HACKENSACK UMC MOUNTAINSIDE (MONTCLAIR, NJ) Detailed Hospital Profile

Quality Measures

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

Here:	3.9%
State:	17.0%

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

Here:	99.4%
State:	88.2%

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

This Hospital:	98.4%
State:	87.5%

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

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

This Hospital:	$57,785
New Jersey:	$57,616

Average Total Payments

This Hospital:	$9,513
State:	$8,393

Number of discharges: 24

This Hospital:	0.72%
State:	0.74%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$83,639
State:	$88,086

Average Total Payments

Here:	$15,438
New Jersey:	$13,269

Number of discharges: 35

Here:	1.05%
State:	1.27%

Acute Myocardial Infarction, Discharged Alive without Complications

Average Covered Charges

This Hospital:	$38,670
New Jersey:	$39,371

Average Total Payments

This Hospital:	$6,509
New Jersey:	$5,688

Number of discharges: 14

This Hospital:	0.42%
State:	0.52%

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

Average Covered Charges

Here:	$45,521
New Jersey:	$33,450

Average Total Payments

This Hospital:	$6,126
New Jersey:	$5,495

Number of discharges: 11

This Hospital:	0.33%
State:	0.40%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$22,158
New Jersey:	$31,551

Average Total Payments

This Hospital:	$4,900
State:	$4,331

Number of discharges: 26

Here:	0.78%
State:	0.75%

Bronchitis and Asthma with Complications

Average Covered Charges

Here:	$35,246
State:	$44,543

Average Total Payments

This Hospital:	$7,254
State:	$6,394

Number of discharges: 20

Here:	0.60%
New Jersey:	0.59%

Bronchitis and Asthma without Complications

Average Covered Charges

This Hospital:	$37,065
State:	$33,151

Average Total Payments

Here:	$5,478
New Jersey:	$4,692

Number of discharges: 13

Here:	0.39%
New Jersey:	0.37%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

This Hospital:	$32,604
New Jersey:	$45,839

Average Total Payments

Here:	$7,089
New Jersey:	$6,359

Number of discharges: 61

Here:	1.83%
New Jersey:	1.56%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$47,025
New Jersey:	$62,994

Average Total Payments

This Hospital:	$10,304
New Jersey:	$9,317

Number of discharges: 36

This Hospital:	1.08%
State:	0.98%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$22,133
New Jersey:	$31,596

Average Total Payments

This Hospital:	$4,793
New Jersey:	$4,298

Number of discharges: 68

Here:	2.04%
State:	1.83%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$28,182
New Jersey:	$40,596

Average Total Payments

This Hospital:	$7,150
New Jersey:	$6,234

Number of discharges: 99

Here:	2.96%
New Jersey:	2.40%

Chest Pain

Average Covered Charges

This Hospital:	$24,554
State:	$32,970

Average Total Payments

Here:	$4,630
State:	$4,276

Number of discharges: 34

This Hospital:	1.02%
New Jersey:	1.82%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$42,500
State:	$50,790

Average Total Payments

This Hospital:	$8,364
State:	$7,184

Number of discharges: 81

Here:	2.42%
New Jersey:	2.29%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$57,673
New Jersey:	$62,346

Average Total Payments

Here:	$10,491
New Jersey:	$8,879

Number of discharges: 49

This Hospital:	1.47%
New Jersey:	2.07%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$30,295
New Jersey:	$39,596

Average Total Payments

Here:	$6,196
State:	$5,361

Number of discharges: 28

Here:	0.84%
State:	1.56%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath with Major Complications

Average Covered Charges

Here:	$79,535
New Jersey:	$103,649

Average Total Payments

Here:	$15,645
New Jersey:	$16,624

Number of discharges: 21

This Hospital:	0.63%
State:	0.35%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

Here:	$59,758
New Jersey:	$59,352

Average Total Payments

This Hospital:	$8,859
New Jersey:	$8,362

Number of discharges: 51

Here:	1.53%
State:	1.60%

Degenerative Nervous System Disorders without Major Complications

Average Covered Charges

This Hospital:	$27,900
State:	$45,211

Average Total Payments

Here:	$7,960
New Jersey:	$6,988

Number of discharges: 18

Here:	0.54%
State:	0.65%

Diabetes with Complications

Average Covered Charges

Here:	$32,829
State:	$45,234

Average Total Payments

Here:	$7,229
New Jersey:	$6,470

Number of discharges: 22

Here:	0.66%
New Jersey:	0.79%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

