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30 Worst New York Hospitals by Quality Score Performance

September 11, 2019 BY Alanna Moriarty

30 Worst New York Hospitals by Quality Score Performance

New York is known as a hub of medical innovation. The state boasts more than 260 hospitalsincluding three of the best hospitals in the U.S.: New York-Presbyterian, NYU Langone, and Mount Sinai. But not all of New York’s hospitals perform so well. New York is also home to the best orthopedics hospitals, (Hospital for Special Surgery), second-best cancer treatment hospital (Memorial Sloan Kettering Cancer Center), and third-best geriatrics hospital (Mount Sinai Hospital). 

In this latest installment of our worst hospitals series, we’re highlighting hospitals across New York state with the poorest reported quality score performance in three areas: 30-day readmission rates, heart attack mortality rate, and MRSA infection score. For the first time in the series, a hospital makes an appearance on more than one of the following lists. 

Worst 10 New York Hospitals by All-Cause Readmission Rates 

Rank 

Hospital Name 

Definitive ID 

Readmission Rate 

Net Patient Revenue 

Discharges 

1. 

St Johns Episcopal Hospital at South Shore 

2883 

18.2% 

$164,476,000  

6,923 

2. 

Wyckoff Heights Medical Center 

2802 

17.7% 

$230,386,635  

13,252 

3. 

Auburn Community Hospital 

2764 

17.6% 

$102,862,993  

4,466 

4. 

NYC Health and Hospitals - Coney Island  

2804 

17.5% 

$485,621,437  

12,520 

5. 

NYC Health and Hospitals - Kings County 

2806 

17.2% 

$660,676,560  

16,684 

6. 

Vassar Brothers Medical Center 

2779 

17.2% 

$642,385,783  

21,637 

7. 

NYC Health and Hospitals - Queens  

2878 

17.2% 

$440,830,422  

11,619 

8. 

NuHealth - Nassau University Medical Center 

2834 

17.2% 

$425,464,835  

17,181 

9. 

Good Samaritan Hospital Medical Center 

2904 

17.2% 

$583,477,459  

24,328 

10. 

John T Mather Memorial Hospital of Port Jefferson  

2908 

17.2% 

$315,705,322  

10,472 

Fig 1  Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending June 30, 2018, the most recent available. 

All-cause hospital-wide readmission rate refers to patient readmission to any care facility within 30 days of initial discharge for an acute care episodeHigh readmission rates indicate a lack of preventative care provision and could mean physicians are not addressing a patient’s overall healthcare needs. However, readmission rates are also tied to individual patient complications. Hospitals serving large populations of complex or uninsured patients would likely report higher readmission rates than hospitals with low rates of uninsured patients. 

In the preceding table, we’ve compiled the 10 New York hospitals reporting the highest 30-day readmission rates. There doesn’t seem to be a correlation between all-cause readmission rate and net patient revenue or number of patient discharges. Three of the hospitals in the top ten are part of the NYC Health and Hospitals health system, each reporting over 10,000 discharges 

Worst 10 New York Hospitals by Heart Attack Mortality Rate 

Rank 

Hospital Name 

Definitive ID 

Mortality Rate 

Net Patient Revenue 

Discharges 

1. 

Samaritan Medical Center 

2796 

16.2% 

$202,482,741  

7,155 

2. 

Brookdale Hospital Medical Center 

2799 

15.1% 

$384,851,638  

12,154 

3. 

Upstate University Hospital - Downtown Campus 

2860 

14.9% 

$1,015,253,282  

31,023 

4. 

NYC Health and Hospitals - Bellevue  

2844 

14.8% 

$820,196,176  

20,288 

5. 

Eastern Niagara Hospital - Lockport 

2853 

14.7% 

$55,965,588  

4,071 

6. 

St Joseph Hospital 

2832 

14.7% 

$113,355,178  

6,196 

7. 

Olean General Hospital 

2763 

14.7% 

$112,422,936  

5,459 

8. 

