns who weigh at least 2000 grams at birth or who have completed 34 weeks gestation.

5.1k Intermediate infant stations - Infant stations, so designated on a hospital's approved licensure application, and capable of caring for moderately ill neonates or stable-growing low birthweight neonates requiring only a weight increase to be ready for discharge.


5.1l. Specialty infant stations -
Infant stations, so designated on a hospital's approved licensure application, and capable of caring for high-risk neonates with specified neonatal illnesses.

5.1m. Subspecialty infant stations -
Infant stations, so designated on a hospital's approved licensure application, and capable of providing intensive care for critically ill, high-risk neonates with complex neonatal illnesses.
General
Patient daysPatient days
Patient days of care provided during the report period, excluding days in a nursing facility unit of the hospital, and excluding days in a regular (i.e., not intensive care) newborn nursery while the mother is still in the hospital.
11,531
AdmissionsAdmissions
The number of patients accepted for inpatient service, excluding admissions in a nursing facility unit of the hospital. Also excluded are newborns born in the hospital, except those remaining in the hospital after the mother has been discharged. Patient transfers between patient care units within the hospital are not counted as admissions.
3,133
Full-time equivalents - PayrollFull time equivalents Ė Payroll
Paid FTEs are the total number of hours paid (including worked hours and benefit hours), divided by 2080 and rounded to one decimal place. If there are staff positions shared between the hospital and a non-hospital activity (e.g., a nursing-home unit of the hospital), this reports only that portion of the shared FTEs that are properly allocated to the hospital.
468
Full-time equivalents - ContractFull-time equivalents Ė Contract
The number of contracted hours for agency personnel and paid hours for contracted services provided within the facility divided by 2080 and rounded to one decimal place.
6
In addition to other services offered, this facility reported the following services available during fiscal year 2012 in their Utilization Spread Sheets.
Chronic Renal Dialysis
Pain Managment Program

Facility Comment: Facility has not provided a comment.


Updated on: 11/19/2013

Print Cardiac Information

2012 Cardiac Care Information


About Cardiac Care InformationAbout Cardiac Care Information
VHI'S CARDIAC CARE INFORMATION will help you learn about heart disease and compare the quality of heart care at Virginia hospitals. (.. Click About Cardiac Care Information to read more ..)





KEY
Cases Category
(Based on Adjusted Volume)

Size Medical Invasive Open Heart
High  1500+   1000+   1000+
Mid-High   800 - 1499   250 - 999   500 - 999
Mid-Low   250 - 799   100 - 249   100 - 499
Low   1 - 249   1 - 99   1 - 99
N/A   0 Cases   0 Cases   0 Cases
 Rating (More hearts are better)
  - More than Expected
  - As Expected
  - Less than Expected
  - Too Few to Calculate (Adjusted Volume < 30)
  - Letter from Facility


  
Show Detailed View

Service Line Total
Cases
Mortality
Rating
Readmission
Rating
Cardiology Medical Cardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.
302       
  -  Heart Failure Congestive Heart Failure (CHF)
or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs.

For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585
168      


  
Show Normal View

  Mortality Readmission
Service Line Total
Cases
Hospice
Cases
Adj
Vol
Act Exp Ratio Rating Adj
Vol
Act Exp Ratio Rating
Cardiology Medical Cardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.
302 8 272 3.31% 3.38% 0.98    266 19.92% 14.97% 1.33    
  -  Heart Failure Congestive Heart Failure (CHF)
or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs.

For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585
168 2 161 3.11% 2.45% 1.27    157 19.11% 17.40% 1.10   




  Updated on: 02/24/2014


 



Print Efficiency Information

2012 Hospital Service Line Report

Click any column to sort.
Service
LineService Line
Broad categories of care based on 3M's All Patient Refined-Diagnosis Related Groups (APR-DRGs).
Inlier
CasesInlier Cases
The number of hospital inpatient cases that were within the pre-set range for the particular service line. Inlier cases were used to calculate length of stay and total charge values. Inlier cases do not include hospice patients. VHI removed those patients who had length of stays equal to 0 days or less or patients who had 0 dollar ($) charges or less.
Outlier
CasesOutlier Cases
The number of hospital inpatient cases in a calendar year that were outside the pre-set range for the particular service line. Outlier cases do not include hospice patients. VHI removed those patients who had length of stays equal to 0 days or less or patients who had 0 dollar ($) charges or less.
Number
of CasesNumber of Cases
The total number of inpatient inlier and outlier cases.
% of
Hospital
Total% of Hospital Total
The number of cases for that hospital's particular service line divided by the total number of hospital cases multiplied by 100.
% of
Regional
Total% of Regional Total
The number of cases for that hospital's particular service line divided by the total number of that service line's cases in that specified region multiplied by 100.
BurnsBurns
Damage to skin and tissue due to some element of extreme temperature contact. Burns are classified as first, second or third degree burns. First degree burns are usually superficial and third degree burns have extensive damage to the point of skin or tissue death.

0 0 0 0.00% 0.00%
Invasive CardiologyInvasive Cardiology
Diagnostic and invasive procedures that includes cardiac catheterizations, percutaneous procedures and angiograms of the heart.

0 0 0 0.00% 0.00%
Cardiology - MedicalCardiology - Medical
The study of the heartís action; the medical specialty that deals with the diagnosis and therapy of heart diseases.

