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Pennsylvania Hospital Compliance - Detail

Surgery Patients Who Were Given an Antibiotic Within One Hour Before Surgery to Help Prevent Infection

Giving patients antibiotics right before surgery helps to boost the patient's ability to fight off contamination during surgery that could lead to infection. Studies show that patients given antibiotics either more than one hour before or after the first surgical incision is made experience higher rates of infection compared to those who are given antibiotics within one hour before surgery begins.

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Pennsylvania Hospitals with Low Compliance for this Procedure

Low compliance describes hospitals that followed this infection prevention procedure 79 percent of the time or less. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
20 of 161 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Memorial Hospital, Inc Towanda (< 25)78%-1.0%23-11
Hanover Hospital77%-1.0%562+32
Lock Haven Hospital (< 25)77%-9.0%2201 and 2
Penn Presbyterian Medical Center77%+10.0%1313-23
J C Blair Memorial Hospital74%-2.0%34-3
Jersey Shore Hospital74%-7.0%38-14
Lewistown Hospital71%+14.0%215-21
Miners Medical Center (< 25)67%-16.0%1801 and 2
Bradford Regional Medical Center64%0.0%212-24
Clearfield Hospital63%+2.0%2500
Ohio Valley General Hospital63%+1.0%227+142
Highlands Hospital62%+2.0%37+2
Lower Bucks Hospital58%-3.0%228-20
Muncy Valley Hospital (< 25)50%0.0%201 and 3
Warren General Hospital50%-10.0%195-1
Tyler Memorial Hospital48%+6.0%330
Kane Community Hospital36%+25.0%25-2
St Joseph's Hospital (< 25)36%+16.0%14-61
Westfield Hospital (< 25)33%N/A3+31 and 3
Montrose General Hospital (< 25)6%-1.0%18-91