Kenmore Mercy Hospital 

2784 

14.6% 

$179,443,455  

7,966 

9. 

St Johns Episcopal Hospital at South Shore 

2883 

14.5% 

$164,476,000  

6,923 

10. 

Mercy Hospital of Buffalo 

2786 

14.4% 

$389,348,896  

19,089 

Fig 2 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending June 30, 2018, the most recent available. 

On average, heart attacks are fatal for about 14 percent of patients, according to one study. The hospitals on our list reported mortality rates between 16.2 percent and 14.4 percent. Currently, the Centers for Medicare and Medicaid Services (CMS) tracks mortality rates for six acute care episodes: COPD, heart attack, heart failure, pneumonia, stroke, and coronary artery bypass graft surgery. There were more than 19,000 inpatient diagnoses for heart attacks in 2018 according to Definitive Healthcare data. 

Only one of the hospitals reporting the highest all-cause readmission rates also reports one of the highest rates of heart attack mortality. St. John’s Episcopal Hospital at South Shore, the worst hospital for readmissions, ranked 9th for highest heart attack mortality rate. More than half the hospitals on this list reported fewer than 10,000 discharges. Serving smaller populations could contribute to the higher mortality rate, as smaller hospitals may not have the same resources as larger facilities. 

Worst 10 New York Hospitals by MRSA Infection Score 

Rank 

Hospital Name 

Definitive ID 

Infection Score 

Total Revenues 

Discharges 

1. 

UPMC Chautauqua 

2765 

5.45 

$115,258,829  

5,629 

2. 

Palm Bay Hospital 

541871 

5.09 

$110,238,674  

6,968 

3. 

Interfaith Medical Center 

2811 

4.68 

$233,601,076  

7,514 

4. 

Conway Regional Medical Center 

244 

4.60 

$174,454,220  

7,607 

5. 

Ascension St Marys Hospital  

2076 

4.53 

$256,899,562  

9,639 

6. 

Adena Regional Medical Center 

3221 

4.22 

$379,414,162  

10,231 

7. 

National Park Medical Center 

248 

4.05 

$111,939,338  

5,760 

8. 

Regional Medical Center  

3813 

4.00 

$524,046,985  

11,068 

9. 

Providence Medford Medical Center 

3394 

3.84 

$212,090,038  

6,322 

10. 

UM Shore Medical Center at Easton  

1906 

3.82 

$265,880,905  

9,255 

Fig 3 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending December 31, 2018, the most recent available. 

 MRSA, or Methicillin-resistant Staphylococcus aureus, is a bacteria that causes infections that are notoriously difficult to treat. CMS tracks MRSA differently than some other conditions – rather than reporting rates of occurrence, hospitals are scored based on performance. This infection is highly contagious and is spread through direct contact, which incentivizes hospital staff to maintain stringent sanitation standards. 

Much like the hospitals with the highest heart attack mortality rates, the hospitals with the worst MRSA infection scores reported relatively few discharges. Only two of the listed hospitals reported more than 10,000 annual discharges, further supporting the theory that smaller hospitals may not have the resources to effectively address the complex health issues of certain patient populations, which impacts quality performanceAdditionally, only one hospital reported more than $500 million in total revenues.  

Learn More 

Looking for more information on how you can use hospital quality performance to improve your sales and marketing initiatives? Definitive Healthcare’s comprehensive platform includes financial, clinical, and quality performance intelligence for more than 8,800 hospitals and health systems. By accessing our product suite, you can: 

  • Use quality, financial, and clinical metrics to identify hospitals and IDNs in need of your services, products, and/or solutions 
  • Track referral patterns and prescription data to expand selling opportunities 
  • Develop ideal customer profiles based on net patient revenue, departmental budgets, procedure and diagnosis data, and other information 
  • Create account plans targeting specific hospital and health system leaders from C-suite executives to VPs 
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