NORTHERN DUTCHESS HOSPITAL - RHINEBECK, NY

Submitted by:

C Roberts, AA Quality

HOSPITAL MAIN PHONE NUMBER is 845.876.3001 (NOT 845.871.3391) Please correct this information on your website. Thank you

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NORTHERN DUTCHESS HOSPITAL
6511 SPRINGBROOK AVENUE
RHINEBECK, NY, 12572

Phone (make sure to verify first before calling): (845) 871-3391

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Rehabilitation Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Burn Care Unit Services
Certified Trauma Center Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
ICU - Cardiac (Non-Surgical)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
Optometric Services
Organ Transplant Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 16.51
Registered Professional Nurses : 80.25
Other Salaried Personnel : 211.50
Dieticians : 2.00
Occupational Therapists : 1.75
Physical Therapists : 4.50
Registered Pharmacists : 2.75
Respiratory Therapists : 3.75
Medical Social Workers : 1.00

Number Of Beds

Total: 68
Total Certified: 68
Rehabilitation Unit Beds: 10

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
New York:	8%

Usually

Here:	16%
New York:	21%

Always

This Hospital:	80%
State:	71%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
New York:	6%

Usually

This Hospital:	15%
State:	18%

Always

Here:	80%
State:	76%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	10%
State:	16%

Usually

This Hospital:	26%
State:	28%

Always

This Hospital:	64%
New York:	56%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
State:	10%

Usually

Here:	21%
New York:	25%

Always

This Hospital:	72%
State:	65%

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

Sometimes or never

This Hospital:	19%
State:	25%

Usually

This Hospital:	17%
State:	19%

Always

This Hospital:	64%
New York:	56%

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

Sometimes or never

Here:	10%
New York:	11%

Usually

This Hospital:	23%
New York:	23%

Always

Here:	67%
New York:	66%

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

Sometimes or never

Here:	16%
State:	18%

Usually

This Hospital:	33%
State:	34%

Always

This Hospital:	51%
State:	48%

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

Yes

Here:	84%
State:	80%

Here:	16%
New York:	20%

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

6 or lower

This Hospital:	7%
State:	12%

7 or 8

This Hospital:	20%
State:	29%

9 or 10

Here:	73%
State:	59%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
New York:	7%

Yes, probably

Here:	17%
New York:	30%

Yes, definitely

This Hospital:	79%
New York:	63%

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

Here:	1.284%
New York:	0.317%

Falls And Trauma

Here:	0.856%
New York:	0.590%

Vascular Catheter-Associated Infection

Here:	0.428%
New York:	0.417%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,764

Acute myocardial infarction, discharged alive w MCC: $12,861

Acute myocardial infarction, discharged alive w CC: $6,227

Heart failure and shock w/o CC/MCC: $4,785

Heart failure and shock w MCC: $9,678

Heart failure and shock w CC: $6,674

Chronic obstructive pulmonary disease w/o CC/MCC: $4,808

Chronic obstructive pulmonary disease w MCC: $8,636

Chronic obstructive pulmonary disease w CC: $6,467

Simple pneumonia and pleurisy w MCC: $9,496

Diabetes w MCC: $9,012

Chest Pain: $3,522

Permanent cardiac pacemaker implant w/o CC/MCC: $13,295

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $7,466

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $16,415

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,941

Hernia procedures except inguinal and femoral w CC: $9,293

Major small and large bowel procedures w/o CC/MCC: $10,753

Major small and large bowel procedures w CC: $16,961

Major small and large bowel procedures w MCC: $34,245

Stomach, esophageal duodenal proc w/o CC/MCC: $9,631

Cervical spinal fusion w/o CC/MCC: $12,686

Cervical spinal fusion w MCC: $29,245

Spinal fusion except cervical w/o MCC: $23,601

Spinal fusion except cervical w MCC: $39,495

Back and neck proc exc spinal fusion w/o CC/MCC: $6,219

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $11,402

Major shoulder or elbow joint procedures w/o CC/MCC: $7,386

Bilateral or multiple major joint procs of lower extremity w/o MCC: $20,837

Major joint replacement or reattachment of lower extremity w/o MCC: $13,307

Major joint replacement or reattachment of lower extremity w MCC: $21,807

Revision of hip or knee replacement w/o CC/MCC: $16,239

Revision of hip or knee replacement w CC: $20,302

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $5,420

Biopsies of musculoskeletal system and connective tissue w CC: $14,069

Other musculoskelet sys and conn tiss O.R. proc w MCC: $20,328

Kidney and ureter procedures for neoplasm w/o CC/MCC: $9,124

Kidney and ureter procedures for neoplasm w CC: $12,346

Revision of hip or knee replacement w MCC: $30,112

Bilateral or multiple major joint procs of lower extremity w MCC: $30,104

Transurethral prostatectomy w/o CC/MCC: $4,192

Transurethral prostatectomy w CC/MCC: $4,218

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,592

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	31.800%
State:	27.056%

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

This Hospital:	8.800%
New York:	9.830%

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

Here:	0.359%
State:	0.153%

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

Here:	0.054%
State:	0.034%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	89.0%
New York:	98.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
New York:	98.5%

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

Here:	100.0%
State:	95.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
New York:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.6%

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

This Hospital:	14
New York:	12

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	70
State:	82

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

Here:	100.0%
State:	96.3%

Heart Failure

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

This Hospital:	100.0%
State:	98.6%

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

Here:	95.0%
State:	94.1%

Percent of Patients Given Discharge Instructions

This Hospital:	80.0%
New York:	89.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	43.0%
State:	98.2%

Pneumonia

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

This Hospital:	96.0%
New York:	92.8%

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

This Hospital:	92.0%
New York:	94.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	72.0%
State:	97.7%

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

This Hospital:	84.0%
State:	91.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	84.0%
New York:	90.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	86.0%
State:	91.8%

Surgery

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

This Hospital:	95.0%
State:	96.3%

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

Here:	98.0%
New York:	93.9%

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

Here:	98.0%
State:	96.9%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	89.0%
New York:	93.8%

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

This Hospital:	94.0%
State:	95.4%

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%
State:	99.6%

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

Here:	86.0%
New York:	89.8%

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

This Hospital:	84.0%
State:	91.9%

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

Here:	86.0%
State:	91.6%

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

Here:	98.0%
New York:	93.2%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	18.4%
New York:	15.2%

30-Day Mortality Rates from Heart Failure

Here:	12.2%
New York:	10.6%

30-Day Mortality Rates from Pneumonia

Here:	11.4%
State:	11.4%

30-Day Readmission Rates from Heart Attack

Here:	19.6%
State:	21.1%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.1%
State:	26.1%

30-Day Readmission Rates from Pneumonia

Here:	17.6%
State:	19.6%

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