CARTHAGE AREA HOSPITAL, INC (CARTHAGE, NY) Detailed Hospital Profile

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
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assess the resident when the resident enters the nursing home, in a timely manner
- 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
Provide necessary care and services to maintain the highest well being of each resident
- 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
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An automatic smoke detection system in all hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- 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
Give each resident enough fluids to keep them healthy and prevent dehydration
- 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
Automatic sprinkler systems that have been maintained in working order
- 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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few

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

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$17,289
New York:	$23,294

Average Total Payments

This Hospital:	$5,922
State:	$7,529

Number of discharges: 12

Here:	3.80%
State:	1.43%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$7,913
State:	$15,605

Average Total Payments

This Hospital:	$4,215
New York:	$4,967

Number of discharges: 25

Here:	7.91%
New York:	1.64%

Cellulitis without Major Complications

Average Covered Charges

Here:	$12,219
New York:	$21,478

Average Total Payments

This Hospital:	$6,091
State:	$7,326

Number of discharges: 30

Here:	9.49%
State:	2.35%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

Here:	$14,167
New York:	$30,592

Average Total Payments

This Hospital:	$8,847
New York:	$10,182

Number of discharges: 13

Here:	4.11%
State:	1.87%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

Here:	$11,691
State:	$16,960

Average Total Payments

This Hospital:	$5,435
New York:	$6,071

Number of discharges: 27

This Hospital:	8.54%
State:	1.51%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$15,462
State:	$18,668

Average Total Payments

This Hospital:	$5,392
State:	$6,361

Number of discharges: 36

Here:	11.39%
State:	3.99%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$23,247
New York:	$26,907

Average Total Payments

This Hospital:	$7,908
State:	$9,020

Number of discharges: 29

This Hospital:	9.18%
New York:	3.05%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$10,778
New York:	$17,445

Average Total Payments

This Hospital:	$4,914
New York:	$5,979

Number of discharges: 22

Here:	6.96%
New York:	1.37%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$12,875
State:	$21,451

Average Total Payments

Here:	$5,808
State:	$7,036

Number of discharges: 22

This Hospital:	6.96%
New York:	2.87%

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

Average Covered Charges

This Hospital:	$12,271
New York:	$18,413

Average Total Payments

Here:	$5,148
New York:	$6,139

Number of discharges: 30

This Hospital:	9.49%
State:	2.44%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$14,532
State:	$21,786

Average Total Payments

This Hospital:	$5,965
New York:	$7,426

Number of discharges: 15

This Hospital:	4.75%
State:	1.60%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$17,494
State:	$24,560

Average Total Payments

This Hospital:	$7,351
State:	$8,494

Number of discharges: 22

Here:	6.96%
State:	2.61%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$14,881
State:	$17,401

Average Total Payments

Here:	$5,176
New York:	$5,941

Number of discharges: 20

Here:	6.33%
State:	1.04%

Transient Ischemia

Average Covered Charges

Here:	$13,640
State:	$20,693

Average Total Payments

Here:	$5,424
New York:	$6,227

Number of discharges: 13

Here:	4.11%
New York:	1.33%

Process of Care

Heart Attack

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

Here:	14
New York:	10

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

Here:	100.0%
New York:	97.3%

Heart Failure

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

Here:	95.0%
New York:	99.1%

Percent of Patients Given Discharge Instructions

Here:	58.0%
New York:	92.8%

Pneumonia

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

This Hospital:	87.0%
New York:	93.8%

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

Here:	76.0%
State:	95.8%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
New York:	98.5%

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

Here:	65.0%
State:	94.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	82.0%
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:	86.0%
State:	97.6%

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

Here:	90.0%
New York:	96.4%

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

This Hospital:	85.0%
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:	44.0%
State:	97.2%

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

This Hospital:	44.0%
State:	98.1%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	100.0%
New York:	99.8%

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

This Hospital:	65.0%
State:	94.9%

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

Here:	6.0%
State:	94.4%

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

Here:	97.0%
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:	12.7%
New York:	11.0%

30-Day Mortality Rates from Pneumonia

Here:	12.9%
New York:	11.6%

30-Day Readmission Rates from Heart Failure

Here:	24.6%
New York:	26.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.2%
New York:	19.8%

Hospital Acquired Conditions

Falls and injuries

Here:	0.803%
State:	0.660%

Use of Medical Imaging

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.

This Hospital:	0.270%
State:	0.112%

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

This Hospital:	0.031%
State:	0.030%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 30%

How often did nurses communicate well with patients?

Sometimes or never

Here:	5%
State:	7%

Usually

Here:	20%
New York:	20%

Always

Here:	75%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
New York:	6%

Usually

Here:	19%
New York:	17%

Always

Here:	77%
State:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	9%
State:	15%

Usually

Here:	26%
New York:	27%

Always

Here:	65%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	4%
New York:	9%

Usually

This Hospital:	27%
State:	25%

Always

Here:	69%
State:	66%

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

Sometimes or never

This Hospital:	19%
State:	24%

Usually

Here:	19%
State:	18%

Always

Here:	62%
State:	58%

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

Sometimes or never

Here:	5%
New York:	11%

Usually

This Hospital:	18%
New York:	22%

Always

This Hospital:	77%
New York:	67%

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

Sometimes or never

Here:	12%
State:	17%

Usually

Here:	33%
New York:	34%

Always

This Hospital:	55%
New York:	49%

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

Yes

This Hospital:	87%
State:	81%

Here:	13%
New York:	19%

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

6 or lower

This Hospital:	14%
State:	12%

7 or 8

Here:	18%
State:	27%

9 or 10

This Hospital:	68%
New York:	61%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
State:	7%

Yes, probably

This Hospital:	23%
New York:	29%

Yes, definitely

Here:	69%
New York:	64%

CARTHAGE AREA HOSPITAL, INC - CARTHAGE, NY

Complaint Deficiency

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

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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