279 23 302 8.63% 3.11%
Open Heart Surgery Open Heart Surgery 
A surgical procedure that provides through an incision of the chest cavity a full view of the heart. Procedure may be used for, but is not limited to, cardiopulmonary bypass or heart valve surgery.

0 0 0 0.00% 0.00%
DentalDental
Medical and/or surgical treatment of the teeth and surrounding structures and oral tissues. The services may or may not include endodontics, oral pathology, maxofacial surgery, orthodontics, periodontics, etc.

2 0 2 0.06% 1.98%
DermatologyDermatology
The study of the skinís structure, function and diseases; includes diagnosis and treatment of skin and nail disorders.

2 0 2 0.06% 0.54%
EndocrinologyEndocrinology
The study and treatment of the ductless organs and structures (glands) that secrete internally and of hormones. Endocrinology typically includes the endocrine glands, the hypothalamus, pituitary and adrenal glands, thyroid and parathyroid glands, pancreatic islet cells, the testes and the ovaries.

89 4 93 2.66% 3.04%
Ear, Nose and Throat (ENT) Surgery Ear, Nose and Throat (ENT) Surgery 
The combined surgical treatment that includes otology (ear), rhinology (nose) and laryngology (larynx/throat). Treatments, including surgery, may involve:
∑ Ears ó the exterior and interior portions of the otological system;
∑ Nose ó the olfactory system including exterior nasal passages and the anterior nasal cavity; and
∑ Throat ó the pharyngeal, naso-pharyngeal or laryngeal areas including tonsils, adenoids and trachea.
See Also Otolaryngology

2 0 2 0.06% 0.44%
GastroenterologyGastroenterology
Specialty involving the study and treatment of the function and disorders of the organs of digestion, the alimentary (or gastrointestinal) tract: the esophagus, the stomach, large intestines (colon and cecum) and small intestines (duodenum, jejunum, ileum), sigmoid colon, rectum, gallbladder, pancreas, liver, spleen, biliary tract and bile duct.

286 10 296 8.45% 2.58%
General MedicineGeneral Medicine
Treatment for those disorders that can fall under family practice or primary medical needs, which may include internal medicine or the diagnosis or treatment of internal organs, and that are not otherwise grouped into the specialty services listed in this report.

138 6 144 4.11% 2.02%
General SurgeryGeneral Surgery
Those surgical procedures not otherwise grouped into the specialty services listed in this report.

130 4 134 3.83% 1.86%
Gynecological SurgeryGynecological Surgery
Surgical treatment of the female reproductive system including ectopic pregnancy and early abortion. See Obstetrics.

27 0 27 0.77% 1.79%
GynecologyGynecology
The medical specialty focused on the health care of women and on the diseases of the female genital tract, as well as the endocrinology and reproductive function of the female. The breast may be treated except for surgery.

1 1 2 0.06% 1.12%
HematologyHematology
The scientific medical study of blood and blood-forming tissues, including therapeutics and anatomy, physiology, pathology and symptomatology of blood cells. This category may include the laboratory study of the response of blood cells to radiation or chemotherapy.

37 3 40 1.14% 2.81%
Infectious DiseasesInfectious Diseases
The clinical study and treatment of those diseases that can be caused by an infection; i.e., any communicable disease. These diseases can be transmitted from human to human, from animal to human, by direct or indirect contact; e.g., fevers of unknown origin, sexually transmitted diseases (including HIV infection), herpes, central nervous system (CNS) infections, measles, rubella, mumps, hepatitis, rabies, and rickettsial infections (such as Rocky Mountain spotted fever). Bacterial infections such as streptococcal and chlamydial infections also fall under this classification, as well as those of spirochetal, protozoal, helminthic and mycotic causes.

371 18 389 11.11% 5.81%
NeonatologyNeonatology
A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the neonate requires additional treatment or care beyond a normal birth, such as intensive care for a premature infant.

18 8 26 0.74% 1.61%
NephrologyNephrology
The medical science primarily concerned with the anatomy, physiology and diseases of the kidneys (the renal or nephric system) including treatment by dialysis and transplantation. Note: Not to be confused with urology, which deals primarily with the diseases and treatment of the genitourinary tract.

112 5 117 3.34% 4.06%
Neurological SurgeryNeurological Surgery
Any of various kinds of surgery of the nervous system. Often included are those procedures designed to restore physiological activity of nerves (functional neurosurgery), psychosurgery and stereotactic surgery.

44 9 53 1.51% 1.53%
NeurologyNeurology
The field of medicine dealing with the normal or diseased nervous systems (central, peripheral and autonomic, plus the neuromuscular junction and muscle). May include clinical neurology that deals with the diagnosis and treatment of nervous system disorders.

79 10 89 2.54% 1.42%
Normal NewbornsNormal Newborns
A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the infant experienced a normal delivery.

359 3 362 10.34% 2.95%
Obstetrics/DeliveryObstetrics/Delivery
The specialty of medicine concerned with the obstetrical care of a woman and the fetus during pregnancy, childbirth (delivery of the fetus vaginally or by cesarean section, a surgical procedure) and the puerperium (approximately 6 weeks following birth).

378 6 384 10.97% 2.77%
OncologyOncology
Science/branch of medicine concerned with the study of the physical, chemical and biologic properties and features of abnormal tissue (neoplasm), including the treatment of both malignant and benign tumors.

12 5 17 0.49% 0.67%
Oncology SurgeryOncology Surgery
Surgical procedures related to diagnostic or treatment of malignant and/or benign tumors.

