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VA hospital in Montrose, New York

VA Hudson Valley Healthcare System

5

of 5 CMS stars

Overall Hospital Quality Star Rating,

Also 5 in

CMS stars by year

  1. : not rated
  2. : not rated
  3. : 5 stars
  4. : 5 stars
VA hospitals with 5 stars
50 of 112 rated
All rated hospitals in New York with 5 stars
20 of 136 rated
CMS overall star rating by year

A chart of the figures in the table that follows.

CMS overall star rating for VA Hudson Valley Healthcare System, by year
YearCMS stars
Not rated
Not rated
5
5

Source: CMS Hospital General Information (dataset xubh-q36u), released ; CMS archived hospital files released , and .

VA hospitals with 5 stars, each year: : 36: 39: 55: 50

Key measures

Four measures CMS reports for most hospitals, beside the state and national figures CMS publishes for them.

CMS reports no value for this hospital on the four measures shown here for most hospitals: would definitely recommend, emergency department time and the two infection ratios. What CMS does and does not report for it is below.

Measure groups in this hospital's star rating, as CMS counts them
GroupMeasures usedBetterNo differentWorse
Deaths3030
Readmissions4220

"Better" and "worse" are CMS's comparison of each measure with the national value.

See this hospital on Medicare Care Compare

Deaths

Risk-standardized death rates within 30 days of admission, by condition; lower is better, and CMS's current release does not say whether a difference from the national rate is meaningful. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no New York figure for these measures.

VA Hudson Valley Healthcare System: Deaths measures
MeasureThis hospitalNational
Deaths within 30 days, heart attack patientsNot available (footnote 1)11.9%
Deaths within 30 days, heart failure patients11.3%11.1%
Deaths within 30 days, pneumonia patients12.4%15.2%
Deaths within 30 days, COPD patientsNot available (footnote 1)8.6%
Deaths within 30 days, all conditions (hospital-wide)Period: to 3.9%3.9%

Readmissions

Unplanned returns within 30 days of discharge, and hospital return days; lower is better, and CMS's current release does not publish a comparison for these rates. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no New York figure for these measures.

VA Hudson Valley Healthcare System: Readmissions measures
MeasureThis hospitalNational
Readmitted within 30 days, heart attack patientsNot available (footnote 1)14.4%
Readmitted within 30 days, heart failure patients21.3%21.3%
Readmitted within 30 days, pneumonia patientsNot available (footnote 1)17.3%
Readmitted within 30 days, COPD patientsNot available (footnote 1)20%
Readmitted within 30 days after hip or knee replacementNot available (footnote 5)5.8%
Days back in the hospital within 30 days, heart attack patientsPeriod: to Not available (footnote 1)Not compared
Days back in the hospital within 30 days, heart failure patientsPeriod: to -26.8 days per 100 dischargesNot compared
Days back in the hospital within 30 days, pneumonia patientsPeriod: to -24.8 days per 100 dischargesNot compared

Emergency department

Median minutes in the emergency department and the share of patients who left before being seen; lower is better, and the national median shown is for emergency departments in the same CMS volume group. How to read emergency department times.

Period for all rows unless a row says otherwise: to . New York and national figures: CMS footnote 25.

VA Hudson Valley Healthcare System: Emergency department measures
MeasureThis hospitalNew YorkNational
Median time in the emergency department before leaving, excluding transferred and mental health patientsNot available (footnote 5)194 minutes (footnote 26)123 minutes (footnote 26) low-volume EDs
Median emergency department time for mental health patientsNot available (footnote 5)294 minutes195 minutes low-volume EDs
Left the emergency department before being seenPeriod: to 1%2% (footnote 26)2% (footnote 26)

Timely and effective care

How often patients received recommended care, and the share of health care workers given a flu shot; higher is better. How the star rating works.

Period for all rows unless a row says otherwise: to . Bars run from 0 to 100%: this hospital, with a short tick for New York and a tall one for the nation.

