ER Inspector RICHLAND MEMORIAL HOSPITALRICHLAND MEMORIAL HOSPITAL

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Updated September 19, 2019

This database was last updated in September 2019. It should only be used as a historical snapshot.Researchers can find more recent data on timely and effective care in the Centers for Medicare and Medicaid Services’ hospitals datasets and guidance about hospital regulations.

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ER Inspector » Illinois » RICHLAND MEMORIAL HOSPITAL

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RICHLAND MEMORIAL HOSPITAL

800 east locust, olney, Ill. 62450

(618) 395-2131

64% of Patients Would "Definitely Recommend" this Hospital
(Ill. Avg: 70%)

2 violations related to ER care since 2015

Hospital Type

Acute Care Hospitals

Hospital Owner

Voluntary non-profit - Private

ER Volume

Low (0 - 20K patients a year)

See this hospital's CMS profile page or inspection reports.

Patient Pathways Through This ER

After a patient arrives at the emergency room, they are typically seen by a doctor or medical practitioner and then either sent home or admitted to the hospital and taken to a room. A small percentage of patients leave without being seen. The chart below shows on average how long each of these pathways take. Lower numbers are better, and all times refer to the average length of time people waited.

Arrives at ER
2% of patients leave without being seen
3hrs 48min Admitted to hospital
4hrs 51min Taken to room
2hrs 10min Sent home

All wait times are average.

Detailed Quality Measures

Here is a more in depth look at each quality measure, compared to state and national averages for hospitals with low ER volumes. Experts caution that very small differences between hospitals for a given measure are unlikely to correspond to noticeable differences in the real world.

Measure
Average for this Hospital
How this Hospital Compares

(to other hospitals with similar
ER volumes, when available)

Discharged Patients
Time Until Sent Home

Average time patients spent in the emergency room before being sent home (if not admitted).

2hrs 10min
National Avg.
1hr 53min
Ill. Avg.
1hr 57min
This Hospital
2hrs 10min
Impatient Patients
Left Without
Being Seen

Percentage of patients who left the emergency room without being seen by a doctor or medical practitioner.

2%
Avg. U.S. Hospital
2%
Avg. Ill. Hospital
2%
This Hospital
2%
Admitted Patients
Time Before Admission

Average time patients spent in the emergency room before being admitted to the hospital.

3hrs 48min
National Avg.
3hrs 30min
Ill. Avg.
3hrs 40min
This Hospital
3hrs 48min
Admitted Patients
Transfer Time

Among patients admitted, additional time they spent waiting before being taken to their room (sometimes referred to as "boarding time.")

1hr 3min
National Avg.
57min
Ill. Avg.
1hr 5min
This Hospital
1hr 3min
Special Patients
CT Scan

Percentage of patients who arrived with stroke symptoms and did not receive brain scan results within 45 mins.

0%
National Avg.
27%
Ill. Avg.
22%
This Hospital
0%

Violations Related to ER Care

Problems found in emergency rooms at this hospital since 2015, as identified during the investigation of a complaint. About This Data →

Violation
Full Text
COMPLIANCE WITH 489.24

Mar 31, 2016

Based on document review and staff interview it was determined in 1 of 20 (Pt #1) ED patient being medically screened for a medical emergency that the Hospital failed to ensure compliance with 42 CFR 489.20 and 42 CFR 489.24. Findings include: 1.

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Based on document review and staff interview it was determined in 1 of 20 (Pt #1) ED patient being medically screened for a medical emergency that the Hospital failed to ensure compliance with 42 CFR 489.20 and 42 CFR 489.24. Findings include: 1. The Hospital failed to provide the patient with an appropriate medical screening. (A2406).

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MEDICAL SCREENING EXAM

Mar 31, 2016

Based on document review and interview it was determined the Hospital failed to provide a Medical Screening Examination for 1 of 20 patient (Pt.

