The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
DuBois Regional Medical Center
Org ID: 6051
100 Hospital Avenue
Du Bois, PA  15801
(814)375-3385
www.drmc.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
DRMC Advanced Foot and Ankle Services
1 South Street
Ridgway, PA  15853
Other Clinics/Practices located at this site:
  • DRMC Elk Medical Associates
Services:
  • Outpatient Clinics (Outpatient)
DRMC Beaver Drive Specialty Practices
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)
DRMC Brookville Cardiology
2834 Maplevale Road
Brookville, PA  15825
    Services:
    • Single Specialty Practitioner (Outpatient)
    DRMC Brookville Family Medicine
    90 Hospital Road
    Brookville, PA  15825
      Services:
      • General Laboratory Tests
      • Outpatient Clinics (Outpatient)
      • Perform Invasive Procedure (Outpatient)
      DRMC Brookville Pulmonary Care (Pendleton)
      111 Summit Street
      Brookville, PA  15825
        Services:
        • Perform Invasive Procedure (Outpatient)
        • Single Specialty Practitioner (Outpatient)
        DRMC Brookville Pulmonology
        81 Hillcrest Drive
        Punxsutawney, PA  15767
          Services:
          • Perform Invasive Procedure (Outpatient)
          • Single Specialty Practitioner (Outpatient)
          DRMC Brookville Pulmonology (Bansal)
          240 Allegheny Blvd, Suite D, Brookville, PA 15825
          Brookville, PA  15825
            Services:
            • Single Specialty Practitioner (Outpatient)
            DRMC Brookville Specialty Practices
            240 Allegheny Boulevard
            Brookville, PA  15825
            Other Clinics/Practices located at this site:
            • DRMC Brookville General Surgery
            • DRMC Brookville Gynecology
            • DRMC Brookville Surgical
            • DRMC Brookville Urology
            Services:
            • Outpatient Clinics (Outpatient)
            • Perform Invasive Procedure (Outpatient)
            DRMC Cardiology Punxsutawney
            1464 North Main Street
            Punxsutawney, PA  15767
              Services:
              • Single Specialty Practitioner (Outpatient)
              DRMC Cardiology, St. Marys
              763 Johnsonburg Road
              Saint Marys, PA  15857
                Services:
                • Single Specialty Practitioner (Outpatient)
                DRMC Clearfield Cardiology Services
                807 Turnpike Avenue
                Clearfield, PA  16830
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  DRMC Clearfield Gastroenterology
                  531 Hannah Street
                  Clearfield, PA  16830
                    Services:
                    • Single Specialty Practitioner (Outpatient)
                    DRMC Clearfield Hahne Cancer Center
                    815 Doctors Drive
                    Clearfield, PA  16830
                      Services:
                      • Administration of High Risk Medications (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      • Single Specialty Practitioner (Outpatient)
                      DRMC Clinics at West Park Avenue
                      190 West Park Avenue
                      Du Bois, PA  15801
                      Other Clinics/Practices located at this site:
                      • DRMC Mercy Family Health
                      • DRMC Pulmonology and Sleep Medicine
                      Services:
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      DRMC Clinics, Brockway
                      1200 Wood Street
                      Brockway, PA  15824
                      Other Clinics/Practices located at this site:
                      • DRMC Physical Therapy/Occupational Therapy, Brockway
                      • DRMC Primary Care Associates, Brockway
                      Services:
                      • General Laboratory Tests
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      DRMC Clinics, Clarion
                      18 Sportsman Drive
                      Clarion, PA  16214
                      Other Clinics/Practices located at this site:
                      • DRMC Opthalmology, Clarion, Suite #20
                      • DRMC West Penn Orthopedics, Clarion, Suite #20
                      Services:
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      DRMC Clinics, Clearfield
                      807 Turnpike Avenue
                      Clearfield, PA  16830
                      Other Clinics/Practices located at this site:
                      • DRMC Cardiology, Clearfield, Suite 250
                      • DRMC Infectious Diseases, Suite #110
                      • DRMC Neurology, Clearfield, Suite #110
                      • DRMC Opthalmology, Clearfield, Suite #150
                      Services:
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      DRMC Clinics, Curwensville
                      464 State Street
                      Curwensville, PA  16833
                      Other Clinics/Practices located at this site:
                      • DRMC Physical Therapy/Occupational Therapy, Curwensville
                      • DRMC Primary Care Associates, Curwensville
                      Services:
                      • General Laboratory Tests
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      DRMC Clinics, Force
                      Hemlock Avenue
                      Force, PA  15841
                      Other Clinics/Practices located at this site:
                      • DRMC Physical Therapy/Occupational Therapy, Force
                      • DRMC Primary Care Associates, Force
                      Services:
                      • General Laboratory Tests
                      • Outpatient Clinics (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      DRMC Elk Medical Associates, St. Marys
                      177 Washington Avenue
                      Saint Marys, PA  15857
                        Services:
                        • General Laboratory Tests
                        • Outpatient Clinics (Outpatient)
                        • Perform Invasive Procedure (Outpatient)
                        DRMC Gastroenterology Clinic
                        621 Main Street
                        Du Bois, PA  15801
                          Services:
                          • Single Specialty Practitioner (Outpatient)
                          DRMC Internal Medicine Ridgway
                          99 Hospital Street
                          Ridgway, PA  15853
                            Services:
                            • Single Specialty Practitioner (Outpatient)
                            DRMC Opthalmology, DuBois
                            529 Sunflower Drive
                            Du Bois, PA  15801
                              Services:
                              • Outpatient Clinics (Outpatient)
                              • Perform Invasive Procedure (Outpatient)
                              DRMC Penn Township Health Center
                              1541 Curwensville Grampian Highway (Route 879)
                              Grampian, PA  16838
                                Services:
                                • General Laboratory Tests
                                • Outpatient Clinics (Outpatient)
                                • Perform Invasive Procedure (Outpatient)
                                DRMC Primary Care Associates Internal Medicine
