NATHAN LITTAUER HOSPITAL (GLOVERSVILLE, NY) Detailed Hospital Profile

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	42.100%
State:	30.865%

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

Here:	4.600%
New York:	11.437%

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

Here:	0.053%
State:	0.112%

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

Here:	0.024%
New York:	0.030%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 30%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
New York:	7%

Usually

This Hospital:	18%
State:	20%

Always

Here:	78%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	6%
New York:	6%

Usually

Here:	18%
State:	17%

Always

This Hospital:	76%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	9%
State:	15%

Usually

This Hospital:	25%
State:	27%

Always

Here:	66%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
New York:	9%

Usually

This Hospital:	23%
State:	25%

Always

Here:	71%
State:	66%

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

Sometimes or never

Here:	20%
State:	24%

Usually

This Hospital:	18%
State:	18%

Always

Here:	62%
New York:	58%

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

Sometimes or never

This Hospital:	5%
State:	11%

Usually

This Hospital:	18%
State:	22%

Always

Here:	77%
State:	67%

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

Sometimes or never

Here:	13%
State:	17%

Usually

This Hospital:	35%
State:	34%

Always

Here:	52%
New York:	49%

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

Yes

Here:	84%
State:	81%

This Hospital:	16%
State:	19%

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

6 or lower

Here:	10%
State:	12%

7 or 8

This Hospital:	26%
New York:	27%

9 or 10

This Hospital:	64%
State:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	5%
New York:	7%

Yes, probably

This Hospital:	33%
State:	29%

Yes, definitely

Here:	62%
State:	64%

Quality Measures

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

This Hospital:	8.3%
State:	15.6%

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

This Hospital:	17.1%
New York:	7.6%

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

This Hospital:	4.2%
State:	8.4%

Percent of long-stay residents who lose too much weight

Here:	14.9%
New York:	6.4%

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

Here:	6.1%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	1.4%
New York:	6.8%

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

This Hospital:	1.3%
New York:	2.9%

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

This Hospital:	100.0%
State:	96.7%

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

Here:	100.0%
State:	97.3%

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

This Hospital:	24.4%
New York:	16.9%

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

Here:	95.7%
State:	86.9%

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

This Hospital:	82.0%
State:	85.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	20.3%
State:	20.8%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	96.0%
New York:	99.0%

Percent of Patients Given Aspirin at Discharge

This Hospital:	93.0%
New York:	98.9%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
State:	98.6%

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:	97.0%
New York:	97.3%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	86.0%
New York:	96.6%

Heart Failure

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

Here:	85.0%
New York:	99.1%

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

This Hospital:	95.0%
State:	94.8%

Percent of Patients Given Discharge Instructions

Here:	94.0%
State:	92.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	95.0%
State:	98.6%

Pneumonia

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

Here:	91.0%
New York:	93.8%

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

Here:	89.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	97.0%
New York:	98.5%

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

This Hospital:	86.0%
New York:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	84.0%
New York:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	74.0%
New York:	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:	90.0%
New York:	97.6%

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

This Hospital:	96.0%
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:	98.0%
State:	97.2%

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

This Hospital:	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

Here:	100.0%
State:	99.8%

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

Here:	97.0%
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:	96.0%
New York:	95.0%

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

This Hospital:	94.0%
New York:	94.9%

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

Here:	100.0%
New York:	94.4%

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

This Hospital:	100.0%
New York:	99.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	17.3%
New York:	14.3%

30-Day Mortality Rates from Heart Failure

Here:	14.5%
New York:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	13.3%
New York:	11.6%

30-Day Readmission Rates from Heart Attack

This Hospital:	21.6%
New York:	20.9%

30-Day Readmission Rates from Heart Failure

Here:	23.2%
State:	26.4%

30-Day Readmission Rates from Pneumonia

Here:	19.3%
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:	$15,788
State:	$30,351

Average Total Payments

This Hospital:	$7,151
New York:	$10,049

Number of discharges: 11

Here:	1.30%
New York:	0.64%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$29,291
State:	$46,975

Average Total Payments

Here:	$10,893
New York:	$15,936

Number of discharges: 16

Here:	1.89%
New York:	1.08%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$10,943
New York:	$15,244

Average Total Payments

This Hospital:	$3,735
State:	$5,248

Number of discharges: 14

Here:	1.65%
State:	0.63%

Bronchitis and Asthma with Complications

Average Covered Charges

Here:	$13,209
State:	$23,060

Average Total Payments

This Hospital:	$5,397
New York:	$8,106

Number of discharges: 11

This Hospital:	1.30%
State:	0.52%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$15,107
New York:	$23,294

Average Total Payments

Here:	$5,373
New York:	$7,529

Number of discharges: 18

This Hospital:	2.13%
New York:	1.43%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

Here:	$11,617
State:	$15,605

Average Total Payments

Here:	$3,869
New York:	$4,967

Number of discharges: 16

This Hospital:	1.89%
New York:	1.64%

Cellulitis without Major Complications

Average Covered Charges

Here:	$12,898
State:	$21,478

Average Total Payments

This Hospital:	$5,400
New York:	$7,326

Number of discharges: 28

Here:	3.31%
State:	2.35%

Chest Pain

Average Covered Charges

This Hospital:	$12,193
State:	$14,161

Average Total Payments

Here:	$3,561
State:	$5,137

Number of discharges: 57

This Hospital:	6.73%
New York:	2.94%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$20,024
New York:	$23,013

