The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Penn Highlands Healthcare
DBA: Penn Highlands DuBois
Org ID: 6051
100 Hospital Avenue
Du Bois, PA  15801
(814)375-3385
www.phhealthcare.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Home Care
Accredited 2/9/2013 2/8/2013   2/8/2013  
Hospital
Accredited 2/9/2013 2/8/2013   2/8/2013  
Laboratory Accreditation Program
Accredited 10/27/2012 10/26/2012   10/26/2012  


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


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 2/11/2014  1/10/2014  1/10/2014 




Special Quality Awards


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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
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.
*
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 above the target range/value.
This organization’s performance is above the target range/value.
Hospital-Based Inpatient Psychiatric Services See Detail
This organization’s performance is below 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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Colon/Large Intestine Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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
Not displayed.
3
Not displayed.
3
  • 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
   
Laboratory Accreditation Program
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 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
Cardiology (Angheliou)
1464 North Main Street Station Square Suite 14
Punxsutawney, PA  15767
    Services:
    • Single Specialty Practitioner (Outpatient)
    Cardiology (Angheliou)
    763 Johnsonburg Road
    Saint Marys, PA  15857
      Services:
      • Single Specialty Practitioner (Outpatient)
      Cardiology (Angheloiu)
      240 Allegheny Boulevard, Suite C
      Brookville, PA  15825
        Services:
        • Single Specialty Practitioner (Outpatient)
        Dermatology (Johnson)
        90 Beaver Drive Suite D Box 18
        Du Bois, PA  15801
          Services:
          • Single Specialty Practitioner (Outpatient)
          DuBois Medical Arts Building (Multiple Practices)
          145 Hospital Avenue
          Du Bois, PA  15801
          Other Clinics/Practices located at this site:
          • Cardiovascular/ Thoracic Surgery Suite #300 (Hakki)
          • Diabetes and Nutrition Wellness Center, Suite 104
          • Endocrinology, Suite #101 (Rajan)
          • Family Medicine West, Suite #106 (Kozloski, Usaitis)
          • Gastroenterology, Suite 206 (Carerre)
          • General Surgery, Suite #301 (Ward, Rorabaugh)
          • Neurology, Suite #211 (Palatna, Ignatius)
          • Orthopedics, Suite #311 (Spingola)
          • Orthopedics/ Fracture Clinic, Suite #204 (Krot, Zeliger)
          • Pain Clinic, Suite #212 (Valigorsky, McCann)
          • Physical Therapy, Suite #100
          • Surgical, Suite #112 (Schachter)
          • Urology, Suite #200 (Chang, Martynik)
          • Women's Health Imaging, Suite #115
          Services:
          • Outpatient Clinics (Outpatient)
          • Perform Invasive Procedure (Outpatient)
          Family Practice (Baird)
          111 Cobb Street
          Johnsonburg, PA  15845
            Services:
            • Single Specialty Practitioner (Outpatient)
            Family Practice (Cienciva, Baker, Singh)
            DBA:  Keystone Medical Associates
            1095 Million Dollar Highway
            Saint Marys, PA  15857
              Services:
              • Single Specialty Practitioner (Outpatient)
              Family Practice (Conrad)
              502 Park Avenue
              Clearfield, PA  16830
                Services:
                • Single Specialty Practitioner (Outpatient)
                Family Practice (Corcino, Huckenstein)
                531A and B Hannah Street
                Clearfield, PA  16830
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  Family Practice (Huckenstein)
                  605 State Street
                  Curwensville, PA  16833
                    Services:
                    • Single Specialty Practitioner (Outpatient)
                    Family Practice (Kelly)
                    275 East Fourth Street
                    Emporium, PA  15834
                      Services:
                      • Single Specialty Practitioner (Outpatient)
                      Family Practice (Kelly)
                      757 Johnsonburg Road Suite 110
                      Saint Marys, PA  15857
                        Services:
                        • Outpatient Clinics (Outpatient)
                        Family Practice (Little) and Q-Care (Stanger)
                        104 Metoxet Street
                        Ridgway, PA  15853
                        Other Clinics/Practices located at this site:
                        • Q-Care (Stanger)
                        Services:
                        • Outpatient Clinics (Outpatient)
                        Family Practice (Prusakowski)
                        90 Hospital Road Suite 200
                        Brookville, PA  15825
                          Services:
                          • General Laboratory Tests
                          • Outpatient Clinics (Outpatient)
                          • Perform Invasive Procedure (Outpatient)
                          Family Practice and Lab (Parekh & Ignatius)
                          145 Hospital Avenue, Suite #205 and #202
                          Du Bois, PA  15801
                            Services:
                            • General Laboratory Tests
                            • Perform Invasive Procedure (Outpatient)
                            • Single Specialty Practitioner (Outpatient)
                            Family Practice Elk (Hall)
                            1 South Street
                            Ridgway, PA  15853
                              Services:
                              • Single Specialty Practitioner (Outpatient)
                              Family Practice Elk (Hall, Schmidt)
                              177 Washington Avenue
                              Saint Marys, PA  15857
                                Services:
                                • General Laboratory Tests
                                • Outpatient Clinics (Outpatient)
                                • Perform Invasive Procedure (Outpatient)
                                Family Practice Penn Township (Wirths)
                                1541 Curwensville Grampian Highway (Route 879)
                                Grampian, PA  16838