Here:	$48,740
State:	$58,121

Average Total Payments

This Hospital:	$9,869
New Jersey:	$8,866

Number of discharges: 16

This Hospital:	0.48%
New Jersey:	0.65%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Hospital:	$30,786
New Jersey:	$37,750

Average Total Payments

This Hospital:	$6,175
State:	$5,392

Number of discharges: 141

This Hospital:	4.22%
New Jersey:	3.49%

Fractures of Hip and Pelvis without Major Complications

Average Covered Charges

Here:	$25,741
State:	$30,989

Average Total Payments

Here:	$6,071
State:	$5,087

Number of discharges: 18

This Hospital:	0.54%
New Jersey:	0.41%

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

Average Covered Charges

This Hospital:	$22,368
New Jersey:	$35,022

Average Total Payments

This Hospital:	$5,999
State:	$5,787

Number of discharges: 23

This Hospital:	0.69%
New Jersey:	0.39%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$40,207
State:	$51,281

Average Total Payments

Here:	$8,554
New Jersey:	$7,633

Number of discharges: 131

This Hospital:	3.92%
State:	2.03%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$63,625
State:	$82,647

Average Total Payments

This Hospital:	$13,688
New Jersey:	$13,270

Number of discharges: 43

This Hospital:	1.29%
State:	0.79%

G.I. Hemorrhage without Complications

Average Covered Charges

This Hospital:	$25,881
New Jersey:	$35,279

Average Total Payments

This Hospital:	$5,865
New Jersey:	$5,265

Number of discharges: 22

This Hospital:	0.66%
State:	0.71%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$33,996
New Jersey:	$47,680

Average Total Payments

This Hospital:	$7,865
State:	$6,887

Number of discharges: 26

This Hospital:	0.78%
State:	0.65%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$30,270
State:	$34,339

Average Total Payments

Here:	$5,491
New Jersey:	$4,836

Number of discharges: 26

This Hospital:	0.78%
State:	0.43%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$45,708
State:	$52,684

Average Total Payments

Here:	$9,156
State:	$7,674

Number of discharges: 99

Here:	2.96%
State:	3.71%

Heart Failure and Shock with Major Complications

Average Covered Charges

This Hospital:	$57,269
New Jersey:	$75,197

Average Total Payments

Here:	$12,455
State:	$11,417

Number of discharges: 103

Here:	3.08%
New Jersey:	2.96%

Heart Failure and Shock without Complications

Average Covered Charges

Here:	$25,709
New Jersey:	$36,852

Average Total Payments

Here:	$5,777
New Jersey:	$5,135

Number of discharges: 48

Here:	1.44%
State:	1.54%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$50,809
State:	$69,604

Average Total Payments

Here:	$14,667
State:	$13,532

Number of discharges: 69

Here:	2.07%
State:	0.99%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

This Hospital:	$102,513
New Jersey:	$114,165

Average Total Payments

This Hospital:	$24,767
New Jersey:	$22,918

Number of discharges: 12

This Hospital:	0.36%
New Jersey:	0.25%

Hypertension without Major Complications

Average Covered Charges

This Hospital:	$29,562
New Jersey:	$33,332

Average Total Payments

Here:	$5,414
New Jersey:	$4,745

Number of discharges: 22

Here:	0.66%
State:	0.46%

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

Average Covered Charges

This Hospital:	$178,107
State:	$199,694

Average Total Payments

This Hospital:	$43,708
New Jersey:	$42,087

Number of discharges: 42

Here:	1.26%
New Jersey:	0.65%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

This Hospital:	$46,383
State:	$58,890

Average Total Payments

Here:	$9,762
State:	$8,702

Number of discharges: 50

Here:	1.50%
State:	1.45%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$62,072
New Jersey:	$92,373

Average Total Payments

This Hospital:	$14,980
New Jersey:	$14,490

Number of discharges: 33

Here:	0.99%
New Jersey:	0.85%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$35,084
New Jersey:	$45,063

Average Total Payments

This Hospital:	$6,857
New Jersey:	$6,173

Number of discharges: 27

Here:	0.81%
State:	0.76%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

Here:	$49,242
New Jersey:	$58,211

Average Total Payments

Here:	$9,914
New Jersey:	$8,845

Number of discharges: 19

This Hospital:	0.57%
State:	1.09%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