0 0 0 0.00% 0.00%
Ophthalmologic Surgery Ophthalmologic Surgery 
Surgical treatment of eye and lid disorders, such as cataract removal with lens implantation.

0 0 0 0.00% 0.00%
OphthalmologyOphthalmology
The study and treatment of the physiology, anatomy and pathology of the eye and surrounding tissues such as the eye lid. This includes ocular infections, refractive errors, glaucoma, cataracts and other ocular disorders.

1 0 1 0.03% 0.74%
Orthopedic Surgery Orthopedic Surgery 
Preservation or restoration from disease or injury by surgical means of the function or condition of the musculoskeletal system, the spine and the extremities.

338 4 342 9.77% 3.81%
OrthopedicsOrthopedics
Branch of medicine concerned with the prevention and correction of disorders of the locomotor system of the body, including the skeleton, muscles, joints and related tissues.

34 3 37 1.06% 2.35%
Other ObstetricsOther Obstetrics
Medical care provided by an obstetrician other than delivery; for example, nutrition counseling, immunizations, treatment for spontaneous abortion (miscarriage), prevention of preterm labor and anemia. See Obstetrics; Also see Gynecological Surgery

30 3 33 0.94% 2.98%
OtolaryngologyOtolaryngology
Branch of medicine concerned with medical and surgical treatment of head and neck, including the ears, nose and throat. See ENT.

8 0 8 0.23% 1.05%
Plastic SurgeryPlastic Surgery
Surgical procedures related to cosmetic or reconstructive surgery of face and body.

0 0 0 0.00% 0.00%
PsychiatryPsychiatry
The diagnosis, prevention and treatment of mental disorders by those medical specialists trained in the science of psychiatry.

14 1 15 0.43% 0.19%
PulmonaryPulmonary
Of or pertaining to lungs/respiratory system, to the pulmonary artery; to aperture leading from right ventricle into the pulmonary artery.

486 17 503 14.37% 3.69%
RehabilitationRehabilitation
Following a disabling disease, injury or addiction, spontaneous or therapeutic restoration of normal function or in a nearly normal manner.

0 0 0 0.00% 0.00%
RheumatologyRheumatology
The science and medical study relating to diseases or disorders where inflammation or degeneration of tissue occur in the musculoskeletal system.

16 1 17 0.49% 2.11%
Transplant SurgeryTransplant Surgery
The procedures that involve the movement of tissue or organs from one part of the body, or from a separate body, for the purpose of treatment by implantation or grafting. Included in this grouping are bone marrow, heart, liver and lung transplants.

0 0 0 0.00% 0.00%
Trauma, Multiple SignificantTrauma, Multiple Significant
Injury or injuries to the face, head and/or body. Trauma scored for severity and prevalence of injuries are categorized in the service line of Multiple Significant Trauma. Less severe or prevalent injuries may be categorized under a different, specific service line.

14 1 15 0.43% 0.89%
Urological SurgeryUrological Surgery
Treatment provided by surgical means of urinary and genitourinary tract disorders; for example, tumors of the prostate, bladder, kidney or testis.

6 0 6 0.17% 0.47%
UrologyUrology
The medical specialty that is concerned with the study, diagnosis and treatment of diseases of the urinary tract in the female and both urinary and genitourinary tract in the male.

43 0 43 1.23% 1.44%
Vascular SurgeryVascular Surgery
Surgical procedures relating to the blood vessels.

0 0 0 0.00% 0.00%
  Total 3,356 145 3,501 100% 2.46%

Updated on: 12/09/2013

Print Efficiency Indicator Information

Efficiency Indicators

Click here to compare other hospitals efficiency in Virginia.

For Fiscal Year 10/1/2011 - 9/30/2012

Composite Score:Composite Score
Scores on individual measures may help with specific aspects of efficiency and productivity, whereas a Composite Score helps with the big picture. Which hospitals are the most efficient? (..Click on Composite Score to read more ..)
(Lower is better)
More  
2.2
Less  
Efficient  
Efficient
  1.24.0  

What are Efficiency Indicators?What are Efficiency Indicators?
VHIís Efficiency (and Productivity) indicators were designed to help large employers, and purchasers (health insurance companies) to find the most efficient and productive health care providers. (..Click on What are Efficiency Indicators? to read more ..)

 ·  Charges

Indicator Description Quartile Rank 1 through 4
Gross revenue per adj. admission ($)
(lower is better)
20,856.29
Quartile 2
12,973.92
61,586.45
Net revenue per adj. admission ($)
(lower is better)
7,502.04
Quartile 2
4,552.10
13,841.71

 ·  Costs

Indicator Description Quartile Rank 1 through 4
Cost per adj. admission ($)
(lower is better)
7,441.98
Quartile 1
5,618.99
13,132.12
Labor cost per adj. admission ($)
(lower is better)
3,470.20
Quartile 2
1,971.98
6,212.40
Non-labor cost per adj. admission ($)
(lower is better)
2,429.23
Quartile 1
1,830.53
6,063.59
Capital cost per adj. admission ($)
(lower is better)
482.90
Quartile 2
-29.00
2,706.97

