Hospital

STRONG MEMORIAL HOSPITAL

CCN: 330285 · ROCHESTER, NY 14642 · MONROE County

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

Overview

Address
601 ELMWOOD AVE, ROCHESTER, NY 14642
Phone
(585) 275-2121
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
★★★★★
CMS Overall Rating
p7
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
7
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
1
4
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
1
7
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 12 of 12 measures reported
12 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) 228 discharges
0.8747 p2
Heart Failure 406 discharges
0.9771 p35
Pneumonia 266 discharges
0.9737 p34
COPD 82 discharges
0.9566 p14
Hip/Knee Replacement 0 discharges
— Not reported
CABG Surgery
1.0096 p54
Expected (1.0) National median

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: 1.0096
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 0.8769

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 — — —
Hybrid_HWM 3.80 No Different Than the National Rate 1,674
MORT_30_AMI 11.90 No Different Than the National Rate 207
MORT_30_CABG 2.20 No Different Than the National Rate 72
MORT_30_COPD 9.80 No Different Than the National Rate 79
MORT_30_HF 12.20 No Different Than the National Rate 354
MORT_30_PN 12.40 Better Than the National Rate 261
MORT_30_STK 13.00 No Different Than the National Rate 314
PSI_03 0.82 No Different Than the National Rate 8,653
PSI_04 192.98 No Different Than the National Rate 212
PSI_06 0.34 No Different Than the National Rate 9,231
PSI_08 0.58 Worse Than the National Rate 9,824
PSI_09 3.06 No Different Than the National Rate 2,356
PSI_10 1.82 No Different Than the National Rate 1,021
PSI_11 10.43 No Different Than the National Rate 995
PSI_12 3.46 No Different Than the National Rate 2,561
PSI_13 9.81 Worse Than the National Rate 1,063
PSI_14 2.16 No Different Than the National Rate 637
PSI_15 0.99 No Different Than the National Rate 2,092
PSI_90 1.33 Worse 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 78% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5% —
H_COMP_1_U_P: Nurses "usually" communicated well 17% —
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 83% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 14% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 75% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 76% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 18% —
H_COMP_2_A_P: Doctors "always" communicated well 79% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 16% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 86% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 11% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 78% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 74% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 20% —
H_COMP_5_A_P: Staff "always" explained 58% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23% —
H_COMP_5_U_P: Staff "usually" explained 19% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 74% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11% —
H_MED_FOR_U_P: Staff "usually" explained new medications 15% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 34% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 24% —
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 14% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88% —
H_CLEAN_HSP_A_P: Room was "always" clean 59% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 16% —
H_CLEAN_HSP_U_P: Room was "usually" clean 25% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 2
H_QUIET_HSP_A_P: "Always" quiet at night 45% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 21% —
H_QUIET_HSP_U_P: "Usually" quiet at night 34% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 12% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 22% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 66% —
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) 6% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 70% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 24% —
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 0.769 No Different than National Benchmark
HAI_1_CIUPPER 1.242 No Different than National Benchmark
HAI_1_DOPC 60747.000 No Different than National Benchmark
HAI_1_ELIGCASES 68.100 No Different than National Benchmark
HAI_1_NUMERATOR 67.000 No Different than National Benchmark
HAI_1_SIR 0.984 No Different than National Benchmark
HAI_2_CILOWER 0.588 No Different than National Benchmark
HAI_2_CIUPPER 1.050 No Different than National Benchmark
HAI_2_DOPC 35703.000 No Different than National Benchmark
HAI_2_ELIGCASES 57.929 No Different than National Benchmark
HAI_2_NUMERATOR 46.000 No Different than National Benchmark
HAI_2_SIR 0.794 No Different than National Benchmark
HAI_3_CILOWER 0.586 No Different than National Benchmark
HAI_3_CIUPPER 1.687 No Different than National Benchmark
HAI_3_DOPC 484.000 No Different than National Benchmark
HAI_3_ELIGCASES 13.596 No Different than National Benchmark
HAI_3_NUMERATOR 14.000 No Different than National Benchmark
HAI_3_SIR 1.030 No Different than National Benchmark
HAI_4_CILOWER 0.045 No Different than National Benchmark
HAI_4_CIUPPER 4.388 No Different than National Benchmark
HAI_4_DOPC 129.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.124 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.890 No Different than National Benchmark
HAI_5_CILOWER 0.640 No Different than National Benchmark
HAI_5_CIUPPER 1.455 No Different than National Benchmark
HAI_5_DOPC 308868.000 No Different than National Benchmark
HAI_5_ELIGCASES 23.337 No Different than National Benchmark
HAI_5_NUMERATOR 23.000 No Different than National Benchmark
HAI_5_SIR 0.986 No Different than National Benchmark
HAI_6_CILOWER 0.269 Better than the National Benchmark
HAI_6_CIUPPER 0.459 Better than the National Benchmark
HAI_6_DOPC 282157.000 Better than the National Benchmark
HAI_6_ELIGCASES 152.297 Better than the National Benchmark
HAI_6_NUMERATOR 54.000 Better than the National Benchmark
HAI_6_SIR 0.355 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 very 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 1.0 Electronic Clinical Quality Measure
IMM_3 66.0 Healthcare Personnel Vaccination
OP_18a 254.0 Emergency Department
OP_18b 250.0 Emergency Department
OP_18c 292.0 Emergency Department
OP_18d — Emergency Department
OP_22 5.0 Emergency Department
OP_23 — Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 51.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 12.0 Electronic Clinical Quality Measure
SEP_1 42.0 Sepsis Care
SEP_SH_3HR 78.0 Sepsis Care
SEP_SH_6HR 82.0 Sepsis Care
SEV_SEP_3HR 64.0 Sepsis Care
SEV_SEP_6HR 67.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 — 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 -27.70 Fewer Days Than Average per 100 Discharges
EDAC_30_HF 27.80 More Days Than Average per 100 Discharges
EDAC_30_PN 15.30 More Days Than Average per 100 Discharges
Hybrid_HWR 15.00 No Different Than the National Rate
OP_32 13.50 No Different Than the National Rate
OP_35_ADM 11.70 No Different Than the National Rate
OP_35_ED 5.30 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 11.90 No Different Than the National Rate
READM_30_CABG 10.70 No Different Than the National Rate
READM_30_COPD 17.40 No Different Than the National Rate
READM_30_HF 19.40 No Different Than the National Rate
READM_30_HIP_KNEE — —
READM_30_PN 15.60 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
0.92

