Endless Mountain Health System (Montrose General)
1 Grow Avenue
Montrose, PA 18801-1199
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
for more information on the measure.
Rollover the
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
|
|
|
|



