The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Abington Memorial Hospital
Org ID: 6013
1200 Old York Road
Abington, PA  19001
(215)481-2006
www.abingtonhealth.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Home Care
Accredited 10/25/2012 10/24/2012   10/24/2012  
Hospital
Accredited 10/27/2012 10/26/2012   10/26/2012  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Hospital


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Advanced Comprehensive Stroke Center
Certification 8/26/2013  6/19/2013  6/19/2013 
Advanced Palliative Care
Certification 3/19/2014  3/18/2014  3/18/2014 
Heart Failure
Certification 7/31/2014  7/30/2014  7/30/2014 
Ventricular Assist Device
Certification 6/4/2014  6/3/2014  6/3/2014 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 7/19/2014  7/18/2014  7/18/2014 
Joint Replacement - Knee
Certification 7/19/2014  7/18/2014  7/18/2014 




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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2012 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2012 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Apr  2013 -
Mar  2014
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Perinatal Care See Detail
Not displayed.
2
Not displayed.
2
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Stroke Care See Detail
Not displayed.
8
Not displayed.
8
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Colon/Large Intestine Surgery
See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
 
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Abington Adult Medicine
1245 Highland Avenue
Abington, PA  19001
Other Clinics/Practices located at this site:
  • Abington Obstetrical and Gynecological Associates, Suite 504
  • Abington Primary Women's Healthcare Group, Suite G01
Services:
  • Outpatient Clinics (Outpatient)
Abington Cedarbrook Internal Medicine
8460 Limekiln Pike
Wyncote, PA  19095
    Services:
    • Single Specialty Practitioner (Outpatient)
    Abington Family Medicine
    500 Old York Road
    Jenkintown, PA  19046
    Other Clinics/Practices located at this site:
    • Internal Medicine Assoc. of Abington
    Services:
    • Outpatient Clinics (Outpatient)
    Abington Health Center - Blue Bell
    721 Arbor Way
    Blue Bell, PA  19422
    Other Clinics/Practices located at this site:
    • Abington Primary Women's Healthcare Group - Blue Bell
    • Ambler Medical Associates
    • Blue Bell Family Practice
    • The Neurology Group
    Services:
    • Outpatient Clinics (Outpatient)
    Abington Health Home Care and Hospice Branch Office
    51 Medical Campus Drive
    Lansdale, PA  19446
      Services:
      • Home Health Aides
      • Home Health, Non-Hospice Services
      • Medical Social Services
      • Occupational Therapy
      • Physical Therapy
      • Skilled Nursing Services
      • Speech Language Pathology
      Abington Memoral Health Center Montgomeryville Campus
      1010 Horsham Road
      North Wales, PA  19454
        Services:
        • Outpatient Clinics (Outpatient)
        Abington Memorial Health Center
        3941 Commerce Avenue
        Willow Grove, PA  19090
          Services:
          • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
          Abington Memorial Health Center Schilling Campus
          2510 Maryland Road
          Willow Grove, PA  19090
          Other Clinics/Practices located at this site:
          • Neurosurgical Associates of Abington
          Services:
          • Durable Medical Equipment
          • Enteral Equipment and/or Supplies
          • Home Health Aides
          • Home Health, Non-Hospice Services
          • Medical Social Services
          • Occupational Therapy
          • Outpatient Clinics (Outpatient)
          • Parenteral Equipment and/or Supplies
          • Personal Care/Support Non-Hospice
          • Pharmacy, Clinical Consulting Services
          • Pharmacy/Dispensary,General Services
          • Physical Therapy
          • Skilled Nursing Services
          • Speech Language Pathology
          • Supplies
          Abington Memorial Health Center Warminster Campus
          225 Newtown Road
          Warminster, PA  18974
          Other Clinics/Practices located at this site:
          • Abington Bucks Internal Medicine
          • Abington Home Care
          • Abington Institute for metabolic and Bariatric Surgery
          • Bi-County Medical Associates
          Services:
          • Hospice Care
          • Outpatient Clinics (Outpatient)
          Abington Memorial Hospital  *
          1200 Old York Road
          Abington, PA  19001
          Joint Commission Advanced Certification Programs:
          • Advanced Comprehensive Stroke Center
          • Advanced Palliative Care
          • Heart Failure
          • Ventricular Assist Device
          Joint Commission Certified Programs:
          • Joint Replacement - Hip
          • Joint Replacement - Knee
          Other Clinics/Practices located at this site:
          • Abington Cancer Care
          • Abington Memorial Hospital Dental Clinic
          • Ambulatory Servcies Unit
          • Neurovascular Associates of Abington
          • OB-GYN Center/Faculty Associates
          Services:
          • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
          • Brachytherapy (Imaging/Diagnostic Services)
          • Cardiac Catheterization Lab (Surgical Services)
          • Cardiac Surgery (Surgical Services)
          • Cardiothoracic Surgery (Surgical Services)
          • Cardiovascular Unit (Inpatient)
          • Coronary Care Unit (Inpatient)
          • CT Scanner (Imaging/Diagnostic Services)
          • Dialysis Unit (Inpatient)
          • Ear/Nose/Throat Surgery (Surgical Services)
          • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
          • Gastroenterology (Surgical Services)
          • GI or Endoscopy Lab (Imaging/Diagnostic Services)
          • Gynecological Surgery (Surgical Services)
          • Gynecology (Inpatient)
          • Hematology/Oncology Unit (Inpatient)
          • Hospice Care
          • Inpatient Unit (Inpatient)
          • Interventional Radiology (Imaging/Diagnostic Services)
          • Labor & Delivery (Inpatient)
          • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
          • Medical /Surgical Unit (Inpatient)
          • Medical ICU (Intensive Care Unit)
          • Neuro/Spine ICU (Intensive Care Unit)
          • Neuro/Spine Unit (Inpatient)
          • Neurosurgery (Surgical Services)
          • Normal Newborn Nursery (Inpatient)
          • Nuclear Medicine (Imaging/Diagnostic Services)
          • Orthopedic Surgery (Surgical Services)
          • Orthopedic/Spine Unit (Inpatient)
          • Outpatient Clinics (Outpatient)
          • Pediatric Unit (Inpatient)
          • Plastic Surgery (Surgical Services)
          • Post Anesthesia Care Unit (PACU) (Inpatient)
          • Radiation Oncology (Imaging/Diagnostic Services)
          • Sleep Laboratory (Sleep Laboratory)
          • Surgical ICU (Intensive Care Unit)
          • Surgical Unit (Inpatient)
          • Teleradiology (Imaging/Diagnostic Services)
          • Thoracic Surgery (Surgical Services)
          • Ultrasound (Imaging/Diagnostic Services)
          • Urology (Surgical Services)