Financial Health (Cost Report — FY 2024)

All Data

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

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.42 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 2.74 — metrics.current_ratio
Cost Report Employees per Bed 16.79 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $1,250,992,716 — metrics.fund_balance
Cost Report Net Income ($) $214,632,269 — metrics.net_income
Cost Report Net Patient Revenue ($) $3,726,425,495 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 6.7% — metrics.operating_margin
Cost Report Total Assets ($) $2,977,707,608 — metrics.total_assets
Cost Report Total Costs ($) $3,266,002,818 — metrics.total_costs
Cost Report Total Liabilities ($) $1,672,714,328 — metrics.total_liabilities
Cost Report Total Margin (%) 5.8% — metrics.total_margin
Cost Report Uncompensated Care (%) 1.4% — metrics.uncompensated_care_pct
General Information Address 601 ELMWOOD AVE — Address
General Information City/Town ROCHESTER — 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 12 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 — 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 1 — Count of READM Measures Better
General Information Count of READM Measures No Different 7 — 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 1 — 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 2 — Count of Safety Measures Worse
General Information County/Parish MONROE — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 330285 — Facility ID
General Information Facility Name STRONG MEMORIAL HOSPITAL — Facility Name
General Information Hospital overall rating 2 — 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 (585) 275-2121 — Telephone Number
General Information ZIP Code 14642 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.84 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.38 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.06 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.86 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.35 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.88 — 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 0.92 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.87 0.9995 p2 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 228 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 20 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 11.7% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.01 1.0000 p54 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 — Predicted readmission rate 10.9% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.96 0.9969 p14 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.5% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 82 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 12 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.7% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.98 0.9983 p35 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.9% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 406 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 85 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.4% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 0 — READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.97 0.9955 p34 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.7% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 266 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 44 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.2% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →