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Pennsylvania Hospital Compliance - Detail

Surgery Patients Who Were Given the Right Kind of Antibiotic to Help Prevent Infection

Choosing the appropriate antibiotic is critical because it must be effective in preventing infections caused by bacteria likely to be present around the surgical site. Antibiotic selection therefore varies depending on the type of surgery. Guidelines for appropriate antibiotic selection have been developed by the CDC.

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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
3 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.
Titusville Hospital71%-4.0%117+132
St Joseph's Hospital (< 25)69%-26.0%13-61
J C Blair Memorial Hospital63%+8.0%30-3

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
126 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.
Coordinated Health Orthopedic Hospital100%0.0%370-982
Edgewood Surgical Hospital100%0.0%97+42
Evangelical Community Hospital100%0.0%326+292
Memorial Hospital, Inc Towanda (< 25)100%+4.0%23-11
Mid-Valley Hospital (< 25)100%0.0%2-21 and 3
Montrose General Hospital (< 25)100%0.0%17-201
Muncy Valley Hospital (< 25)100%0.0%201 and 3
Palmerton Hospital100%0.0%59+2
Shamokin Area Community Hospital100%+1.0%112+10
Southwest Regional Medical Center100%+1.0%96-1
St Luke's Miners Memorial Hospital100%0.0%147+192
Sunbury Community Hospital100%+3.0%76-12
UPMC South Side100%+1.0%147+12
Westfield Hospital (< 25)100%N/A3+31 and 3
Albert Einstein Medical Center99%0.0%358+262
Chambersburg Hospital99%0.0%687+1182
Charles Cole Memorial Hospital99%+1.0%151+13
Chester County Hospital99%0.0%620+792
Community Medical Center99%0.0%775-252
Ephrata Community Hospital99%+1.0%479-6
Grand View Hospital99%0.0%274+152
Hamot Medical Center99%+1.0%1086+672
Indiana Regional Medical Center99%+1.0%312+9
Lancaster Regional Medical Center99%0.0%191-352
Lehigh Valley Hospital99%0.0%2652+485
Magee Womens Hospital of UPMC Health System99%0.0%1949+372
Meadville Medical Center99%0.0%477-14
Memorial Hospital York99%+2.0%360+112
Montgomery Hospital99%+2.0%203+52
Mount Nittany Medical Center99%0.0%1145-45
Pinnacle Health Hospitals99%0.0%3133+5832
Reading Hospital Medical Center99%0.0%1779-382
Riddle Memorial Hospital99%+1.0%489+892
Saint Vincent Health Center99%+1.0%1294+92
UPMC Mercy99%0.0%388-42
UPMC Northwest99%0.0%250+11
UPMC Presbyterian Shadyside99%0.0%2886+2802
Acmh Hospital98%-1.0%387-9
Alle Kiski Medical Center98%+1.0%408+312
Allegheny General Hospital98%0.0%1648-152
Bloomsburg Hospital98%+1.0%221-2
Butler Memorial Hospital98%+1.0%1015-8
Clarion Hospital98%+2.0%200-22
Delaware County Memorial Hospital98%+1.0%444-402
Excela Health Frick Hospital98%-1.0%61-19
Excela Health Latrobe Hospital98%+1.0%301+402
Excela Health Westmoreland Regional Hospital98%0.0%578+1632
Geisinger Medical Center98%-1.0%51802
Geisinger Wyoming Valley98%0.0%436-12
Gettysburg Hospital98%0.0%296+12
Gnaden Huetten Memorial Hospital98%0.0%132+7
Heritage Valley Sewickley98%0.0%879-152
Lehigh Valley Hospital - Muhlenberg98%0.0%526+63