 ·  Productivity/Utilization

Indicator Description Quartile Rank 1 through 4
Full-time equiv. per adj. occupied bed
(lower is better)
4.93
Quartile 4
2.06
6.66
Paid hours per adj. admission
(lower is better)
103.51
Quartile 3
48.79
173.72
Staffed bed occupancy (%)
(higher is better)
52.51
Quartile 3
107.67
22.46
Licensed bed occupancy (%)
(higher is better)
45.01
Quartile 3
82.67
10.00
Special services utilization (%)
(higher is better)
62.23
Quartile 2
96.18
16.78
Case mix adj. avg. length of stay
(lower is better)
3.27
Quartile 1
2.62
7.52

 ·  Financial Viability

Indicator Description Quartile Rank 1 through 4
Cash debt coverage
(higher is better)
7.06
Quartile 1
893.42
-2.92
Total margin (%)
(higher is better)
3.75
Quartile 3
23.28
-16.05
Return on assets (%)
(higher is better)
11.44
Quartile 2
33.48
-12.13
Fixed asset financing ratio
(lower is better)
0.06
Quartile 1
0.00
4.58

 ·  Community Support

Indicator Description Quartile Rank 1 through 4
Charity, bad debt, tax (%)
(higher is better)
17.13
Quartile 2
28.33
4.13
Medicaid participation (%)
(higher is better)
14.37
Quartile 2
42.43
4.17


Updated on: 03/07/2014




Print Financial Information

Financial Information

Why is this important?Why is this important?
Hospital financial information was originally intended to benefit of large employers and purchasers of care. However, consumers should know that financially healthy hospitals may be better able to provide charity care and invest in infrastructure, and technology.

Rankings on financial measures are found within the Efficiency tab

For Fiscal Year 10/1/2011 - 9/30/2012


Revenue

Gross patient revenueGross patient revenue
Total established full charges for all services provided to patients.
$209,635,428
Contractual allowanceContractual allowance
The difference between a hospital's established charges and the rates paid by third-party payers under contractual agreements.
$128,176,058
Charity careCharity care
Total established full charges for services to indigent patients at 100%, between 100% and 200% and in excess of 200% of the federal non-farm poverty level as well as any charity care for which partial payment is received.
$6,053,240
Net patient revenueNet patient revenue
Net Patient Revenue is the sum of Gross Patient Revenue minus contractual allowances minus charity care at 100%, 200% and over 200% of poverty as well as any charity care for which partial payment is received, and minus any payment from the disproportional share program.
$75,406,130
Other operating revenueOther operating revenue
Revenue or gains from the hospitalís ongoing or central operations other than patient care. These may include such activities as educational or research programs, sales of goods and services to other than patients, and sales of personal convenience items and services to patients. Operating gains may be difficult to distinguish from non-operating gains. Providers are asked to report other revenue (or other operating revenue) and operating gains as defined per the 1990 AICPA audit guide.
$660,658

Expense

LaborLabor expense
All expenses related to employment of personnel by the hospital.
$34,880,495
Non-laborNon-labor expense
Any expenses that are not related to labor. Excluding capital and capital-related expenses.
$24,417,223
Capital Capital expense
Capital expenses are those defined by Medicare as capital expenses. This includes depreciation and interest for capital assets reported as used for patient care, plus Medicare inpatient costs for other capital-related expenses. Medicare inpatient costs for other capital-related expenses including leases, rentals (including license and royalty fees for the use of depreciable assets), insurance expense on depreciable assets, related-organization capital-related costs for assets that are not maintained on the hospital's premises, and taxes on land or depreciable assets used for patient care. Depreciation expenses are calculated on a straight-line basis, using Medicare useful lives. Includes the allocated portion of home office capital expenses. This capital expense amount is not necessarily the same as the Medicare-allowable cost figure.
$4,842,650
TaxesTaxes/Tax expense
All taxes reported on the hospital's income statement, including: state income tax, federal income tax, real estate tax, business property tax, and business license fees. Does not include payroll taxes, which are reported under Labor Expenses.
$11,159
Bad-debtBad-debt expense
Bad-debt expense (or provision for bad debts) as reported on the hospitalís income statement.
$10,650,993
Total expenseTotal operating expense
The sum of all operating expenses.
$74,802,520
  
Operating incomeOperating income
The net of Net patient revenue plus Other operating income minus Total operating income. This is the value that should be used in the calculation of Operating margin.
$1,264,268
Net non-operating gains (loss)Net non-operating gains
Non-operating gains and losses resulting from transactions incidental or peripheral to the hospitalís central ongoing operations. This may include such items as gifts received, tax support and subsidies, returns on investment of general funds, and gain or loss on sale of properties, as well as other items.
$1,647,522
Revenue and gains
in excess of expenses and lossesRevenue and gains in excess of expenses
The net amount of change in the net assets of the facility. The sum of Operating income and Non-operating income.
Note: In proprietary facilities this is called Net Income. This is the value that should be used in the calculation of Total margin.

