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.commonwealthhealth.net


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.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
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:
Apr  2013 -
Mar  2014
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
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.
Immunization See Detail
Not displayed.
8
Not displayed.
8
Perinatal Care See Detail
Not displayed.
2
Not displayed.
2
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 similar to 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
        Services:
        • Laboratory Draw Station (Outpatient)
        Commonwealth Health Outpatient Center
        Rear 319 North State St.
        Clarks Summit, PA  18411
          Services:
          • Laboratory Draw Station (Outpatient)
          Commonwealth Health Outpatient Center
          Bill's Plaza, Route 435
          Moscow, PA  18444
            Services:
            • Laboratory Draw Station (Outpatient)
            Commonwealth Health Outpatient Center
            605 Main St.
            Duryea, PA  18642
              Services:
              • Laboratory Draw Station (Outpatient)
              Commonwealth Health Outpatient Center
              1201 North Church St.
              Hazleton, PA  18202
                Services:
                • Laboratory Draw Station (Outpatient)
                Commonwealth Health Outpatient Center
                610 Wyoming Ave.
                Kingston, PA  18704
                  Services:
                  • Laboratory Draw Station (Outpatient)
                  Commonwealth Health Outpatient Center
                  62 North Mountain Blvd
                  Mountain Top, PA  18707
                    Services:
                    • Laboratory Draw Station (Outpatient)
                    Commonwealth Health Outpatient Center
                    4 Main St.
                    Nanticoke, PA  18634
                      Services:
                      • Laboratory Draw Station (Outpatient)
                      Commonwealth Health Outpatient Center
                      201 N. Main St.
                      Wilkes Barre, PA  18705
                        Services:
                        • Laboratory Draw Station (Outpatient)
                        Commonwealth Health Outpatient Center
                        729 Siniawa Plaza II, Route 6
                        Scranton, PA  18501
                          Services:
                          • Laboratory Draw Station (Outpatient)
                          Commonwealth Health Outpatient Center
                          803 South Main St.
                          Taylor, PA  18517
                            Services:
                            • Laboratory Draw Station (Outpatient)
                            Commonwealth Health Outpatient Center
                            901 Wyoming Ave
                            Pittston, PA  18640
                              Services:
                              • Laboratory Draw Station (Outpatient)
                              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:
                              • Outpatient Clinics (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)
                              Commonwealth Health Outpatient Services
                              203 East Main St., Plymouth
                              Plymouth, PA  18651
                                Services:
                                • Laboratory Draw Station (Outpatient)
                                Commonwealth Health Outpatient Services
                                500 Scott St.
                                Wilkes Barre, PA  18702
                                  Services:
                                  • Laboratory Draw Station (Outpatient)
                                  Commonwealth Health Outpatient Services
                                  DBA:  Total Breast Center
                                  190 Wells St.
                                  Kingston, PA  18704
                                    Services:
                                    • Outpatient Clinics (Outpatient)
                                    Commonwealth Health Outpatient Services
                                    130 South Pennsylvania Ave.
                                    Wilkes Barre, PA  18702
                                      Services:
                                      • Laboratory Draw Station (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:
                                            • Cardiac Catheterization Lab (Surgical Services)
                                            • Cardiac Surgery (Surgical Services)
                                            • Cardiothoracic Surgery (Surgical Services)
                                            • Cardiovascular Unit (Inpatient)
                                            • Coronary Care Unit (Inpatient)
                                            • CT Scanner (Imaging/Diagnostic Services)
                                            • Dialysis Unit (Inpatient)
                                            • Ear/Nose/Throat Surgery (Surgical Services)
                                            • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                                            • Gastroenterology (Surgical Services)
                                            • General Laboratory Tests
                                            • GI or Endoscopy Lab (Imaging/Diagnostic Services)
                                            • Gynecological Surgery (Surgical Services)
                                            • Gynecology (Inpatient)
                                            • Hematology/Oncology Unit (Inpatient)
                                            • Inpatient 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)
                                            • Neurosurgery (Surgical Services)
                                            • Normal Newborn Nursery (Inpatient)
                                            • Nuclear Medicine (Imaging/Diagnostic Services)
                                            • Ophthalmology (Surgical Services)
                                            • Orthopedic Surgery (Surgical Services)
                                            • Orthopedic/Spine Unit (Inpatient)
                                            • Outpatient Clinics (Outpatient)
                                            • Pediatric Unit (Inpatient)
                                            • Plastic Surgery (Surgical Services)
                                            • Post Anesthesia Care Unit (PACU) (Inpatient)
                                            • Radiation Oncology (Imaging/Diagnostic Services)
                                            • Rehabilitation Unit (Inpatient, 24-hour Acute Care/Crisis Stabilization)
                                            • Surgical ICU (Intensive Care Unit)
                                            • Surgical Unit (Inpatient)
                                            • Thoracic Surgery (Surgical Services)
                                            • Toxicology
                                            • Ultrasound (Imaging/Diagnostic Services)
                                            • Urology (Surgical Services)
                                            • Vascular Surgery (Surgical Services)
                                            Wilkes-Barre General Hospital, Mountaintop Campus, PT
                                            239 South Mountain Blvd, Suite 200 PT & Suite 400 Diagnostic
                                            Mountain Top, PA  18707
                                              Services:
                                              • Outpatient Clinics (Outpatient)
                                              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
                                                468 Northhampton Street
                                                Edwardsville, PA  18704
                                                  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.