The Joint Commission
Quality Check
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
Hospital
Accredited 6/29/2013 6/28/2013   6/28/2013  


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 11/23/2013  11/22/2013  11/22/2013 




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


- Top -
  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
Hospital
2013 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:
Jan  2013 -
Dec  2013
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.
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.

- Top -
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
Other Clinics/Practices located at this site:
  • Center for Aesthetics and Cosmetic Surgery
  • Cosmetic Center Clinic
  • Dermatology-Mohs-Podiatry Clinic
  • GMC Outpatient Surgery - Woodbine
  • Interventional Pain Center
  • Orthopaedic and Sports Medicine Clinic
  • Outpatient Radiology-CT Scan-MRI
Services:
  • Administration of Blood Product (Outpatient)
  • Administration of High Risk Medications (Outpatient)
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (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
Other Clinics/Practices located at this site:
  • Geisinger Shamokin Area Community Hospital - Outpatient Spec
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)
  • Ophthalmology (Surgical Services)
  • Orthopedic Surgery (Surgical Services)
  • Orthopedic/Spine Unit (Inpatient)
  • Outpatient Clinics (Outpatient)
  • 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
Other Clinics/Practices located at this site:
  • Knapper Clinic
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)
  • Medical ICU (Intensive Care Unit)
  • Neuro/Spine Unit (Inpatient)
  • Neurosurgery (Surgical Services)
  • Normal Newborn Nursery (Inpatient)
  • Nuclear Medicine (Imaging/Diagnostic Services)
  • Ophthalmology (Surgical Services)
  • Orthopedic Surgery (Surgical Services)
  • Orthopedic/Spine Unit (Inpatient)
  • Outpatient Clinics (Outpatient)
  • 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 ICU (Intensive Care Unit)
  • 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 Outpatient Hospital-Based Facility
4203 Hospital Road
Coal Township, PA  17866
Other Clinics/Practices located at this site:
  • GMC - Ophthalmology Shamokin
  • GMC Shamokin Sleep Lab
Services:
  • Outpatient Clinics (Outpatient)
Geisinger Pottsville Radiation Oncology
100 One Norwegian Plaza
Pottsville, PA  17901
    Services:
    • Single Specialty Practitioner (Outpatient)
    Geisinger Specialty Services
    6850 Lows Road
    Bloomsburg, PA  17815
    Other Clinics/Practices located at this site:
    • GMC Bloomsburg Sleep Lab
    Services:
    • Outpatient Clinics (Outpatient)
    • Pediatric Cardiology (Outpatient - Child/Youth)
    GMC - Hematology Oncology Pottsville
    700 East Norwegian Street
    Pottsville, PA  17901
      Services:
      • Administration of High Risk Medications (Outpatient)
      • Outpatient Clinics (Outpatient)
      GMC - Medical Oncology Lewisburg
      210 JPM Road Suite 200
      Lewisburg, PA  17837
        Services:
        • Administration of High Risk Medications (Outpatient)
        • Outpatient Clinics (Outpatient)
        GMC - Ophthalmology Sunbury
        437 Market Street
        Sunbury, PA  17801
          Services:
          • Single Specialty Practitioner (Outpatient)
          GMC - Susquehanna University
          620 University Avenue
          Selinsgrove, PA  17870
            Services:
            • Outpatient Clinics (Outpatient)
            • Perform Invasive Procedure (Outpatient)
            GMC - Susquehanna Valley Imaging
            120 Hamm Drive
            Lewisburg, PA  17837
            Other Clinics/Practices located at this site:
            • GMC Pediatrics Autism & Developmental Medicine Center
            Services:
            • Outpatient Clinics (Outpatient)
            • Perform Invasive Procedure (Outpatient)
            GMC Cancer Center-Hazelton
            1740 East Broad Street
            Hazleton, PA  18201
              Services:
              • Administration of High Risk Medications (Outpatient)
              • Outpatient Clinics (Outpatient)
              • Perform Invasive Procedure (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 Woodbine Sleep Lab
                  109 Woodbine Lane
                  Danville, PA  17821
                    Services:
                    • Single Specialty Practitioner (Outpatient)

                    - Top -
                    The Joint Commission obtains information about accredited/certified organizations not only through direct observations by its employees …Read more.
                    Search | About Quality Check | Take Our Survey | Certified Organizations | Quality Data Download | Contact Us | Help | Privacy Policy
                    © 2014 The Joint Commission, All Rights Reserved

                    This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
                    verify here.