BON SECOURS COMMUNITY HOSPITAL (PORT JERVIS, 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:	30.000%
State:	30.865%

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

This Hospital:	3.600%
State:	11.437%

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

Here:	0.117%
New York:	0.112%

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

This Hospital:	0.019%
State:	0.030%

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

This Hospital:	5.400%
State:	5.961%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	7%
New York:	7%

Usually

This Hospital:	16%
State:	20%

Always

Here:	77%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	11%
State:	6%

Usually

Here:	17%
New York:	17%

Always

Here:	72%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	12%
State:	15%

Usually

Here:	24%
State:	27%

Always

This Hospital:	64%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
New York:	9%

Usually

Here:	20%
State:	25%

Always

This Hospital:	71%
New York:	66%

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

Sometimes or never

Here:	26%
New York:	24%

Usually

Here:	18%
New York:	18%

Always

This Hospital:	56%
State:	58%

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

Sometimes or never

Here:	10%
New York:	11%

Usually

Here:	17%
State:	22%

Always

This Hospital:	73%
New York:	67%

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

Sometimes or never

Here:	16%
New York:	17%

Usually

Here:	28%
New York:	34%

Always

This Hospital:	56%
New York:	49%

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

Yes

This Hospital:	78%
State:	81%

Here:	22%
State:	19%

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

6 or lower

This Hospital:	12%
New York:	12%

7 or 8

Here:	28%
New York:	27%

9 or 10

Here:	60%
State:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	10%
New York:	7%

Yes, probably

Here:	33%
State:	29%

Yes, definitely

This Hospital:	57%
New York:	64%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	96.0%
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

Here:	100.0%
State:	98.6%

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

This Hospital:	9
New York:	10

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

This Hospital:	98.0%
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)

This Hospital:	100.0%
State:	99.1%

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

Here:	97.0%
New York:	94.8%

Percent of Patients Given Discharge Instructions

Here:	99.0%
New York:	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

Here:	98.0%
New York:	93.8%

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

Here:	99.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.5%

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

This Hospital:	99.0%
New York:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	86.0%
State:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
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:	100.0%
State:	97.6%

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

This Hospital:	92.0%
State:	96.4%

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

This Hospital:	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:	98.0%
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

This Hospital:	100.0%
New York:	99.8%

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

This Hospital:	98.0%
State:	92.6%

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

Here:	100.0%
State:	95.0%

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:	13.4%
New York:	14.3%

30-Day Mortality Rates from Heart Failure

Here:	10.4%
New York:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	9.9%
New York:	11.6%

30-Day Readmission Rates from Heart Attack

Here:	20.6%
State:	20.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	23.9%
State:	26.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.2%
New York:	19.8%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	1.735%
State:	0.660%

Blood infection from a catheter in a large vein

This Hospital:	0.289%
New York:	0.435%

Quality Measures

Percent of long-stay residents who lose too much weight

This Hospital:	11.8%
New York:	6.4%

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

This Hospital:	7.1%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	8.8%
New York:	6.8%

Percent of long-stay residents who have depressive symptoms

This Hospital:	6.1%
New York:	12.6%

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

Here:	2.9%
State:	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

This Hospital:	100.0%
State:	97.3%

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

This Hospital:	25.5%
State:	16.9%

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

Here:	5.8%
State:	1.8%

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

Here:	92.5%
New York:	86.9%

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

Here:	85.1%
New York:	85.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	11.8%
New York:	20.8%

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

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

Here:	$43,613
State:	$46,975

Average Total Payments

This Hospital:	$12,359
State:	$15,936

Number of discharges: 17

This Hospital:	1.53%
State:	1.08%

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

Average Covered Charges

This Hospital:	$13,183
State:	$14,817

Average Total Payments

This Hospital:	$5,117
State:	$6,759

Number of discharges: 28

Here:	2.52%
New York:	0.85%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$19,253
State:	$15,244

Average Total Payments

This Hospital:	$4,581
State:	$5,248

Number of discharges: 25

Here:	2.25%
State:	0.63%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$28,968
New York:	$23,294

Average Total Payments

This Hospital:	$6,302
State:	$7,529

Number of discharges: 23

Here:	2.07%
New York:	1.43%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$40,810
State:	$34,476