Pennsylvania Hospitals with High Compliance for this Procedure

High compliance describes hospitals that followed this infection prevention procedure 95 percent of the time or more. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
72 of 161 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Mid-Valley Hospital (< 25)100%+50.0%2-21 and 3
Palmerton Hospital100%+2.0%59+2
Monongahela Valley Hospital99%0.0%386-18
Moses Taylor Hospital99%0.0%381-31
Nazareth Hospital99%0.0%525+3
UPMC McKeesport99%-1.0%199+13
UPMC Northwest99%0.0%248+10
UPMC Presbyterian Shadyside99%+1.0%2808+2802
Western Pennsylvania Hosp Forbes Regional Campus99%0.0%596+9
Western Pennsylvania Hospital99%0.0%1002-372
Albert Einstein Medical Center98%-1.0%345+172
Alle Kiski Medical Center98%0.0%408+312
Butler Memorial Hospital98%0.0%1003-9
Chester County Hospital98%+1.0%615+812
Clarion Hospital98%+2.0%200-22
Crozer Chester Medical Center98%+1.0%889+132
Ellwood City Hospital98%+4.0%52+5
Gettysburg Hospital98%0.0%294+12
Main Line Hospital Bryn Mawr Campus98%0.0%521+1832
Main Line Hospital Lankenau98%+4.0%573+1922
Main Line Hospital Paoli98%+1.0%412+892
Mercy Suburban Hospital98%0.0%203+20
Saint Vincent Health Center98%0.0%1277+112
St Mary Medical Center98%0.0%402-92
Thomas Jefferson University Hospital98%0.0%2621+3852
Wilkes-Barre General Hospital98%0.0%1108-12
Berwick Hospital Center97%+1.0%103+62
Brookville Hospital97%+2.0%58+15
Canonsburg General Hospital97%0.0%358-5
Conemaugh Valley Memorial Hospital97%+1.0%1162-80
Coordinated Health Orthopedic Hospital97%+1.0%370-972
Doylestown Hospital97%+2.0%563+612
Dubois Regional Medical Center97%+1.0%471-152
Heritage Valley Sewickley97%0.0%874-162
Jameson Memorial Hospital97%+2.0%390-19
Lehigh Valley Hospital97%-1.0%2616+482
Lehigh Valley Hospital - Muhlenberg97%0.0%517+60
Mercy Hospital Scranton97%+1.0%437-82
Pinnacle Health Hospitals97%0.0%3101+5742
Pocono Medical Center97%+1.0%414-38
Riddle Memorial Hospital97%+1.0%491+912
Soldiers and Sailors Memorial Hospital97%0.0%116-2
St Luke's Miners Memorial Hospital97%+8.0%148+192
Temple University Hospital97%+1.0%602-332
UPMC South Side97%+1.0%147+22
Wayne Memorial Hospital97%+2.0%175-72
Williamsport Hospital & Medical Center97%0.0%948+232
Hamot Medical Center96%+1.0%1079+722
Indiana Regional Medical Center96%+3.0%310+9
Jeanes Hospital96%0.0%461+24
Jennersville Regional Hospital96%+1.0%53-122
Magee Womens Hospital of UPMC Health System96%0.0%1969+322
Meadville Medical Center96%+2.0%479-18
Reading Hospital Medical Center96%+1.0%1772-402
UPMC Braddock96%+3.0%83-4
UPMC Mercy96%0.0%384-42
UPMC Passavant96%+3.0%991+2122
UPMC St Margaret96%0.0%1061-21
Allegheny General Hospital95%0.0%1610-92
Geisinger Medical Center95%+1.0%508-22
Geisinger South Wilkes-Barre95%0.0%237-222
Geisinger Wyoming Valley95%+1.0%429+12
Gnaden Huetten Memorial Hospital95%0.0%131+6
Grand View Hospital95%+2.0%275+152
Hahnemann University Hospital95%-1.0%462-132
Holy Redeemer Hospital and Medical Center95%+3.0%600-2
Lancaster General Hospital95%+5.0%1400+282
Mercy Fitzgerald Hospital95%+1.0%24002
Milton S Hershey Medical Center95%+4.0%1211+22
Montgomery Hospital95%+6.0%202+12
Uniontown Hospital95%+1.0%655-42
UPMC Bedford95%+1.0%103-42

