The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Wilkes-Barre General Hospital
Org ID: 6222
575 North River Street
Wilkes Barre, PA  18764
(570)552-1279
www.wvhcs.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 7/21/2012 7/20/2012   7/20/2012  
Laboratory Accreditation Program
Accredited 6/8/2013 6/7/2013   6/7/2013  


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 2/1/2013  1/31/2013  1/31/2013 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 5/8/2014  5/7/2014  5/7/2014 
Joint Replacement - Knee
Certification 5/8/2014  5/7/2014  5/7/2014 
Joint Replacement - Shoulder
Certification 7/1/2014  5/6/2014  5/6/2014 



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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2012 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Oct  2012 -
Sep  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 below the target range/value.
This organization’s performance is below 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.

- 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
Back Mountain Medical Center
100 Upper Demunds Road
Dallas, PA  18612
    Services:
    • Outpatient Clinics (Outpatient)
    Center for Diagnostic Imaging
    DBA:  CDI
    960 Welles St.
    Forty Fort, PA  18704
    Other Clinics/Practices located at this site:
    • Commonwealth Health Outpatient Center
    Services:
    • General Laboratory Tests
    • Outpatient Clinics (Outpatient)
    Center for Same Day Surgery at Wilkes Barre General Hospital
    545 N. River st.
    Wilkes Barre, PA  18764
      Services:
      • Ambulatory Surgery Center (Outpatient)
      • Anesthesia (Outpatient)
      • General Laboratory Tests
      • Perform Invasive Procedure (Outpatient)
      Commonwealth Health Outpatient
      Route 940 & 115,
      Blakeslee, PA  18610
          Commonwealth Health Outpatient Center
          Rear 319 North State St.
          Clarks Summit, PA  18411
              Commonwealth Health Outpatient Center
              Bill's Plaza, Route 435
              Moscow, PA  18444
                  Commonwealth Health Outpatient Center
                  605 Main St.
                  Duryea, PA  18642
                      Commonwealth Health Outpatient Center
                      1201 North Church St.
                      Hazleton, PA  18202
                          Commonwealth Health Outpatient Center
                          610 Wyoming Ave.
                          Kingston, PA  18704
                              Commonwealth Health Outpatient Center
                              62 North Mountain Blvd
                              Mountain Top, PA  18707
                                  Commonwealth Health Outpatient Center
                                  4 Main St.
                                  Nanticoke, PA  18634
                                      Commonwealth Health Outpatient Center
                                      201 N. Main St.
                                      Wilkes Barre, PA  18705
                                          Commonwealth Health Outpatient Center
                                          729 Siniawa Plaza II, Route 6
                                          Scranton, PA  18501
                                              Commonwealth Health Outpatient Center
                                              331 N. Washington Ave.
                                              Scranton, PA  18502
                                                  Commonwealth Health Outpatient Center
                                                  803 South Main St.
                                                  Taylor, PA  18517
                                                      Commonwealth Health Outpatient Center
                                                      901 Wyoming Ave
                                                      Pittston, PA  18640
                                                          Commonwealth Health Outpatient Center
                                                          DBA:  Wellspring
                                                          176 N. Main Street
                                                          Shavertown, PA  18708
                                                          Other Clinics/Practices located at this site:
                                                          • Commonwealth Health Outpatient Center
                                                          Services:
                                                          • Laboratory Draw Station (Outpatient)
                                                          Commonwealth Health Outpatient Clinic
                                                          DBA:  Wellspring
                                                          670 River St.
                                                          Wilkes Barre, PA  18705
                                                          Other Clinics/Practices located at this site:
                                                          • Commonwealth Health Outpatient Clinic
                                                          Services:
                                                          • Outpatient Clinics (Outpatient)
                                                          Exeter Outpatient Testing Center
                                                          DBA:  Commonwealth Health Outpatient Center
                                                          1701 Wyoming Avenue
                                                          Exeter, PA  18643
                                                          Other Clinics/Practices located at this site:
                                                          • Commonwealth Health Outpatient Center
                                                          Services:
                                                          • Outpatient Clinics (Outpatient)
                                                          Sleep Disorder Center at Cross Creek Pointe
                                                          1065 Highway 315, Suite 202
                                                          Wilkes Barre, PA  18702
                                                            Services:
                                                            • Outpatient Clinics (Outpatient)
                                                            Thomas P. Saxton Medical Pavilion
                                                            468 Northampton Street
                                                            Edwardsville, PA  18704
                                                            Other Clinics/Practices located at this site:
                                                            • Commonwealth Health Outpatient Center
                                                            Services:
                                                            • Outpatient Clinics (Outpatient)
                                                            WBGH Commonwealth Health Lab Svs
                                                            620 North Blakely Street
                                                            Dunmore, PA  18512
                                                              Services:
                                                              • General Laboratory Tests
                                                              Wilkes-Barre General Hospital  *
                                                              575 North River Street
                                                              Wilkes Barre, PA  18764
                                                              Joint Commission Advanced Certification Programs:
                                                              • Primary Stroke Center
                                                              Joint Commission Certified Programs:
                                                              • Joint Replacement - Hip
                                                              • Joint Replacement - Knee
                                                              • Joint Replacement - Shoulder
                                                                Services:
                                                                • General Laboratory Tests
                                                                • Toxicology
                                                                Wilkes-Barre General Hospital POCT  *
                                                                575 North River St.
                                                                Wilkes Barre, PA  18764
                                                                Joint Commission Advanced Certification Programs:
                                                                • Primary Stroke Center
                                                                Joint Commission Certified Programs:
                                                                • Joint Replacement - Hip
                                                                • Joint Replacement - Knee
                                                                    Wilkes-Barre General Hospital, Mountaintop Campus, PT
                                                                    239 South Mountain Blvd, Suite 200 PT & Suite 400 Diagnostic
                                                                    Mountain Top, PA  18707
                                                                        Wound Healing Center at Wilkes Barre General Hospital
                                                                        545 North River Street
                                                                        Wilkes Barre, PA  18702
                                                                          Services:
                                                                          • General Laboratory Tests
                                                                          • Outpatient Clinics (Outpatient)
                                                                          Wyoming Valley Imaging Center
                                                                          345 North Pennsylvania Avenue
                                                                          Wilkes Barre, PA  18702
                                                                            Services:
                                                                            • General Laboratory Tests
                                                                            • Outpatient Clinics (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.