$2,911,790

Balance Sheet

Current assetsCurrent assets
Cash and other assets that are expected to be converted into cash, sold, or consumed within one year.
$16,590,161
Net fixed assetsNet fixed assets
The value of property, plant, and equipment, net of accumulated depreciation using the straight-line method.
$27,471,560
Other assetsOther assets
The assets, other than fixed assets, that are not expected to be converted into cash, sold, or consumed within one year.
$43,175,503
Total assetsTotal assets
Total assets as reported on the hospitalís balance sheet.
$87,237,224
  
Current liabilitiesCurrent liabilities
Obligations expected to be liquidated within one year.
$8,092,570
Long term liabilitiesLong-term liabilities/debt
Obligations not expected to be liquidated within one year.
$1,672,942
Total liabilitiesTotal liabilities
The total obligations of the hospital.
$9,765,512
Net worthFund balance
The end-of Ėyear sum of general, temporarily restricted, and permanently restricted fund balances. This is the net worth of the corporation at year-end.
$77,471,712
   
Updated on: 11/19/2013

Print Obstetrics Information

Obstetrics

 
 
 
 
 
 

Perfomance

 · Delivery Detail

Deliveries Primary Cesarean Repeat Cesarean Episiotomy
TotalTotal Deliveries
The total number of deliveries by a provider (doctor or hospital.)
All CesareanAll Cesarean Deliveries
The number of cesarean deliveries by this provider.
Deli-
veriesPrimary Cesarean Deliveries
The number of women, for a given provider, who had a cesarean delivery for the first time.
Actual
RatePrimary Cesarean Actual Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.
Expected
RatePrimary Cesarean Expected Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)
RatingPrimary Cesarean Rating
The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
DeliveriesRepeat Cesarean Deliveries
The number of women, for a given provider, who had a cesarean delivery more than one time.
Actual
RateRepeat Cesarean Actual Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery more than one time.
Expected
RateRepeat Cesarean Expected Rate
The percentage (%) of women, for a given provider, who had a cesarean delivery, more than one time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)
RatingRepeat Cesarean Rating
The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal DeliveriesVaginal Deliveries
The total number of women who had a vaginal delivery with this provider.
TotalTotal Episiotomies
The number of women who had an episiotomy during a vaginal delivery with this provider.
RateEpisiotomy Rate
The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
484 104 51 12.11%
19.38%
53 77.94% 87.65% 380 120 31.17%


 · Length of Stay and Charge Detail

Hospital Length of Stay Average Hospital Charge
Cesarean ActualActual Cesarean Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a cesarean delivery by this provider.
Cesarean ExpectedExpected Cesarean Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Cesarean RatingCesarean Delivery Hospital Length of Stay Rating
The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal ActualActual Vaginal Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a vaginal delivery by this provider.
Vaginal ExpectedExpected Vaginal Hospital Length of Stay
The average time (in days) that women stayed in the hospital after a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Vaginal RatingVaginal Delivery Hospital Length of Stay Rating
The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Cesarean ActualActual Cesarean Hospital Average Charge
The average hospital charge ($) for a cesarean delivery in the hospital by this provider.
Cesarean ExpectedExpected Cesarean Hospital Average Charge
The average hospital charge ($) for a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Cesarean RatingCesarean Delivery Hospital Average Charge Rating
The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
Vaginal ActualActual Vaginal Hospital Average Charge
The average hospital charge ($) for a vaginal delivery in the hospital by this provider.
Vaginal ExpectedExpected Vaginal Hospital Average Charge
The average hospital charge ($) for a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.
Vaginal RatingVaginal Delivery Hospital Average Charge Rating
The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was:
more than expected
(one rattle),
as expected
(two rattles) ,
less than expected
(three rattles) or
(diamond) indicates too few to calculate.
2.49 3.18 1.95 2.15 $12,466 $11,715 $5,026 $6,838


   2008 data updated on 11/29/2012

Staffing and Services

  Board Certified or Eligible Other Providers  
Hospital TypeHospital Type
Freestanding women's hospital; Women's hospital within a hospital system; Obstetrical care unit within a hospital or an Obstetrical services without designated unit.
Obste-triciansBoard Certified or Eligible Obstetrician
a doctor who has advanced training in caring for pregnant women through childbirth.
Neona-tologistsBoard Certified or Eligible Neonatologist
a doctor who has advanced training in taking care of newborn babies from birth through the first 28 days of life.
Perina-tologistsBoard Certified or Eligible Perinatologist
a doctor who has advanced training in taking care of the mother and baby before birth and ending 7 to 28 days after birth.
Pedia-triciansBoard Certified or Eligible Pediatrician
a doctor who has advanced training in children's health that ranges from ages new born to eighteen.
FT Maternal-
Fetal SpecialistsFull-Time Maternal-fetal Specialists
also called perinatologists, are full-time obstetricians who have advanced training in caring for pregnant women and their unborn babies, who may be at high risk for special health problems.
Certified Nurse MidwivesCertified Nurse Midwives
an Advanced Practice Nurse who has extra education and training in both Nursing and Midwifery.
Neonatal Nurse Practi-tionersNeonatal Nurse Practitioner
an advanced practice nurse with advanced education and training who cares for premature infants and other newborns who require special care due to health problems.
Service LevelService Level
the ability of the hospital to provide general or specialized medical care.
Obstetric unit within hospital system 2 0 0 5 0 0 0 Only for uncomplicated obstetric patients


   Data updated on 7/24/2013 3:36:27 PM

Features

 · Culpeper Regional Hospital's Delivery Rooms

Number of Rooms Related to Labor
LDR RoomsLDR Rooms
a hospital room where a pregnant woman labors, gives birth and recovers.
LDRP RoomLDRP Rooms
a hospital room where the pregnant woman can labor, give birth, recover and stay after recovery.
Private LaborPrivate Labor
type of single room maternity care that accommodates privacy for the birth process.
Semi-PrivateSemi-Private
hospital room shared with another patient.
More Than 2 BedsMore than 2 beds
type of room where two or more (usually just two) people share the same hospital room.
Birthing RoomsBirthing Rooms
home-like rooms where a woman labors and delivers with their families.
Antepartum/
High RiskAntepartum/High Risk
(also Prepartum) Before labor or childbirth. Antepartal care of a pregnant woman begins with conception and ends with the beginning of labor.
Traditional PostpartumTraditional Postpartum
type of room where women go after childbirth usually with 2 beds.
3 0 3 0 0 0 0 8


