The PHCQA Performance & Progress Report on hosptial quality
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Jefferson Regional Medical Center

565 Coal Valley Road

Jefferson Hills, PA 15025

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Green indicates that the hospital's result was better than or equal to the selected benchmark.

Black indicates that the hospital's result was below the selected benchmark.

Rollover the Questionmark for more information on the measure.

Rollover the Calendar to see the corresponding measurement period and number of patients included in the results.

Appropriate Care

Appropriate Care Measures Indicates how often patients received all recommended treatments for their clinical condition. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Jefferson Regional Medical Center PA Rate * US Rate *+ Top 10% Nationally +
Overall Appropriate Care    84% 88% 86% 97%
   Heart Attack Care    92% 94% 93% 100%
   Heart Failure Care    80% 87% 85% 99%
   Pneumonia Care    78% 84% 84% 97%
   Surgical Care    86% 89% 86% 97%

Heart Attack

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Jefferson Regional Medical Center PA Rate * US Rate * Top 10% Nationally
Aspirin on Arrival    98% 98% 98% 100%
Aspirin Prescribed at Discharge    100% 99% 98% 100%
ACEI or ARB for LVSD    95% 95% 95% 100%
Beta Blocker Prescribed at Discharge    98% 99% 98% 100%
PCI within 90 Minutes    73% 85% 86% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Jefferson Regional Medical Center PA Average    
Heart Attack Mortality   No different than U.S. National Rate
CABG Mortality    1.1 % 1.7 % Not significantly different than the expected rate

Heart Failure

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Jefferson Regional Medical Center PA Rate * US Rate * Top 10% Nationally
Discharge Instructions    84% 87% 86% 100%
ACEI or ARB for LVSD    78% 94% 93% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Jefferson Regional Medical Center PA Average    
Heart Failure Mortality   No different than U.S. National Rate
Readmission Rate for Heart Failure (Complication / Infection)    8.6 % 7.3 % Not significantly different than the expected rate

Pneumonia

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Jefferson Regional Medical Center PA Rate * US Rate * Top 10% Nationally
Pneumococcal Screen/Vaccination    94% 93% 91% 100%
Blood Culture within First 24 hours (ICU)    94% 96% 95% 100%
Blood Culture prior to First Antibiotic    91% 95% 94% 100%
Initial Antibiotic within 6 Hours    88% 95% 94% 100%
Initial Antibiotic Selection    84% 92% 91% 99%
Initial Antibiotic Selection for ICU Patients    56% 67% 66% 100%
Initial Antibiotic Selection for Non-ICU Patients    87% 95% 94% 100%
Influenza Screen/Vaccination    89% 89% 88% 100%

Surgical Care and Infection Prevention

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Jefferson Regional Medical Center PA Rate * US Rate * Top 10% Nationally
Beta Blocker during the Perioperative Period    98% 92% 91% 100%
Prophylactic Antibiotic within 1 hour of incision    [ + ] 97% 96% 95% 100%
Appropriate Antibiotic    [ + ] 98% 98% 98% 100%
Prophylactic Antibiotic Discontinued within 24 hours    [ + ] 89% 94% 92% 99%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose    98% 96% 92% 99%
VTE Ordered prior to Surgery    93% 96% 93% 100%
VTE Received within 24 Hours of Surgery    90% 94% 91% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Jefferson Regional Medical Center PA Average    
Bloodstream Infections    0.8 1.6    

Consumer Assessment

Patient Experience Measures Measures various aspects of patients’ experiences during their hospital stay. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Jefferson Regional Medical Center PA Avg US Avg Top 10% Nationally
Doctor Communication    77% 78% 80% 87%
Nurse Communication    75% 75% 75% 83%
Responsiveness of Hospital Staff    57% 62% 63% 75%
Pain Well Controlled    71% 68% 69% 75%
Medicine Explained by Staff    57% 58% 59% 67%
Room and Bathroom Kept Clean    69% 69% 70% 81%
Room Quiet at Night    48% 50% 57% 70%
Provided Discharge Information    84% 81% 81% 87%
Hospital Rating    71% 63% 66% 77%
Hospital Recommendation    75% 65% 68% 81%

*The PA and US rates are case-weighted averages. The rates are calculated by dividing the total number of patients who had the recommended care by the total number of patients who met the criteria for that measure across all hospitals.

**The hospital quality measures reported on this website come from a variety of sources using several data collection processes and update schedules. While the PHCQA website contains the most recent publicly available information, the time periods represented by these data range from 6 to 24 months old. Caution should be used when drawing conclusions from these data as a hospital's performance may have changed significantly since the data was collected and reported. The PHCQA recommends you contact the hospital directly to obtain the most recent performance data.

+US rates and Top 10% Benchmarks for Overall and Pneumonia Care are calculated using PN-5c in place of PN-5b for all data from April 2007 forward. National benchmark data provided by the Oklahoma Foundation for Medical Quality.

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