Main Line Hospital Lankenau98%+2.0%581+1902
Milton S Hershey Medical Center98%+2.0%1222+232
Nazareth Hospital98%+1.0%528+4
Pocono Medical Center98%0.0%425-39
Robert Packer Hospital98%+1.0%836-16
St Clair Memorial Hospital98%0.0%961-30
St Joseph Medical Center98%+1.0%428+22
St Mary Medical Center98%+1.0%413-72
Thomas Jefferson University Hospital98%+1.0%2641+3892
UPMC Braddock98%0.0%83-4
UPMC Passavant98%+1.0%1002+2142
UPMC St Margaret98%0.0%1064-19
Waynesboro Hospital98%+2.0%111-82
Western Pennsylvania Hosp Forbes Regional Campus98%+1.0%600+11
Western Pennsylvania Hospital98%+1.0%1016-402
Williamsport Hospital & Medical Center98%+1.0%966+202
Berwick Hospital Center97%-1.0%104+72
Canonsburg General Hospital97%-1.0%358-4
Carlisle Regional Medical Center97%+2.0%323+162
Chestnut Hill Hospital97%-1.0%149-112
Crozer Chester Medical Center97%+1.0%893+102
Dubois Regional Medical Center97%0.0%484-152
Easton Hospital97%0.0%304-152
Hanover Hospital97%0.0%508+32
Holy Redeemer Hospital and Medical Center97%0.0%602-1
Jeanes Hospital97%0.0%460+25
Lancaster General Hospital97%0.0%1426+452
Main Line Hospital Bryn Mawr Campus97%+2.0%525+1842
Marian Community Hospital97%0.0%113+5
Mercy Fitzgerald Hospital97%+1.0%244-42
Millcreek Community Hospital97%-1.0%95-8
Moses Taylor Hospital97%0.0%381-30
Punxsutawney Area Hospital97%0.0%78+5
Sacred Heart Hospital97%+1.0%374-4
Schuylkill Medical Center - East Norwegian Street97%0.0%186-122
Sharon Regional Health System97%+1.0%430-4
Temple University Hospital97%0.0%608-312
UPMC Bedford97%+1.0%103-42
UPMC Horizon97%0.0%474-1
UPMC McKeesport97%-1.0%205+15
Washington Hospital, The97%0.0%386-22
Wayne Memorial Hospital97%0.0%176-72
Wilkes-Barre General Hospital97%+1.0%112402
Abington Memorial Hospital96%+1.0%398+92
Bradford Regional Medical Center96%+2.0%207-27
Conemaugh Valley Memorial Hospital96%+2.0%1174-81
Doylestown Hospital96%+2.0%564+592
Grove City Medical Center96%+1.0%11902
Hahnemann University Hospital96%0.0%465-132
Hospital of Univ of Pennsylvania96%+2.0%492+282
Jefferson Regional Medical Center96%+1.0%1252+224
Jennersville Regional Hospital96%+4.0%53-122
Kane Community Hospital96%+3.0%25-2
Main Line Hospital Paoli96%+2.0%416+902
Mercy Hospital Scranton96%+3.0%442-102
Penn Presbyterian Medical Center96%+1.0%1284-18
Pottstown Memorial Medical Center96%0.0%209-42
St Luke's Hospital Bethlehem96%0.0%1249+1482
St Luke's Quakertown Hospital96%0.0%75-62
Surgical Institute of Reading96%+2.0%280+2
Geisinger South Wilkes-Barre95%0.0%237-242
Heart of Lancaster Regional Medical Center95%+2.0%77-272
Highlands Hospital95%+6.0%37+2
Holy Spirit Hospital95%+2.0%540+1112
Lansdale Hospital95%+1.0%111-142
Lock Haven Hospital (< 25)95%0.0%2201 and 2
Mercy Suburban Hospital95%0.0%203+18
Monongahela Valley Hospital95%-1.0%388-19
Nason Hospital95%0.0%98-16
Pennsylvania Hosp of The Univ of Pa Health Sys95%0.0%580-152
Roxborough Memorial Hospital95%+1.0%93-1
Schuylkill Medical Center - South Jackson Street95%+1.0%368+4
Uniontown Hospital95%0.0%657-42

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.