 ·  Other Rooms Information

Operative delivery rooms NICU Fetal Heart Rate Monitoring Postpartum
On same floor as L&DOperative Delivery Rooms on Same Floor as L&D
operating room on the same floor as labor and delivery unit.
General Surgical Suites on same floor as L&DOperative Delivery Rooms in General Surgical Suites on Same Floor as L&D
operating delivery rooms in suites setup for general surgery on the same floor as labor and delivery unit.
General Surgical Suite on a separate floor from L&DOperative Delivery Rooms in General Surgical Suite on a Seperate Floor from L&D
operating delivery rooms in suites setup for general surgery on a different floor as labor and delivery unit.
NICU on same floor as L&DNICU on Same Floor as L&D
neonatal intensive care unit on the same floor as labor and delivery unit.
Labor Room has electronic fetal heart rate monitoring and alarmsFetal Heart Monitoring- Labor Room
machines used to monitor the unborn babies heart rate during labor are located in the hospital room where a pregnant woman spends labor and is transferred.
Central station where personnel monitor the fetal heart ratesFetal Heart Monitoring- Central Station
machines used to monitor the unborn babies heart rate during labor are located in one area where patients are electronically monitored by hospital staff.
Private RoomsPostpartum Private Rooms
private, after recovery, room to give mother and baby time to bond before being discharged.
Semi-
private RoomsPostpartum Semi-Private Rooms
semi-private (usually two or more beds), after recovery, room to give mother and baby time to bond before being discharged.
0 3 0 N/A 11 0


 ·  Quality Parctices

Hospital Types Policy and Procedures Other Services
Contraception and permanent sterilizationContraception and/or Permanent Sterilization
counseling related to birth control and services available, such as, tubal sterilization.
Outpa-
tient
BirthsOutpatient Births
birth outside the hospital, either at home or in a birthing center.
No Elective Delivery <39 weeksPolicy and Procedures Regarding Elective Delivery < 39 weeks
professional medical guidelines discourage elective deliveries before a baby reaches 39 weeks development or gestation.
Use of corticos-
terioids for risk of birther <34 weeksPolicy and Procedures Regarding Use of Corticosteriods for Risk of Birth < 34 weeks
professional medical guidelines support the administration of corticosteroids to pregnant women who are at risk of delivering their baby before 34 weeks development or gestation.
Bilirubin level screen of infants prior to post-delivery dischargePolicy and Procedures Regarding Biliruban Level Screen of Infants prior to Post-delivery Discharge
professional medical guidelines or standards support infants having bilirubin screening before being discharged from the hospital.
DVT/VTE prophylaxis for c-sectionsPolicy and Procedures Regarding DVT/VTE Prophylaxis for C-sections
professional medical guidelines support the use of medical treatments given to women to prevent blood clots after cesarean section operations.
Cord blood sampling for PhCord Blood Sampling for Ph
hospital reviews birth cases for this lab test to find out if there were any problems with the care given to the patient.
Collect and review OB safety related dataCollect and Review OB Safety Related Data
collection and review of OB safety related data.
OB safety related data usedOB Safety Related Data Used
hospital reviews birth cases for these events to find out if there were any problems with the medical care given to the mother or baby.
- Infant resuscitation, 3rd & 4th degree lacerations


   Data updated on 7/24/2013 3:36:27 PM

Prenatal Care

Family Planning ServicesFamily Planning Services
health promotion services to help individuals and couples thinking of starting families.
Maternal-Fetal Medicine on StaffMaternal-Fetal Medicine on Staff
hospital has this expert doctor on staff.
Nuchel Translu-
cency (First Trimester Screening)Nuchel Translucency (First Trimester Screening)
a screening test to find out if a baby is at risk for Down syndrome and other problems.
Tetra Screening (Second Trimester Screening)Tetra Screening (Second Trimester Screening)
a blood screening test between 15-21 weeks in pregnancy to help find out if the unborn baby may have a birth defect like spinal bifida or down syndrome.
Amnio-
centesis
and.or chorionic
villus
samplingAmniocentesis and/or Chorionic Villus Sampling
tests that help find genetic disorders in the unborn baby.
ToursTours
walkthrough the hospital and area where the baby will be born.
Sibling ClassesSibling Classes
classes taught to help brothers and sisters get ready for mom's labor and delivery and a new baby.
Community outreach Prenatal care programCommunity Outreach Prenatal Care Program
a prenatal care program for the community sponsored by hospital.
Prenatal Care information advertisedPrenatal Care Information Advertised
advertises for prenatal care information.
Exercise ProgramsExercise Programs
programs for mothers to keep in shape during pregnancy and/or get back in shape after childbirth.


