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Quality Report

Summary of Quality Information
Geisinger Medical Center
Org ID: 6048
100 North Academy Avenue
Danville, PA  17822
(570)271-6211
www.geisinger.org

Accreditation
Programs 		Accreditation
Decision 		Effective
Date 		Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 7/29/2010 7/28/2010   7/28/2010  
Hospital
Accredited 7/31/2010 7/30/2010   7/6/2012  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital


Advanced Certification
Programs 		Certification
Decision 		Effective
Date 		Last Full
Review Date 		Last On-Site
Review Date
Primary Stroke Center
Certification 12/15/2011  12/14/2011  12/14/2011 




Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)


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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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Behavioral Health Care
2010 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:
Oct  2011 -
Sep  2012
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.
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
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
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
   
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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
Geisinger Woodbine
115 Woodbine Lane
Danville, PA  17822-5210
    Services:
    • Administration of High Risk Medications (Outpatient)
    • Ambulatory Surgery Center (Outpatient)
    • Anesthesia (Outpatient)
    • Outpatient Clinics (Outpatient)
    • Pediatric Dentistry (Outpatient - Child/Youth)
    • Pediatric Dermatology (Outpatient - Child/Youth)
    • Pediatric Gastroenterology (Outpatient - Child/Youth)
    • Pediatric General Surgery (Outpatient - Child/Youth)
    • Pediatric Ophthalmology (Outpatient - Child/Youth)
    • Pediatric Otolaryngology (Outpatient - Child/Youth)
    • Pediatric Plastic Surgery (Outpatient - Child/Youth)
    • Pediatric Urology (Outpatient - Child/Youth)
    • Perform Invasive Procedure (Outpatient)
    Geisinger - Shamokin Area Community Hospital
    4200 Hospital Road
    Coal Township, PA  17866
      Services:
      • CT Scanner (Imaging/Diagnostic Services)
      • 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)
      • Interventional Radiology (Imaging/Diagnostic Services)
      • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
      • Medical /Surgical Unit (Inpatient)
      • Nuclear Medicine (Imaging/Diagnostic Services)
      • Orthopedic Surgery (Surgical Services)
      • Orthopedic/Spine Unit (Inpatient)
      • Post Anesthesia Care Unit (PACU) (Inpatient)
      • Thoracic Surgery (Surgical Services)
      • Ultrasound (Imaging/Diagnostic Services)
      • Urology (Surgical Services)
      • Vascular Surgery (Surgical Services)
      Geisinger Medical Center  *
      100 North Academy Avenue
      Danville, PA  17822
      Joint Commission Advanced Certification Programs:
      • Primary Stroke Center
        Services:
        • Behavioral Health (Day Programs - Adult)
          (Non 24 Hour Care - Adult/Child/Youth)
          (24-hour Acute Care/Crisis Stabilization - Adult)
          (Partial - Adult)
        • 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)
        • Interventional Radiology (Imaging/Diagnostic Services)
        • Labor & Delivery (Inpatient)
        • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
        • Medical /Surgical Unit (Inpatient)
        • Neuro/Spine Unit (Inpatient)
        • Neurosurgery (Surgical Services)
        • Normal Newborn Nursery (Inpatient)
        • Nuclear Medicine (Imaging/Diagnostic Services)
        • Orthopedic Surgery (Surgical Services)
        • Orthopedic/Spine Unit (Inpatient)
        • Pediatric Unit (Inpatient)
        • Peer Support (Non 24 Hour Care)
        • Plastic Surgery (Surgical Services)
        • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
        • Post Anesthesia Care Unit (PACU) (Inpatient)
        • Radiation Oncology (Imaging/Diagnostic Services)
        • Surgical Unit (Inpatient)
        • Thoracic Surgery (Surgical Services)
        • Transplant Surgery (Surgical Services)
        • Ultrasound (Imaging/Diagnostic Services)
        • Urology (Surgical Services)
        • Vascular Surgery (Surgical Services)
        Geisinger Medical Center Cancer Center-Hazelton
        1740 East Broad Street
        Hazleton, PA  18201
          Services:
          • Administration of High Risk Medications (Outpatient)
          • Outpatient Clinics (Outpatient)
          • Perform Invasive Procedure (Outpatient)
          Geisinger Medical Center Outpatient Hospital-Based Facility
          4203 Hospital Road
          Coal Township, PA  17866
            Services:
            • Outpatient Clinics (Outpatient)
            Geisinger Radiation Oncology Pottsville
            100 One Norwegian Plaza
            Pottsville, PA  17901
              Services:
              • Single Specialty Practitioner (Outpatient)
              Geisinger Specialty Services
              6850 Lows Road
              Bloomsburg, PA  17815
                Services:
                • Pediatric Cardiology (Outpatient - Child/Youth)
                • Single Specialty Practitioner (Outpatient)
                GMC - Susquehanna University
                620 University Avenue
                Selinsgrove, PA  17870
                  Services:
                  • Administration of Blood Product (Outpatient)
                  • Outpatient Clinics (Outpatient)
                  • Perform Invasive Procedure (Outpatient)
                  GMC - Susquehanna Valley Imaging
                  120 Hamm Drive
                  Lewisburg, PA  17837
                    Services:
                    • Outpatient Clinics (Outpatient)
                    GMC Bloomsburg Sleep Lab
                    6850 Lows Road
                    Bloomsburg, PA  17815
                      Services:
                      • Single Specialty Practitioner (Outpatient)
                      GMC Heart & Vascular Institute, Lewisburg
                      131 JPM Road
                      Lewisburg, PA  17837
                        Services:
                        • Single Specialty Practitioner (Outpatient)
                        GMC Outpatient Dialysis - Justin Drive
                        100 Justin Drive
                        Danville, PA  17822-2450
                          Services:
                          • Administration of Blood Product (Outpatient)
                          • Administration of High Risk Medications (Outpatient)
                          • Dialysis (Outpatient)
                          • Outpatient Clinics (Outpatient)
                          GMC Shamokin Sleep Lab
                          4203 Hospital Road
                          Coal Township, PA  17866
                            Services:
                            • Single Specialty Practitioner (Outpatient)
                            GMC Woodbine Sleep Lab
                            109 Woodbine Lane
                            Danville, PA  17821
                              Services:
                              • Single Specialty Practitioner (Outpatient)
                              Knapper Clinic
                              100 North Academy Ave
                              Danville, PA  17822
                                Services:
                                • Administration of Blood Product (Outpatient)
                                • Administration of High Risk Medications (Outpatient)
                                • Eating Disorders (Outpatient)
                                • Outpatient Clinics (Outpatient)
                                • Perform Invasive Procedure (Outpatient)

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