The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Geisinger Wyoming Valley Medical Center
Org ID: 6223
1000 East Mountain Drive
Wilkes Barre, PA  18711
(570)808-7300
www.geisinger.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 8/17/2013 8/16/2013   8/16/2013  


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


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 11/19/2013  11/5/2013  11/5/2013 
Ventricular Assist Device
Certification 2/26/2014  2/25/2014  2/25/2014 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Hip Fracture
Certification 7/11/2012  7/10/2012  7/10/2012 
Joint Replacement - Hip
Certification 7/12/2012  7/11/2012  7/11/2012 
Joint Replacement - Knee
Certification 7/12/2012  7/11/2012  7/11/2012 




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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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
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:
Jul  2012 -
Jun  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 above the target range/value.
This organization’s performance is above 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 similar to the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
 
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
Geisinger Maternal Fetal Medicine, a service of GWVMC
190 Welles Street, Suite 114
Kingston, PA  18704
    Services:
    • Single Specialty Practitioner (Outpatient)
    Geisinger Northeast Urology
    6 Wildflower Drive
    Wilkes Barre, PA  18702
      Services:
      • Outpatient Clinics (Outpatient)
      Geisinger South Wilkes Barre, a campus of GWV
      25 Church Street
      Wilkes Barre, PA  18765
        Services:
        • Anesthesia (Outpatient)
        • Outpatient Clinics (Outpatient)
        Geisinger Specialty Clinic
        675 Baltimore Drive
        Wilkes Barre, PA  18702
          Services:
          • Anesthesia (Outpatient)
          • Outpatient Clinics (Outpatient)
          Geisinger Wyoming Valley Medical Center  *
          1000 East Mountain Drive
          Wilkes Barre, PA  18711-0001
          Joint Commission Advanced Certification Programs:
          • Primary Stroke Center
          • Ventricular Assist Device
          Joint Commission Certified Programs:
          • Hip Fracture
          • Joint Replacement - Hip
          • Joint Replacement - Knee
            Services:
            • Brachytherapy (Imaging/Diagnostic Services)
            • Cardiac Catheterization Lab (Surgical Services)
            • Cardiac Surgery (Surgical Services)
            • Cardiothoracic Surgery (Surgical Services)
            • CT Scanner (Imaging/Diagnostic Services)
            • Ear/Nose/Throat Surgery (Surgical Services)
            • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
            • Gastroenterology (Surgical Services)
            • GI or Endoscopy Lab (Imaging/Diagnostic Services)
            • Gynecological Surgery (Surgical Services)
            • Gynecology (Inpatient)
            • Interventional Radiology (Inpatient, Outpatient, 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)
            • Orthopedic Surgery (Surgical Services)
            • Outpatient Clinics (Outpatient)
            • Pediatric Cardiology (Outpatient - Child/Youth)
            • Pediatric Unit (Inpatient)
            • Plastic Surgery (Surgical Services)
            • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
            • Post Anesthesia Care Unit (PACU) (Inpatient)
            • Radiation Oncology (Imaging/Diagnostic Services)
            • Surgical ICU (Intensive Care Unit)
            • Thoracic Surgery (Surgical Services)
            • Transplant Surgery (Surgical Services)
            • Ultrasound (Imaging/Diagnostic Services)
            • Urology (Surgical Services)
            • Vascular Surgery (Surgical Services)
            GWVMC Infusion Center at Mount Pocono
            126 Market Way
            Mount Pocono, PA  18344
              Services:
              • Administration of High Risk Medications (Outpatient)
              • Outpatient Clinics (Outpatient)
              GWVMC Infusion Center at Tunkhannock
              110 Trieble Road, Suite 1
              Tunkhannock, PA  18657
                Services:
                • Administration of High Risk Medications (Outpatient)
                • Outpatient Clinics (Outpatient)
                GWVMC Orthopaedics
                1175 East Mountain Drive
                Wilkes Barre, PA  18702
                Joint Commission Certified Programs:
                • Hip Fracture
                • Joint Replacement - Hip
                • Joint Replacement - Knee
                  Services:
                  • Single Specialty Practitioner (Outpatient)
                  GWVMC Radiology at Dallas
                  114 Lt. Michael Cleary Drive
                  Dallas, PA  18612
                    Services:
                    • Single Specialty Practitioner (Outpatient)
                    GWVMC Radiology at Mount Pocono
                    126 Market Way
                    Mount Pocono, PA  18344
                      Services:
                      • Single Specialty Practitioner (Outpatient)
                      GWVMC Specialty Outpatient Clinic
                      620 Baltimore Dr
                      Wilkes Barre, PA  18702
                        Services:
                        • Single Specialty Practitioner (Outpatient)
                        GWVMC Women's Health Services
                        1130 Highway 315
                        Wilkes Barre, PA  18702
                          Services:
                          • Single Specialty Practitioner (Outpatient)
                          Mountaintop Patient Service Center
                          Route 309
                          Mountain Top, PA  18707
                            Services:
                            • Single Specialty Practitioner (Outpatient)
                            Mt. Pocono Sleep Center
                            126 Market Way
                            Mount Pocono, PA  18344
                              Services:
                              • Single Specialty Practitioner (Outpatient)
                              Podiatry-Plains
                              270 South River Street
                              Wilkes Barre, PA  18705
                                Services:
                                • Single Specialty Practitioner (Outpatient)
                                Same Day Surgery, at GSWB a campus of GWV
                                25 Church St
                                Wilkes Barre, PA  18711
                                  Services:
                                  • Administration of High Risk Medications (Outpatient)
                                  • Ambulatory Surgery Center (Outpatient)
                                  • Anesthesia (Outpatient)
                                  • Perform Invasive Procedure (Outpatient)

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