VA Hudson Valley Healthcare System: Timely and effective care measures
MeasureThis hospitalNew YorkNational
Severe sepsis and septic shock care that met every stepPeriod: to Not available (footnote 5)60% (footnotes 25, 26)65% (footnotes 25, 26)
Health care workers given a flu vaccinationPeriod: to 71%72%78%
Appropriate follow-up interval after a normal screening colonoscopy, average risk patients100%92% (footnotes 25, 26)93% (footnotes 25, 26)
Emergency department patients with stroke symptoms given brain scan results within 45 minutes of arrivalPeriod: to Not available (footnote 5)67% (footnote 25)69% (footnote 25)
Ischemic stroke patients discharged on an antithromboticNot available (footnote 1)Not comparedNot compared
Patients given blood clot prevention64%Not comparedNot compared
Intensive care patients given blood clot preventionNot available (footnote 5)Not comparedNot compared

Behavioral health

Treatment offered for alcohol, drug and tobacco use, and hours of physical restraint and seclusion; CMS leaves VA hospitals out of the state and national averages for these measures, so none is shown. How this site reads these measures.

Period for all rows: to . CMS publishes no New York or national figure for these measures.

VA Hudson Valley Healthcare System: Behavioral health measures
MeasureThis hospital
Alcohol use brief intervention provided or offered70% (footnotes 2, 20)
Alcohol or drug use disorder treatment provided or offered at discharge91% (footnotes 2, 20)
Tobacco use treatment provided or offered at discharge84% (footnotes 2, 20)
Hours of physical restraint use0 hours per 1,000 patient hours (footnote 20)
Hours of seclusion0.54 hours per 1,000 patient hours (footnote 20)

What CMS does not report here

CMS's current files have no values for this hospital in: patient survey, infections, complications. CMS gives its reason for a missing value in the footnotes below.

CMS notes for this facility

CMS attaches footnotes to a hospital's star rating or to its measures, whether or not it reports a value. Each is CMS's own sentence, quoted once; the markers beside figures on this page link here.

  • CMS footnote 1: The number of cases/patients is too few to report. CMS attached it to measures in: deaths, readmissions, timely and effective care.
  • CMS footnote 2: Data submitted were based on a sample of cases/patients. CMS attached it to measures in: behavioral health.
  • CMS footnote 3: Results are based on a shorter time period than required. CMS attached it to measures in: infections.
  • CMS footnote 5: Results are not available for this reporting period. CMS attached it to measures in: patient survey, complications, readmissions, emergency department, timely and effective care.
  • CMS footnote 13: Results cannot be calculated for this reporting period. CMS attached it to measures in: infections.
  • CMS footnote 20: State and national averages do not include Veterans Health Administration (VHA) hospital data. CMS attached it to measures in: behavioral health.
  • CMS footnote 25: State and national averages include Veterans Health Administration (VHA) hospital data. CMS attached it to the state and national figures for measures in: emergency department, timely and effective care.
  • CMS footnote 26: State and national averages include Department of Defense (DoD) hospital data. CMS attached it to the state and national figures for measures in: emergency department, timely and effective care.

Other VA hospitals in New York

CMS's star rating for each of the other VA hospitals in New York, and the three years before, by name. All VA hospitals in New York.

Sources

Every figure on this page comes from the CMS Provider Data Catalog. Released by CMS on : Hospital General Information; Veterans Health Administration Timely and Effective Care Data; Veterans Health Administration Behavioral Health Data; Timely and Effective Care - National; Timely and Effective Care - State; Footnote Crosswalk. Released by CMS on : Complications and Deaths - Hospital; Complications and Deaths - National; Unplanned Hospital Visits - Hospital; Unplanned Hospital Visits - National. Earlier star ratings come from CMS's archived hospital files, released , and . The dataset ids and how this site reads each file are on the methodology page. CMS's own page for this hospital is on Care Compare.

These ratings describe measured past performance. They are not medical advice. For questions about your own care, talk with your VA care team or the hospital's patient advocate.

Name in CMS files
VA HUDSON VALLEY HEALTHCARE SYSTEM
Emergency department volume group (CMS)
Low
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