ST JOSEPH'S HOSPITAL, INC (ELMIRA, NY) Detailed Hospital Profile

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$25,804
New York:	$46,975

Average Total Payments

This Hospital:	$11,481
New York:	$15,936

Number of discharges: 18

Here:	1.59%
State:	1.08%

Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications

Average Covered Charges

Here:	$6,565
State:	$14,817

Average Total Payments

Here:	$3,982
New York:	$6,759

Number of discharges: 47

Here:	4.16%
State:	0.85%

Cellulitis without Major Complications

Average Covered Charges

Here:	$12,327
State:	$21,478

Average Total Payments

This Hospital:	$5,267
New York:	$7,326

Number of discharges: 51

Here:	4.51%
State:	2.35%

Chest Pain

Average Covered Charges

Here:	$11,240
State:	$14,161

Average Total Payments

This Hospital:	$3,450
State:	$5,137

Number of discharges: 50

Here:	4.42%
New York:	2.94%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$16,404
State:	$23,013

Average Total Payments

This Hospital:	$6,104
New York:	$8,087

Number of discharges: 63

Here:	5.57%
State:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$25,064
State:	$30,592

Average Total Payments

Here:	$7,474
New York:	$10,182

Number of discharges: 26

This Hospital:	2.30%
State:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$11,073
State:	$16,960

Average Total Payments

Here:	$4,602
New York:	$6,071

Number of discharges: 40

Here:	3.54%
New York:	1.51%

Degenerative Nervous System Disorders without Major Complications

Average Covered Charges

This Hospital:	$14,777
New York:	$28,514

Average Total Payments

This Hospital:	$5,968
State:	$9,062

Number of discharges: 11

This Hospital:	0.97%
New York:	0.71%

Dysequilibrium

Average Covered Charges

Here:	$12,940
New York:	$17,870

Average Total Payments

This Hospital:	$4,077
State:	$5,966

Number of discharges: 11

This Hospital:	0.97%
State:	0.66%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$13,834
State:	$18,668

Average Total Payments

This Hospital:	$4,494
State:	$6,361

Number of discharges: 93

Here:	8.22%
New York:	3.99%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$17,560
New York:	$27,960

Average Total Payments

This Hospital:	$6,560
New York:	$8,863

Number of discharges: 18

Here:	1.59%
New York:	1.98%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$19,021
State:	$26,907

Average Total Payments

Here:	$6,409
New York:	$9,020

Number of discharges: 26

Here:	2.30%
New York:	3.05%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$32,805
State:	$41,330

Average Total Payments

Here:	$9,411
State:	$13,648

Number of discharges: 20

Here:	1.77%
New York:	2.38%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$13,824
State:	$17,445

Average Total Payments

Here:	$4,277
State:	$5,979

Number of discharges: 12

This Hospital:	1.06%
New York:	1.37%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

Here:	$16,907
New York:	$24,933

Average Total Payments

Here:	$5,233
New York:	$7,235

Number of discharges: 14

Here:	1.24%
New York:	0.66%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$12,980
New York:	$21,451

Average Total Payments

Here:	$4,908
State:	$7,036

Number of discharges: 88

Here:	7.78%
State:	2.87%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

This Hospital:	$19,360
State:	$34,117

Average Total Payments

This Hospital:	$7,607
New York:	$11,269

Number of discharges: 13

This Hospital:	1.15%
State:	0.45%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$25,027
New York:	$45,478

Average Total Payments

Here:	$13,155
New York:	$17,066

Number of discharges: 48

This Hospital:	4.24%
State:	4.46%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$14,548
State:	$23,275

Average Total Payments

Here:	$5,160
State:	$7,174

Number of discharges: 18

This Hospital:	1.59%
State:	1.10%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

Here:	$28,820
State:	$31,477

Average Total Payments

Here:	$7,388
State:	$11,182

Number of discharges: 12

This Hospital:	1.06%
State:	0.85%

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

Average Covered Charges

Here:	$11,014
State:	$18,413

Average Total Payments

This Hospital:	$4,364
New York:	$6,139

Number of discharges: 58

Here:	5.13%
State:	2.44%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$8,079
New York:	$16,388

Average Total Payments

Here:	$3,962
New York:	$6,112

Number of discharges: 22

This Hospital:	1.95%
New York:	0.40%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$25,750
State:	$32,228

Average Total Payments

This Hospital:	$8,087
New York:	$10,299

Number of discharges: 24

This Hospital:	2.12%
State:	0.89%

Renal Failure with Complications

Average Covered Charges

Here:	$19,296
New York:	$27,775

Average Total Payments

Here:	$6,420
New York:	$9,215

Number of discharges: 12

Here:	1.06%
New York:	1.91%

Renal Failure with Major Complications

Average Covered Charges

This Hospital:	$20,635
State:	$42,937

Average Total Payments

Here:	$10,100
State:	$15,655

Number of discharges: 15

Here:	1.33%
State:	1.29%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$29,419
New York:	$34,266

Average Total Payments

Here:	$9,267
State:	$11,846

Number of discharges: 19

This Hospital:	1.68%
New York:	0.66%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

Here:	$45,820
New York:	$51,542

Average Total Payments

This Hospital:	$13,084
State:	$17,543

Number of discharges: 16

Here:	1.41%
State:	0.66%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$13,566
State:	$24,411

Average Total Payments

This Hospital:	$4,863
New York:	$7,634

Number of discharges: 11

This Hospital:	0.97%
State:	1.03%

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

Average Covered Charges

This Hospital:	$26,569
State:	$47,465

Average Total Payments

This Hospital:	$11,593
State:	$17,315

Number of discharges: 30

This Hospital:	2.65%
New York:	5.04%

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

Average Covered Charges

This Hospital:	$18,273
State:	$29,226

Average Total Payments

This Hospital:	$7,130
New York:	$9,822

Number of discharges: 24

This Hospital:	2.12%
New York:	1.68%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$15,292
New York:	$18,747

