NORTHERN WESTCHESTER HOSPITAL - MOUNT KISCO, NY

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NORTHERN WESTCHESTER HOSPITAL
380 MAIN ST
MOUNT KISCO, NY 10549

SHORT TERM HOSPITALS

Services provided by NORTHERN WESTCHESTER HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 259

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 259

Residents (physicians) (The number of full-time equivalent residents (physicians) employed by a hospital): 41

Physicians (The number of full-time equivalent physicians employed by a provider): 9.50

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)): Jul 1995

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)): Jul 1998

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): 564.25

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): No

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Jul 1978

Dieticians (Number of full-time equivalent dieticians employed by a facility): 5.75

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 11.75

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 41

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

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 564.25

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): 7.25

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): 15

Psychiatric unit effective date (The date a psychiatric unit became exempt from the prospective payment system (pps)): Jan 1985

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 325.25

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 13.25

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): No

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): No

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

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

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: 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 UNDER ARRANGEMENT

Srv: hospice (Indicates how hospice services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

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 AND UNDER ARRANGEMENT

Srv: laboratory (clinical) (Indicates how clinical laboratory 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 AND UNDER ARRANGEMENT

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 UNDER ARRANGEMENT

Srv: operating rooms (Indicates how operating room 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 AND UNDER ARRANGEMENT

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 3

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 UNDER ARRANGEMENT

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

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): 9

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): 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): Feb 1993

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)	93%	85%	85%
Heart Attack Patients Given Aspirin at Arrival	100%	96%	93%
Heart Attack Patients Given Aspirin at Discharge	100%	94%	90%
Heart Attack Patients Given Beta Blocker at Arrival	100%	93%	88%
Heart Attack Patients Given Beta Blocker at Discharge	100%	95%	91%
Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival	100%	40%	39%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	90%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	76%	87%	84%
Heart Failure Patients Given Discharge Instructions	84%	72%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	100%	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	97%	80%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	90%	78%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	97%	92%	93%
Pneumonia Patients Given Oxygenation Assessment	99%	100%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	83%	88%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	93%	88%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	95%	88%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	92%	86%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	79%	81%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	76%	92%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	85%	85%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	77%	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)	70%	57%	63%
Patients who gave a rating of 7 or 8 (medium)	23%	30%	26%
Patients who gave a rating of 6 or lower (low)	7%	13%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	82%	77%	79%
Doctors usually communicated well	15%	17%	16%
Doctors sometimes or never communicated well	3%	6%	5%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	77%	71%	73%
Nurses usually communicated well	18%	22%	21%
Nurses sometimes or never communicated well	5%	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	59%	57%	60%
Patients usually received help as soon as they wanted	28%	28%	28%
Patients sometimes or never received help as soon as they wanted	13%	15%	12%

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

	Here	State Average	Nation Average
Staff always explained	61%	55%	58%
Staff usually explained	17%	19%	18%
Staff sometimes or never explained	22%	26%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	70%	65%	67%
Pain was usually well controlled	24%	26%	25%
Pain was sometimes or never well controlled	6%	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	34%	36%	32%
Sometimes or never quiet at night	12%	19%	14%

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

	Here	State Average	Nation Average
Room was always clean	64%	65%	68%
Room was usually clean	23%	24%	21%
Room was sometimes or never clean	13%	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	78%	79%	79%
No, staff did not give patients this information	22%	21%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	78%	62%	67%
YES, patients would probably recommend the hospital	19%	31%	27%
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	3%	7%	6%

Average Medicare Payment

Back & Neck Operations Except Back or Neck Fusion: $5720
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $12838
Back Fusion to Join Spine Bones, not Neck: $17067
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $22599
Chest Pain: $3603
Chronic Lung Disease: $5628
Diabetes in Adults: $4746
Female Reproductive System Reconstructive Operations: $5035
Gallbladder Removal By Laparoscope: $6497
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $14186
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $11780
Head and Neck Blood Vessel Operations: $6444
Heart Attack with Major Complications: $8871
Heart Attack without Complications: $5134
Heart Failure: $6363
Hernia Operations in Adults: $5326
Hernia Operations in Adults with Complications or Preexisting Conditions: $8894
Kidney and Bladder Operations for Cancer: $16387
Kidney and Bladder Operations with Complications or Preexisting Conditions: $17646
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $30524
Major Small & Large Intestine Operations: $9048
Minor Small and Large Bowel Procedures With Complications: $21399
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $15599
Neck Fusion to Join Neck Bones: $10604
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $7516
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $11942
Other Kidney & Urinary Tract Operations: $20804
Pacemaker Implant: $13262
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $6393
Removal of Prostate Via Urethra: $3834
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $5501
Repair of Previous Hip or Knee Replacement: $15101
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $12928
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $12084
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $23027
Two or More Hip, Knee or Ankle Operations: $23570
Uterus & Ovary Operations: $5020

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