CORTLAND REGIONAL MEDICAL CENTER, INC (CORTLAND, NY) Detailed Hospital Profile

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.739%
State:	0.660%

Blood infection from a catheter in a large vein

This Hospital:	0.493%
New York:	0.435%

Infection from a Urinary Catheter

Here:	2.464%
State:	0.461%

Severe pressure sores (bed sores)

This Hospital:	0.739%
State:	0.452%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

Here:	$10,514
State:	$30,351

Average Total Payments

This Hospital:	$5,819
State:	$10,049

Number of discharges: 15

Here:	1.08%
New York:	0.64%

Atherosclerosis without Major Complications

Average Covered Charges

Here:	$6,709
New York:	$15,244

Average Total Payments

Here:	$3,639
New York:	$5,248

Number of discharges: 14

This Hospital:	1.00%
New York:	0.63%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$8,689
New York:	$23,294

Average Total Payments

Here:	$5,163
New York:	$7,529

Number of discharges: 21

Here:	1.51%
State:	1.43%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

Here:	$22,198
State:	$34,476

Average Total Payments

Here:	$10,149
New York:	$11,180

Number of discharges: 11

Here:	0.79%
New York:	0.84%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$6,073
New York:	$15,605

Average Total Payments

Here:	$3,564
New York:	$4,967

Number of discharges: 19

This Hospital:	1.36%
State:	1.64%

Cellulitis without Major Complications

Average Covered Charges

Here:	$8,228
New York:	$21,478

Average Total Payments

This Hospital:	$5,214
New York:	$7,326

Number of discharges: 66

Here:	4.73%
New York:	2.35%

Chest Pain

Average Covered Charges

This Hospital:	$5,891
State:	$14,161

Average Total Payments

This Hospital:	$3,432
New York:	$5,137

Number of discharges: 41

Here:	2.94%
New York:	2.94%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$9,418
New York:	$23,013

Average Total Payments

Here:	$6,040
State:	$8,087

Number of discharges: 92

Here:	6.59%
New York:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$15,536
New York:	$30,592

Average Total Payments

This Hospital:	$7,443
State:	$10,182

Number of discharges: 22

This Hospital:	1.58%
State:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$6,702
State:	$16,960

Average Total Payments

Here:	$4,502
New York:	$6,071

Number of discharges: 51

Here:	3.66%
New York:	1.51%

Diabetes with Complications

Average Covered Charges

Here:	$13,949
New York:	$22,558

Average Total Payments

Here:	$5,697
State:	$8,117

Number of discharges: 13

This Hospital:	0.93%
State:	0.89%

Disorders of Pancreas Except Malignancy with Complications

Average Covered Charges

Here:	$10,941
New York:	$30,605

Average Total Payments

This Hospital:	$6,297
State:	$9,117

Number of discharges: 15

Here:	1.08%
State:	0.15%

Dysequilibrium

Average Covered Charges

Here:	$7,605
State:	$17,870

Average Total Payments

Here:	$3,988
State:	$5,966

Number of discharges: 12

Here:	0.86%
New York:	0.66%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

This Hospital:	$12,161
State:	$31,584

Average Total Payments

Here:	$7,209
State:	$11,035

Number of discharges: 12

This Hospital:	0.86%
New York:	0.60%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$8,990
New York:	$18,668

Average Total Payments

This Hospital:	$4,545
New York:	$6,361

Number of discharges: 103

This Hospital:	7.38%
State:	3.99%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$11,768
State:	$27,960

Average Total Payments

This Hospital:	$6,327
State:	$8,863

Number of discharges: 38

This Hospital:	2.72%
New York:	1.98%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$14,196
New York:	$25,800

Average Total Payments

This Hospital:	$5,832
New York:	$7,975

Number of discharges: 12

This Hospital:	0.86%
State:	0.56%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$10,379
State:	$26,907

Average Total Payments

This Hospital:	$6,335
New York:	$9,020

Number of discharges: 89

Here:	6.38%
New York:	3.05%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$14,446
New York:	$41,330

Average Total Payments

Here:	$9,327
New York:	$13,648

Number of discharges: 16

Here:	1.15%
State:	2.38%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$7,391
State:	$17,445

Average Total Payments

This Hospital:	$4,219
State:	$5,979

Number of discharges: 18

This Hospital:	1.29%
New York:	1.37%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$24,140
State:	$44,953