                                  Services:
                                  • General Laboratory Tests
                                  • Outpatient Clinics (Outpatient)
                                  • Perform Invasive Procedure (Outpatient)
                                  Family Practice Primary Care & PT/ OT (Kakabadze)
                                  5 North Third Street
                                  Reynoldsville, PA  15851
                                    Services:
                                    • General Laboratory Tests
                                    • Outpatient Clinics (Outpatient)
                                    • Perform Invasive Procedure (Outpatient)
                                    Family Practice Primary Care and Lab (Austin, Maloney)
                                    145 Hospital Avenue, Suite #313
                                    Du Bois, PA  15801
                                      Services:
                                      • General Laboratory Tests
                                      • Outpatient Clinics (Outpatient)
                                      • Perform Invasive Procedure (Outpatient)
                                      Family Practice Primary Care; OT & PT (Scott)
                                      1200 Wood Street
                                      Brockway, PA  15824
                                      Other Clinics/Practices located at this site:
                                      • Physical Therapy/ Occupational Therapy
                                      • Primary Care Associates (Scott)
                                      Services:
                                      • General Laboratory Tests
                                      • Outpatient Clinics (Outpatient)
                                      • Perform Invasive Procedure (Outpatient)
                                      Family Practice Primary Care; PT/ OT (Albanese)
                                      Hemlock Avenue
                                      Force, PA  15841
                                      Other Clinics/Practices located at this site:
                                      • Physical Therapy/ Occupational Therapy
                                      • Primary Care Associates (Albanese)
                                      Services:
                                      • General Laboratory Tests
                                      • Outpatient Clinics (Outpatient)
                                      • Perform Invasive Procedure (Outpatient)
                                      Family Practice, Primary Care, PT/ OT (Wirths)
                                      465 State Street
                                      Curwensville, PA  16833
                                      Other Clinics/Practices located at this site:
                                      • Physical Therapy/ Occupational Therapy
                                      • Primary Care Associates (Wirths)
                                      Services:
                                      • General Laboratory Tests
                                      • Outpatient Clinics (Outpatient)
                                      • Perform Invasive Procedure (Outpatient)
                                      Family Practice, Primary Care,(Donahue, Kiskaddon)
                                      Suite #4, 100 Meadow Lane Beaver Drive
                                      Du Bois, PA  15801
                                        Services:
                                        • General Laboratory Tests
                                        • Outpatient Clinics (Outpatient)
                                        • Perform Invasive Procedure (Outpatient)
                                        Gastroenterology (Malik)
                                        531 Hannah Street
                                        Clearfield, PA  16830
                                          Services:
                                          • Single Specialty Practitioner (Outpatient)
                                          Hahne Cancer Center (Marchioli, El-Kasses)
                                          815 Doctors Drive
                                          Clearfield, PA  16830
                                            Services:
                                            • Administration of High Risk Medications (Outpatient)
                                            • Perform Invasive Procedure (Outpatient)
                                            • Single Specialty Practitioner (Outpatient)
                                            Internal Medicine (Reddy)
                                            99 Hospital Street
                                            Ridgway, PA  15853
                                              Services:
                                              • Single Specialty Practitioner (Outpatient)
                                              Internal Medicine and Lab (Kruk, Graeca)
                                              145 Hospital Avenue,Suite #215
                                              Du Bois, PA  15801
                                                Services:
                                                • General Laboratory Tests
                                                • Outpatient Clinics (Outpatient)
                                                • Perform Invasive Procedure (Outpatient)
                                                Opthalmology (Smith, Fabre, Marra and Bisbey)
                                                529 Sunflower Drive
                                                Du Bois, PA  15801
                                                  Services:
                                                  • Outpatient Clinics (Outpatient)
                                                  • Perform Invasive Procedure (Outpatient)
                                                  Orthopedics (Armstrong)
                                                  DBA:  West Penn Orthopaedics
                                                  89 Beaver Drive
                                                  Du Bois, PA  15801
                                                    Services:
                                                    • Outpatient Clinics (Outpatient)
                                                    • Perform Invasive Procedure (Outpatient)
                                                    Pediatrics (Fatula)
                                                    2834 Maplevale Road
