WYOMING COUNTY COMMUNITY HOSPITAL (WARSAW, NY) Detailed Hospital Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 0%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
State:	7%

Usually

Here:	21%
State:	20%

Always

This Hospital:	75%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
New York:	6%

Usually

This Hospital:	20%
New York:	17%

Always

This Hospital:	74%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	8%
New York:	15%

Usually

Here:	28%
State:	27%

Always

This Hospital:	64%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
New York:	9%

Usually

This Hospital:	27%
New York:	25%

Always

Here:	67%
New York:	66%

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

Sometimes or never

Here:	22%
New York:	24%

Usually

This Hospital:	22%
State:	18%

Always

This Hospital:	56%
State:	58%

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

Sometimes or never

This Hospital:	4%
New York:	11%

Usually

This Hospital:	21%
New York:	22%

Always

Here:	75%
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%
State:	34%

Always

Here:	47%
New York:	49%

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

Yes

This Hospital:	86%
New York:	81%

Here:	14%
State:	19%

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

6 or lower

Here:	9%
State:	12%

7 or 8

Here:	33%
New York:	27%

9 or 10

This Hospital:	58%
New York:	61%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	7%

Yes, probably

This Hospital:	41%
State:	29%

Yes, definitely

This Hospital:	55%
New York:	64%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
New York:	99.0%

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

Here:	10
State:	10

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

This Hospital:	95.0%
New York:	97.3%

Heart Failure

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

Here:	100.0%
New York:	99.1%

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

This Hospital:	100.0%
New York:	94.8%

Percent of Patients Given Discharge Instructions

Here:	88.0%
New York:	92.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	76.0%
State:	98.6%

Pneumonia

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

This Hospital:	94.0%
New York:	93.8%

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

This Hospital:	92.0%
New York:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	83.0%
New York:	98.5%

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

Here:	85.0%
New York:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	92.0%
State:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	94.0%
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:	96.0%
State:	97.6%

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

This Hospital:	91.0%
New York:	96.4%

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

Here:	95.0%
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

Here:	92.0%
New York:	97.2%

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

This Hospital:	91.0%
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

This Hospital:	95.0%
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)

Here:	73.0%
New York:	94.9%

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

Here:	100.0%
State:	94.4%

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

Here:	100.0%
State:	99.1%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.5%
State:	14.3%

30-Day Mortality Rates from Heart Failure

This Hospital:	11.5%
New York:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	14.0%
State:	11.6%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.4%
New York:	26.4%

30-Day Readmission Rates from Pneumonia

Here:	18.5%
State:	19.8%

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

Cellulitis without Major Complications

Average Covered Charges

Here:	$4,356
State:	$21,478

Average Total Payments

Here:	$6,131
State:	$7,326

Number of discharges: 17

This Hospital:	5.94%
State:	2.35%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$8,833
New York:	$23,013

Average Total Payments

This Hospital:	$7,155
New York:	$8,087

Number of discharges: 28

Here:	9.79%
State:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$11,204
State:	$30,592

Average Total Payments

Here:	$9,509
New York:	$10,182

Number of discharges: 22

Here:	7.69%
New York:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$6,700
New York:	$16,960

Average Total Payments

Here:	$5,284
New York:	$6,071

Number of discharges: 27

Here:	9.44%
State:	1.51%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$4,991
State:	$18,668

Average Total Payments

Here:	$5,250
New York:	$6,361

Number of discharges: 23

Here:	8.04%
State:	3.99%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$6,828
State:	$26,907

Average Total Payments

This Hospital:	$7,399
State:	$9,020

Number of discharges: 23

Here:	8.04%
State:	3.05%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$6,224
State:	$33,952

Average Total Payments

This Hospital:	$8,827
New York:	$11,059

Number of discharges: 11

Here:	3.85%
New York:	0.79%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$5,095
State:	$21,451

Average Total Payments

Here:	$5,756
State:	$7,036

Number of discharges: 22

Here:	7.69%
State:	2.87%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$17,724
New York:	$45,478

Average Total Payments

This Hospital:	$15,399
New York:	$17,066

Number of discharges: 13

This Hospital:	4.55%
New York:	4.46%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

This Hospital:	$6,879
New York:	$34,266

Average Total Payments

This Hospital:	$10,896
New York:	$11,846

Number of discharges: 18

Here:	6.29%
New York:	0.66%

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

Average Covered Charges

Here:	$8,886
New York:	$47,465

Average Total Payments

Here:	$13,960
State:	$17,315

Number of discharges: 13

This Hospital:	4.55%
New York:	5.04%

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

Average Covered Charges

This Hospital:	$5,420
New York:	$29,226

Average Total Payments

Here:	$8,326
New York:	$9,822

Number of discharges: 13

This Hospital:	4.55%
New York:	1.68%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$6,849
State:	$24,560

Average Total Payments

Here:	$7,379
New York:	$8,494

Number of discharges: 41

Here:	14.34%
State:	2.61%

Syncope and Collapse

Average Covered Charges

This Hospital:	$6,324
State:	$19,174

Average Total Payments

This Hospital:	$5,249
State:	$6,619

Number of discharges: 15

Here:	5.24%
New York:	3.39%

Quality Measures

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

Here:	18.8%
New York:	15.6%

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

This Hospital:	13.3%
New York:	7.6%

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

Here:	6.0%
State:	8.4%

Percent of long-stay residents who lose too much weight

Here:	9.4%
State:	6.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	40.0%
State:	41.1%

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

This Hospital:	5.5%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

This Hospital:	9.4%
New York:	6.8%

Percent of long-stay residents who have depressive symptoms

This Hospital:	1.0%
State:	12.6%

Percent of long-stay residents who were physically restrained

Here:	4.7%
New York:	2.3%

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

Here:	3.8%
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:	99.1%
State:	97.3%

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

This Hospital:	31.9%
New York:	16.9%

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

This Hospital:	1.6%
State:	1.8%

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

This Hospital:	93.4%
New York:	86.9%

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

Here:	85.6%
State:	85.0%

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

Here:	1.3%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	16.0%
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
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- 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 necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- 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 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
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: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- 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
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Hospital Acquired Conditions

Objects Accidentally Left in the Body After Surgery

This Hospital:	0.737%
State:	0.143%

Falls and injuries

This Hospital:	0.737%
State:	0.660%

Use of Medical Imaging

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

Here:	6.200%
State:	11.437%

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

This Hospital:	0.201%
New York:	0.112%

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

This Hospital:	0.063%
State:	0.030%

WYOMING COUNTY COMMUNITY HOSPITAL - WARSAW, NY

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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

Quality Measures

Complaint Deficiency

Hospital Acquired Conditions

Use of Medical Imaging

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