Here:	$29,487
State:	$40,335

Average Total Payments

Here:	$6,748
New Jersey:	$5,798

Number of discharges: 74

This Hospital:	2.21%
State:	2.97%

Laparoscopic Cholecystectomy without C.D.E. with Complications

Average Covered Charges

This Hospital:	$54,204
State:	$72,055

Average Total Payments

This Hospital:	$13,395
New Jersey:	$11,993

Number of discharges: 14

This Hospital:	0.42%
State:	0.31%

Laparoscopic Cholecystectomy without C.D.E. without Complications

Average Covered Charges

Here:	$39,669
New Jersey:	$46,851

Average Total Payments

Here:	$9,437
State:	$8,461

Number of discharges: 11

This Hospital:	0.33%
State:	0.29%

Major Cardiovasc Procedures without Major Complications

Average Covered Charges

Here:	$105,847
State:	$99,278

Average Total Payments

This Hospital:	$23,986
New Jersey:	$23,083

Number of discharges: 12

Here:	0.36%
New Jersey:	0.41%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$33,436
New Jersey:	$62,242

Average Total Payments

Here:	$10,172
New Jersey:	$9,526

Number of discharges: 35

Here:	1.05%
New Jersey:	0.59%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

Here:	$50,527
New Jersey:	$66,640

Average Total Payments

Here:	$16,519
New Jersey:	$15,059

Number of discharges: 112

Here:	3.35%
New Jersey:	3.99%

Major Small and Large Bowel Procedures with Complications

Average Covered Charges

This Hospital:	$56,357
State:	$104,704

Average Total Payments

This Hospital:	$18,840
State:	$18,725

Number of discharges: 22

Here:	0.66%
State:	0.69%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

This Hospital:	$137,565
New Jersey:	$207,154

Average Total Payments

Here:	$38,220
State:	$38,016

Number of discharges: 19

Here:	0.57%
New Jersey:	0.62%

Medical Back Problems without Major Complications

Average Covered Charges

Here:	$29,220
State:	$41,590

Average Total Payments

This Hospital:	$6,748
New Jersey:	$6,442

Number of discharges: 45

Here:	1.35%
New Jersey:	1.06%

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

Average Covered Charges

Here:	$53,634
State:	$57,544

Average Total Payments

This Hospital:	$10,017
State:	$9,024

Number of discharges: 24

Here:	0.72%
New Jersey:	0.75%

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

Average Covered Charges

This Hospital:	$28,639
New Jersey:	$37,551

Average Total Payments

This Hospital:	$5,956
State:	$5,216

Number of discharges: 98

This Hospital:	2.93%
New Jersey:	2.13%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

Here:	$68,551
State:	$85,725

Average Total Payments

This Hospital:	$14,888
New Jersey:	$14,450

Number of discharges: 34

This Hospital:	1.02%
New Jersey:	0.73%

Other Digestive System Diagnoses with Complications

Average Covered Charges

Here:	$29,682
State:	$46,769

Average Total Payments

This Hospital:	$8,285
New Jersey:	$7,398

Number of discharges: 26

Here:	0.78%
State:	0.72%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

Here:	$41,862
State:	$48,056

Average Total Payments

Here:	$8,410
New Jersey:	$7,558

Number of discharges: 16

Here:	0.48%
State:	0.40%

Other Kidney and Urinary Tract Diagnoses with Major Complications

Average Covered Charges

This Hospital:	$52,820
New Jersey:	$75,684

Average Total Payments

Here:	$13,510
State:	$12,573

Number of discharges: 24

Here:	0.72%
New Jersey:	0.34%

Other Vascular Procedures with Complications

Average Covered Charges

Here:	$68,407
New Jersey:	$104,820

Average Total Payments

This Hospital:	$19,097
New Jersey:	$18,263

Number of discharges: 26

This Hospital:	0.78%
New Jersey:	0.60%

Other Vascular Procedures with Major Complications

Average Covered Charges

Here:	$107,314
State:	$132,915

Average Total Payments

Here:	$26,191
State:	$23,760

Number of discharges: 14

This Hospital:	0.42%
New Jersey:	0.53%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$29,761
State:	$48,224