                                                    Brookville, PA  15825
                                                      Services:
                                                      • Single Specialty Practitioner (Outpatient)
                                                      Pediatrics (Fatula, Fugate, Baske, Webb, Malik, Dutra)
                                                      DBA:  DRMG Pediatrics
                                                      529 Sunflower Drive
                                                      Du Bois, PA  15801
                                                        Services:
                                                        • Single Specialty Practitioner (Outpatient)
                                                        Pediatrics (Graham, Marra, Sotor-Thompson)
                                                        DBA:  Clearfield Center for Children's Care
                                                        1033 Turnpike Avenue (Suite 200)
                                                        Clearfield, PA  16830
                                                          Services:
                                                          • Single Specialty Practitioner (Outpatient)
                                                          Pediatrics GAMA (Malik)
                                                          135 Midway Drive
                                                          Du Bois, PA  15801
                                                            Services:
                                                            • Single Specialty Practitioner (Outpatient)
                                                            Penn Highlands DuBois East (Multiple Services)
                                                            535 Sunflower Drive
                                                            Du Bois, PA  15801
                                                            Other Clinics/Practices located at this site:
                                                            • Behavioral Health Center (Turkin, Gantaleo, Ignatius, Hrecnz
                                                            • Hyperbaric Services (T. Stainbrook and Pope)
                                                            • Infectious Disease Center (T. Stainbrook and Pope)
                                                            • Primary Medicine East Ground Floor (Sachs)
                                                            • Wound Center (T. Stainbrook and Pope)
                                                            Services:
                                                            • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                                                              (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
                                                            • Community Integration (Non 24 Hour Care)
                                                            • Family Support (Non 24 Hour Care)
                                                            • General Laboratory Tests
                                                            • Outpatient Clinics (Outpatient)
                                                            • Perform Invasive Procedure (Outpatient)
                                                            Penn Highlands DuBois West (Multiple Services)  *
                                                            100 Hospital Avenue
                                                            Du Bois, PA  15801
                                                            Joint Commission Advanced Certification Programs:
                                                            • Primary Stroke Center
                                                            Other Clinics/Practices located at this site:
                                                            • Hahne Regional Cancer Center
                                                            • Home Health and Hospice
                                                            • Hospital
                                                            • The Lung Center
                                                            Services:
                                                            • Cardiac Catheterization Lab (Surgical Services)
                                                            • Cardiac Surgery (Surgical Services)
                                                            • Cardiothoracic Surgery (Surgical Services)
                                                            • Cardiovascular Unit (Inpatient)
                                                            • Dialysis Unit (Inpatient)
                                                            • Ear/Nose/Throat Surgery (Surgical Services)
                                                            • Gastroenterology (Surgical Services)
                                                            • General Laboratory Tests
                                                            • Gynecological Surgery (Surgical Services)
                                                            • Gynecology (Inpatient)
                                                            • Home Health Aides
                                                            • Home Health, Non-Hospice Services
                                                            • Hospice Care
                                                            • Interventional Radiology (Imaging/Diagnostic Services)
                                                            • Labor & Delivery (Inpatient)
                                                            • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                                                            • Medical /Surgical Unit (Inpatient)
                                                            • Medical Social Services
                                                            • Normal Newborn Nursery (Inpatient)
                                                            • Nuclear Medicine (Imaging/Diagnostic Services)
                                                            • Occupational Therapy
                                                            • Ophthalmology (Surgical Services)
                                                            • Orthopedic Surgery (Surgical Services)
                                                            • Outpatient Clinics (Outpatient)