Average Total Payments

This Hospital:	$9,587
State:	$11,180

Number of discharges: 22

This Hospital:	1.98%
New York:	0.84%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$17,537
New York:	$15,605

Average Total Payments

Here:	$4,473
State:	$4,967

Number of discharges: 20

Here:	1.80%
State:	1.64%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$27,676
New York:	$21,478

Average Total Payments

Here:	$6,609
New York:	$7,326

Number of discharges: 25

Here:	2.25%
State:	2.35%

Chest Pain

Average Covered Charges

This Hospital:	$20,504
New York:	$14,161

Average Total Payments

Here:	$4,338
New York:	$5,137

Number of discharges: 50

This Hospital:	4.50%
State:	2.94%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

This Hospital:	$27,005
New York:	$23,013

Average Total Payments

This Hospital:	$7,649
New York:	$8,087

Number of discharges: 38

This Hospital:	3.42%
State:	1.94%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$36,523
State:	$30,592

Average Total Payments

Here:	$9,184
State:	$10,182

Number of discharges: 45

Here:	4.05%
State:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$22,995
New York:	$16,960

Average Total Payments

This Hospital:	$5,673
State:	$6,071

Number of discharges: 23

Here:	2.07%
New York:	1.51%

Diabetes with Complications

Average Covered Charges

This Hospital:	$42,135
New York:	$22,558

Average Total Payments

This Hospital:	$6,494
State:	$8,117

Number of discharges: 13

This Hospital:	1.17%
State:	0.89%

Dysequilibrium

Average Covered Charges

Here:	$20,691
State:	$17,870

Average Total Payments

This Hospital:	$5,020
State:	$5,966

Number of discharges: 11

Here:	0.99%
New York:	0.66%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$25,934
State:	$18,668

Average Total Payments

This Hospital:	$5,636
State:	$6,361

Number of discharges: 42

Here:	3.78%
New York:	3.99%

Fx, Sprn, Strn and Disl Except Femur, Hip, Pelvis and Thigh without Major Complications

Average Covered Charges

This Hospital:	$33,251
New York:	$20,757

Average Total Payments

This Hospital:	$5,388
New York:	$6,412

Number of discharges: 11

This Hospital:	0.99%
State:	0.50%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$42,263
State:	$27,960

Average Total Payments

This Hospital:	$8,021
State:	$8,863

Number of discharges: 23

Here:	2.07%
New York:	1.98%

G.I. Hemorrhage without Complications

Average Covered Charges

This Hospital:	$18,309
State:	$19,019

Average Total Payments

Here:	$5,612
State:	$6,378

Number of discharges: 11

This Hospital:	0.99%
State:	0.59%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$29,751
State:	$26,907

Average Total Payments

This Hospital:	$8,070
New York:	$9,020

Number of discharges: 57

This Hospital:	5.13%
State:	3.05%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$37,085
New York:	$41,330

Average Total Payments

This Hospital:	$11,338
State:	$13,648

Number of discharges: 28

This Hospital:	2.52%
State:	2.38%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$24,650
New York:	$17,445

Average Total Payments

This Hospital:	$5,382
New York:	$5,979

Number of discharges: 26

This Hospital:	2.34%
New York:	1.37%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$72,031
State:	$44,953

Average Total Payments

Here:	$14,810
State:	$15,635

Number of discharges: 12

Here:	1.08%
State:	0.97%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

This Hospital:	$124,029
State:	$132,493

Average Total Payments

Here:	$44,785
New York:	$53,759

Number of discharges: 12

Here:	1.08%
New York:	0.61%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$45,588
State:	$33,214

Average Total Payments

This Hospital:	$9,131
New York:	$10,434

Number of discharges: 14

This Hospital:	1.26%
State:	1.22%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$27,611
New York:	$33,952

Average Total Payments

This Hospital:	$9,087
New York:	$11,059

Number of discharges: 12

This Hospital:	1.08%
State:	0.79%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$27,861
State:	$21,451

Average Total Payments

Here:	$6,177
State:	$7,036

Number of discharges: 14

This Hospital:	1.26%
New York:	2.87%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$76,089
State:	$45,478

Average Total Payments

Here:	$16,533
New York:	$17,066

Number of discharges: 13

Here:	1.17%
New York:	4.46%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$24,396
New York:	$23,275