Average Total Payments

Here:	$4,382
New York:	$6,160

Number of discharges: 15

This Hospital:	1.33%
New York:	0.89%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$19,574
State:	$24,560

Average Total Payments

This Hospital:	$6,388
State:	$8,494

Number of discharges: 90

This Hospital:	7.96%
New York:	2.61%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$29,980
State:	$38,332

Average Total Payments

This Hospital:	$9,572
State:	$12,495

Number of discharges: 38

This Hospital:	3.36%
State:	1.49%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$16,158
State:	$17,401

Average Total Payments

This Hospital:	$4,511
State:	$5,941

Number of discharges: 34

Here:	3.01%
New York:	1.04%

Syncope and Collapse

Average Covered Charges

This Hospital:	$12,917
State:	$19,174

Average Total Payments

This Hospital:	$4,403
State:	$6,619

Number of discharges: 28

This Hospital:	2.48%
State:	3.39%

Transient Ischemia

Average Covered Charges

This Hospital:	$16,312
New York:	$20,693

Average Total Payments

This Hospital:	$4,628
New York:	$6,227

Number of discharges: 16

This Hospital:	1.41%
State:	1.33%

Quality Measures

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

This Hospital:	15.7%
New York:	15.6%

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

Here:	17.2%
State:	7.6%

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

Here:	7.0%
State:	8.4%

Percent of long-stay residents who lose too much weight

Here:	11.5%
New York:	6.4%

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

Here:	3.9%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.7%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	14.5%
State:	12.6%

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

This Hospital:	1.8%
State:	2.9%

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

Here:	98.2%
State:	96.7%

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

Here:	98.2%
New York:	97.3%

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

Here:	22.0%
State:	16.9%

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

This Hospital:	1.2%
New York:	1.8%

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

This Hospital:	95.1%
New York:	86.9%

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

Here:	95.7%
State:	85.0%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	14.8%
New York:	20.8%

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- 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: 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
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Some
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States
- Harm: Potential for minimal harm
- Scope: Some
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
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
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 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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Some
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- 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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Give notice to the resident before a room or roommate change
- Harm: Potential for minimal harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- 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: Many
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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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: Many
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some

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:	100.0%
New York:	98.9%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.6%

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

This Hospital:	5
State:	10

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

This Hospital:	100.0%
New York:	97.3%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	100.0%
State:	96.6%

Heart Failure

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

Here:	99.0%
State:	99.1%

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

This Hospital:	83.0%
State:	94.8%

Percent of Patients Given Discharge Instructions

Here:	98.0%
State:	92.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.6%

Pneumonia

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

This Hospital:	93.0%
New York:	93.8%

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

Here:	95.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.5%

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

This Hospital:	88.0%
State:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	95.0%
State:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	95.0%
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

Here:	98.0%
State:	97.6%

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

Here:	100.0%
State:	96.4%

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

Here:	98.0%
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:	96.0%
State:	97.2%

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

Here:	99.0%
New York:	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

This Hospital:	90.0%
New York:	92.6%

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

This Hospital:	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)

Here:	97.0%
New York:	94.9%

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

This Hospital:	100.0%
State:	94.4%

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

Here:	99.0%
New York:	99.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	15.0%
State:	14.3%

30-Day Mortality Rates from Heart Failure

Here:	10.3%
State:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.3%
State:	11.6%

30-Day Readmission Rates from Heart Attack

Here:	18.8%
State:	20.9%

30-Day Readmission Rates from Heart Failure

Here:	22.9%
State:	26.4%

30-Day Readmission Rates from Pneumonia

Here:	20.8%
State:	19.8%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.266%
State:	0.660%

Blood infection from a catheter in a large vein

Here:	0.799%
New York:	0.435%

Infection from a Urinary Catheter

This Hospital:	0.266%
State:	0.461%

Signs of Uncontrolled Blood Sugar

Here:	0.266%
State:	0.165%

Use of Medical Imaging

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

Here:	49.100%
New York:	30.865%

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

This Hospital:	8.900%
New York:	11.437%

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

This Hospital:	0.088%
State:	0.112%

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

Here:	3.900%
New York:	5.961%

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

This Hospital:	10.000%
New York:	3.854%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	6%
New York:	7%

Usually

Here:	26%
State:	20%

Always

This Hospital:	68%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

Here:	7%
New York:	6%

Usually

Here:	20%
State:	17%

Always

This Hospital:	73%
New York:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	10%
State:	15%

Usually

Here:	33%
State:	27%

Always

This Hospital:	57%
New York:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
New York:	9%

Usually

Here:	33%
State:	25%

Always

Here:	60%
State:	66%

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

Sometimes or never

This Hospital:	23%
New York:	24%

Usually

This Hospital:	20%
State:	18%

Always

This Hospital:	57%
New York:	58%

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

Sometimes or never

This Hospital:	8%
State:	11%

Usually

Here:	25%
New York:	22%

Always

Here:	67%
New York:	67%

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

Sometimes or never

This Hospital:	16%
New York:	17%

Usually

Here:	37%
New York:	34%

Always

Here:	47%
State:	49%

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

Yes

This Hospital:	81%
New York:	81%

Here:	19%
State:	19%

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

6 or lower

Here:	15%
State:	12%

7 or 8

This Hospital:	28%
State:	27%

9 or 10

This Hospital:	57%
State:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	10%
State:	7%

Yes, probably

Here:	29%
State:	29%

Yes, definitely

Here:	61%
New York:	64%

ST JOSEPH'S HOSPITAL, INC - ELMIRA, NY

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

Quality Measures

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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