Hospital

WOODHULL MEDICAL & MENTAL HEALTH CENTER

CCN: 330396 · BROOKLYN, NY 11206 · KINGS County

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

Overview

Address
760 BROADWAY, BROOKLYN, NY 11206
Phone
(718) 963-8100
Hospital Type
Acute Care
Ownership
Government (Local)
Emergency Services
Yes
Birthing Friendly
Yes
1 /5
★★★★★
CMS Overall Rating
p0
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 2 of 7 measures reported
2
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 5 of 8 measures reported
1
3
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 3 of 11 measures reported
2
1
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 10 of 12 measures reported
10 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)
— Not reported
Heart Failure 57 discharges
1.0444 p76
Pneumonia
1.0050 p56
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
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.

33.8 p65
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
7.5 p67
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
10.0 p47
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
8.8 p49
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
7.5 p67
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: 1.0444
Value-Based Purchasing
33.8 TPS
Above national median
HAC Reduction
Payment Reduced
HAC Score: 0.8272

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 3.90 No Different Than the National Rate 122
MORT_30_AMI — Number of Cases Too Small —
MORT_30_CABG — — —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF 9.50 No Different Than the National Rate 62
MORT_30_PN 17.50 No Different Than the National Rate 50
MORT_30_STK — Number of Cases Too Small —
PSI_03 2.02 Worse Than the National Rate 841
PSI_04 — Number of Cases Too Small —
PSI_06 0.27 No Different Than the National Rate 877
PSI_08 0.30 No Different Than the National Rate 910
PSI_09 2.27 No Different Than the National Rate 67
PSI_10 — Number of Cases Too Small —
PSI_11 — Number of Cases Too Small —
PSI_12 3.37 No Different Than the National Rate 65
PSI_13 — Number of Cases Too Small —
PSI_14 — Number of Cases Too Small —
PSI_15 1.03 No Different Than the National Rate 86
PSI_90 1.40 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 72% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 8% —
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 — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 78% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 6% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 68% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 9% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 23% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 70% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 10% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 20% —
H_COMP_2_A_P: Doctors "always" communicated well 78% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6% —
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 83% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 5% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 76% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 76% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 17% —
H_COMP_5_A_P: Staff "always" explained 55% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 28% —
H_COMP_5_U_P: Staff "usually" explained 17% —
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 70% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12% —
H_MED_FOR_U_P: Staff "usually" explained new medications 18% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 41% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 43% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 16% —
H_COMP_6_N_P: No, staff "did not" give patients this information 17% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 83% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 17% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 83% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84% —
H_CLEAN_HSP_A_P: Room was "always" clean 75% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10% —
H_CLEAN_HSP_U_P: Room was "usually" clean 15% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 4
H_QUIET_HSP_A_P: "Always" quiet at night 54% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 16% —
H_QUIET_HSP_U_P: "Usually" quiet at night 30% —
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) 13% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 26% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 61% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 10% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 59% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 31% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 2
H_STAR_RATING: Summary star rating — 2

