DECATUR MEMORIAL HOSPITAL

  About DECATUR MEMORIAL HOSPITAL

  Ratings for DECATUR MEMORIAL HOSPITAL

When it comes to healthcare, patients want the best possible care and experience. Figuring this out and boiling it down to a few measures, can be difficult. The information below shows our best analysis. We review all of the the data from CMS. The information below summarizes the results of the most recent annual survey of health care providers called the Consumer Assessment of Healthcare Providers and Systems or "CAHPS" as well as data used for the calculation of the Merit-Based Incentive Payment System ("MIPS"). The most recent data for both of these datasets is calendar year 2021. According to the CMS website, the 2022 survey data is being finalized but they have not indicated when it will be publicly available.

CAHPS Survey Results

There is no information about the overall patient rating for DECATUR MEMORIAL HOSPITAL.

MIPS Measures

Measure	Percent Compliance
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	15%
Anti-Depressant Medication Management	83%
Anti-Depressant Medication Management	89%
Appropriate Testing for Pharyngitis	67%
Appropriate Treatment for Upper Respiratory Infection (URI)	89%
Breast Cancer Screening	59%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	0%
Cervical Cancer Screening	21%
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	34%
Childhood Immunization Status	20%
Chlamydia Screening for Women	14%
Clinical Data Registry Reporting	Yes
Closing the Referral Loop: Receipt of Specialist Report	8%
Colorectal Cancer Screening	19%
Controlling High Blood Pressure	70%
Dementia: Cognitive Assessment	0%
Depression Remission at Twelve Months	59%
Diabetes: Eye Exam	18%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	35%
Diabetes: Medical Attention for Nephropathy	86%
Documentation of Current Medications in the Medical Record	89%
Electronic Case Reporting	Yes
Electronic submission of Patient Centered Medical Home accreditation	Yes
Falls: Screening for Future Fall Risk	58%
Follow-Up Care for Children Prescribed ADHD Medication (ADD)	5%
Follow-Up Care for Children Prescribed ADHD Medication (ADD)	16%
Functional Status Assessment for Total Knee Replacement	0%
HIV Screening	9%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	79%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	90%
Immunization Registry Reporting	Yes
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	1%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	0%
ONC Direct Review Attestation	Yes
ONC-ACB Surveillance Attestation	Yes
Oncology: Medical and Radiation Pain Intensity Quantified	78%
Pneumococcal Vaccination Status for Older Adults	71%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	22%
Preventive Care and Screening: Influenza Immunization	44%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	69%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	24%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	50%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	91%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	0%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	0%
Provide Patients Electronic Access to Their Health Information	99%
Public Health Registry Reporting	Yes
Query of the Prescription Drug Monitoring Program (PDMP)	Yes
Security Risk Analysis	Yes
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	75%
Support Electronic Referral Loops By Receiving and Reconciling Health Information	28%
Support Electronic Referral Loops By Sending Health Information	28%
Use of High-Risk Medications in Older Adults	10%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	97%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	8%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	13%
e-Prescribing	97%

  Specializations Covered by DECATUR MEMORIAL HOSPITAL

DECATUR MEMORIAL HOSPITAL includes medical professionals from 26 specialties

Specialty	Number
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	31
CRITICAL CARE (INTENSIVISTS)	5
HOSPITALIST	13
NURSE PRACTITIONER	24
PAIN MANAGEMENT	1
PEDIATRIC MEDICINE	2
PHYSICIAN ASSISTANT	7
ALLERGY/IMMUNOLOGY	1
ANESTHESIOLOGY	1
QUALIFIED AUDIOLOGIST	3
FAMILY PRACTICE	15
GASTROENTEROLOGY	1
INTERNAL MEDICINE	37
GERIATRIC MEDICINE	2
INFECTIOUS DISEASE	3
INTERVENTIONAL CARDIOLOGY	4
GENERAL SURGERY	7
NEPHROLOGY	5
NEUROLOGY	1
NEUROSURGERY	1
ORTHOPEDIC SURGERY	2
OTOLARYNGOLOGY	1
PLASTIC AND RECONSTRUCTIVE SURGERY	1
PULMONARY DISEASE	5
COLORECTAL SURGERY (PROCTOLOGY)	1
CARDIOVASCULAR DISEASE (CARDIOLOGY)	10

  DECATUR MEMORIAL HOSPITAL Office Locations

>  Hospitals Affiliated with DECATUR MEMORIAL HOSPITAL

DECATUR MEMORIAL HOSPITAL professionals work with these hospitals:

