CHENANGO MEMORIAL HOSPITAL, INC (NORWICH, NY) Detailed Hospital Profile

Hospital Acquired Conditions

Falls and injuries

Here:	1.133%
State:	0.660%

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	6.300%
New York:	11.437%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.059%
New York:	0.112%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
New York:	7%

Usually

This Hospital:	21%
New York:	20%

Always

This Hospital:	75%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	6%

Usually

This Hospital:	15%
New York:	17%

Always

Here:	80%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
New York:	15%

Usually

Here:	27%
New York:	27%

Always

This Hospital:	63%
New York:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
New York:	9%

Usually

Here:	29%
State:	25%

Always

Here:	64%
New York:	66%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Hospital:	21%
New York:	24%

Usually

This Hospital:	16%
New York:	18%

Always

This Hospital:	63%
State:	58%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Hospital:	9%
State:	11%

Usually

Here:	22%
State:	22%

Always

Here:	69%
New York:	67%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:	12%
State:	17%

Usually

This Hospital:	36%
State:	34%

Always

Here:	52%
New York:	49%

Were patients given information about what to do during their recovery at home?

Yes

Here:	83%
New York:	81%

Here:	17%
State:	19%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Hospital:	15%
New York:	12%

7 or 8

This Hospital:	30%
New York:	27%

9 or 10

Here:	55%
State:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
New York:	7%

Yes, probably

Here:	39%
New York:	29%

Yes, definitely

This Hospital:	53%
State:	64%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Hospital:	8.1%
New York:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

This Hospital:	10.1%
State:	7.6%

Percent of long-stay high-risk residents with pressure ulcers

This Hospital:	6.4%
New York:	8.4%

Percent of long-stay residents who lose too much weight

This Hospital:	5.7%
New York:	6.4%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Hospital:	6.6%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.1%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

This Hospital:	1.5%
State:	12.6%

Percent of long-stay residents who were physically restrained

This Hospital:	4.3%
New York:	2.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.9%
New York:	2.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	96.7%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Hospital:	100.0%
New York:	97.3%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	95.0%
New York:	86.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Hospital:	95.0%
New York:	85.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	22.1%
New York:	20.8%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
New York:	99.0%

Percent of Patients Given Aspirin at Discharge

Here:	96.0%
State:	98.9%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
New York:	98.6%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

This Hospital:	14
New York:	10

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Here:	98.0%
New York:	97.3%

Patients Given a Prescription for a Statin at Discharge

Here:	91.0%
State:	96.6%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	97.0%
State:	99.1%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	91.0%
New York:	94.8%

Percent of Patients Given Discharge Instructions

This Hospital:	93.0%
New York:	92.8%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	97.0%
New York:	93.8%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	100.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
New York:	98.5%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	95.0%
New York:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	100.0%
State:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	98.0%
State:	94.0%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	95.0%
State:	97.6%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:	92.0%
State:	96.4%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	96.0%
State:	97.7%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

This Hospital:	97.0%
New York:	97.2%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	99.0%
State:	98.1%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	99.0%
New York:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	100.0%
State:	92.6%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Hospital:	94.0%
State:	95.0%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Hospital:	100.0%
State:	99.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.0%
State:	14.3%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.9%
State:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	13.0%
New York:	11.6%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.2%
New York:	20.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	23.5%
State:	26.4%

30-Day Readmission Rates from Pneumonia

Here:	17.0%
New York:	19.8%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

This Hospital:	$19,477
State:	$30,351

Average Total Payments

This Hospital:	$8,564
State:	$10,049

Number of discharges: 13

Here:	3.07%
New York:	0.64%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$30,586
State:	$46,975

Average Total Payments

Here:	$12,704
New York:	$15,936

Number of discharges: 11

This Hospital:	2.60%
New York:	1.08%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$14,417
New York:	$23,294

Average Total Payments

Here:	$5,924
New York:	$7,529

Number of discharges: 16

This Hospital:	3.78%
State:	1.43%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$11,754
State:	$15,605