Average Total Payments

Here:	$8,129
New Jersey:	$7,309

Number of discharges: 15

This Hospital:	0.45%
New Jersey:	0.68%

Permanent Cardiac Pacemaker Implant with Complications

Average Covered Charges

This Hospital:	$74,811
New Jersey:	$102,205

Average Total Payments

Here:	$20,087
New Jersey:	$19,049

Number of discharges: 17

This Hospital:	0.51%
State:	0.52%

Permanent Cardiac Pacemaker Implant without Complications

Average Covered Charges

This Hospital:	$71,659
New Jersey:	$79,303

Average Total Payments

Here:	$15,932
State:	$14,613

Number of discharges: 32

This Hospital:	0.96%
State:	0.43%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$71,000
New Jersey:	$70,978

Average Total Payments

Here:	$11,717
State:	$9,692

Number of discharges: 43

This Hospital:	1.29%
New Jersey:	0.81%

Red Blood Cell Disorders with Major Complications

Average Covered Charges

This Hospital:	$46,211
State:	$67,734

Average Total Payments

This Hospital:	$10,642
State:	$9,908

Number of discharges: 16

Here:	0.48%
State:	0.43%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

Here:	$27,964
New Jersey:	$41,991

Average Total Payments

This Hospital:	$6,632
New Jersey:	$6,196

Number of discharges: 51

This Hospital:	1.53%
State:	1.48%

Renal Failure with Complications

Average Covered Charges

Here:	$37,319
New Jersey:	$52,443

Average Total Payments

Here:	$8,557
State:	$7,686

Number of discharges: 53

This Hospital:	1.59%
State:	2.07%

Renal Failure with Major Complications

Average Covered Charges

Here:	$81,805
New Jersey:	$80,919

Average Total Payments

This Hospital:	$15,002
New Jersey:	$12,608

Number of discharges: 23

This Hospital:	0.69%
New Jersey:	1.38%

Renal Failure without Complications

Average Covered Charges

This Hospital:	$27,767
State:	$34,490

Average Total Payments

Here:	$5,702
New Jersey:	$4,989

Number of discharges: 11

This Hospital:	0.33%
New Jersey:	0.35%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$65,768
New Jersey:	$63,749

Average Total Payments

This Hospital:	$12,627
New Jersey:	$10,364

Number of discharges: 14

Here:	0.42%
State:	0.78%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$80,004
State:	$90,014

Average Total Payments

This Hospital:	$16,955
New Jersey:	$14,786

Number of discharges: 18

This Hospital:	0.54%
State:	0.91%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

This Hospital:	$183,259
State:	$230,625

Average Total Payments

This Hospital:	$40,176
State:	$39,086

Number of discharges: 16

This Hospital:	0.48%
New Jersey:	0.47%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$112,474
State:	$106,179

Average Total Payments

Here:	$19,091
New Jersey:	$17,343

Number of discharges: 24

Here:	0.72%
State:	0.96%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$33,449
New Jersey:	$44,017

Average Total Payments

Here:	$6,505
State:	$6,078

Number of discharges: 31

Here:	0.93%
New Jersey:	0.92%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

This Hospital:	$207,179
State:	$230,224

Average Total Payments

Here:	$44,503
State:	$44,203

Number of discharges: 20

Here:	0.60%
New Jersey:	0.43%

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

Average Covered Charges

This Hospital:	$69,358
State:	$88,530

Average Total Payments

Here:	$15,902
New Jersey:	$14,676

Number of discharges: 243

Here:	7.27%
State:	4.36%

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

Average Covered Charges

Here:	$42,529
New Jersey:	$56,844

Average Total Payments

Here:	$9,777
State:	$8,721

Number of discharges: 118

This Hospital:	3.53%
New Jersey:	1.42%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$23,598
New Jersey:	$36,661

Average Total Payments

This Hospital:	$5,550
New Jersey:	$5,269

Number of discharges: 14

This Hospital:	0.42%
State:	0.63%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$40,726
State:	$51,726

Average Total Payments

Here:	$8,646
New Jersey:	$7,544

Number of discharges: 93

This Hospital:	2.78%
State:	2.50%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

Here:	$57,657
State:	$72,085

Average Total Payments

Here:	$12,542
State:	$10,984

Number of discharges: 50

This Hospital:	1.50%
State:	1.49%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$26,736
State:	$37,623

