The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Reading Hospital
Org ID: 6220
Sixth Avenue and Spruce Street
West Reading, PA  19611
(484)628-8000
readinghealth.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 7/10/2012 7/9/2012   7/9/2012  
Home Care
Accredited 7/10/2012 7/9/2012   7/9/2012  
Hospital
Accredited 7/14/2012 7/13/2012   7/13/2012  
Laboratory Accreditation Program
Accredited 11/23/2013 11/22/2013   11/22/2013  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Pathology and Clinical Laboratory
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
Primary Stroke Center
Certification 2/16/2013  2/15/2013  2/15/2013 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Chronic Obstructive Pulmonary Disease
Certification 1/10/2013  1/9/2013  1/9/2013 
Heart Failure
Certification 2/15/2013  2/14/2013  2/14/2013 
Joint Replacement - Hip
Certification 2/1/2013  1/31/2013  1/31/2013 
Joint Replacement - Knee
Certification 2/1/2013  1/31/2013  1/31/2013 
Pneumonia
Certification 1/11/2013  1/10/2013  1/10/2013 



Other Accredited Programs / Services
Hospital  -  Accredited by UHMS Clinical Hyperbaric Facility - Level 2
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.
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
Behavioral Health 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.
*
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:
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.
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 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
   
Laboratory Accreditation Program
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 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
Occupational Health Services
1000 Tuckerton Court
Reading, PA  19605
Other Clinics/Practices located at this site:
  • The Reading Hospital Imaging Center at Muhlenberg
  • The Reading Hospital Laboratory Services at Muhlenberg
Services:
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient)
Reading Health Dispensary at 2nd Street
430 North 2nd Street
Reading, PA  19601
    Services:
    • General Laboratory Tests
    • Outpatient Clinics (Outpatient)
    Reading Health Rehabilitation Hospital
    2802 Papermill Road
    Wyomissing, PA  19610
    Other Clinics/Practices located at this site:
    • TRH Post Acute Rehab Therapy Services
    Services:
    • General Laboratory Tests
    • Neuro/Spine Unit (Inpatient)
    • On Site Pharmacy
    • Outpatient Clinics (Outpatient)
    • Rehabilitation Services
    • Rehabilitation Unit (Inpatient, 24-hour Acute Care/Crisis Stabilization)
    • Skilled Nursing Care
    • Ultrasound (Imaging/Diagnostic Services)
    Reading Hospital  *
    Sixth Avenue and Spruce Street
    West Reading, PA  19611
    Joint Commission Advanced Certification Programs:
    • Primary Stroke Center
    Joint Commission Certified Programs:
    • Chronic Obstructive Pulmonary Disease
    • Heart Failure
    • Joint Replacement - Hip
    • Joint Replacement - Knee
    • Pneumonia
    Other Clinics/Practices located at this site:
    • Apheresis Center, Suite 118
    • Cancer Infusion Center
    • Center for Public Health
    • Employee Health Services/Occupational Health Services, Suite
    • Family Health Care Center
    • Image Recovery Center
    • Outpatient Services Clinic
    • Reading Hospital Anticoagulation Clinic, Suite 375
    • Reading Hospital Assertive Community Treatment Program
    • Reading Hospital Imaging, Suite 365
    • TRHMC Imaging Services, Suite 125 (mammo only)
    • TRHMC Imaging Services, Suite 135
    • TRHMC Internal Medicine Practice
    • TRHMC Laboratory Services, Suites 110 & 118
    • Womens Health Center
    Services:
    • Assertive Community Treatment/Community Support Services (Non 24 Hour Care - Adult)
    • Behavioral Health (Day Programs - Adult/Child/Youth)
      (Non 24 Hour Care - Adult/Child/Youth)
      (24-hour Acute Care/Crisis Stabilization - Adult)
      (Partial - Adult/Child/Youth)
    • Brachytherapy (Imaging/Diagnostic Services)
    • Breast Prosthesis
    • Cardiac Catheterization Lab (Surgical Services)
    • Cardiac Surgery (Surgical Services)
    • Cardiothoracic Surgery (Surgical Services)
    • Chemical Dependency (Non 24 Hour Care - Adult)
    • Community Integration (Non 24 Hour Care)
    • 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)
    • Employment Services (Non 24 Hour Care)
    • Family Support (Non 24 Hour Care)
    • Gastroenterology (Surgical Services)
    • General Laboratory Tests
    • 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)
    • 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)
    • Prosthetics (Home Medical Equipment)
    • 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)
    • Toxicology
    • Ultrasound (Imaging/Diagnostic Services)
    • Urology (Surgical Services)
    • Vascular Surgery (Surgical Services)
    Reading Hospital Children's Health Center
    206 South Sixth Avenue
    West Reading, PA  19611
      Services:
      • General Laboratory Tests
      • Single Specialty Practitioner (Outpatient)
      Reading Hospital Imaging at Wyomissing Family Practice
      1350 Broadcasting Road, Suite 201
      Reading, PA  19610
        Services:
        • Outpatient Clinics (Outpatient)
        The Reading Hospital at Elverson
        310 Darby Square
        Elverson, PA  19520
        Other Clinics/Practices located at this site:
        • The Reading Hospital Imaging Services at Elverson
        • The Reading Hospital Laboratory Services at Elverson
        Services:
        • Outpatient Clinics (Outpatient)
        The Reading Hospital at Spring Ridge
        2603 Keiser Blvd
        Wyomissing, PA  19610
        Other Clinics/Practices located at this site:
        • The Reading Hospital Imaging Services at Spring Ridge
        • The Reading Hospital Laboratory Services at Spring Ridge
        • The Reading Hospital Wound Healing & Hyperbaric Medicine Cen
        Services:
        • General Laboratory Tests
        • Outpatient Clinics (Outpatient)
        The Reading Hospital at Wyomissing Plaza
        2101 State Hill Road
        Wyomissing, PA  19610
        Other Clinics/Practices located at this site:
        • TRHMC Outpatient Therapy Services
        • TRHMC Speech & Hearing Services
        Services:
        • Outpatient Clinics (Outpatient)
        The Reading Hospital Drug & Alcohol Center
        401 Buttonwood Street
        West Reading, PA  19611
          Services:
          • Chemical Dependency (Residential Care - Adult)
          • General Laboratory Tests
          The Reading Hospital Imaging and Lab at Berkshire Heights
          950A & B North Wyomissing Boulevard
          Wyomissing, PA  19610
            Services:
            • Outpatient Clinics (Outpatient)
            The Reading Hospital Imaging and Laboratory at Hamburg
            31 Industrial Drive
            Hamburg, PA  19526