Average Total Payments

Here:	$11,781
State:	$15,635

Number of discharges: 14

Here:	1.00%
State:	0.97%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$13,910
State:	$33,952

Average Total Payments

This Hospital:	$7,587
State:	$11,059

Number of discharges: 17

This Hospital:	1.22%
State:	0.79%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$9,211
New York:	$21,451

Average Total Payments

This Hospital:	$4,831
State:	$7,036

Number of discharges: 71

Here:	5.09%
New York:	2.87%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

This Hospital:	$11,744
State:	$34,117

Average Total Payments

This Hospital:	$7,500
State:	$11,269

Number of discharges: 22

This Hospital:	1.58%
State:	0.45%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$25,913
State:	$45,478

Average Total Payments

Here:	$13,132
State:	$17,066

Number of discharges: 19

Here:	1.36%
New York:	4.46%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

This Hospital:	$40,720
State:	$128,517

Average Total Payments

This Hospital:	$32,077
State:	$46,905

Number of discharges: 13

Here:	0.93%
State:	0.47%

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

Average Covered Charges

This Hospital:	$8,104
State:	$18,413

Average Total Payments

Here:	$4,296
State:	$6,139

Number of discharges: 56

Here:	4.01%
State:	2.44%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$11,826
New York:	$26,025

Average Total Payments

This Hospital:	$6,204
New York:	$9,109

Number of discharges: 11

Here:	0.79%
State:	0.70%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

Here:	$24,082
State:	$63,474

Average Total Payments

This Hospital:	$15,986
New York:	$22,092

Number of discharges: 12

This Hospital:	0.86%
State:	0.41%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

This Hospital:	$6,140
New York:	$16,388

Average Total Payments

This Hospital:	$3,898
New York:	$6,112

Number of discharges: 11

Here:	0.79%
New York:	0.40%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$11,258
New York:	$32,228

Average Total Payments

Here:	$7,995
State:	$10,299

Number of discharges: 15

Here:	1.08%
New York:	0.89%

Pulmonary Embolism without Major Complications

Average Covered Charges

Here:	$13,066
New York:	$29,446

Average Total Payments

Here:	$6,672
State:	$9,127

Number of discharges: 25

This Hospital:	1.79%
State:	0.30%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$10,170
State:	$21,786

Average Total Payments

This Hospital:	$4,967
State:	$7,426

Number of discharges: 13

Here:	0.93%
State:	1.60%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$9,533
State:	$27,775

Average Total Payments

Here:	$6,350
New York:	$9,215

Number of discharges: 32

Here:	2.29%
New York:	1.91%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$14,441
New York:	$34,266

Average Total Payments

This Hospital:	$8,351
New York:	$11,846

Number of discharges: 17

This Hospital:	1.22%
New York:	0.66%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$22,730
New York:	$51,542

Average Total Payments

Here:	$12,509
New York:	$17,543

Number of discharges: 15

Here:	1.08%
State:	0.66%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$26,089
New York:	$53,629

Average Total Payments

This Hospital:	$13,345
New York:	$20,887

Number of discharges: 13

Here:	0.93%
State:	0.82%

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

Average Covered Charges

Here:	$19,369
State:	$47,465

Average Total Payments

Here:	$11,851
New York:	$17,315

Number of discharges: 48

This Hospital:	3.44%
State:	5.04%

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

Average Covered Charges

This Hospital:	$18,102
State:	$29,226

Average Total Payments

Here:	$7,987
New York:	$9,822

Number of discharges: 13

Here:	0.93%
New York:	1.68%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$7,539
State:	$18,747

Average Total Payments

This Hospital:	$4,216
New York:	$6,160

Number of discharges: 28

This Hospital:	2.01%
State:	0.89%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$11,274
New York:	$24,560

Average Total Payments

Here:	$6,262
State:	$8,494

Number of discharges: 114

This Hospital:	8.17%
State:	2.61%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$18,756
State:	$38,332

Average Total Payments

This Hospital:	$9,236
New York:	$12,495

Number of discharges: 42

This Hospital:	3.01%
State:	1.49%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$7,763
New York:	$17,401