Average Total Payments

This Hospital:	$6,120
New York:	$8,087

Number of discharges: 30

Here:	3.54%
State:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$25,977
State:	$30,592

Average Total Payments

Here:	$7,604
New York:	$10,182

Number of discharges: 22

This Hospital:	2.60%
State:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$15,914
New York:	$16,960

Average Total Payments

This Hospital:	$4,785
New York:	$6,071

Number of discharges: 62

This Hospital:	7.32%
State:	1.51%

Diabetes with Complications

Average Covered Charges

This Hospital:	$17,698
New York:	$22,558

Average Total Payments

This Hospital:	$5,297
State:	$8,117

Number of discharges: 12

This Hospital:	1.42%
State:	0.89%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$13,719
New York:	$18,668

Average Total Payments

Here:	$4,596
State:	$6,361

Number of discharges: 44

Here:	5.19%
New York:	3.99%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$16,172
State:	$27,960

Average Total Payments

This Hospital:	$6,400
New York:	$8,863

Number of discharges: 23

This Hospital:	2.72%
New York:	1.98%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$19,917
State:	$26,907

Average Total Payments

Here:	$6,442
State:	$9,020

Number of discharges: 28

This Hospital:	3.31%
New York:	3.05%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$30,653
State:	$41,330

Average Total Payments

This Hospital:	$10,065
State:	$13,648

Number of discharges: 16

This Hospital:	1.89%
State:	2.38%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$14,970
State:	$17,445

Average Total Payments

Here:	$4,298
New York:	$5,979

Number of discharges: 24

Here:	2.83%
New York:	1.37%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$15,157
New York:	$21,451

Average Total Payments

This Hospital:	$4,868
New York:	$7,036

Number of discharges: 48

This Hospital:	5.67%
State:	2.87%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$42,390
State:	$45,478

Average Total Payments

Here:	$13,954
New York:	$17,066

Number of discharges: 33

This Hospital:	3.90%
New York:	4.46%

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

Average Covered Charges

Here:	$18,249
State:	$18,413

Average Total Payments

This Hospital:	$4,669
New York:	$6,139

Number of discharges: 28

Here:	3.31%
State:	2.44%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$28,098
State:	$32,228

Average Total Payments

This Hospital:	$8,331
New York:	$10,299

Number of discharges: 32

This Hospital:	3.78%
State:	0.89%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$18,342
New York:	$21,786

Average Total Payments

This Hospital:	$5,098
State:	$7,426

Number of discharges: 22

This Hospital:	2.60%
State:	1.60%

Renal Failure with Complications

Average Covered Charges

This Hospital:	$18,846
State:	$27,775

Average Total Payments

Here:	$6,458
State:	$9,215

Number of discharges: 14

This Hospital:	1.65%
New York:	1.91%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

Here:	$43,090
State:	$53,629

Average Total Payments

Here:	$13,332
State:	$20,887

Number of discharges: 11

Here:	1.30%
New York:	0.82%

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

Average Covered Charges

Here:	$33,571
State:	$47,465

Average Total Payments

This Hospital:	$11,979
State:	$17,315

Number of discharges: 21

Here:	2.48%
New York:	5.04%

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

Average Covered Charges

Here:	$22,821
State:	$29,226

Average Total Payments

Here:	$7,152
State:	$9,822

Number of discharges: 18

This Hospital:	2.13%
New York:	1.68%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$15,093
State:	$18,747

Average Total Payments

Here:	$4,399
New York:	$6,160

Number of discharges: 17

This Hospital:	2.01%
New York:	0.89%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$23,565
New York:	$24,560

Average Total Payments

Here:	$6,778
New York:	$8,494

Number of discharges: 76

This Hospital:	8.97%
New York:	2.61%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$31,242
State:	$38,332

Average Total Payments

Here:	$10,359
New York:	$12,495

Number of discharges: 19

Here:	2.24%
State:	1.49%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$16,211
State:	$17,401

Average Total Payments

Here:	$4,541
New York:	$5,941

Number of discharges: 22

This Hospital:	2.60%
New York:	1.04%

Syncope and Collapse

Average Covered Charges

Here:	$15,348
State:	$19,174

Average Total Payments

This Hospital:	$4,574
State:	$6,619

Number of discharges: 33

Here:	3.90%
State:	3.39%

Transient Ischemia

Average Covered Charges

This Hospital:	$14,264
State:	$20,693

Average Total Payments

This Hospital:	$4,683
State:	$6,227

Number of discharges: 21

Here:	2.48%
State:	1.33%

Hospital Acquired Conditions

Blood infection from a catheter in a large vein

This Hospital:	0.374%
State:	0.435%

Signs of Uncontrolled Blood Sugar

Here:	0.374%
State:	0.165%

Complaint Deficiency

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: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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: Some
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- 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: Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some

NATHAN LITTAUER HOSPITAL - GLOVERSVILLE, NY

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

Hospital Acquired Conditions

Complaint Deficiency

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