                                                            • Pediatric Unit (Inpatient)
                                                            • Physical Therapy
                                                            • Plastic Surgery (Surgical Services)
                                                            • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                                                            • Post Anesthesia Care Unit (PACU) (Inpatient)
                                                            • Skilled Nursing Services
                                                            • Sleep Laboratory (Sleep Laboratory)
                                                            • Speech Language Pathology
                                                            • Surgical ICU (Intensive Care Unit)
                                                            • Surgical Unit (Inpatient)
                                                            • Toxicology
                                                            Podiatry (Johnson-McKissick)
                                                            820 Turnpike Avenue
                                                            Clearfield, PA  16830
                                                              Services:
                                                              • Single Specialty Practitioner (Outpatient)
                                                              Pulmonology (Bansal)
                                                              22 Industrial Drive Allegheny Health Center
                                                              Brookville, PA  15825
                                                                Services:
                                                                • Single Specialty Practitioner (Outpatient)
                                                                Pulmonology (Pendleton)
                                                                DBA:  Pulmonary Care
                                                                111 Summit Street
                                                                Brookville, PA  15825
                                                                  Services:
                                                                  • Perform Invasive Procedure (Outpatient)
                                                                  • Single Specialty Practitioner (Outpatient)
                                                                  Pulmonology and Pediatrics (Pendleton, Fatula)
                                                                  81 Hillcrest Drive
                                                                  Punxsutawney, PA  15767
                                                                  Other Clinics/Practices located at this site:
                                                                  • Pediatrics DRMG Suite 2300 (Fatula)
                                                                  Services:
                                                                  • Perform Invasive Procedure (Outpatient)
                                                                  • Single Specialty Practitioner (Outpatient)
                                                                  Pulmonology, Sleep Med.; Mercy Family Health (Illuzzi, Lang)
                                                                  190 West Park Avenue
                                                                  Du Bois, PA  15801
                                                                  Other Clinics/Practices located at this site:
                                                                  • Mercy Family Health (Lang)
                                                                  • Pulmonology and Sleep Medicine ((lluzzi)
                                                                  Services:
                                                                  • Outpatient Clinics (Outpatient)
                                                                  • Perform Invasive Procedure (Outpatient)
                                                                  Q-Care
                                                                  DBA:  Q-Care Cameron County
                                                                  416 North Broad Street
                                                                  Emporium, PA  15834
                                                                    Services:
                                                                    • Single Specialty Practitioner (Outpatient)
                                                                    Speciality Practices (Koch, Eshbach, Reider, Lin, el al)
                                                                    761 Johnsonburg Road
                                                                    Saint Marys, PA  15857
                                                                    Other Clinics/Practices located at this site:
                                                                    • Family Care (Parlevecchio Suite 220)
                                                                    • Family Practice (Caruso Suite 240)
                                                                    • OB-Gyn (Koch Suite 210)
                                                                    • OB-Gyn (Lin, WuJan Suite 110)
                                                                    • Orthopedics (Eshbach Suite 310)
                                                                    • Pediatrics (Reider Suite 110)
                                                                    • Q-Care (Suite 160)
                                                                    • Surgery, General (Joseph, Subramany)
                                                                    Services:
                                                                    • Outpatient Clinics (Outpatient)
                                                                    Specialty Practices (Armstrong, Marra)
                                                                    18 Sportsman Drive
                                                                    Clarion, PA  16214
                                                                    Other Clinics/Practices located at this site:
                                                                    • Opthalmology, Suite #20 (Marra)
