Quality Report


Quality Report

Wilkes-Barre Hospital Company, LLC

DBA: Wilkes-Barre General Hospital
HCO ID: 6222
575 North River Street
Wilkes Barre, PA, 18764
(570) 829-8111
www.commonwealthhealth.net
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
7/1/2022
Last Full Survey Date
8/27/2021
Last On-Site Survey Date
8/26/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
8/23/2023
Last Full Survey Date
2/2/2024
Last On-Site Survey Date
2/2/2024

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
5/13/2023
Last Full Survey Date
5/12/2023
Last On-Site Survey Date
5/12/2023

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
11/30/2022
Last Full Survey Date
11/29/2022
Last On-Site Survey Date
11/29/2022
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
11/30/2022
Last Full Survey Date
11/29/2022
Last On-Site Survey Date
11/29/2022
Gold Seal
Joint Replacement - Shoulder
Certification Decision
Effective Date
12/1/2022
Last Full Survey Date
11/30/2022
Last On-Site Survey Date
3/3/2023

Sites

Center for Diagnostic Imaging
DBA: CDI
190 Welles St.
Forty Fort, PA, 18704

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Commonwealth Health Outpatient Center

Center for Same Day Surgery at Wilkes Barre General Hospital
545 N. River st.
Wilkes Barre, PA, 18764

Available Services

  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )

Commonwealth Health Outpatient Center
DBA: Wellspring
176 N. Main Street
Shavertown, PA, 18708

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Commonwealth Health Outpatient Center

Commonwealth Health Outpatient Center
4 Main St.
Nanticoke, PA, 18634

Available Services

  • Outpatient Clinics (Outpatient )

Commonwealth Health Outpatient Center
610 Wyoming Ave.
Kingston, PA, 18704

Available Services

  • Laboratory Draw Station (Outpatient )

Commonwealth Health Outpatient Center
620 North Blakely Street
Dunmore, PA, 18512

Available Services

  • Laboratory Draw Station (Outpatient )

Commonwealth Health Outpatient Center
DBA: Pittston Medical Associates
1099 S. Township Blvd.
Pittston, PA, 18640

Available Services

  • Outpatient Clinics (Outpatient )

Commonwealth Health Outpatient Center
DBA: DBA Wellspring
672 North River Street
Plains, PA, 18705

Available Services

  • Laboratory Draw Station (Outpatient )

Commonwealth Health Outpatient Center
DBA: DBA Wellspring
670 South River Street Suite 200
Wilkes Barre, PA, 18705

Available Services

  • Outpatient Clinics (Outpatient )

Commonwealth Health Outpatient Services
500 Scott St.
Wilkes Barre, PA, 18702

Available Services

  • Laboratory Draw Station (Outpatient )

Exeter Outpatient Testing Center
DBA: Commonwealth Health Outpatient Center
1701 Wyoming Avenue
Exeter, PA, 18643

Available Services

  • Laboratory Draw Station (Outpatient )

Other Clinics/Practices Located at This Site:

  • Commonwealth Health Outpatient Center

Sleep Disorder Center at Cross Creek Pointe
672 River Street, Suite 201
Plains, PA, 18705

Available Services

  • Outpatient Clinics (Outpatient )

Thomas P. Saxton Medical Pavilion
468 Northampton Street
Edwardsville, PA, 18704

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Commonwealth Health Outpatient Center

Wilkes-Barre General Hospital
575 North River Street
Wilkes Barre, PA, 18764

Available 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 )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Joint Replacement - Shoulder
  • Primary Stroke Center

Wilkes-Barre General Hospital, Mountaintop Campus, PT
239 South Mountain Blvd, Suite 200 PT & Suite 400 Diagnostic
Mountain Top, PA, 18707

Available Services

  • Outpatient Clinics (Outpatient )

Wound Healing Center at Wilkes Barre General Hospital
545 North River Street
Wilkes Barre, PA, 18702

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Wyoming Valley Imaging Center
468 Northhampton Street
Edwardsville, PA, 18704

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

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
Laboratory 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

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