Average Total Payments

This Hospital:	$4,092
New York:	$4,967

Number of discharges: 15

Here:	3.55%
State:	1.64%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$18,059
State:	$21,478

Average Total Payments

Here:	$6,475
State:	$7,326

Number of discharges: 16

This Hospital:	3.78%
State:	2.35%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$17,129
State:	$23,013

Average Total Payments

Here:	$6,997
New York:	$8,087

Number of discharges: 24

This Hospital:	5.67%
State:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$22,075
State:	$30,592

Average Total Payments

This Hospital:	$8,877
State:	$10,182

Number of discharges: 24

Here:	5.67%
State:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$13,159
State:	$16,960

Average Total Payments

This Hospital:	$5,183
New York:	$6,071

Number of discharges: 22

Here:	5.20%
State:	1.51%

Cranial and Peripheral Nerve Disorders without Major Complications

Average Covered Charges

Here:	$10,272
State:	$26,465

Average Total Payments

This Hospital:	$6,186
New York:	$8,210

Number of discharges: 15

This Hospital:	3.55%
New York:	0.35%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$12,103
State:	$18,668

Average Total Payments

Here:	$5,157
State:	$6,361

Number of discharges: 20

Here:	4.73%
State:	3.99%

G.I. Obstruction with Complications

Average Covered Charges

This Hospital:	$15,899
New York:	$25,800

Average Total Payments

Here:	$6,715
State:	$7,975

Number of discharges: 11

This Hospital:	2.60%
State:	0.56%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$14,261
New York:	$26,907

Average Total Payments

Here:	$7,147
New York:	$9,020

Number of discharges: 24

Here:	5.67%
New York:	3.05%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$11,543
State:	$17,445

Average Total Payments

Here:	$4,926
State:	$5,979

Number of discharges: 15

This Hospital:	3.55%
State:	1.37%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$14,605
New York:	$21,451

Average Total Payments

This Hospital:	$5,654
New York:	$7,036

Number of discharges: 23

Here:	5.44%
New York:	2.87%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$43,813
New York:	$45,478

Average Total Payments

Here:	$15,569
New York:	$17,066

Number of discharges: 40

This Hospital:	9.46%
New York:	4.46%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

This Hospital:	$11,051
New York:	$18,413

Average Total Payments

This Hospital:	$4,971
New York:	$6,139

Number of discharges: 21

This Hospital:	4.96%
State:	2.44%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$18,485
State:	$32,228

Average Total Payments

This Hospital:	$9,479
New York:	$10,299

Number of discharges: 12

Here:	2.84%
State:	0.89%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$15,787
New York:	$34,266

Average Total Payments

This Hospital:	$10,381
New York:	$11,846

Number of discharges: 13

This Hospital:	3.07%
State:	0.66%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

Here:	$28,436
State:	$47,465

Average Total Payments

This Hospital:	$14,397
New York:	$17,315

Number of discharges: 32

This Hospital:	7.57%
State:	5.04%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

Here:	$29,801
New York:	$29,226

Average Total Payments

This Hospital:	$13,018
New York:	$9,822

Number of discharges: 12

This Hospital:	2.84%
New York:	1.68%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$21,249
State:	$24,560

Average Total Payments

This Hospital:	$7,170
State:	$8,494

Number of discharges: 27

This Hospital:	6.38%
State:	2.61%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$11,322
New York:	$17,401

Average Total Payments

This Hospital:	$5,100
New York:	$5,941

Number of discharges: 17

Here:	4.02%
New York:	1.04%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have enough outside ventilation via a window or mechanical ventilation, or both
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion unless it was unavoidable
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have enough outside ventilation via a window or mechanical ventilation, or both
- Harm: Potential for minimal harm
- Scope: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

CHENANGO MEMORIAL HOSPITAL, INC - NORWICH, NY

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Complaint Deficiency

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