Adolescent
/teen pregnancy counselingAdolescent/teenage Pregnancy Counseling
counseling provided for pregnant teens, sponsored by the hospital.
School-based outreach and educationSchool-based Outreach and Education
sex education and/or health programs for school systems sponsored by the hospital.
Hospital-Sponsored Outreach workersHospital-Sponsored Outreach workers
hospital sponsored workers to work with pregnant women in community based settings.
Hot line availableHot line Available
hot line provided for information related to pregnancy.
Referral/
appoint-
ment to on-site or satellite prenatal clinicReferral/appointment to On-site or Satellite Prenatal Clinic
referred to a prenatal clinic at the hospital or sponsored by the hospital.
Transpor-
tation service/ sange-
mentsTransportation Service/arrangement
hospital either provides transportation or helps patient find transport.
Substance abuse ServicesSubstance Abuse Services
counseling provided for substance abusers who are pregnant.
HIV/AIDS servicesHIV/AIDS Services
counseling provided for HIV/AIDS for pregnant women or who want to become pregnant.
OtherOther
other services not previously listed as reported by the facility.
Lactation


Antenatal testing unitAntenatal Testing Unit
special unit or room testing provided for assistance in prenatal diagnosis such as ultrasound scanning, amniocentesis or other tests.
24 hour coverage by OB doctor on-call24 hour Coverage by OB Doctor On-call
hospital has a OB doctor on-call 24 hours a day.
24 hour coverage by OB doctor onsite24 hour Coverage by OB Doctor Onsite
hospital has an OB doctor at the hospital 24 hours a day.
24 hour coverage by Pediatrician on-call24 hour Coverage by Pediatrician On-call
hospital has a Pediatrician on-call 24 hours a day.
24 hour coverage by Pediatrician onsite24 hour Coverage by Pediatrician Onsite
hospital has a Pediatrician at the hospital 24 hours a day .
Certified Nurse MidwivesCertified Nurse Midwives
an Advanced Practice Nurse who has extra education and training in both Nursing and Midwifery.
Anesthesia OptionsAnesthesia Options
different options for anesthesia.


DoulaDoula
a person trained and experienced in childbirth who provides a pregnant woman physical and emotional support during labor and delivery.
Lactation ConsultantsLactation Consultants
a person trained to help mothers breastfeed.
Family-Centered CareFamily-Centered Care
providing care to the family as a unit during labor and delivery to include all members of the family.
English, Spanish and other LanguagesEnglish, Spanish and Other Languages
English, Spanish and other Languages provided.
Case Mana-
gementCase Management
service provided by hospital to assist patient with coordination of health, legal or other services.
Participates in injured infant fundParticipates in Injured Infant Fund
refers to the Virginia Birth-Related Neurological Injury Compensation Fund, a program providing lifelong care for infants with serious birth-related neurological injuries as defined by Virginia law. Eligible babies must be delivered by a participating doctor or at a participating hospital.
Pediatric emergency departmentPediatric Emergency Department
special emergency department for the ages new born to eighteen.
OtherOther
other services not previously listed as reported by the facility.


Rooming-InRooming-in
a room where the baby stays with the mother until they are discharged from the hospital.
Electronic Infant Security SystemElectronic Infant Security System
an electronic device put on the infant at birth that triggers the hospital security system if the infant is near or crosses pre-defined hospital borders.
Birthing BallsBirthing Balls
used by the pregnant woman for positioning during labor and childbirth.
Hydro- therapyHydrotherapy
the use of water for soothing pains during labor and delivery.
Aroma- therapyAromatherapy
using oils with different scents for help relaxing the pregnant woman.
Infant MassageInfant Massage
a way to sooth the baby.
Maternal MassageMaternal Massage
massaging the pregnant woman to help during labor with comfort,pain and relaxation.
Music TherapyMusic Therapy
using music during labor to help the pregnant woman with comfort, pain and relaxation.
Internet Access in RoomInternet Access in Room
access to the internet in the room.
OtherOther
other services not previously listed as reported by the facility.


   Data updated on 7/24/2013 3:36:27 PM

Postpartum and Discharge

Parenting Video/DVDParenting Video/DVD
video/dvd with information on parenting.
Parenting newsletter/ pamphletsParenting Newsletter
newsletter to help with parenting.
Breasting feeding infor-
mationBreasting Feeding Information
information to help mothers with breast feeding.
Safe Sleep/
SIDS/
SUID
PreventionSafe Sleep/SIDS Prevention
provided to help parents and other care givers understand the importance of babies sleeping on their backs.
Prevention of shaken baby syndromePrevention of Shaken Baby Syndrome
provided to help parent's and other care givers better understand and prevent shaken baby syndrome.
Infant/
Child carseat infor-
mationInfant/child Car Seat Information
information provided to help with infant/child car seat safety.
Postpartum Depression infor-
mationPostpartum Depression Information
information to help explain postpartum depression in the mother after childbirth.
Child immuni-
zation schedulesChild Immunization Schedule
information to help with immunizations and what shots should be given at different ages.
Daycare Infor-
mationDaycare Information
information provided to help parent's decide on daycare.
OtherOther
other services not previously listed as reported by the facility.


Infant Formula PacketInfant Formula Packet
information on infant formula.
Breast feeding/ lactation consultationBreast Feeding/lactation services
helps mothers with breast feeding.
Outpatient lactation servicesOutpatient Lactation Services
services provided to help with lactation after discharge in an outpatient setting at the hospital.
Pump rental stationPump Rental Station
station setup for pump rental.
Home health visits to new mothersHome Health Visits to New Mothers
a nurse visits the home to check on the mother and baby after hospital discharge.
Telephone SupportTelephone Support
hospital support line setup through the telephone for help.
Infant/child car seat rentalInfant/child Car Seat Rental
rental setup for infant/child car seats from the hospital.
On-line/
web NurseryOn-line/web Nursery
records your baby's very first moments so others can see the baby on the web, maybe secured with a password.
OtherOther
other services not previously listed as reported by the facility.