                                145 Hospital Avenue,Suite 215
                                Du Bois, PA  15801
                                  Services:
                                  • General Laboratory Tests
                                  • Outpatient Clinics (Outpatient)
                                  • Perform Invasive Procedure (Outpatient)
                                  DRMC Primary Care Associates, Beaver Drive
                                  100 Meadow Lane
                                  Du Bois, PA  15801
                                    Services:
                                    • General Laboratory Tests
                                    • Outpatient Clinics (Outpatient)
                                    • Perform Invasive Procedure (Outpatient)
                                    DRMC Primary Care Associates, DuBois
                                    145 Hospital Avenue, Suite 313
                                    Du Bois, PA  15801
                                      Services:
                                      • General Laboratory Tests
                                      • Outpatient Clinics (Outpatient)
                                      • Perform Invasive Procedure (Outpatient)
                                      DRMC Reynoldsville Medical Center
                                      5 North Third Street
                                      Reynoldsville, PA  15851
                                        Services:
                                        • General Laboratory Tests
                                        • Outpatient Clinics (Outpatient)
                                        • Perform Invasive Procedure (Outpatient)
                                        DRMC West Penn Orthopedics, DuBois
                                        89 Beaver Drive
                                        Du Bois, PA  15801
                                          Services:
                                          • Outpatient Clinics (Outpatient)
                                          • Perform Invasive Procedure (Outpatient)
                                          DuBois Medical Arts Building
                                          145 Hospital Avenue
                                          Du Bois, PA  15801
                                          Other Clinics/Practices located at this site:
                                          • Diabetes and Nutrition Wellness Center, Suite 104
                                          • DRMC Cardiovascular/Thoracic Surgery, Suite #206
                                          • DRMC DuBois Internal Medicine, Suite #204
                                          • DRMC Endocrinology, Suite #101
                                          • DRMC Family Medicine West, Suite #106
                                          • DRMC General Surgery, Suite #301
                                          • DRMC Neurology, Suite #211
                                          • DRMC Occupational Health, Suite #105
                                          • DRMC Orthopedics/Fracture Clinic, Suite #202
                                          • DRMC Orthopedics/Sports Medicine, Suite #311
                                          • DRMC Pain Clinic Services, Suite #212
                                          • DRMC Surgical, Suite #112
                                          • DRMC Urology, Suite #200
                                          • Physical Therapy, Suite #100
                                          • Radiology, Suite #115
                                          • Women's Health Imaging, Suite #115
                                          Services:
                                          • Outpatient Clinics (Outpatient)
                                          • Perform Invasive Procedure (Outpatient)
                                          DuBois Primary Care Medical Associates
                                          145 Hospital Avenue, Suite 205
                                          Du Bois, PA  15801
                                            Services:
                                            • General Laboratory Tests
                                            • Perform Invasive Procedure (Outpatient)
                                            • Single Specialty Practitioner (Outpatient)
                                            DuBois Regional Medical Center East
                                            535 Sunflower Drive
                                            Du Bois, PA  15801
                                            Other Clinics/Practices located at this site:
                                            • DRMC Behavioral Health Center
                                            • DRMC Hyperbaric Services
                                            • DRMC Primary Medicine East
                                            • DRMC Wound Center
                                            • Infectious Disease Center
                                            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)
                                            DuBois Regional Medical Center West  *
                                            100 Hospital Avenue
                                            Du Bois, PA  15801
                                            Joint Commission Advanced Certification Programs:
                                            • Primary Stroke Center
                                            Other Clinics/Practices located at this site:
                                            • DRMC Home Health and Hospice Services
                                            • DRMC Hospital
                                            • Hahne Regional Cancer Center
                                            • 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
                                            Specialty Services Rheumatology
                                            25 East Park Avenue
                                            Du Bois, PA  15801
                                              Services:
                                              • Outpatient Clinics (Outpatient)
                                              • Perform Invasive Procedure (Outpatient)
                                              St. Marys Community Medical Building
                                              1100 Million Dollar Hwy.
                                              Saint Marys, PA  15857
                                              Other Clinics/Practices located at this site:
                                              • DRMC Family Health- St. Marys, Suite #2
                                              • DRMC Specialty Service - St. Marys (Infectious Disease, Endo
                                              • DRMC Specialty Service- St. Marys (Neurology), Suite #1
                                              • DRMC Specialty Service- St. Marys (Psychology), Suite #1
                                              • Outpatient Testing, Suite #3
                                              Services:
                                              • Outpatient Clinics (Outpatient)
                                              • Perform Invasive Procedure (Outpatient)

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