Coordinated Health Orthopedic Hospital100%0.0%370-982
Edgewood Surgical Hospital100%0.0%97+42
Evangelical Community Hospital100%0.0%326+292
Memorial Hospital, Inc Towanda (< 25)100%+4.0%23-11
Mid-Valley Hospital (< 25)100%0.0%2-21 and 3
Montrose General Hospital (< 25)100%0.0%17-201
Muncy Valley Hospital (< 25)100%0.0%201 and 3
Palmerton Hospital100%0.0%59+2
Shamokin Area Community Hospital100%+1.0%112+10
Southwest Regional Medical Center100%+1.0%96-1
St Luke's Miners Memorial Hospital100%0.0%147+192
Sunbury Community Hospital100%+3.0%76-12
UPMC South Side100%+1.0%147+12
Westfield Hospital (< 25)100%N/A3+31 and 3
Albert Einstein Medical Center99%0.0%358+262
Chambersburg Hospital99%0.0%687+1182
Charles Cole Memorial Hospital99%+1.0%151+13
Chester County Hospital99%0.0%620+792
Community Medical Center99%0.0%775-252
Ephrata Community Hospital99%+1.0%479-6
Grand View Hospital99%0.0%274+152
Hamot Medical Center99%+1.0%1086+672
Indiana Regional Medical Center99%+1.0%312+9
Lancaster Regional Medical Center99%0.0%191-352
Lehigh Valley Hospital99%0.0%2652+485
Magee Womens Hospital of UPMC Health System99%0.0%1949+372
Meadville Medical Center99%0.0%477-14
Memorial Hospital York99%+2.0%360+112
Montgomery Hospital99%+2.0%203+52
Mount Nittany Medical Center99%0.0%1145-45
Pinnacle Health Hospitals99%0.0%3133+5832
Reading Hospital Medical Center99%0.0%1779-382
Riddle Memorial Hospital99%+1.0%489+892
Saint Vincent Health Center99%+1.0%1294+92
UPMC Mercy99%0.0%388-42
UPMC Northwest99%0.0%250+11
UPMC Presbyterian Shadyside99%0.0%2886+2802
Acmh Hospital98%-1.0%387-9
Alle Kiski Medical Center98%+1.0%408+312
Allegheny General Hospital98%0.0%1648-152
Bloomsburg Hospital98%+1.0%221-2
Butler Memorial Hospital98%+1.0%1015-8
Clarion Hospital98%+2.0%200-22
Delaware County Memorial Hospital98%+1.0%444-402
Excela Health Frick Hospital98%-1.0%61-19
Excela Health Latrobe Hospital98%+1.0%301+402
Excela Health Westmoreland Regional Hospital98%0.0%578+1632
Geisinger Medical Center98%-1.0%51802
Geisinger Wyoming Valley98%0.0%436-12
Gettysburg Hospital98%0.0%296+12
Gnaden Huetten Memorial Hospital98%0.0%132+7
Heritage Valley Sewickley98%0.0%879-152
Lehigh Valley Hospital - Muhlenberg98%0.0%526+63
Main Line Hospital Lankenau98%+2.0%581+1902
Milton S Hershey Medical Center98%+2.0%1222+232
Nazareth Hospital98%+1.0%528+4
Pocono Medical Center98%0.0%425-39
Robert Packer Hospital98%+1.0%836-16
St Clair Memorial Hospital98%0.0%961-30
St Joseph Medical Center98%+1.0%428+22
St Mary Medical Center98%+1.0%413-72
Thomas Jefferson University Hospital98%+1.0%2641+3892
UPMC Braddock98%0.0%83-4
UPMC Passavant98%+1.0%1002+2142
UPMC St Margaret98%0.0%1064-19
Waynesboro Hospital98%+2.0%111-82
Western Pennsylvania Hosp Forbes Regional Campus98%+1.0%600+11
Western Pennsylvania Hospital98%+1.0%1016-402
Williamsport Hospital & Medical Center98%+1.0%966+202
Berwick Hospital Center97%-1.0%104+72
Canonsburg General Hospital97%-1.0%358-4
Carlisle Regional Medical Center97%+2.0%323+162
Chestnut Hill Hospital97%-1.0%149-112
Crozer Chester Medical Center97%+1.0%893+102
Dubois Regional Medical Center97%0.0%484-152
Easton Hospital97%0.0%304-152
Hanover Hospital97%0.0%508+32
Holy Redeemer Hospital and Medical Center97%0.0%602-1