          • Vascular Surgery (Surgical Services)
          Abington Obstetrical and Gynecologogical Associates
          300 Welsh Road, Building #2
          Horsham, PA  19044
            Services:
            • Single Specialty Practitioner (Outpatient)
            Abington Plaza Medical Associate - satellite site
            1380 Easton Road
            Warrington, PA  18976
            Other Clinics/Practices located at this site:
            • Abington Obstetrical and Gynecological Associates -satellite
            • Hartsville Medical Practice
            Services:
            • Outpatient Clinics (Outpatient)
            Abington Primary Care Medicine
            1400 Old York Road, Suite A
            Abington, PA  19001
              Services:
              • Single Specialty Practitioner (Outpatient)
              Abington Primary Women's Healthcare Group
              2300 Computer Avenue, Suite E-25
              Willow Grove, PA  19090
                Services:
                • Single Specialty Practitioner (Outpatient)
                Abington Primary Women's Healthcare Group - satellite site
                11 Friends Lane, Suite 101
                Newtown, PA  18940
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  Brecher and Knapp
                  205 Newtown Road
                  Warminster, PA  18974
                  Other Clinics/Practices located at this site:
                  • Abington Residential Care
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  Cheltenham Internal Medicine
                  7848 Old York Road, Suite 104
                  Elkins Park, PA  19027
                    Services:
                    • Single Specialty Practitioner (Outpatient)
                    Elkins Park Medical Associates
                    8302 Old York Road
                    Elkins Park, PA  19027
                      Services:
                      • Single Specialty Practitioner (Outpatient)
                      Endoscopy Center
                      1235 Old York Rd # G23,
                      Abington, PA  19001
                      Other Clinics/Practices located at this site:
                      • Abington General Internal Medicine
                      • Abington Plaza Medical Associates
                      • Associates in Infectious Disease
                      Services:
                      • Anesthesia (Outpatient)
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      Family Care Medical Center
                      1700 Horizon Drive, Suite 203
                      Chalfont, PA  18914
                        Services:
                        • Single Specialty Practitioner (Outpatient)
                        Family Practice Associates of Upper Dublin
                        1244 Fort Washington Avenue, Suite E2
                        Fort Washington, PA  19034
                          Services:
                          • Single Specialty Practitioner (Outpatient)
                          Family Practice of Willow Grove
                          221 Davisville Road
                          Willow Grove, PA  19090
                            Services:
                            • Single Specialty Practitioner (Outpatient)
                            Feasterville Family Healthcare
                            1665 Bustleton Pike
                            Feasterville Trevose, PA  19053
                              Services:
                              • Single Specialty Practitioner (Outpatient)
                              Feasterville Urgent Care
                              1045 Bustleton Pike, Feasterville PA
                              Feasterville Trevose, PA  19053
                                Services:
                                • Outpatient Clinics (Outpatient)
                                Flourtown Urgent Care Center
                                1820 Bethlehem Pike
                                Flourtown, PA  19031
                                    Glenside Medical Associates
                                    115 East Glenside Avenue
                                    Glenside, PA  19038
                                    Other Clinics/Practices located at this site:
                                    • Glenside Internal Medicine
                                    Services:
                                    • Laboratory Draw Station (Outpatient)
                                    Gwynedd Family Medicine
                                    1600 Horizon Drive, Suite 117
                                    Chalfont, PA  18914
                                      Services:
                                      • Single Specialty Practitioner (Outpatient)
                                      Horsham Family Practice
                                      1116 Horsham Road, Suite 10
                                      Ambler, PA  19002
                                        Services:
                                        • Single Specialty Practitioner (Outpatient)
                                        Horsham Medical Associates
                                        701 Limekiln Pike, Suite 3 & 4
                                        Maple Glen, PA  19002
                                          Services:
                                          • Single Specialty Practitioner (Outpatient)
                                          Internal Medicine Associates of Abington - Satellite Site
                                          1000 East Welsh Road
                                          Ambler, PA  19002
                                            Services:
                                            • Single Specialty Practitioner (Outpatient)
                                            Jerry M. Roth MD
                                            501 Street Road Suite 101
                                            Southampton, PA  18966
                                              Services:
                                              • Single Specialty Practitioner (Outpatient)
                                              Lawndale Internal Medicine
                                              400 C Huntingdon Pike
                                              Rockledge, PA  19046
                                                Services:
                                                • Single Specialty Practitioner (Outpatient)
                                                Medical Center at Gwynedd
                                                909 Sumneytown Pike, Suite 205
                                                Spring House, PA  19477
                                                Other Clinics/Practices located at this site:
                                                • Ambler Medical Associates - Satellite
                                                • Springhouse Internal Medicine
                                                Services:
                                                • Single Specialty Practitioner (Outpatient)
                                                Neurosurgical Associates of Abington - Satellite Site
                                                125 Medical Campus Drive, #205
                                                Lansdale, PA  19446
