Quality Report


Quality Report

Prospect DCMH, LLC

DBA: Delaware County Memorial Hospital
HCO ID: 6050
501 North Lansdowne Avenue
Drexel Hill, PA, 19026
(610) 284-8100
www.crozerhealth.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
2/9/2022
Last Full Survey Date
2/8/2022
Last On-Site Survey Date
2/8/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/11/2022
Last Full Survey Date
2/10/2022
Last On-Site Survey Date
2/10/2022

Sites

Crozer Keystone at Broomall
DBA: Crozer Keystone at Broomall
30 Lawrence Road, Broomall
Broomall, PA, 19008

Available Services

  • Outpatient Clinics (Outpatient )

Philadelphia Cyberknife Suite 115
2010 West Chester Pike
Havertown, PA, 19083

Available Services

  • Ambulatory Surgery Center (Outpatient )

Prospect DCMH, LLC
DBA: Delaware County Memorial Hospital
501 North Lansdowne Avenue
Drexel Hill, PA, 19026

Available Services

  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Medical /Surgical Unit (Inpatient )
  • Non-Sterile Medication Compounding (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Ultrasound (Imaging/Diagnostic Services )

The Crozer Keystone Surgery Center at Haverford (Dept DCMH)
DBA: The Crozer Keystone Surgery Center at Haverford (Dept DCMH)
2010 West Chester Pike Havertown, Pa. Suite 212
Havertown, PA, 19083

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • The Crozer Keystone Surgery Center at Haverford(Dept DCMH)

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.