Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
45 READE PLACE, POUGHKEEPSIE, NY 12601
Phone
(845) 454-8500
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
1
6
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
3
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
8
2
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 425 discharges
1.0209 p63
Heart Failure 1,225 discharges
0.9538 p21
Pneumonia 909 discharges
1.0978 p91
COPD 253 discharges
1.0624 p90
Hip/Knee Replacement
— Not reported
CABG Surgery 127 discharges
1.1125 p89
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is above the national median, suggesting a positive payment adjustment.

33.9 p66
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
16.0 p96
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
7.9 p32
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
7.5 p40
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
2.5 p43
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1125
Value-Based Purchasing
33.9 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: -0.1763

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE Number of Cases Too Small
Hybrid_HWM 3.00 Better Than the National Rate 2,948
MORT_30_AMI 12.00 No Different Than the National Rate 362
MORT_30_CABG 1.80 No Different Than the National Rate 128
MORT_30_COPD 8.10 No Different Than the National Rate 229
MORT_30_HF 8.30 Better Than the National Rate 1,041
MORT_30_PN 14.00 Better Than the National Rate 883
MORT_30_STK 12.10 No Different Than the National Rate 411
PSI_03 0.50 No Different Than the National Rate 11,020
PSI_04 127.12 Better Than the National Rate 140
PSI_06 0.17 No Different Than the National Rate 12,390
PSI_08 0.30 No Different Than the National Rate 12,898
PSI_09 2.80 No Different Than the National Rate 2,509
PSI_10 1.11 No Different Than the National Rate 1,090
PSI_11 10.10 No Different Than the National Rate 1,031
PSI_12 4.51 No Different Than the National Rate 2,691
PSI_13 7.28 No Different Than the National Rate 1,096
PSI_14 1.73 No Different Than the National Rate 616
PSI_15 1.34 No Different Than the National Rate 2,139
PSI_90 1.08 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 76%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 20%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 82%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 74%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 73%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 75%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
H_COMP_2_U_P: Doctors "usually" communicated well 19%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 82%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 14%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 73%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 21%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 70%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 8%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 22%
H_COMP_5_A_P: Staff "always" explained 59%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21%
H_COMP_5_U_P: Staff "usually" explained 20%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 3
H_MED_FOR_A_P: Staff "always" explained new medications 74%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 10%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 43%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 32%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25%
H_COMP_6_N_P: No, staff "did not" give patients this information 13%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 87%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 15%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 11%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 89%
H_CLEAN_HSP_A_P: Room was "always" clean 68%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 12%
H_CLEAN_HSP_U_P: Room was "usually" clean 20%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 3
H_QUIET_HSP_A_P: "Always" quiet at night 62%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 7%
H_QUIET_HSP_U_P: "Usually" quiet at night 31%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 24%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 68%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 5%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 70%
H_RECMND_PY: "YES", patients would probably recommend the hospital 25%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.204 No Different than National Benchmark
HAI_1_CIUPPER 1.049 No Different than National Benchmark
HAI_1_DOPC 11374.000 No Different than National Benchmark
HAI_1_ELIGCASES 11.901 No Different than National Benchmark
HAI_1_NUMERATOR 6.000 No Different than National Benchmark
HAI_1_SIR 0.504 No Different than National Benchmark
HAI_2_CILOWER 0.165 Better than the National Benchmark
HAI_2_CIUPPER 0.845 Better than the National Benchmark
HAI_2_DOPC 12141.000 Better than the National Benchmark
HAI_2_ELIGCASES 14.773 Better than the National Benchmark
HAI_2_NUMERATOR 6.000 Better than the National Benchmark
HAI_2_SIR 0.406 Better than the National Benchmark
HAI_3_CILOWER 0.330 No Different than National Benchmark
HAI_3_CIUPPER 1.694 No Different than National Benchmark
HAI_3_DOPC 291.000 No Different than National Benchmark
HAI_3_ELIGCASES 7.365 No Different than National Benchmark
HAI_3_NUMERATOR 6.000 No Different than National Benchmark
HAI_3_SIR 0.815 No Different than National Benchmark
HAI_4_CILOWER 0.584 No Different than National Benchmark
HAI_4_CIUPPER 6.247 No Different than National Benchmark
HAI_4_DOPC 157.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.307 No Different than National Benchmark
HAI_4_NUMERATOR 3.000 No Different than National Benchmark
HAI_4_SIR 2.295 No Different than National Benchmark
HAI_5_CILOWER 0.087 Better than the National Benchmark
HAI_5_CIUPPER 0.934 Better than the National Benchmark
HAI_5_DOPC 114083.000 Better than the National Benchmark
HAI_5_ELIGCASES 8.743 Better than the National Benchmark
HAI_5_NUMERATOR 3.000 Better than the National Benchmark
HAI_5_SIR 0.343 Better than the National Benchmark
HAI_6_CILOWER 0.250 Better than the National Benchmark
HAI_6_CIUPPER 0.618 Better than the National Benchmark
HAI_6_DOPC 104903.000 Better than the National Benchmark
HAI_6_ELIGCASES 47.104 Better than the National Benchmark
HAI_6_NUMERATOR 19.000 Better than the National Benchmark
HAI_6_SIR 0.403 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 69.0 Healthcare Personnel Vaccination
OP_18a 307.0 Emergency Department
OP_18b 305.0 Emergency Department
OP_18c Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 Emergency Department
OP_29 96.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 53.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 18.0 Electronic Clinical Quality Measure
SEP_1 38.0 Sepsis Care
SEP_SH_3HR 60.0 Sepsis Care
SEP_SH_6HR 86.0 Sepsis Care
SEV_SEP_3HR 51.0 Sepsis Care
SEV_SEP_6HR 85.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 72.0 Electronic Clinical Quality Measure
STK_05 90.0 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 11.60 More Days Than Average per 100 Discharges
EDAC_30_HF -5.40 Average Days per 100 Discharges
EDAC_30_PN 29.50 More Days Than Average per 100 Discharges
Hybrid_HWR 15.80 No Different Than the National Rate
OP_32 13.10 No Different Than the National Rate
OP_35_ADM 11.70 No Different Than the National Rate
OP_35_ED 4.00 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 13.70 No Different Than the National Rate
READM_30_CABG 11.80 No Different Than the National Rate
READM_30_COPD 19.30 No Different Than the National Rate
READM_30_HF 18.70 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 17.50 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
0.96