Average Total Payments

Here:	$6,446
New York:	$7,174

Number of discharges: 14

This Hospital:	1.26%
State:	1.10%

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

Average Covered Charges

Here:	$27,598
State:	$31,477

Average Total Payments

Here:	$8,421
New York:	$11,182

Number of discharges: 13

Here:	1.17%
State:	0.85%

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

Average Covered Charges

This Hospital:	$21,737
State:	$18,413

Average Total Payments

This Hospital:	$5,434
New York:	$6,139

Number of discharges: 45

This Hospital:	4.05%
State:	2.44%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$31,620
State:	$26,025

Average Total Payments

This Hospital:	$7,975
New York:	$9,109

Number of discharges: 13

Here:	1.17%
State:	0.70%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$25,142
State:	$28,607

Average Total Payments

Here:	$7,418
New York:	$9,257

Number of discharges: 16

Here:	1.44%
New York:	0.64%

Poisoning and Toxic Effects of Drugs without Major Complications

Average Covered Charges

Here:	$21,154
State:	$16,388

Average Total Payments

This Hospital:	$4,950
State:	$6,112

Number of discharges: 17

Here:	1.53%
State:	0.40%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

Here:	$39,345
State:	$32,228

Average Total Payments

Here:	$9,674
New York:	$10,299

Number of discharges: 14

Here:	1.26%
State:	0.89%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

This Hospital:	$28,830
State:	$36,015

Average Total Payments

This Hospital:	$9,858
State:	$12,277

Number of discharges: 11

Here:	0.99%
State:	0.48%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$21,190
State:	$21,786

Average Total Payments

Here:	$6,249
State:	$7,426

Number of discharges: 12

This Hospital:	1.08%
State:	1.60%

Renal Failure with Complications

Average Covered Charges

Here:	$28,901
New York:	$27,775

Average Total Payments

This Hospital:	$8,326
State:	$9,215

Number of discharges: 21

Here:	1.89%
New York:	1.91%

Renal Failure with Major Complications

Average Covered Charges

Here:	$49,130
State:	$42,937

Average Total Payments

Here:	$12,890
State:	$15,655

Number of discharges: 12

This Hospital:	1.08%
State:	1.29%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

Here:	$156,141
State:	$122,124

Average Total Payments

This Hospital:	$39,224
New York:	$51,777

Number of discharges: 13

This Hospital:	1.17%
State:	0.48%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$75,723
New York:	$53,629

Average Total Payments

Here:	$18,294
State:	$20,887

Number of discharges: 14

This Hospital:	1.26%
New York:	0.82%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$26,615
State:	$24,411

Average Total Payments

This Hospital:	$5,716
State:	$7,634

Number of discharges: 19

Here:	1.71%
New York:	1.03%

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

Average Covered Charges

This Hospital:	$59,637
State:	$47,465

Average Total Payments

This Hospital:	$14,871
State:	$17,315

Number of discharges: 98

This Hospital:	8.82%
New York:	5.04%

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

Average Covered Charges

Here:	$39,022
New York:	$29,226

Average Total Payments

This Hospital:	$9,067
New York:	$9,822

Number of discharges: 47

This Hospital:	4.23%
State:	1.68%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$40,328
New York:	$24,560

Average Total Payments

Here:	$8,246
New York:	$8,494

Number of discharges: 36

This Hospital:	3.24%
State:	2.61%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$48,094
State:	$38,332

Average Total Payments

Here:	$11,618
New York:	$12,495

Number of discharges: 30

This Hospital:	2.70%
New York:	1.49%

Syncope and Collapse

Average Covered Charges

This Hospital:	$25,575
New York:	$19,174

Average Total Payments

This Hospital:	$5,483
New York:	$6,619

Number of discharges: 33

Here:	2.97%
State:	3.39%

Transient Ischemia

Average Covered Charges

This Hospital:	$32,043
New York:	$20,693

Average Total Payments

Here:	$5,725
State:	$6,227

Number of discharges: 18

Here:	1.62%
New York:	1.33%

Complaint Deficiency

Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Have a program that investigates, controls and keeps infection from spreading
- 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
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Potential for minimal harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- 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
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- 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
Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Few

BON SECOURS COMMUNITY HOSPITAL - PORT JERVIS, NY

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Quality Measures

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

Complaint Deficiency

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