Average Total Payments

This Hospital:	$4,409
State:	$5,941

Number of discharges: 31

Here:	2.22%
New York:	1.04%

Syncope and Collapse

Average Covered Charges

This Hospital:	$9,767
New York:	$19,174

Average Total Payments

Here:	$4,477
New York:	$6,619

Number of discharges: 50

This Hospital:	3.58%
New York:	3.39%

Transient Ischemia

Average Covered Charges

This Hospital:	$8,868
State:	$20,693

Average Total Payments

This Hospital:	$4,563
State:	$6,227

Number of discharges: 13

This Hospital:	0.93%
State:	1.33%

Quality Measures

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

Here:	20.0%
State:	15.6%

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

This Hospital:	7.6%
State:	7.6%

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

Here:	8.7%
State:	8.4%

Percent of long-stay residents who lose too much weight

This Hospital:	7.3%
New York:	6.4%

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

Here:	3.1%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	5.3%
New York:	6.8%

Percent of long-stay residents who have depressive symptoms

This Hospital:	3.6%
State:	12.6%

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

Here:	6.7%
State:	2.9%

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

This Hospital:	93.3%
New York:	96.7%

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

This Hospital:	98.3%
New York:	97.3%

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

This Hospital:	29.1%
New York:	16.9%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Hospital:	1.0%
State:	1.8%

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

This Hospital:	95.3%
New York:	86.9%

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

Here:	93.0%
State:	85.0%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.0%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	3.5%
State:	20.8%

Complaint Deficiency

Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual 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
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 31%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	5%
State:	7%

Usually

Here:	23%
State:	20%

Always

This Hospital:	72%
State:	73%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
New York:	6%

Usually

Here:	17%
New York:	17%

Always

Here:	76%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	11%
New York:	15%

Usually

This Hospital:	32%
New York:	27%

Always

This Hospital:	57%
New York:	58%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	8%
State:	9%

Usually

This Hospital:	23%
State:	25%

Always

Here:	69%
New York:	66%

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

Sometimes or never

Here:	20%
State:	24%

Usually

This Hospital:	20%
New York:	18%

Always

Here:	60%
New York:	58%

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

Sometimes or never

This Hospital:	8%
State:	11%

Usually

This Hospital:	26%
State:	22%

Always

This Hospital:	66%
New York:	67%

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

Sometimes or never

This Hospital:	20%
New York:	17%

Usually

This Hospital:	41%
New York:	34%

Always

This Hospital:	39%
State:	49%

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

Yes

This Hospital:	84%
New York:	81%

Here:	16%
State:	19%

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

6 or lower

This Hospital:	16%
New York:	12%

7 or 8

This Hospital:	29%
State:	27%

9 or 10

Here:	55%
State:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	7%
New York:	7%

Yes, probably

Here:	42%
State:	29%

Yes, definitely

Here:	51%
State:	64%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	99.0%

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

This Hospital:	15
State:	10

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

This Hospital:	96.0%
New York:	97.3%

Heart Failure

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

This Hospital:	96.0%
New York:	99.1%

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

Here:	88.0%
State:	94.8%

Percent of Patients Given Discharge Instructions

Here:	100.0%
State:	92.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
New York:	98.6%

Pneumonia

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

This Hospital:	93.0%
State:	93.8%

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

This Hospital:	92.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	90.0%
New York:	98.5%

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

This Hospital:	93.0%
New York:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	79.0%
New York:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	88.0%
State:	94.0%

Surgery

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

This Hospital:	87.0%
State:	97.6%

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

This Hospital:	93.0%
New York:	96.4%

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

Here:	100.0%
New York:	97.7%

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

Here:	97.0%
New York:	97.2%

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

This Hospital:	97.0%
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:	100.0%
State:	99.8%

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

Here:	98.0%
New York:	92.6%

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

Here:	97.0%
New York:	95.0%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	84.0%
State:	94.9%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	80.0%
State:	94.4%

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

Here:	99.0%
State:	99.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.7%
State:	14.3%

30-Day Mortality Rates from Heart Failure

Here:	10.4%
State:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	10.1%
New York:	11.6%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.5%
State:	20.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	27.9%
State:	26.4%

30-Day Readmission Rates from Pneumonia

Here:	19.2%
State:	19.8%

Use of Medical Imaging

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

Here:	5.300%
State:	11.437%

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

Here:	0.025%
New York:	0.112%

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

This Hospital:	0.004%
State:	0.030%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

This Hospital:	3.600%
New York:	5.961%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	4.800%
State:	3.854%

CORTLAND REGIONAL MEDICAL CENTER, INC - CORTLAND, NY

Hospital Acquired Conditions

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

Quality Measures

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

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