              Services:
              • Outpatient Clinics (Outpatient)
              The Reading Hospital Imaging at Women's Health Service
              1040 Reed Avenue
              Reading, PA  19610
                Services:
                • Outpatient Clinics (Outpatient)
                The Reading Hospital Imaging Center at Broadcasting Road
                1320 Broadcasting Road
                Wyomissing, PA  19610
                Other Clinics/Practices located at this site:
                • Heart Health & Fitness, Suite 111
                • Lab Draw Station
                Services:
                • General Laboratory Tests
                • Outpatient Clinics (Outpatient)
                The Reading Hospital Imaging Center at Exeter
                2 Hearthstone Court
                Reading, PA  19606
                  Services:
                  • General Laboratory Tests
                  • Outpatient Clinics (Outpatient)
                  The Reading Hospital Lab & Imaging Services at Gateway
                  1020 Grings Hill Road
                  Reading, PA  19608-8844
                    Services:
                    • General Laboratory Tests
                    • Outpatient Clinics (Outpatient)
                    The Reading Hospital Lab & Imaging Services at Kutztown
                    15050 Kutztown Road
                    Kutztown, PA  19530
                      Services:
                      • Outpatient Clinics (Outpatient)
                      The Reading Hospital Lab & Imaging Services at Leesport
                      5479 Pottsville Pike
                      Leesport, PA  19533
                        Services:
                        • General Laboratory Tests
                        • Outpatient Clinics (Outpatient)
                        The Reading Hospital Lab Services at Boyertown
                        146 South Reading Avenue
                        Boyertown, PA  19512
                          Services:
                          • Laboratory Draw Station (Outpatient)
                          The Reading Hospital Lab Services at West Lawn
                          25 Stevens Avenue
                          West Lawn, PA  19609
                            Services:
                            • Laboratory Draw Station (Outpatient)
                            The Reading Hospital Laboratory at Bernville
                            7169 Bernville Road
                            Bernville, PA  19506
                              Services:
                              • Laboratory Draw Station (Outpatient)
                              The Reading Hospital Laboratory at Womelsdorf
                              1137 West Penn Avenue
                              Womelsdorf, PA  19567
                                Services:
                                • Laboratory Draw Station (Outpatient)
                                The Reading Hospital Laboratory Services at Kenhorst
                                600 High Boulevard
                                Reading, PA  19607
                                  Services:
                                  • General Laboratory Tests
                                  • Laboratory Draw Station (Outpatient)
                                  The Reading Hospital Laboratory Services at Reiffton
                                  3703 Perkiomen Avenue
                                  Reading, PA  19606
                                    Services:
                                    • Laboratory Draw Station (Outpatient)
                                    The Reading Hospital Outpatient Nutrition Counseling Service
                                    200 North Park Road
                                    Wyomissing, PA  19610
                                      Services:
                                      • Single Specialty Practitioner (Outpatient)
                                      TRH Center for Mental Health and Behavioral Medicine
                                      560 Van Reed Road
                                      Wyomissing, PA  19610
                                      Other Clinics/Practices located at this site:
                                      • TRH Behavorial Medicine Center, Suite 204
                                      • TRH Center for Mental Health, Suite 301 and 308
                                      Services:
                                      • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                                      • Outpatient Clinics (Outpatient)
                                      TRH Center for Mental Health at Birdsboro
                                      321 Furnace Street, Suite 100
                                      Birdsboro, PA  19508
                                        Services:
                                        • Chemical Dependency (Non 24 Hour Care - Adult)
                                        TRH Center for Mental Health at Brecknock Elementary School
                                        1332 Alleghanyville Road
                                        Mohnton, PA  19540
                                          Services:
                                          • Behavioral Health (Non 24 Hour Care - Child/Youth)
                                          TRH Center for Mental Health at Cumru Elementary School
                                          601 Philadelphia Avenue
                                          Shillington, PA  19607
                                            Services:
                                            • Behavioral Health (Non 24 Hour Care - Child/Youth)
                                            TRH Center for Mental Health at Governor Mifflin Inter. Sch.
                                            600 Governor Drive
                                            Shillington, PA  19607
                                              Services:
                                              • Behavioral Health (Non 24 Hour Care - Child/Youth)
                                              TRH Center for Mental Health at Kutztown University
                                              Boehm Science Hall, Main Street
                                              Kutztown, PA  19530
                                                Services:
                                                • Chemical Dependency (Non 24 Hour Care - Adult)
                                                TRH Center for Mental Health at Wyomissing High School
                                                630 Evans Avenue
                                                Wyomissing, PA  19610
                                                  Services:
                                                  • Behavioral Health (Non 24 Hour Care - Child/Youth)

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