Average Total Payments

Here:	$5,923
New Jersey:	$5,339

Number of discharges: 27

This Hospital:	0.81%
State:	0.88%

Syncope and Collapse

Average Covered Charges

This Hospital:	$26,956
State:	$40,180

Average Total Payments

This Hospital:	$5,979
State:	$5,402

Number of discharges: 72

This Hospital:	2.16%
New Jersey:	2.82%

Transient Ischemia

Average Covered Charges

Here:	$32,819
State:	$40,888

Average Total Payments

This Hospital:	$6,159
New Jersey:	$5,447

Number of discharges: 53

Here:	1.59%
State:	1.62%

Use of Medical Imaging

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

Here:	9.000%
New Jersey:	11.744%

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

This Hospital:	0.102%
State:	0.094%

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

This Hospital:	0.062%
New Jersey:	0.027%

Outpatients with brain CT scans who got a sinus CT scan at the same time

Here:	2.500%
New Jersey:	2.576%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	7%
New Jersey:	7%

Usually

This Hospital:	24%
State:	19%

Always

Here:	69%
New Jersey:	74%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
New Jersey:	6%

Usually

This Hospital:	20%
New Jersey:	17%

Always

This Hospital:	75%
New Jersey:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	19%
New Jersey:	15%

Usually

Here:	29%
New Jersey:	27%

Always

Here:	52%
State:	58%

How often was patients' pain well controlled?

Sometimes or never

Here:	10%
State:	9%

Usually

This Hospital:	27%
State:	24%

Always

Here:	63%
New Jersey:	67%

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

Sometimes or never

Here:	29%
New Jersey:	24%

Usually

Here:	17%
State:	18%

Always

This Hospital:	54%
State:	58%

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

Sometimes or never

Here:	12%
New Jersey:	11%

Usually

Here:	25%
New Jersey:	21%

Always

This Hospital:	63%
New Jersey:	68%

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

Sometimes or never

This Hospital:	20%
New Jersey:	16%

Usually

Here:	35%
New Jersey:	32%

Always

This Hospital:	45%
State:	52%

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

Yes

Here:	69%
State:	79%

This Hospital:	31%
New Jersey:	21%

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

6 or lower

This Hospital:	15%
New Jersey:	12%

7 or 8

This Hospital:	31%
State:	26%

9 or 10

Here:	54%
New Jersey:	62%

Would patients recommend the hospital to friends and family?

Here:	8%
New Jersey:	7%

Yes, probably

Here:	30%
State:	28%

Yes, definitely

This Hospital:	62%
State:	65%

Complaint Deficiency

Corridor and hallway doors that block smoke
- 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
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
Put firmly secured handrails on each side of hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	100.0%
State:	99.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
New Jersey:	99.3%

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

Here:	96.0%
State:	98.5%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
New Jersey:	99.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.9%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	93.0%
New Jersey:	91.4%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	100.0%
State:	98.0%

Heart Failure

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

Here:	100.0%
State:	99.7%

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

Here:	100.0%
State:	98.0%

Percent of Patients Given Discharge Instructions

This Hospital:	99.0%
New Jersey:	96.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.9%

Pneumonia

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

Here:	97.0%
New Jersey:	97.9%

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

This Hospital:	99.0%
New Jersey:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
New Jersey:	99.8%

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

Here:	100.0%
State:	97.0%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	96.0%
State:	96.5%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	97.0%
State:	97.7%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	100.0%
New Jersey:	98.6%

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

Here:	94.0%
State:	97.6%

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

Here:	100.0%
New Jersey:	98.4%

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%
State:	97.5%

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

This Hospital:	95.0%
State:	98.2%

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:	99.9%

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

This Hospital:	96.0%
State:	95.3%

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

This Hospital:	97.0%
State:	96.9%

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

This Hospital:	100.0%
State:	97.0%

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

Here:	92.0%
State:	96.6%

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

Here:	100.0%
New Jersey:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.2%
New Jersey:	14.7%

30-Day Mortality Rates from Heart Failure

Here:	10.4%
State:	10.7%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.6%
State:	11.0%

30-Day Readmission Rates from Heart Attack

Here:	20.1%
New Jersey:	21.0%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.5%
New Jersey:	26.5%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.5%
New Jersey:	19.5%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	0.387%
State:	0.485%

Blood infection from a catheter in a large vein

Here:	0.677%
State:	0.663%

Infection from a Urinary Catheter

This Hospital:	0.290%
New Jersey:	0.382%

Severe pressure sores (bed sores)

This Hospital:	0.097%
State:	0.331%

HACKENSACK UMC MOUNTAINSIDE - MONTCLAIR, NJ

Quality Measures

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

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

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