Jeanes Hospital97%0.0%460+25
Lancaster General Hospital97%0.0%1426+452
Main Line Hospital Bryn Mawr Campus97%+2.0%525+1842
Marian Community Hospital97%0.0%113+5
Mercy Fitzgerald Hospital97%+1.0%244-42
Millcreek Community Hospital97%-1.0%95-8
Moses Taylor Hospital97%0.0%381-30
Punxsutawney Area Hospital97%0.0%78+5
Sacred Heart Hospital97%+1.0%374-4
Schuylkill Medical Center - East Norwegian Street97%0.0%186-122
Sharon Regional Health System97%+1.0%430-4
Temple University Hospital97%0.0%608-312
UPMC Bedford97%+1.0%103-42
UPMC Horizon97%0.0%474-1
UPMC McKeesport97%-1.0%205+15
Washington Hospital, The97%0.0%386-22
Wayne Memorial Hospital97%0.0%176-72
Wilkes-Barre General Hospital97%+1.0%112402
Abington Memorial Hospital96%+1.0%398+92
Bradford Regional Medical Center96%+2.0%207-27
Conemaugh Valley Memorial Hospital96%+2.0%1174-81
Doylestown Hospital96%+2.0%564+592
Grove City Medical Center96%+1.0%11902
Hahnemann University Hospital96%0.0%465-132
Hospital of Univ of Pennsylvania96%+2.0%492+282
Jefferson Regional Medical Center96%+1.0%1252+224
Jennersville Regional Hospital96%+4.0%53-122
Kane Community Hospital96%+3.0%25-2
Main Line Hospital Paoli96%+2.0%416+902
Mercy Hospital Scranton96%+3.0%442-102
Penn Presbyterian Medical Center96%+1.0%1284-18
Pottstown Memorial Medical Center96%0.0%209-42
St Luke's Hospital Bethlehem96%0.0%1249+1482
St Luke's Quakertown Hospital96%0.0%75-62
Surgical Institute of Reading96%+2.0%280+2
Geisinger South Wilkes-Barre95%0.0%237-242
Heart of Lancaster Regional Medical Center95%+2.0%77-272
Highlands Hospital95%+6.0%37+2
Holy Spirit Hospital95%+2.0%540+1112
Lansdale Hospital95%+1.0%111-142
Lock Haven Hospital (< 25)95%0.0%2201 and 2
Mercy Suburban Hospital95%0.0%203+18
Monongahela Valley Hospital95%-1.0%388-19
Nason Hospital95%0.0%98-16
Pennsylvania Hosp of The Univ of Pa Health Sys95%0.0%580-152
Roxborough Memorial Hospital95%+1.0%93-1
Schuylkill Medical Center - South Jackson Street95%+1.0%368+4
Uniontown Hospital95%0.0%657-42
Altoona Regional Health System94%+1.0%1347+212
Aria Health94%-1.0%303+12
Hazleton General Hospital94%+4.0%145-12
Heritage Valley Beaver94%0.0%916-82
Jameson Memorial Hospital94%+1.0%393-16
Miners Medical Center (< 25)94%0.0%1801 and 2
Soldiers and Sailors Memorial Hospital94%+1.0%119-2
Tyler Memorial Hospital94%+13.0%310
Windber Hospital93%0.0%142-6
Clearfield Hospital92%+2.0%2490
Good Samaritan Hospital92%+1.0%357-22
Brookville Hospital91%-2.0%58+15
Phoenixville Hospital91%+1.0%291-132
Warren General Hospital91%-1.0%170-2
York Hospital91%0.0%1926+3452
Lewistown Hospital90%+1.0%213-21
Northeastern Hospital90%+1.0%194-4
Brandywine Hospital89%-1.0%21502
Elk Regional Health Center89%+3.0%135+2
Jersey Shore Hospital89%+1.0%38-14
Saint Catherine Medical Center Fountain Springs89%0.0%36+1
Cancer Treatment Centers of America (< 25)88%+1.0%17+21
Ellwood City Hospital88%+3.0%52+5
Lower Bucks Hospital87%+3.0%216-24
Ohio Valley General Hospital87%+1.0%222+122
Somerset Hospital Center For Health82%+3.0%194+7
Titusville Hospital71%-4.0%117+132
St Joseph's Hospital (< 25)69%-26.0%13-61
J C Blair Memorial Hospital63%+8.0%30-3
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