                                                                    • West Penn Orthopedics, Suite #20 (Armstrong)
                                                                    Services:
                                                                    • Outpatient Clinics (Outpatient)
                                                                    • Perform Invasive Procedure (Outpatient)
                                                                    Specialty Practices (Carnevale, Barnes, Smith, Fabre, et al)
                                                                    807 Turnpike Avenue
                                                                    Clearfield, PA  16830
                                                                    Other Clinics/Practices located at this site:
                                                                    • Cardiology (Barnes Suite 250)
                                                                    • ENT Clinic (MacCarthy Suite 230)
                                                                    • Healthy Beginnings
                                                                    • OB/ Gyn (Carnevale Suite 260)
                                                                    • Opthalmology (Smith, Fabre, et al Suite 150)
                                                                    • Orthopaedics (Polintan Suite 120)
                                                                    • Surgical Services (Kavic)
                                                                    • Urology (Rosenthal Suite 220)
                                                                    Services:
                                                                    • Single Specialty Practitioner (Outpatient)
                                                                    Specialty Practices (Chapa, Perri, Ganabathi)
                                                                    240 Allegheny Boulevard Suites A, D, J
                                                                    Brookville, PA  15825
                                                                    Other Clinics/Practices located at this site:
                                                                    • Brookville General Surgery (Chapa)
                                                                    • Brookville Surgical (Perri)
                                                                    • Brookville Urology (Ganabathi)
                                                                    Services:
                                                                    • Outpatient Clinics (Outpatient)
                                                                    • Perform Invasive Procedure (Outpatient)
                                                                    Specialty Practices (Nartatex, Stewart, Dellegrotti)
                                                                    1049 North Front Street
                                                                    Philipsburg, PA  16866
                                                                    Other Clinics/Practices located at this site:
                                                                    • Family Practice (Willenbring, Dellegrotti)
                                                                    • Moshannon Valley Orthopaedics (Nartatex)
                                                                    • Moshannon Valley Surgical Clinic (Stewart)
                                                                    Services:
                                                                    • Outpatient Clinics (Outpatient)
                                                                    Specialty Practices (Newsome, Latuska, Knuppel)
                                                                    865 Beaver Drive DuBois, PA
                                                                    Du Bois, PA  15801
                                                                    Other Clinics/Practices located at this site:
                                                                    • DRMC Perinatal Consultants Suite 869
                                                                    • DRMC Rheumatology/ Infusion Service Suite 865
                                                                    • DRMC Specialty Gastroenterology Services Suite 867
                                                                    Services:
                                                                    • Administration of High Risk Medications (Outpatient)
                                                                    • Outpatient Clinics (Outpatient)
                                                                    • Perform Invasive Procedure (Outpatient)
                                                                    Specialty Practices SMCMB (Coffman, Palatna, Rajan, Illuzzi)
                                                                    St. Marys Community Medical Building1100 Million Dollar Hwy.
                                                                    Saint Marys, PA  15857
                                                                    Other Clinics/Practices located at this site:
                                                                    • Endocrinology, Suite #3 (Rajan)
                                                                    • Neurology Suite #1 (Palatna)
                                                                    • Outpatient Testing, Suite #3
                                                                    • Psychology Suite #1 (Coffman)
                                                                    • Pulmonology, Suite #3 (Illuzzi)
                                                                    Services:
                                                                    • Outpatient Clinics (Outpatient)
                                                                    • Perform Invasive Procedure (Outpatient)
                                                                    Surgery, General (Subramany)
                                                                    123 South Street
                                                                    Ridgway, PA  15853
                                                                      Services:
                                                                      • Single Specialty Practitioner (Outpatient)

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