                                                Other Clinics/Practices located at this site:
                                                • Women's Health Care Group - Satellite Site
                                                Services:
                                                • Single Specialty Practitioner (Outpatient)
                                                North Hills Health Center
                                                212 Girard Avenue
                                                Glenside, PA  19038
                                                  Services:
                                                  • Single Specialty Practitioner (Outpatient)
                                                  North Penn Family Medicine Associates
                                                  2026 N. Broad Street
                                                  Lansdale, PA  19446
                                                    Services:
                                                    • Single Specialty Practitioner (Outpatient)
                                                    North Penn Family Medicine Associates - Satellite
                                                    140 E. Butler Pike
                                                    Chalfont, PA  18914
                                                      Services:
                                                      • Single Specialty Practitioner (Outpatient)
                                                      Rockledge Medical Associates
                                                      801A Huntingdon Pike
                                                      Huntingdon Valley, PA  19006
                                                        Services:
                                                        • Single Specialty Practitioner (Outpatient)
                                                        Ronda G. Karp, DO
                                                        406 Norristown Road, Suite E
                                                        Horsham, PA  19044
                                                          Services:
                                                          • Single Specialty Practitioner (Outpatient)
                                                          Seavy and Sestito
                                                          115 East Broad Street
                                                          Hatfield, PA  19440
                                                            Services:
                                                            • Outpatient Clinics (Outpatient)
                                                            Steven I. Cowan, D.O.
                                                            1339 Easton Road
                                                            Abington, PA  19001
                                                              Services:
                                                              • Single Specialty Practitioner (Outpatient)
                                                              The Neurology Group - satellite site
                                                              1811 Bethlehem Pike, A104
                                                              Flourtown, PA  19031
                                                              Other Clinics/Practices located at this site:
                                                              • Abington Primary Women's Healthcare Group - satellite site
                                                              • Neurosurgical Associates of Abington - Satellite Site
                                                              Services:
                                                              • Single Specialty Practitioner (Outpatient)
                                                              The Neurology Group - satellite site
                                                              430 Park Avenue
                                                              Collegeville, PA  19426
                                                                Services:
                                                                • Single Specialty Practitioner (Outpatient)
                                                                Upper Dublin Internal Medicine
                                                                200 Pennsylvania Avenue
                                                                Oreland, PA  19075
                                                                  Services:
                                                                  • Single Specialty Practitioner (Outpatient)
                                                                  Willow Grove Internal Medicine
                                                                  2729 Blair Mill Road Suite B
                                                                  Willow Grove, PA  19090
                                                                    Services:
                                                                    • Single Specialty Practitioner (Outpatient)
                                                                    Women's Health Care Group
                                                                    7996 Oxford Avenue
                                                                    Philadelphia, PA  19111
                                                                      Services:
                                                                      • Single Specialty Practitioner (Outpatient)
                                                                      Women's Health Care Group - satellite office
                                                                      Old Street & Ponderosa Raods
                                                                      Trevose, PA  19053
                                                                        Services:
                                                                        • Single Specialty Practitioner (Outpatient)
                                                                        Women's Health Care Group - satellite site
                                                                        2651 Huntingdon Pike, Village Center
                                                                        Huntingdon Valley, PA  19006
                                                                          Services:
                                                                          • Single Specialty Practitioner (Outpatient)
                                                                          Wyncote Family Medicine
                                                                          8101 Washington Lane, Suite 101
                                                                          Wyncote, PA  19095
                                                                            Services:
                                                                            • Single Specialty Practitioner (Outpatient)

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