Quality Report


Quality Report

Schuyler Hospital, Inc.
HCO ID: 4130
220 Steuben Street
Montour Falls, NY, 14865
(607) 535-7121
www.schuylerhospital.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Critical Access Hospital
Accreditation Decision
Effective Date
4/4/2019
Last Full Survey Date
4/3/2019
Last On-Site Survey Date
4/2/2021
Gold Seal
Laboratory
Accreditation Decision
Effective Date
5/24/2019
Last Full Survey Date
5/23/2019
Last On-Site Survey Date
5/23/2019

Sites

Primary Care Center, Ovid
2138 West Seneca Street
Ovid, NY, 14521

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Schuyler Hospital Montour Falls Extension Clinic
401 West Main Street
Montour Falls, NY, 14865

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Schuyler Hospital Primary Care Center
230 Steuben Street
Montour Falls, NY, 14865

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Schuyler Hospital September Hill Building
250 Steuben Street
Montour Falls, NY, 14865

Available Services

  • Outpatient Clinics (Outpatient )

Schuyler Hospital, Inc.
220 Steuben Street
Montour Falls, NY, 14865

Available Services

  • Acute Care
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • Gynecological Surgery (Surgical Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Mammography (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Swing Beds
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Laboratory 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Critical Access Hospital 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Immunization National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.