All Pennsylvania Hospitals

This chart describes the infection prevention compliance rates for this procedure for all reporting hospitals in the state. This list also includes hospitals that did not submit any data to CMS for this procedure or do not have cause to perform this procedure. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information and re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
161 of 161 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Mid-Valley Hospital (< 25)100%+50.0%2-21 and 3
Palmerton Hospital100%+2.0%59+2
Monongahela Valley Hospital99%0.0%386-18
Moses Taylor Hospital99%0.0%381-31
Nazareth Hospital99%0.0%525+3
UPMC McKeesport99%-1.0%199+13
UPMC Northwest99%0.0%248+10
UPMC Presbyterian Shadyside99%+1.0%2808+2802
Western Pennsylvania Hosp Forbes Regional Campus99%0.0%596+9
Western Pennsylvania Hospital99%0.0%1002-372
Albert Einstein Medical Center98%-1.0%345+172
Alle Kiski Medical Center98%0.0%408+312
Butler Memorial Hospital98%0.0%1003-9
Chester County Hospital98%+1.0%615+812
Clarion Hospital98%+2.0%200-22
Crozer Chester Medical Center98%+1.0%889+132
Ellwood City Hospital98%+4.0%52+5
Gettysburg Hospital98%0.0%294+12
Main Line Hospital Bryn Mawr Campus98%0.0%521+1832
Main Line Hospital Lankenau98%+4.0%573+1922
Main Line Hospital Paoli98%+1.0%412+892
Mercy Suburban Hospital98%0.0%203+20
Saint Vincent Health Center98%0.0%1277+112
St Mary Medical Center98%0.0%402-92
Thomas Jefferson University Hospital98%0.0%2621+3852
Wilkes-Barre General Hospital98%0.0%1108-12
Berwick Hospital Center97%+1.0%103+62
Brookville Hospital97%+2.0%58+15
Canonsburg General Hospital97%0.0%358-5
Conemaugh Valley Memorial Hospital97%+1.0%1162-80
Coordinated Health Orthopedic Hospital97%+1.0%370-972
Doylestown Hospital97%+2.0%563+612
Dubois Regional Medical Center97%+1.0%471-152
Heritage Valley Sewickley97%0.0%874-162
Jameson Memorial Hospital97%+2.0%390-19
Lehigh Valley Hospital97%-1.0%2616+482
Lehigh Valley Hospital - Muhlenberg97%0.0%517+60
Mercy Hospital Scranton97%+1.0%437-82
Pinnacle Health Hospitals97%0.0%3101+5742
Pocono Medical Center97%+1.0%414-38
Riddle Memorial Hospital97%+1.0%491+912
Soldiers and Sailors Memorial Hospital97%0.0%116-2
St Luke's Miners Memorial Hospital97%+8.0%148+192
Temple University Hospital97%+1.0%602-332
UPMC South Side97%+1.0%147+22
Wayne Memorial Hospital97%+2.0%175-72
Williamsport Hospital & Medical Center97%0.0%948+232
Hamot Medical Center96%+1.0%1079+722
Indiana Regional Medical Center96%+3.0%310+9
Jeanes Hospital96%0.0%461+24
Jennersville Regional Hospital96%+1.0%53-122
Magee Womens Hospital of UPMC Health System96%0.0%1969+322
Meadville Medical Center96%+2.0%479-18
Reading Hospital Medical Center96%+1.0%1772-402
UPMC Braddock96%+3.0%83-4
UPMC Mercy96%0.0%384-42
UPMC Passavant96%+3.0%991+2122
UPMC St Margaret96%0.0%1061-21
Allegheny General Hospital95%0.0%1610-92
Geisinger Medical Center95%+1.0%508-22
Geisinger South Wilkes-Barre95%0.0%237-222
Geisinger Wyoming Valley95%+1.0%429+12
Gnaden Huetten Memorial Hospital95%0.0%131+6
Grand View Hospital95%+2.0%275+152
Hahnemann University Hospital95%-1.0%462-132
Holy Redeemer Hospital and Medical Center95%+3.0%600-2
Lancaster General Hospital95%+5.0%1400+282
Mercy Fitzgerald Hospital95%+1.0%24002
Milton S Hershey Medical Center95%+4.0%1211+22
Montgomery Hospital95%+6.0%202+12
Uniontown Hospital95%+1.0%655-42
UPMC Bedford95%+1.0%103-42
Altoona Regional Health System94%0.0%1323+182
Community Medical Center94%+1.0%758-252
Delaware County Memorial Hospital94%0.0%443-392