ABRAHAM LINCOLN MEMORIAL HOSPITAL	ALEXIAN BROTHERS MEDICAL CENTER 1
AMITA HEALTH RESURRECTION MEDICAL CENTER	ASCENSION ST VINCENT HOSPITAL
ATRIUM MEDICAL CENTER	BAPTIST HEALTH DEACONESS MADISONVILLE
BELOIT HEALTH SYSTEM	CARLE BROMENN MEDICAL CENTER
CHI HEALTH NEBRASKA HEART	CHI HEALTH ST. ELIZABETH
COMMUNITY MEMORIAL HOSPITAL	COMMUNITY MEMORIAL HOSPITAL
DEACONESS HOSPITAL INC	DECATUR MEMORIAL HOSPITAL
GOOD SAMARITAN REGIONAL HLTH CENTER	KIRBY MEDICAL CENTER
LECOM HEALTH CORRY MEMORIAL HOSPITAL	MEADVILLE MEDICAL CENTER
MEMORIAL HOSPITAL	MEMORIAL HOSPITAL OF CARBONDALE
MEMORIAL MEDICAL CENTER	MERCY HOSPITAL
METHODIST MEDICAL CENTER OF ILLINOIS	MILLCREEK COMMUNITY HOSPITAL
MOBILE INFIRMARY MEDICAL CENTER	NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
OSF HEART OF MARY MEDICAL CENTER	OSF SACRED HEART MEDICAL CENTER
OSF SAINT ELIZABETH MDL CTR	PANA COMMUNITY HOSPITAL
SAINT FRANCIS MEDICAL CENTER	SAINT JAMES HOSPITAL
SARAH BUSH LINCOLN HEALTH CENTER	SOUTHEAST IOWA REGIONAL MEDICAL CENTER
SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA	ST ANTHONYS MEMORIAL HOSPITAL
ST JOHNS HOSPITAL	ST JOSEPH MEDICAL CENTER
ST JOSEPH'S HOSPITAL HEALTH CENTER	ST MARYS HOSPITAL
SWEDISH AMERICAN HOSPITAL	TAYLORVILLE MEMORIAL HOSPITAL
UPMC PRESBYTERIAN SHADYSIDE	WARNER HOSPITAL AND HEALTH SERVICES
WASHINGTON COUNTY HOSPITAL	WESTERN MARYLAND REGIONAL MEDICAL CENTER

  Other Physician Groups

This is a list of other physician groups that service the same geographic area. If you are not satisfied with your current doctor or group of doctors, these may be worth considering.

• HSHS MEDICAL GROUP INC
• SPRINGFIELD CLINIC LLP
• IMAGING CONSULTANTS OF CENTRAL ILLINOIS SC
• NORTH AMERICAN PARTNERS IN ANESTHESIA ILLINOIS LLC
• PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
• WELLNOW URGENT CARE, P.C.
• MEMORIAL PHYSICIAN SERVICES
• CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC
• GAILEY EYE CLINIC, LTD
• LUTHERAN MEDICAL GROUP LLC
• PANA COMMUNITY HOSPITAL ASSOCIATION
• PROCTOR HEALTH SYSTEMS
• SIU PHYSICIANS AND SURGEONS INC
• TAYLORVILLE MEMORIAL HOSPITAL
• HERITAGE BEHAVIORAL HEALTH CENTER, INC.
• BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
• OSF MULTI-SPECIALTY GROUP
• COMPREHENSIVE THERAPEUTICS LTD
• IVYREHAB PHYSICAL THERAPY PLLC
• VITALSKIN MEDICAL GROUP IL PLLC
• MIDWEST EMERGENCY DEPARTMENT SPECIALISTS LTD
• ASSOCIATED ANESTHESIOLOGISTS OF DECATUR
• IHC-DECATUR EMERGENCY PHYSICIANS LLC
• EDGEWOOD CLINICAL SERVICES P.C.
• CEPAMERICA ILLINOIS LLP
• NORTH SHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
• DECATUR PSYCHOLOGICAL ASSOCIATES PC
• PRESENCE HEALTHCARE SERVICES
• CENTRAL DUPAGE PHYSICIAN GROUP
• CARLE WEST PHYSICIAN GROUP INC
• ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
• METHODIST MEDICAL CENTER OF ILLINOIS
• PREFERRED PODIATRY GROUP PC
• ALLIED VISION SOURCE LLC
• AMERICAN ANESTHESIOLOGY ASSOCIATES OF ILLINOIS, S.C.
• KIRBY MEDICAL CENTER
• ATHLETICO LTD
• SARAH BUSH LINCOLN HEALTH CENTER
• JOHN C. KEFALAS, M.D.,S.C.
• VERO CLINICS INC
• MIDWEST POST ACUTE CARE PLLC
• PAIN CONSULTANTS OF CENTRAL ILLINOIS LLC
• ROHIDAS T PATIL MD SC
• CITY OF CLINTON
• MIDWEST PCW PT LLC
• FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
• JMS HAND ASSOCIATES SC
• CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
• ORTHOPAEDIC AND REHABILITATION SPECIALISTS OF CENTRAL ILLINOIS
• LAKE SHORE OB GYN OF DECATUR SC
• DOLLY BRISCOE ENTERPRISES INC
• DECATUR ORTHOPEDIC CENTER LLC
• WOMENS HEALTH CARE SPECIALISTS OF DECATUR LLC
• INTERNATIONAL EYECARE CENTER INC.