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 0.353 No Different than National Benchmark
HAI_1_CIUPPER 2.678 No Different than National Benchmark
HAI_1_DOPC 3521.000 No Different than National Benchmark
HAI_1_ELIGCASES 3.603 No Different than National Benchmark
HAI_1_NUMERATOR 4.000 No Different than National Benchmark
HAI_1_SIR 1.110 No Different than National Benchmark
HAI_2_CILOWER 0.968 No Different than National Benchmark
HAI_2_CIUPPER 3.958 No Different than National Benchmark
HAI_2_DOPC 3105.000 No Different than National Benchmark
HAI_2_ELIGCASES 3.838 No Different than National Benchmark
HAI_2_NUMERATOR 8.000 No Different than National Benchmark
HAI_2_SIR 2.084 No Different than National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 2.067 No Different than National Benchmark
HAI_3_DOPC 51.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.449 No Different than National Benchmark
HAI_3_NUMERATOR 0.000 No Different than National Benchmark
HAI_3_SIR 0.000 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 48.000 —
HAI_4_ELIGCASES 0.404 —
HAI_4_NUMERATOR 3.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.215 No Different than National Benchmark
HAI_5_CIUPPER 2.297 No Different than National Benchmark
HAI_5_DOPC 47491.000 No Different than National Benchmark
HAI_5_ELIGCASES 3.555 No Different than National Benchmark
HAI_5_NUMERATOR 3.000 No Different than National Benchmark
HAI_5_SIR 0.844 No Different than National Benchmark
HAI_6_CILOWER 0.230 Better than the National Benchmark
HAI_6_CIUPPER 0.761 Better than the National Benchmark
HAI_6_DOPC 44751.000 Better than the National Benchmark
HAI_6_ELIGCASES 25.118 Better than the National Benchmark
HAI_6_NUMERATOR 11.000 Better than the National Benchmark
HAI_6_SIR 0.438 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 — Electronic Clinical Quality Measure
IMM_3 37.0 Healthcare Personnel Vaccination
OP_18a 223.0 Emergency Department
OP_18b 208.0 Emergency Department
OP_18c 343.0 Emergency Department
OP_18d — Emergency Department
OP_22 5.0 Emergency Department
OP_23 71.0 Emergency Department
OP_29 72.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 4.0 Electronic Clinical Quality Measure
SEP_1 65.0 Sepsis Care
SEP_SH_3HR 95.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 74.0 Sepsis Care
SEV_SEP_6HR 83.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 94.0 Electronic Clinical Quality Measure
VTE_2 97.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI — Number of Cases Too Small
EDAC_30_HF 69.40 More Days Than Average per 100 Discharges
EDAC_30_PN 36.90 More Days Than Average per 100 Discharges
Hybrid_HWR 14.50 No Different Than the National Rate
OP_32 — —
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 — —
READM_30_AMI — Number of Cases Too Small
READM_30_CABG — —
READM_30_COPD — Number of Cases Too Small
READM_30_HF 20.50 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 16.00 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
0.98

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 0.99 — metrics.cost_to_charge_ratio
Cost Report Employees per Bed 9.01 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $505,249,657 — metrics.fund_balance
Cost Report Net Income ($) $42,162,353 — metrics.net_income
Cost Report Net Patient Revenue ($) $548,231,177 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -12.9% — metrics.operating_margin
Cost Report Total Assets ($) $514,875,168 — metrics.total_assets
Cost Report Total Costs ($) $495,660,066 — metrics.total_costs
Cost Report Total Liabilities ($) $-118,782,183 — metrics.total_liabilities
Cost Report Total Margin (%) 6.4% — metrics.total_margin
Cost Report Uncompensated Care (%) 19.7% — metrics.uncompensated_care_pct
General Information Address 760 BROADWAY — Address
General Information City/Town BROOKLYN — City/Town
General Information Count of Facility MORT Measures 2 — 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 3 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 5 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 — 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 2 — 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 2 — Count of READM Measures No Different
General Information Count of READM Measures Worse 1 — 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 3 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish KINGS — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 330396 — Facility ID
General Information Facility Name WOODHULL MEDICAL & MENTAL HEALTH CENTER — Facility Name
General Information Hospital overall rating 1 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Government - Local — 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 (718) 963-8100 — Telephone Number
General Information ZIP Code 11206 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 1.16 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.44 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.28 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.67 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.76 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.83 — 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 0.98 — Value
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.04 0.9983 p76 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.4% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 57 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 16 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.3% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.00 0.9955 p56 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.2% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.3% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 7.50 5.00 p67 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 7.50 2.50 p67 efficiency_score
Value-Based Purchasing Person & Community Engagement 8.75 8.75 p49 person_community_score
Value-Based Purchasing Safety 10.00 10.00 p47 safety_score
Value-Based Purchasing Total Performance Score 33.75 29.50 p65 total_performance_score
Methodology

Full methodology →