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Based on document review and interview it was determined the Hospital failed to provide a Medical Screening Examination for 1 of 20 patient (Pt. #1) presenting to the emergency department for medical care. Findings include: 1. The hospital policy titled, " EMERGENCY DEPARTMENT STANDARDS & PRACTICE MANUAL; EMERGENCY SERVICES (ES); SUBJECT: ASSESSMENT OF THE EMERGECY DEPARTMENT PATIENT; POLICY AND PROCEDURE: (Effective June 2015) was reviewed on 3/30/2016 at 1:15 PM required- A. All patients presenting to the Emergency Department (ED) will be triaged and categorized using Emergency Severity Index (ESI)" 2. On 3/29/16 at 9:30 AM, the document titled,"INQUIRY/ASSESSMENT FORM" was reviewed. On 3/22/16 at 9:16 PM the psychiatric RN (E #5) documented Pt # 1 Presenting Problem: Schizophrenia. Non-Compliant w/ meds and doctor appts...no SI (Suicidal Ideation) or Hallucinations. Grandma and Mom are w/ him in ER. At 11:07 PM Psychiatrist (E #2) was contacted by E #5 and Pt #1 was to be admitted : Voluntary; Medically cleared by Transferring Hospital; Provisional DSM IV diagnosis: Psychotic Disorder. 3. On 3/29/16 at 3:00 PM, Pt #1's "Account Detail" was reviewed. Documentation indicated Pt #1 arrived to the registration window on 3/23/16 (no time recorded) to sign consents. According to the Switchboard/Registration clerk (E #6), Pt #1 was stating "there was a misunderstanding and he wasn't supposed to be here." Pt #1 refused to sign admission forms. Further documentation indicates Pt #1 was then taken to the psychiatric unit by EMS. The psychiatric RN (E #5) spoke with Pt #1 regarding admission, but Pt #1 again refused to be admitted , "wanting to go to another hospital by St. Louis". Documentation indicated the EMS left the hospital with Pt #1 (no time documented). 4. On 3/29/16 at 3:10 PM, a phone interview was conducted with E #5. E #5 remembers Pt #1 would not sign in at the registration desk. Pt #1 was brought up to the psychiatric unit "so we could talk". Pt # 1 indicated he misunderstood and thought he was being transferred to a hospital near St. Louis. He verbally refused to be admitted and this was documented in Meditrend and sent to the Supervisor. "Told EMT's they would have to take him back and they left with Pt." 5. On 3/29/16 at 1:00 PM, a review of the transcribed report of the "Ambulance Recording" was conducted. On 3/23/16 at 2:40 AM, a conversation occurred with EMS and the Hospital ED. Documentation indicated Pt #1 was being brought back to the Hospital ED per instructions of transferring hospital. Pt #1 arrived approximately at 2:41 AM to the Hospital. 6. On 3/29/16 at 2:15 PM, a telephone interview was conducted with the RN House Supervisor (#3). E #3 recalled Pt #1's refusal to be voluntarily admitted on ce arriving at Hospital. E #3 stated, "The patient was over an hour from home and did not want to be here, so we sent him back." Once the ambulance left with Pt #1 "We were notified by EMS that they were bringing him back." E# 3 stated, "I told EMS the patient was refusing to be admitted . EMS told me they were instructed to take Pt #1 to the closest ED, which would be us." When the ambulance arrived, E #3 stated, "I went outside and told them to wait, I think he has to go back." E# 3 called the Transferring Hospital and then spoke with the psychiatric unit supervisor. It was agreed to screen Pt #1 in the ED. E# 3 stated, "I went outside to have them bring patient in, and the ambulance was pulling away." E #3 confirmed, Pt #1 did not receive a medical screening. 7. On 3/29/16 at 3:45, video surveillance of EMS arrival and departure was observed. The EMS arrived at approximately 2:40 AM on 3/23/16 and left at approximately 2:51 AM. Pt #1 never left the ambulance and was not taken inside the ED for care.

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Notes

“Average time” refers to the median wait time (the midpoint of all patients' wait times). References to “doctor or medical practitioner” indicate a doctor, nurse practitioner or physician's assistant. CMS reports the CT scan quality measure as the percentage of patients who received a scan within 45 minutes. We have reversed that measure so that all measures follow a “lower is better” pattern.

Additional design and development by Mike Tigas and Sisi Wei.

Sources

All data comes from the Centers for Medicare and Medicaid Services. Detailed quality measures at the hospital, state and national level were last updated September 2019. Most data was collected between October 2017 and October 2018. Data on ER-related violations is from January 2015 to June 2019.

Additional Info

How We've Updated ER Inspector | Download ProPublica's Emergency Room Planning Toolkit | About This Data

Don’t See Your ER?

In some cases we aren’t able to identify the exact location of a hospital, so it doesn’t appear on our mapped search results. However, it may still be in our database – try looking for it in the list of hospitals on each state's page.

In other cases, the hospital is missing from our database because it doesn't have an emergency department.

In other cases, the hospital is missing from the federal government’s Centers for Medicare and Medicaid Services (CMS) data. There are a couple of reasons why a hospital isn’t included in CMS data: it may not participate in Medicare, or it may share a certification number with another hospital (common across large hospital systems).

If you notice a hospital missing from our database, please first check if you can find it on CMS' website, and that it is listed as having an ER. If so, please email us with the hospital name and address.