MONTEFIORE MEDICAL CENTER - BRONX, NY

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MONTEFIORE MEDICAL CENTER
111 E 210TH ST
BRONX, NY 10467

SHORT TERM HOSPITALS

Services provided by MONTEFIORE MEDICAL CENTER:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 1188

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 1188

Residents (physicians) (The number of full-time equivalent residents (physicians) employed by a hospital): 811.60

Physicians (The number of full-time equivalent physicians employed by a provider): 1058.70

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Oct 1994

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Oct 1997

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Certified rn anesthetists (Number of full-time equivalent certified registered nurse anesthetists (crna) employed by a hospital): 9

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 33D0669648

Clia - Hosp lab id #2 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 33D0669644

Clia - Hosp lab id #3 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 33D0669656

Clia - Hosp lab id #4 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 33D0669646

Clia - Hosp lab id #5 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 33D0669651

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): Yes

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): May 1996

Dieticians (Number of full-time equivalent dieticians employed by a facility): 17.30

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 45

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 236

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): MAJOR

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 27

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 6458.18

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 51.60

Physician assistants (The number of full-time equivalent physician assistants employed by a hospital or rural health clinic): 143.30

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Psychiatric unit beds (The number of beds in a pps exempt psychiatric unit of a hospital): 22

Psychiatric unit effective date (The date a psychiatric unit became exempt from the prospective payment system (pps)): Jan 1986

Psychiatric unit indicator (Indicates if a hospital has a pps exempt psychiatric unit): Yes

Regional override #3 (nurse - Bed) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 1778.30

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 78.30

Rehabilitation unit beds (The number of beds in a pps exempt rehabilitation unit of a hospital): 22

Rehabilitation unit effect date (The date a rehabilitation unit became exempt from the prospective payment system): Jan 1986

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): Yes

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): Yes

Srv: acute renal dialysis (Indicates how acute renal dialysis services are provided in a hospital): PROVIDED BY STAFF

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED BY STAFF

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: dental (Indicates how dental services are provided): PROVIDED BY STAFF

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF

Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED BY STAFF

Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF

Srv: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: long term care unit (Indicates how long term care unit services are provided in a hospital): PROVIDED BY STAFF

Srv: neonatal nursery (Indicates how neonatal nursery services are provided by a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF

Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED BY STAFF

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: open heart surgery facility (Indicates how open heart surgery facility services are provided by a hospital): PROVIDED BY STAFF

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

Srv: optometric (Indicates how optometric services are provided by a hospital): PROVIDED BY STAFF

Srv: organ transplant (Indicates how organ transplant services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF

Srv: pediatric (Indicates how pediatric services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF

Srv: psychiatric (Indicates how psychiatric services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 1

Srv: rehabilitation (Indicates how rehabilitation services are provided by a hospital): PROVIDED BY STAFF

Srv: social (Indicates how social services are provided): PROVIDED BY STAFF

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED BY STAFF

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 6.80

Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED BY STAFF

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 126.30

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): May 1996

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1966

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	66%	85%	85%
Heart Attack Patients Given Aspirin at Arrival	94%	96%	93%
Heart Attack Patients Given Aspirin at Discharge	97%	94%	90%
Heart Attack Patients Given Beta Blocker at Arrival	91%	93%	88%
Heart Attack Patients Given Beta Blocker at Discharge	96%	95%	91%
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival	40%	64%	60%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	96%	90%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	78%	87%	84%
Heart Failure Patients Given Discharge Instructions	59%	72%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	87%	90%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	97%	92%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	54%	80%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	62%	78%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	89%	92%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	85%	88%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	59%	88%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	79%	88%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	74%	86%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	85%	81%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	96%	92%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	94%	85%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	85%	79%	78%

Hospital Consumer Assessment of Healthcare Providers & Systems Survey

How do patients rate the hospital overall?

	Here	State Average	Nation Average
Patients who gave a rating of 9 or 10 (high)	64%	57%	63%
Patients who gave a rating of 7 or 8 (medium)	24%	30%	26%
Patients who gave a rating of 6 or lower (low)	12%	13%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	79%	77%	79%
Doctors usually communicated well	15%	17%	16%
Doctors sometimes or never communicated well	6%	6%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	72%	71%	73%
Nurses usually communicated well	19%	22%	21%
Nurses sometimes or never communicated well	9%	7%	6%

How often did patients receive help quickly from hospital staff?

	Here	State Average	Nation Average
Patients always received help as soon as they wanted	56%	57%	60%
Patients usually received help as soon as they wanted	22%	28%	28%
Patients sometimes or never received help as soon as they wanted	22%	15%	12%

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

	Here	State Average	Nation Average
Staff always explained	55%	55%	58%
Staff usually explained	16%	19%	18%
Staff sometimes or never explained	29%	26%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	66%	65%	67%
Pain was usually well controlled	22%	26%	25%
Pain was sometimes or never well controlled	12%	9%	8%

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

	Here	State Average	Nation Average
Always quiet at night	54%	45%	54%
Usually quiet at night	27%	36%	32%
Sometimes or never quiet at night	19%	19%	14%

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

	Here	State Average	Nation Average
Room was always clean	71%	65%	68%
Room was usually clean	20%	24%	21%
Room was sometimes or never clean	9%	11%	11%

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

	Here	State Average	Nation Average
Yes, staff did give patients this information	75%	79%	79%
No, staff did not give patients this information	25%	21%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	72%	62%	67%
YES, patients would probably recommend the hospital	21%	31%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	7%	7%	6%

Average Medicare Payment

Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery: $22933
Back & Neck Operations Except Back or Neck Fusion: $9422
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $14471
Back Fusion to Join Spine Bones, not Neck: $28947
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $37064
Chest Pain: $5914
Chronic Lung Disease: $9187
Diabetes in Adults: $7852
Female Reproductive System Reconstructive Operations: $7737
Gallbladder Removal By Laparoscope: $10767
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $26482
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $19333
Head and Neck Blood Vessel Operations: $10625
Heart Attack with Major Complications: $16549
Heart Attack without Complications: $10381
Heart Bypass Surgery: $36253
Heart Bypass Surgery with Complications or Preexisting Conditions: $53412
Heart Failure: $10721
Heart Valve Operations: $64718
Hernia Operations in Adults: $8852
Hernia Operations in Adults with Complications or Preexisting Conditions: $15016
Insertion of Heart Defibrillator: $57832
Insertion of Heart Defibrillator with Examination of Heart through a Catheter: $72019
Kidney and Bladder Operations for Cancer: $23717
Kidney and Bladder Operations with Complications or Preexisting Conditions: $23740
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $11628
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $41449
Major Small & Large Intestine Operations: $15069
Minor Small and Large Bowel Procedures With Complications: $34922
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $28845
Neck Fusion to Join Neck Bones: $18540
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $12393
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $20291
Other Kidney & Urinary Tract Operations: $21830
Pacemaker Implant: $22087
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $10633
Removal of Prostate Via Urethra: $5986
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $8775
Repair of Previous Hip or Knee Replacement: $25285
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $20532
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $19927
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $41601
Two or More Hip, Knee or Ankle Operations: $31334
Uterus & Ovary Operations: $8279

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