Heritage Valley Beaver94%-1.0%899-72
Hospital of Univ of Pennsylvania94%+1.0%476+272
Millcreek Community Hospital94%-1.0%96-7
Mount Nittany Medical Center94%0.0%1137-51
Pennsylvania Hosp of The Univ of Pa Health Sys94%0.0%573-152
Phoenixville Hospital94%+2.0%284-142
Robert Packer Hospital94%+1.0%833-10
Schuylkill Medical Center - East Norwegian Street94%+5.0%186-122
St Clair Memorial Hospital94%0.0%954-27
St Joseph Medical Center94%+3.0%41902
Surgical Institute of Reading94%0.0%281+1
Washington Hospital, The94%+2.0%382-12
Acmh Hospital93%0.0%387-9
Aria Health93%0.0%298-12
Carlisle Regional Medical Center93%+3.0%322+192
Excela Health Latrobe Hospital93%+3.0%304+382
Punxsutawney Area Hospital93%-3.0%76+5
Roxborough Memorial Hospital93%-1.0%92-1
Somerset Hospital Center For Health93%0.0%192+5
Brandywine Hospital92%0.0%209-22
Good Samaritan Hospital92%0.0%354+32
Schuylkill Medical Center - South Jackson Street92%-3.0%370+7
St Luke's Hospital Bethlehem92%+1.0%1235+1492
St Luke's Quakertown Hospital92%-1.0%76-62
York Hospital92%+3.0%1901+3362
Chambersburg Hospital91%+3.0%686+1192
Grove City Medical Center91%+2.0%11902
Lansdale Hospital91%+8.0%113-182
Marian Community Hospital91%-3.0%112+4
Nason Hospital91%+3.0%98-16
Windber Hospital91%+5.0%142-6
Edgewood Surgical Hospital90%+1.0%96+32
Excela Health Frick Hospital90%+5.0%62-19
Jefferson Regional Medical Center90%+2.0%1245+221
Memorial Hospital York90%-2.0%360+112
UPMC Horizon90%-2.0%476-2
Charles Cole Memorial Hospital89%-2.0%151+13
Chestnut Hill Hospital89%+2.0%154-102
Ephrata Community Hospital89%+3.0%483-5
Cancer Treatment Centers of America (< 25)88%+9.0%16+21
Evangelical Community Hospital88%-1.0%328+292
Heart of Lancaster Regional Medical Center88%0.0%77-252
Holy Spirit Hospital88%+4.0%543+1102
Excela Health Westmoreland Regional Hospital87%+6.0%584+1602
Northeastern Hospital87%0.0%195-4
Sunbury Community Hospital87%+11.0%75-12
Titusville Hospital87%+3.0%118+132
Abington Memorial Hospital86%+1.0%394+62
Lancaster Regional Medical Center86%+5.0%190-372
Pottstown Memorial Medical Center86%+1.0%210-72
Sacred Heart Hospital86%+1.0%376-5
Southwest Regional Medical Center86%+4.0%97-2
Waynesboro Hospital86%-4.0%116-62
Easton Hospital85%+4.0%301-152
Elk Regional Health Center84%0.0%137+3
Shamokin Area Community Hospital83%+3.0%112+10
Saint Catherine Medical Center Fountain Springs81%+1.0%36+1
Bloomsburg Hospital80%+16.0%217-13
Hazleton General Hospital80%+1.0%146-11
Sharon Regional Health System80%+11.0%437-10
Memorial Hospital, Inc Towanda (< 25)78%-1.0%23-11
Hanover Hospital77%-1.0%562+32
Lock Haven Hospital (< 25)77%-9.0%2201 and 2
Penn Presbyterian Medical Center77%+10.0%1313-23
J C Blair Memorial Hospital74%-2.0%34-3
Jersey Shore Hospital74%-7.0%38-14
Lewistown Hospital71%+14.0%215-21
Miners Medical Center (< 25)67%-16.0%1801 and 2
Bradford Regional Medical Center64%0.0%212-24
Clearfield Hospital63%+2.0%2500
Ohio Valley General Hospital63%+1.0%227+142
Highlands Hospital62%+2.0%37+2
Lower Bucks Hospital58%-3.0%228-20
Muncy Valley Hospital (< 25)50%0.0%201 and 3
Warren General Hospital50%-10.0%195-1
Tyler Memorial Hospital48%+6.0%330
Kane Community Hospital36%+25.0%25-2
St Joseph's Hospital (< 25)36%+16.0%14-61
Westfield Hospital (< 25)33%N/A3+31 and 3
Montrose General Hospital (< 25)6%-1.0%18-91
Corry Memorial HospitalN/AN/AN/AN/A5
Eagleville HospitalN/AN/AN/AN/A5
Fulton County Medical CenterN/AN/AN/AN/A5
Kensington HospitalN/AN/AN/AN/A5
Troy Community HospitalN/AN/AN/AN/A5
Valley Forge Medical Center and HospitalN/AN/AN/AN/A5