ER Inspector FAIRFIELD MEMORIAL HOSPITAL 1FAIRFIELD MEMORIAL HOSPITAL 1

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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 » FAIRFIELD MEMORIAL HOSPITAL 1

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FAIRFIELD MEMORIAL HOSPITAL 1

303 n w 11th street, fairfield, Ill. 62837

(618) 842-2611

72% of Patients Would "Definitely Recommend" this Hospital
(Ill. Avg: 70%)

2 violations related to ER care since 2015

Hospital Type

Critical Access 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
1% of patients leave without being seen
3hrs 24min Admitted to hospital
4hrs 14min Taken to room
2hrs 5min 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 5min
National Avg.
1hr 53min
Ill. Avg.
1hr 57min
This Hospital
2hrs 5min
Impatient Patients
Left Without
Being Seen

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

1%
Avg. U.S. Hospital
2%
Avg. Ill. Hospital
2%
This Hospital
1%
Admitted Patients
Time Before Admission

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

3hrs 24min

Data submitted were based on a sample of cases/patients.

National Avg.
3hrs 30min
Ill. Avg.
3hrs 40min
This Hospital
3hrs 24min
Admitted Patients
Transfer Time

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

50min

Data submitted were based on a sample of cases/patients.

National Avg.
57min
Ill. Avg.
1hr 5min
This Hospital
50min
Special Patients
CT Scan

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

No Data Available

The number of cases/patients is too few to report.

National Avg.
27%
Ill. Avg.
22%
This Hospital
No Data Available

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

Jul 21, 2016

Based on document review and staff interview, it was determined for 1 of 1 (Pt #1) patient requiring screening for a medical emergency, the Hospital failed to ensure compliance with 42 CFR 489.20 and 42 CFR 489.24. Findings include: 1.

See More ↓

Based on document review and staff interview, it was determined for 1 of 1 (Pt #1) patient requiring screening for a medical emergency, 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. See deficiency cited at C2406.

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MEDICAL SCREENING EXAM

Jul 21, 2016

Based on document review and staff interview, it was determined for 1 of 1 (Pt #1) patient in route to the hospital emergency department for evaluation of an emergency medical condition, The Hospital instructed EMS (emergency medical services) to reroute patient to another facility and failed to provide an appropriate medical screening.

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Based on document review and staff interview, it was determined for 1 of 1 (Pt #1) patient in route to the hospital emergency department for evaluation of an emergency medical condition, The Hospital instructed EMS (emergency medical services) to reroute patient to another facility and failed to provide an appropriate medical screening. This failure has the potential to affect all patients in transit to the emergency department. Findings include: 1. A review of the Edwards County EMS patient care report for Pt #1 was conducted on 7/21/16 at approximately 10:00 AM. The care report indicates the EMS received a call on 7/12/16 at 22:30 to transport Pt #1, who was " having a miscarriage". Patient's mother stated, "We were at (Hospital B) earlier this evening and was told she was having a miscarriage and to go back home cause this is normal. After 2 hours of this I called (Hospital A) and they said this not normal and to get her to the hospital." Documentation indicates "Patient's mother wanted her daughter to be taken to (Hospital A) due to (Hospital B) earlier this evening. While en route to (Hospital A) Edwards county dispatched advised emergency medical technician (EMT/E #7) to call (Hospital A) and then gave out the phone number. E#7 called (Hospital A) and ER doctor advised E #7 that they were refusing care of this patient due to not having an OB (obstetric services) in the hospital and that if we showed up they wouldn't allow us to unload the patient and then make us go on to Mount Vernon or go to (Hospital B)." Pt #1 was taken to (Hospital B) for evaluation. 2. An interview was conducted with Registered Nurse/ Emergency Department (E#4) on 7/21/16 at 10:50 AM. During the interview E#4 was asked if she recalled the incident regarding Pt #1. E#4 stated, " Yes, I think I know what you are talking about. The house charge nurse (E#6) received a call from the patient or family stating Pt #1 was pregnant and bleeding heavily. E#6 told them to go to a hospital as soon as possible. Family of Pt #1 stated to E#6 they had been to (Hospital B) and would not go back. " E#4 reported when EMS called, E#4 took the call and transferred to the ED physician (E#5) per his request. E#4 was aware E#5 told EMS to take Pt #1 to the nearest facility with OB. E#4 confirmed Pt #1 did not present to their ED per the physician's instructions to take patient to another hospital. 3. A telephone interview was conducted on 7/21/16 at 1:45 PM with the ED physician (E#5) making the decision to reroute the EMS transporting Pt #1. E#5 stated " I believe the patient had been to another hospital and was evaluated. EMS said they were between 2 hospitals so I asked if the patient (Pt #1) was stable. EMS said she was and gave me her vital signs and report. I wanted to do what was best for the patient, save time in transferring and in bleeding, avoid a transfusion. I told the nurse they should take her to where she had treatment before, for continuity of care and they had OB services. Sounded like she needed a D&C (dilation and curettage) which we don ' t do here (Hospital A). If she came here our next closest hospital would be (Hospital C) 30 minutes away." E#5 denied any conversation regarding the EMS not being allowed to unload Pt #1 if they arrived at the ED. 4. A telephone interview was conducted with emergency medical technician (EMT/E#7) on 7/25/16 at 12:10 PM. E#7 recalled the transport of Pt #1 on 7/12/16 and confirmed the information in the patient care notes from Edwards County EMS. E#7 reiterated the ED physician told E#7 to take Pt #1 to another hospital with OB services and if Pt #1 was brought to their hospital he would not allow the EMS to unload Pt #1. E#7 confirmed Pt #1 was taken to (Hospital B) where care was transferred to their staff. 5. An interview was conducted with the hospital administrator (E#1) and the chief nursing officer (E#2). After a telephone conversation with the EMS, both staff agreed the EMS was instructed to transport Pt #1 to another hospital with OB (obstetric) services after knowledge the EMS was in route to their hospital.

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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.