IRA DAVENPORT MEMORIAL HOSPITAL, INC - BATH, NY

Submitted by:

Valerie Koehler, Administrative Assistant

IRA DAVENPORT MEMORIAL HOSPITAL
7571 STATE ROUTE 54
BATH, NY 14810
607-776-8500

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Address

7571 STATE ROUTE 54
BATH, NY, 14810

Phone (make sure to verify first before calling): (607) 776-8500

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Swing Bed Hospitals

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

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

Chest Pain

Average Covered Charges

This Hospital:	$3,815
New York:	$14,161

Average Total Payments

Here:	$3,698
State:	$5,137

Number of discharges: 14

Here:	8.24%
State:	2.94%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$8,883
State:	$23,013

Average Total Payments

Here:	$6,426
New York:	$8,087

Number of discharges: 17

This Hospital:	10.00%
State:	1.94%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$7,702
State:	$16,960

Average Total Payments

Here:	$4,851
New York:	$6,071

Number of discharges: 16

This Hospital:	9.41%
New York:	1.51%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$6,537
State:	$18,668

Average Total Payments

This Hospital:	$4,756
State:	$6,361

Number of discharges: 18

This Hospital:	10.59%
New York:	3.99%

Heart Failure and Shock with Complications

Average Covered Charges

This Hospital:	$9,336
New York:	$26,907

Average Total Payments

This Hospital:	$6,822
State:	$9,020

Number of discharges: 15

This Hospital:	8.82%
State:	3.05%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$8,399
State:	$21,451

Average Total Payments

Here:	$5,147
State:	$7,036

Number of discharges: 14

Here:	8.24%
New York:	2.87%

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

Average Covered Charges

Here:	$5,570
State:	$18,413

Average Total Payments

Here:	$4,497
State:	$6,139

Number of discharges: 17

This Hospital:	10.00%
State:	2.44%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$4,693
New York:	$18,747

Average Total Payments

This Hospital:	$4,444
State:	$6,160

Number of discharges: 13

This Hospital:	7.65%
State:	0.89%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$8,635
New York:	$24,560

Average Total Payments

This Hospital:	$6,444
New York:	$8,494

Number of discharges: 30

Here:	17.65%
State:	2.61%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$8,253
State:	$17,401

Average Total Payments

Here:	$4,759
New York:	$5,941

Number of discharges: 16

This Hospital:	9.41%
State:	1.04%

Provided Services

Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 3.00
Registered Professional Nurses : 36.77
Other Salaried Personnel : 212.00
Occupational Therapists : 1.00
Physical Therapists : 4.00
Registered Pharmacists : 2.00
Respiratory Therapists : 0.25
Physicians : 3.00
Medical Social Workers : 0.25
Residents (Physicians) : 19.00

Number Of Beds

Total: 66
Total Certified: 66

Process of Care

Heart Attack

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:	100.0%
State:	97.3%

Heart Failure

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

Here:	100.0%
State:	99.1%

Percent of Patients Given Discharge Instructions

This Hospital:	93.0%
New York:	92.8%

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:	91.0%
New York:	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)

This Hospital:	78.0%
State:	94.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
New York:	90.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	98.0%
State:	94.0%

Surgery

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

Here:	100.0%
State:	94.9%

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

Here:	100.0%
New York:	94.4%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.9%
New York:	11.0%

30-Day Mortality Rates from Pneumonia

This Hospital:	13.4%
New York:	11.6%

30-Day Readmission Rates from Heart Failure

Here:	24.8%
State:	26.4%

30-Day Readmission Rates from Pneumonia

This Hospital:	20.1%
State:	19.8%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Between 100 and 299
Survey Response Rate: 33%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	5%
New York:	7%

Usually

Here:	18%
New York:	20%

Always

Here:	77%
New York:	73%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	6%
New York:	6%

Usually

Here:	18%
New York:	17%

Always

Here:	76%
New York:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	9%
New York:	15%

Usually

Here:	22%
New York:	27%

Always

This Hospital:	69%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
State:	9%

Usually

This Hospital:	30%
New York:	25%

Always

This Hospital:	66%
New York:	66%

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

Sometimes or never

Here:	30%
State:	24%

Usually

This Hospital:	14%
State:	18%

Always

Here:	56%
New York:	58%

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

Sometimes or never

Here:	9%
State:	11%

Usually

Here:	18%
New York:	22%

Always

Here:	73%
State:	67%

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

Sometimes or never

Here:	9%
New York:	17%

Usually

Here:	30%
State:	34%

Always

Here:	61%
New York:	49%

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

Yes

This Hospital:	71%
New York:	81%

Here:	29%
State:	19%

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

6 or lower

This Hospital:	12%
State:	12%

7 or 8

Here:	35%
State:	27%

9 or 10

Here:	53%
State:	61%

Would patients recommend the hospital to friends and family?

Here:	8%
State:	7%

Yes, probably

Here:	41%
State:	29%

Yes, definitely

This Hospital:	51%
New York:	64%

Quality Measures

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

This Hospital:	16.5%
New York:	15.6%

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

This Hospital:	13.1%
State:	7.6%

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

Here:	10.9%
New York:	8.4%

Percent of long-stay residents who lose too much weight

Here:	4.8%
New York:	6.4%

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

This Hospital:	27.9%
State:	41.1%

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

This Hospital:	5.2%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	4.8%
New York:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	2.0%
State:	12.6%

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

This Hospital:	6.6%
New York:	2.9%

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

Here:	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:	21.4%
State:	16.9%

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

This Hospital:	100.0%
State:	86.9%

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

Here:	97.3%
State:	85.0%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	20.8%
State:	20.8%

Hospital Acquired Conditions

Signs of Uncontrolled Blood Sugar

Here:	0.906%
State:	0.165%

Use of Medical Imaging

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

This Hospital:	1.900%
New York:	11.437%

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

This Hospital:	0.098%
New York:	0.112%

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

Here:	0.022%
New York:	0.030%

Complaint Deficiency

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Some (Potential for minimal harm)

Properly working alarms on sprinkler valves: Many (Minimal harm or potential for actual harm)

Send and promptly deliver unopened mail to residents: Some (Potential for minimal harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

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