   Data updated on 7/24/2013 3:36:27 PM

Physician who Performed Deliveries at this Facility

  1. Beier, Karl Martin - (195 deliveries)

  2. Delgado, Melissa A. - (149 deliveries)

  3. Godfrey, Peter Edward - (138 deliveries)

  4. Moore, Russell Adrian - (1 deliveries)



   2008 data updated on 11/29/2012



   


Print Satisfaction Information

Patient Satisfaction Survey

 · Culpeper Regional Hospital's Overall

9 or 10 (high) 7 or 8 (medium) 6 or lower (low)
|||
 
11 How do patients rate the hospital overall?
Hospital  
67%Patients who gave a rating of "9" or "10" (high)22%Patients who gave a rating of "7" or "8" (medium)11%Patients who gave a rating of "6" or lower (low)
VA  
68%23%9%
USA  
71%21%8%


Yes, Definitely Yes, Probably No
|||
 
6 Would patients recommend the hospital to friends and family?
Hospital  
70%YES, patients would definitely recommend the hospital24%YES, patients would probably recommend the hospital6%NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)
VA  
69%26%5%
USA  
71%24%5%


 ·  Culpeper Regional Hospital's Comfort

Always Usually Sometimes/Never
|||

Click here to sort by Hospital Percentage
6 How often were the patients rooms and bathrooms kept clean?
Hospital  
77%Room was "always" clean17%Room was "usually" clean6%Room was "sometimes" or "never" clean
VA  
71%19%10%
USA  
73%19%8%
13 How often did patients receive help quickly from hospital staff?
Hospital  
64%Patients "always" received help as soon as they wanted23%Patients "usually" received help as soon as they wanted13%Patients "sometimes" or "never" received help as soon as they wanted
VA  
64%25%11%
USA  
68%23%9%
8 How often was patients pain well controlled?
Hospital  
71%Pain was "always" well controlled21%Pain was "usually" well controlled8%Pain was "sometimes" or "never" well controlled
VA  
70%23%7%
USA  
71%22%7%
12 How often was the area around patients rooms kept quiet at night?
Hospital  
56%"Always" quiet at night32%"Usually" quiet at night12%"Sometimes" or "never" quiet at night
VA  
60%30%10%
USA  
61%29%10%


 ·  Culpeper Regional Hospital's Communication

Always Usually Sometimes/Never
|||

Click here to sort by Hospital Percentage
3 How often did nurses communicate well with patients?
Hospital  
79%Nurses "always" communicated well18%Nurses "usually" communicated well3%Nurses "sometimes" or "never" communicated well
VA  
78%17%5%
USA  
79%17%4%
5 How often did doctors communicate well with patients?
Hospital  
80%Doctors "always" communicated well15%Doctors "usually" communicated well5%Doctors "sometimes" or "never" communicated well
VA  
81%15%4%
USA  
82%14%4%
19 How often did staff explain about medicines before giving them to patients?
Hospital  
63%Staff "always" explained18%Staff "usually" explained19%Staff "sometimes" or "never" explained
VA  
62%18%20%
USA  
64%18%18%


Yes No
||
 
14 Were patients given information about what to do during their recovery at home?
Hospital  
86%Yes, staff "did" give patients this information14%No, staff "did not" give patients this information
VA  
86%14%
USA  
85%15%




VA State Average & US Average: this number is included so you have
  • a better idea of what is typical for Virginia or the US
  • a basis for comparing individual hospital's performance

Survey ResponseSurvey Response
The percentage of patients who completed the survey.
: 29%    |    Completed SurveyCompleted Survey
Total number of patients who completed a survey.
: 300 or more

Patient Survey Collection Dates: October 2012 - September 2013 , Released in July 2014

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey information obtained
from the Centers for Medicare & Medicaid Services (CMS)

METHODOLOGY


Print Outpatient Information

2013 Outpatient Tests and Surgery Report

Click any column to sort.
Tests and
Surgery
Sub
Group
Number of Cases Performed in 2013 Median
Charge
Statewide Median Charge
Breast Surgery Diagnostic 15   $5,286 $6,625
Breast Surgery Therapeutic 11   $19,314 $13,102
Colonoscopy Diagnostic 87   $5,897 $3,903
Colonoscopy Therapeutic 39   $6,039 $4,302
Gallbladder Removal Cholecystectomy 81   $25,119 $16,199
General Laparoscopic Procedures General Laparoscopy 7   $20,521 $12,507
Hernia Repair Children too few to calculate   too few to calculate $11,436
Hernia Repair Infants 17   $19,641 $11,318
Hernia Repair Unspecified Age 39   $21,177 $11,102
Hernia Repair er too few to calculate   too few to calculate $18,409
Hysterectomy Hysterectomy too few to calculate   too few to calculate $15,486
Knee Surgery (Arthroscopy) Knee Surgery (Arthroscopy) 161   $15,678 $11,055
Other Gynecological Procedures D&C/Removal Fibroids 8   $23,963 $13,407
Other Gynecological Procedures Fertility Related too few to calculate   too few to calculate $15,423
Other Gynecological Procedures Removal Adhesions too few to calculate   too few to calculate $15,980
 


too few to calculate - Too Few to Calculate (Number of Cases < 5)

Updated on 09/10/2014



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