DELAWARE VALLEY HOSPITAL, INC - WALTON, NY

Submitted by:deborah hitt, VP of Quality Management
Total Beds - 25
Total Certified 25
JCAHO - have not been a JCAHO facility since 2003
Not Accredited - NYS DOH Survey only
Renal Dialysis - stabilized and transferred
cornary care - stabilized and transferred
Inpatient Surgical - stablized and transferred
Neonatal - not at DVH
Nuclear Med - not at DVH
Obstetrics - not at DVH
Swing Bed - YES
Swing Bed size - 25 beds
Type of Facility - Critical Access - short term
Current Survey Date - NYS DOH October 2009

Institution representatives - add corrected or new information about DELAWARE VALLEY HOSPITAL, INC »

Addresss:
1 TITUS PLACE
WALTON, NY, 13856
Phone (make sure to verify first before calling): (607) 865-2100

Hospital Type: Critical Access Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 7.00
Registered Professional Nurses : 19.00
Certified Registered Nurse Anesthetists (CRNA) : 1.00
Dieticians : 1.00
Occupational Therapists : 0.50
Physical Therapists : 0.50
Registered Pharmacists : 1.00
Respiratory Therapists : 2.00
Physicians : 5.50
Medical Social Workers : 1.00
Medical Laboratory Technologists : 5.40
Physician Assistants : 5.00
Diagnostic Radiology Technicians : 6.00
Nurse Practitioners: 1.40

Number Of Beds
Total: 25
Total Certified: 25

Provided Services
Alcohol And/Or Drug Services
Anesthesia Services
Blood Bank Services
CT Scanner Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Hospice Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Process of Care

Heart Attack

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

8
State:

10
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Here:

95.0%
State:

97.3%

Heart Failure

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

90.0%
New York:

99.1%
Percent of Patients Given Discharge Instructions
This Hospital:

94.0%
New York:

92.8%

Pneumonia

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

95.0%
State:

93.8%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Here:

100.0%
State:

95.8%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

95.0%
New York:

94.8%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

100.0%
New York:

90.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

94.0%
New York:

94.0%

Outcome of Care

30-Day Mortality Rates from Heart Failure
This Hospital:

11.5%
New York:

11.0%
30-Day Mortality Rates from Pneumonia
Here:

11.5%
State:

11.6%
30-Day Readmission Rates from Heart Failure
Here:

26.7%
New York:

26.4%
30-Day Readmission Rates from Pneumonia
This Hospital:

18.6%
New York:

19.8%

Use of Medical Imaging

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

13.200%
State:

11.437%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.032%
State:

0.112%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Usually
Here:

14%
New York:

20%
Always
Here:

86%
State:

73%

How often did doctors communicate well with patients?

Sometimes or never
This Hospital:

2%
New York:

6%
Usually
Here:

12%
State:

17%
Always
This Hospital:

86%
New York:

77%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

3%
New York:

15%
Usually
This Hospital:

13%
New York:

27%
Always
Here:

84%
State:

58%

How often was patients' pain well controlled?

Sometimes or never
This Hospital:

2%
New York:

9%
Usually
Here:

19%
New York:

25%
Always
Here:

79%
New York:

66%

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

Sometimes or never
This Hospital:

16%
New York:

24%
Usually
Here:

14%
New York:

18%
Always
Here:

70%
State:

58%

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

Sometimes or never
Here:

2%
New York:

11%
Usually
Here:

5%
New York:

22%
Always
This Hospital:

93%
State:

67%

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

Sometimes or never
This Hospital:

2%
New York:

17%
Usually
This Hospital:

25%
State:

34%
Always
Here:

73%
State:

49%

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

Yes
Here:

84%
New York:

81%
No
This Hospital:

16%
New York:

19%

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

6 or lower
Here:

3%
New York:

12%
7 or 8
Here:

16%
New York:

27%
9 or 10
Here:

81%
New York:

61%

Would patients recommend the hospital to friends and family?

No
Here:

2%
State:

7%
Yes, probably
This Hospital:

22%
State:

29%
Yes, definitely
This Hospital:

76%
New York:

64%

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