The PHCQA Performance & Progress Report on hosptial quality
[ Search Again? ]

Endless Mountain Health System (Montrose General)

1 Grow Avenue

Montrose, PA 18801-1199

Map It


NOTE: This is a Critical Access Hospital

Critical Access Hospitals (CAH) are rural hospitals that provide essential services to their communities. These hospitals are designed by Medicare to receive cost-based reimbursement which is intended to improve their financial performance and thereby prevent hospital closures. Use caution when comparing these hospitals to larger institutions as they tend to have a smaller sample sizes and different reporting requirements.

Key

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.

  Endless Mountain Health System (Montrose General) PA Rate * US Rate *+ Top 10% Nationally +
Overall Appropriate Care    Hospital did not release data to PHCQA
   Heart Attack Care    Hospital did not release data to PHCQA
   Heart Failure Care    Hospital did not release data to PHCQA
   Pneumonia Care    Hospital did not release data to PHCQA
   Surgical Care    Hospital did not release data to PHCQA

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.

  Endless Mountain Health System (Montrose General) PA Rate * US Rate * Top 10% Nationally
Aspirin on Arrival    100% 98% 98% 100%
Aspirin Prescribed at Discharge    100% 99% 98% 100%
ACEI or ARB for LVSD    Critical Access Hospital — No data available
Beta Blocker Prescribed at Discharge    50% 99% 98% 100%
PCI within 90 Minutes    Critical Access Hospital — No data available

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

  Endless Mountain Health System (Montrose General) PA Average    
Heart Attack Mortality   Critical Access Hospital — No data available
CABG Mortality    Critical Access Hospital — No data available

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.

  Endless Mountain Health System (Montrose General) PA Rate * US Rate * Top 10% Nationally
Discharge Instructions    100% 87% 86% 100%
ACEI or ARB for LVSD    25% 94% 93% 100%

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

  Endless Mountain Health System (Montrose General) PA Average    
Heart Failure Mortality   No different than U.S. National Rate
Readmission Rate for Heart Failure (Complication / Infection)    3.6 % 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.

  Endless Mountain Health System (Montrose General) PA Rate * US Rate * Top 10% Nationally
Pneumococcal Screen/Vaccination    96% 93% 91% 100%
Blood Culture within First 24 hours (ICU)    Critical Access Hospital — No data available
Blood Culture prior to First Antibiotic    30% 95% 94% 100%
Initial Antibiotic within 6 Hours    84% 95% 94% 100%
Initial Antibiotic Selection    61% 92% 91% 99%
Initial Antibiotic Selection for ICU Patients    Critical Access Hospital — No data available
Initial Antibiotic Selection for Non-ICU Patients    Critical Access Hospital — No data available
Influenza Screen/Vaccination    87% 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.

  Endless Mountain Health System (Montrose General) PA Rate * US Rate * Top 10% Nationally
Beta Blocker during the Perioperative Period    Critical Access Hospital — No data available
Prophylactic Antibiotic within 1 hour of incision    [ + ] 29% 96% 95% 100%
Appropriate Antibiotic    [ + ] 100% 98% 98% 100%
Prophylactic Antibiotic Discontinued within 24 hours    [ + ] 95% 94% 92% 99%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose    Critical Access Hospital — No data available
VTE Ordered prior to Surgery    Critical Access Hospital — No data available
VTE Received within 24 Hours of Surgery    Critical Access Hospital — No data available

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

  Endless Mountain Health System (Montrose General) PA Average    
Bloodstream Infections    0.0 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.

  Endless Mountain Health System (Montrose General) PA Avg US Avg Top 10% Nationally
Doctor Communication    Critical Access Hospital — No data available
Nurse Communication    Critical Access Hospital — No data available
Responsiveness of Hospital Staff    Critical Access Hospital — No data available
Pain Well Controlled    Critical Access Hospital — No data available
Medicine Explained by Staff    Critical Access Hospital — No data available
Room and Bathroom Kept Clean    Critical Access Hospital — No data available
Room Quiet at Night    Critical Access Hospital — No data available
Provided Discharge Information    Critical Access Hospital — No data available
Hospital Rating    Critical Access Hospital — No data available
Hospital Recommendation    Critical Access Hospital — No data available

*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.

Additional Features

Get In Touch

Contact Us with your Comments or Questions

Stay In Touch