Acute Care
St. Rose Dominican Hospitals - Siena Campus
Emergency Care
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
Brain Scan Results in 45 Mins
|
65%
|
65% |
70% |
|
Left ED Without Being Seen
|
1%
|
1% |
3% |
|
Minutes in ED Before Going Home
|
198
|
144 |
163 |
Readmissions
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate
|
18.4%
|
Not Applicable |
No different than the National Rate18.5% |
|
Coronary Artery Bypass Graft (CABG) Surgery 30-Day Readmission Rate
|
9.8%
|
Not Applicable |
No different than the National Rate10.7% |
|
Heart Attack Readmit
|
13.4%
|
Not Applicable |
No different than the National Rate13.7% |
|
Heart Failure 30-Day Readmission Rate
|
21.2%
|
Not Applicable |
No different than the National Rate19.8% |
|
Hip and Knee 30-Day Readmission Rate
|
4.6%
|
Not Applicable |
No different than the National Rate4.5% |
|
Hospital-wide 30-Day Readmission Rate
|
15%
|
Not Applicable |
No different than the National Rate14.6% |
|
Pneumonia 30-Day Readmission Rate
|
18.6%
|
Not Applicable |
Worse than the National Rate16.4% |
Mortality CMS
Hospital Compare, Centers for Medicare and Medicaid Services (CMS)
| Measure |
Rate |
State Avg. |
National Avg. |
|
COPD 30-Day Mortality Rate
|
11%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Coronary Artery Bypass Graft (CABG) Surgery 30-Day Mortality Rate
|
4.5%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Heart Attack 30-Day Mortality Rate
|
13.2%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Heart Failure 30-Day Mortality Rate
|
12.1%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Pneumonia 30-Day Mortality Rate
|
16.5%
|
Not Applicable |
No different than the National RateNot Applicable |
|
Stroke 30-Day Mortality Rate
|
13%
|
Not Applicable |
No different than the National RateNot Applicable |
Mortality AHRQ
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Acute Myocardial Infarction (AMI) Mortality Rate
|
0.0541
|
Average compared to State Mean0.063 |
Average compared to National Mean0.0501 |
|
Acute Stroke Mortality Rate
|
0.0892
|
Average compared to State Mean0.072 |
Average compared to National Mean0.0722 |
|
Death Rate Among Surgical Inpatients With Serious Treatable Complications
|
0.1029
|
Average compared to State MeanNot Applicable |
Better than National Mean17 |
|
Heart Failure Mortality Rate
|
0.0165
|
Average compared to State Mean0.021 |
Better than National Mean0.0272 |
|
Hip Fracture Mortality Rate
|
0.0231
|
Average compared to State Mean0.019 |
Average compared to National Mean0.0204 |
|
Pneumonia Mortality Rate
|
0.0319
|
Average compared to State Mean0.023 |
Average compared to National Mean0.026 |
Adverse Event
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Accidental Puncture or Laceration Rate
|
0.0025
|
Worse than State MeanNot Applicable |
Worse than National MeanNot Applicable |
|
Birth Trauma - Injury to Neonate
|
0.0018
|
Better than State Mean0.002 |
Not Applicable |
|
Iatrogenic Pneumothorax Rate
|
0.0003
|
Average compared to State MeanNot Applicable |
Average compared to National MeanNot Applicable |
|
Obstetric Trauma Rate - Vaginal Delivery With Instrument
|
18
|
Better than State Mean131 |
Not Applicable |
|
Obstetric Trauma Rate - Vaginal Delivery Without Instrument
|
47
|
Better than State Mean340 |
Not Applicable |
Immunizations
| Measure |
Rate |
State Avg. |
National Avg. |
|
Health Care Worker Flu Immunization
|
73%
|
66% |
80% |
Postoperative Complication
Agency for Healthcare Research & Quality Quality Indicators (AHRQ)
| Measure |
Rate |
Relative to State |
Relative to National |
|
Postoperative Hemorrhage or Hematoma Rate
|
0.0013
|
Average compared to State MeanNot Applicable |
Average compared to National MeanNot Applicable |
|
Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate
|
0.0034
|
Average compared to State MeanNot Applicable |
Average compared to National MeanNot Applicable |
|
Postoperative Respiratory Failure Rate
|
0.0054
|
Average compared to State MeanNot Applicable |
Average compared to National Mean1 |
|
Postoperative Sepsis Rate
|
0.0033
|
Average compared to State MeanNot Applicable |
Average compared to National MeanNot Applicable |
Infections
| Measure |
Rate |
Relative to State |
Relative to National |
|
Catheter-Associated Urinary Tract Infections
|
|
0.428 |
1 |
|
Central Line Bloodstream Infection
|
|
0.733 |
1 |
|
Colon Surgery Infection
|
|
0.922 |
1 |
|
MRSA Infection
|
|
0.703 |
1 |
Patient Satisfaction
| Measure |
Stars |
|
Doctor Communication
|
|
|
Overall Satisfaction Rating
|
|
|
Patients Recommend
|
|
|
Provided Discharge Instructions
|
|
|
Quiet at Night
|
|
|
Room Cleanliness
|
|
|
Staff Explained Medicine
|
|
|
Nurse Communication
|
|
|
Staff Responsiveness
|
|
|
Care Transition
|
|
|
Summary Star Rating
|
|
