ADIRONDACK MEDICAL CENTER - SARANAC LAKE, NY

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ADIRONDACK MEDICAL CENTER
2233 STATE ROUTE 86
SARANAC LAKE, NY, 12983

Phone (make sure to verify first before calling): (518) 891-4141

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

Dialysis Facility located within this hospital: ADIRONDACK MEDICAL CENTER ESRD

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
CT Scanner Services
Chemotherapy Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Psychiatric Services
Emergency Services
Extracorporeal Shock Wave Lithotripter Services
Geriatric Psychiatric Services
Hospice Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Magnetic Resonance Imaging (Mri) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Orthopedic Surgery Services
Outpatient Rehabilitation Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Positron Emission Tomography (Pet) Scan Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 13.41
Registered Professional Nurses : 137.35
Other Salaried Personnel : 280.97
Dieticians : 2.21
Occupational Therapists : 2.00
Physical Therapists : 13.86
Registered Pharmacists : 3.17
Respiratory Therapists : 2.96
Speech Pathologists Or Audiologists : 0.63
Physicians : 6.73
Medical Social Workers : 0.26
Medical Laboratory Technologists : 16.60
Nuclear Medicine Technicians : 2.22
Physician Assistants : 12.90
Diagnostic Radiology Technicians : 9.57
Nurse Practitioners: 2.03

Number Of Beds

Total: 95
Total Certified: 95
Psychiatric Unit Beds: 12

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	91.0%
New York:	98.3%

Percent of Patients Given Aspirin at Discharge

Here:	86.0%
New York:	98.5%

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

Here:	100.0%
New York:	95.0%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	88.0%
New York:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	99.6%

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

This Hospital:	5
State:	12

Median Time to Fibrinolysis

This Hospital:	58
State:	31

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

Here:	100.0%
State:	96.3%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

Here:	20
New York:	55

Heart Failure

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

Here:	91.0%
State:	98.6%

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

Here:	80.0%
State:	94.1%

Percent of Patients Given Discharge Instructions

Here:	90.0%
State:	89.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.2%

Pneumonia

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

Here:	92.0%
State:	92.8%

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

Here:	82.0%
New York:	94.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	92.0%
New York:	97.7%

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

This Hospital:	78.0%
New York:	91.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	87.0%
New York:	90.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	93.0%
New York:	91.8%

Surgery

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

Here:	87.0%
New York:	96.3%

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

This Hospital:	68.0%
New York:	93.9%

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

Here:	96.0%
New York:	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:	50.0%
State:	93.8%

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

Here:	49.0%
State:	95.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
State:	99.6%

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

This Hospital:	90.0%
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:	90.0%
New York:	91.9%

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

Here:	87.0%
New York:	91.6%

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

Here:	91.0%
State:	93.2%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	18.0%
State:	15.2%

30-Day Mortality Rates from Heart Failure

Here:	11.4%
State:	10.6%

30-Day Mortality Rates from Pneumonia

This Hospital:	10.9%
New York:	11.4%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.2%
New York:	21.1%

30-Day Readmission Rates from Heart Failure

Here:	24.8%
New York:	26.1%

30-Day Readmission Rates from Pneumonia

This Hospital:	18.9%
New York:	19.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
State:	8%

Usually

Here:	19%
State:	21%

Always

Here:	77%
State:	71%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
State:	6%

Usually

This Hospital:	14%
New York:	18%

Always

This Hospital:	82%
State:	76%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	8%
State:	16%

Usually

Here:	20%
State:	28%

Always

This Hospital:	72%
State:	56%

How often was patients' pain well controlled?

Sometimes or never

Here:	7%
New York:	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

Here:	19%
New York:	25%

Usually

This Hospital:	15%
State:	19%

Always

Here:	66%
State:	56%

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

Sometimes or never

This Hospital:	6%
State:	11%

Usually

This Hospital:	21%
New York:	23%

Always

This Hospital:	73%
State:	66%

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

Sometimes or never

This Hospital:	10%
State:	18%

Usually

Here:	30%
New York:	34%

Always

This Hospital:	60%
State:	48%

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

Yes

Here:	82%
New York:	80%

This Hospital:	18%
State:	20%

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

6 or lower

This Hospital:	7%
New York:	12%

7 or 8

This Hospital:	24%
State:	29%

9 or 10

Here:	69%
State:	59%

Would patients recommend the hospital to friends and family?

Here:	4%
New York:	7%

Yes, probably

This Hospital:	21%
New York:	30%

Yes, definitely

This Hospital:	75%
New York:	63%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,225

Acute myocardial infarction, discharged alive w MCC: $11,658

Acute myocardial infarction, discharged alive w CC: $7,338

Heart failure and shock w/o CC/MCC: $4,338

Heart failure and shock w MCC: $8,773

Heart failure and shock w CC: $6,050

Chronic obstructive pulmonary disease w/o CC/MCC: $4,358

Chronic obstructive pulmonary disease w MCC: $7,829

Chronic obstructive pulmonary disease w CC: $5,862

Simple pneumonia and pleurisy w MCC: $8,608

Diabetes w MCC: $8,056

Chest Pain: $3,193

Extracranial procedures w/o CC/MCC: $6,011

Extracranial procedures w CC: $9,264

Permanent cardiac pacemaker implant w/o CC/MCC: $11,886

Permanent cardiac pacemaker implant w CC: $15,554

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,721

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $14,880

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,781

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $21,449

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,797

Hernia procedures except inguinal and femoral w MCC: $15,719

Hernia procedures except inguinal and femoral w CC: $8,424

Major small and large bowel procedures w/o CC/MCC: $9,681

Major small and large bowel procedures w CC: $15,269

Major small and large bowel procedures w MCC: $31,043

Major joint replacement or reattachment of lower extremity w/o MCC: $12,063

Major joint replacement or reattachment of lower extremity w MCC: $19,768

Revision of hip or knee replacement w/o CC/MCC: $14,721

Revision of hip or knee replacement w CC: $18,403

Kidney and ureter procedures for neoplasm w MCC: $19,697

Kidney and ureter procedures for neoplasm w CC: $11,191

Revision of hip or knee replacement w MCC: $26,920

Transurethral procedures w MCC: $13,452

Other kidney and urinary tract procedures w CC: $12,970

Transurethral prostatectomy w/o CC/MCC: $3,774

Female reproductive system reconstructive procedures: $4,836

Hospital Acquired Conditions

Vascular Catheter-Associated Infection

This Hospital:	1.451%
New York:	0.417%

Use of Medical Imaging

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

Here:	24.200%
New York:	27.056%

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

Here:	18.500%
State:	9.830%

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

Here:	0.674%
New York:	0.153%

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

Here:	0.677%
State:	0.034%

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