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 93 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.31 metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.71 metrics.current_ratio
Cost Report Employees per Bed 7.02 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $477,910,070 metrics.fund_balance
Cost Report Net Income ($) $-24,479,134 metrics.net_income
Cost Report Net Patient Revenue ($) $753,584,971 metrics.net_patient_revenue
Cost Report Operating Margin (%) -6.1% metrics.operating_margin
Cost Report Total Assets ($) $1,201,405,214 metrics.total_assets
Cost Report Total Costs ($) $653,427,953 metrics.total_costs
Cost Report Total Liabilities ($) $703,870,745 metrics.total_liabilities
Cost Report Total Margin (%) -3.2% metrics.total_margin
Cost Report Uncompensated Care (%) 1.5% metrics.uncompensated_care_pct
General Information Address 45 READE PLACE Address
General Information City/Town POUGHKEEPSIE City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 10 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 Count of Facility TE Measures
General Information Count of MORT Measures Better 1 Count of MORT Measures Better
General Information Count of MORT Measures No Different 6 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 8 Count of READM Measures No Different
General Information Count of READM Measures Worse 2 Count of READM Measures Worse
General Information Count of Safety Measures Better 3 Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish DUTCHESS County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 330023 Facility ID
General Information Facility Name VASSAR BROTHERS MEDICAL CENTER Facility Name
General Information Hospital overall rating 3 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State NY State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (845) 454-8500 Telephone Number
General Information ZIP Code 12601 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.45 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.45 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.48 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.25 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.56 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.18 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 0.96 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.02 0.9995 p63 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.4% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 425 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 59 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.6% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.11 1.0000 p89 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.8% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 127 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 18 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 12.0% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.06 0.9969 p90 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 253 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 56 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.3% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.95 0.9983 p21 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.1% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 1,225 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 232 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.2% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.10 0.9955 p91 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.3% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 909 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 179 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 19.0% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 16.00 5.00 p96 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 2.50 2.50 p43 efficiency_score
Value-Based Purchasing Person & Community Engagement 7.50 8.75 p40 person_community_score
Value-Based Purchasing Safety 7.92 10.00 p32 safety_score
Value-Based Purchasing Total Performance Score 33.92 29.50 p66 total_performance_score
Methodology

Full methodology →