Long Island hospital scores Montefiore Medical Center

111 East 210th St., Bronx, NY 10467 Phone: 718-920-4321

Type: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Emergency Service: Yes
Cardiac Surgery Registry: Yes
Stroke Care Registry: Yes
Nursing Care Registry: Yes

Quality measure

These measures indicate how likely it is that patients will suffer from complications and deaths while in the hospital. The hospital's score is the number of times these events occur for every 1,000 patient discharges, either medical and surgical or just surgical. The government indicates how these scores compare to the national rate, but it does not release a specific national average for these measures.

Category Hospital's score Compared to national average
Fatal complications after surgery 127.22 No different than U.S. rate
Collapsed lung from exam or treatment 0.43 No different than U.S. rate
Post-op pulmonary embolism 9.91 Worse than U.S. rate
Wounds re-opening after operations 1.69 No different than U.S. rate
Accidental puncture or laceration 2.52 No different than U.S. rate
Patient safety overall 1.39 Worse than U.S. rate

Mortality and re-admission rates

Mortality rates focus on whether patients died within 30 days of hospitalization. Readmission rates focus on whether patients were hospitalized again within 30 days. The rates shown here are per 1,000 patients and are based on people with Medicare who are 65 and older and take into account how sick patients were upon initial hospitalization. Death rates and rates of readmission show whether a hospital is doing its best to prevent complications, teach patients at discharge, and ensure patients make a smooth transition to their home or other setting.

Category Hospital's score Compared to national rate
Heart attack death rate 11.6 Better than U.S. rate
Heart attack readmission rate 19.3 No different than U.S. rate
Heart failure death rate 8.2 Better than U.S. rate
Heart failure readmission rate 25.6 Worse than U.S. rate
Pneumonia 30-day death rate 8.5 Better than U.S. rate
Pneumonia 30-day readmission rate 18.5 No different than U.S. rate
Death rate for stroke patients 12.3 Better than U.S. rate
Death rate for COPD patients 6.6 No different than U.S. rate
Readmission rate for COPD patients 22.4 No different than U.S. rate
Readmission rate for hip/knee surgery patients 5.5 No different than U.S. rate
Rate of readmission after discharge from hospital 17.3 Worse than U.S. rate
Readmission rate for stroke patients 13.1 No different than U.S. rate

Patient survey results

Results of a national, standardized survey of hospital patients created to publicly report the patient's perspective of hospital care. The survey asks a random sample of recently discharged patients about 10 important aspects of their hospital experience. Here are the percentages:

Questions Always Sometimes or never Usually
How often were the patients rooms and bathrooms kept clean? 70% 8% 22%
How often did nurses communicate well with patients? 74% 8% 18%
How often did doctors communicate well with patients? 78% 6% 16%
How often did patients receive help quickly from hospital staff? 56% 18% 26%
How often was patient's pain well controlled? 65% 10% 25%
How often did staff explain about medicines before giving them to patients? 62% 21% 17%
How often was the area around patients rooms kept quiet at night? 54% 18% 28%

Yes No
Were patients given information about what to do during their recovery at home? 84% 16%

6 or lower 7 or 8 9 or 10
How do patients rate the hospital overall? 11% 26% 63%

Probably or definitely not Yes Probably
Would patients recommend this hospital to family and friends? 7% 69% 24%

Process of care measures

These measures show how often hospitals give recommended treatments known to get the best results for patients with certain medical conditions or surgical procedures. Unless otherwise noted, the scores are percentages. Information about these treatments are taken from the patients' records and most are converted into a percentage; some scores are in minutes, where indicated. The measures are based on scientific evidence about treatments that are known to get the best results.

Measure Hospital's score National average Footnote
Statin at Discharge 93 98 2
Aspirin prescribed at discharge 95 99 2
Fibrinolytic Therapy Received Within 30 Minutes Of Hospital Arrival N/A 55 2
Primary PCI Received Within 90 Minutes of Hospital Arrival 83 96 2
ED1 585 272 2
ED2 344 97 2
Discharge instructions 93 95 2
Evaluation of LVS Function 98 99 2
ACEI or ARB for LVSD 85 97 2
Immunization for influenza 39 93 2
Healthcare workers given influenza vaccination 82 79 0
Median Time to Fibrinolysis N/A 28 5
OP 18 248 133 0
Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival N/A 59 5
Door to diagnostic eval 101 24 0
Median time to pain med 92 55 0
Left before being seen 3 2 0
Head CT results N/A 61 1
Median Time to Transfer to Another Facility for Acute Coronary Intervention N/A 59 5
Aspirin at Arrival N/A 97 1
Median Time to ECG N/A 7 1
Prophylactic Antibiotic Initiated Within One Hour Prior to Surgical Incision 91 98 0
Prophylactic Antibiotic Selection for Surgical Patients 66 98 0
Percent of newborns whose deliveries were scheduled early (1-3 weeks early), when a scheduled delivery was not medically necessary 13 5 2
Initial antibiotic selection for CAP in immunocompetent patient 88 96 2
Surgery Patients on a Beta Blocker Prior to Arrival Who Received a Beta Blocker During the Perioperative Period 85 98 2
Prophylactic antibiotic received within 1 hour prior to surgical incision 90 99 2
Surgery Patients with Perioperative Temperature Management 96 100 2
Prophylactic Antibiotic Selection for Surgical Patients 94 99 2
Prophylactic antibiotics discontinued within 24 hours after surgery end time 94 98 2
Cardiac surgery patients with controlled 6 a.m. postoperative blood glucose 81 94 2
Postoperative Urinary Catheter Removal 88 98 2
Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery 95 99 2
Venous Thromboembolism (VTE) Prophylaxis 89 95 2
Assessed for Rehabilitation 97 98 2
Discharged on Antithrombotic Therapy 97 99 2
Anticoagulation Therapy for Atrial Fibrillation/Flutter 89 95 2
Thrombolytic Therapy 75 73 2
Antithrombotic Therapy by End of Hospital Day 2 97 98 2
Discharged on Statin Medication 93 95 2
Stroke Education 91 90 2
Venous thromboembolism prophylaxis 79 88 2
ICU venous thromboembolism prophylaxis 86 94 2
Anticoagulation overlap therapy 90 94 2
Unfractionated heparin with dosages/platelet count monitoring 81 98 2
Warfarin therapy discharge instructions 42 82 2
Incidence of potentially preventable VTE 20 8 2

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