Pennsylvania Health Care Quality Alliance > Reports > UPMC Pinnacle Lancaster

PHCQA Report of Hospital Quality

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UPMC Pinnacle Lancaster

250 College Avenue

Lancaster, PA 17603

www.pinnaclehealth.org

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Green indicates that the hospital's result was better than or equal to the selected benchmark.

Black indicates that the hospital's result was below the selected benchmark.

Rollover the Questionmark for more information on the measure.

Rollover the Calendar to see the corresponding measurement period and number of patients included in the results.

Click the Compare Hospitals to compare other hospitals for this measure. Click the underlined measure name to view the hospital's historical data.

Appropriate Care

Appropriate Care Measures Indicates how often patients received all recommended treatments for their clinical condition.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate PA Top 25% PA Top 10%
Overall Appropriate Care      Hospital did not release data to PHCQA
   Heart Attack Care      Hospital did not release data to PHCQA
   Heart Failure Care      Hospital did not release data to PHCQA
   Pneumonia Care      Hospital did not release data to PHCQA
   Surgical Care      Hospital did not release data to PHCQA
   Preventive Care      Hospital did not release data to PHCQA
   Stroke Care      Hospital did not release data to PHCQA
   Venous Thromboembolism Care      Hospital did not release data to PHCQA

Healthcare-Associated Infections

Outcome Measures Measures hospital results in specific areas.

  UPMC Pinnacle Lancaster    
Urinary Tract Infections (Catheter Associated)      Not significantly different than national infection rate
Bloodstream Infections (Central Line Associated)      Not significantly different than national infection rate
Colon Surgical Site Infections      N/A
MRSA (Staph) Infections      N/A
C. Difficile Infections      Not significantly different than national infection rate

Heart Attack

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Aspirin on Arrival      100% 99% 99% 100%
Aspirin Prescribed at Discharge      100% 100% 99% 100%
ACEI or ARB for LVSD      100% 97% 97% 100%
Beta Blocker Prescribed at Discharge      100% 99% 99% 100%
PCI within 90 Minutes      100% 96% 96% 100%
Statin Prescribed at Discharge      98% 99% 99% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC Pinnacle Lancaster PA Average    
30-Day Death Rate for Heart Attack Patients      12.3 % 12.7 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Attack Patients      16.1 % 16.1 % No different than U.S. National Rate
CABG Death Rate      2.4 % 1.5 %    

Heart Failure

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Discharge Instructions      N/A 83% 92% 100%
ACEI or ARB for LVSD      100% 98% 97% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC Pinnacle Lancaster PA Average    
30-Day Death Rate for Heart Failure Patients      9.7 % 11.4 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Failure Patients      21.0 % 21.1 % No different than U.S. National Rate

Pneumonia

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Pneumococcal Vaccination      100% 97% 96% 100%
Blood Culture within First 24 hours (ICU)      100% 98% 98% 100%
Blood Culture prior to First Antibiotic      100% 98% 98% 100%
Initial Antibiotic within 6 Hours      98% 97% 96% 100%
Initial Antibiotic Selection      100% 97% 96% 100%
Initial Antibiotic Selection for ICU Patients      100% 92% 89% 100%
Initial Antibiotic Selection for Non-ICU Patients      100% 97% 97% 100%
Influenza Vaccination      99% 95% 94% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC Pinnacle Lancaster PA Average    
30-Day Death Rate for Pneumonia Patients      14.3 % 15.6 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Pneumonia Patients      14.9 % 16.5 % No different than U.S. National Rate

Stroke

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      98% 98% 97% 100%
Discharged on Medication to Prevent Complications      N/A 100% 99% 100%
Stroke Patients with Irregular Heartbeat Prescribed Blood Thinner      N/A 98% 97% 100%
Clot Buster Given within 3 Hours of Symptoms      N/A 91% 88% 100%
Prescribed Medicine to Prevent Complications within 2 Days of Arrival      N/A 99% 98% 100%
Discharged on Statin      100% 98% 97% 100%
Stroke Education      100% 95% 95% 100%
Assessed for Rehabilitation      N/A 99% 98% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC Pinnacle Lancaster PA Average    
30-Day Death Rate for Stroke Patients      15.6 % 14.0 % No different than U.S. National Rate

Surgical Care and Infection Prevention

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Beta Blocker during the Perioperative Period      100% 99% 98% 100%
Prophylactic Antibiotic within 1 hour of incision      [ + ] 100% 99% 99% 100%
Appropriate Antibiotic      [ + ] 99% 99% 99% 100%
Prophylactic Antibiotic Discontinued within 24 hours      [ + ] 100% 99% 98% 100%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose      100% 94% 94% 100%
Urinary Catheter Removal within Two Days of Surgery      99% 99% 98% 100%
Surgery Patients with Perioperative Temperature Management      N/A 100% 100% 100%
VTE Ordered prior to Surgery      99% 99% 98% 100%
VTE Received within 24 Hours of Surgery      100% 100% 100% 100%

Blood Clots (VTE)

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      97% 96% 94% 100%
ICU Blood Clot Prevention      100% 98% 97% 100%
Appropriate Blood Clot Treatment Using Two Blood Thinners      100% 94% 94% 100%
Heparin with Platelet Count Monitoring      N/A 100% 99% 100%
Warfarin Discharge Instructions      93% 92% 93% 100%
Potentially Preventable VTE      N/A 1% 2% 0%

Consumer Assessment

Patient Experience Measures Measures various aspects of patients’ experiences during their hospital stay.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Avg US Avg Top 10% Nationally
Doctor Communication      76% 81% 82% 89%
Nurse Communication      74% 81% 80% 87%
Responsiveness of Hospital Staff      66% 68% 70% 82%
Pain Well Controlled      63% 71% 71% 78%
Medicine Explained by Staff      55% 64% 66% 74%
Room and Bathroom Kept Clean      73% 74% 75% 85%
Room Quiet at Night      55% 55% 62% 75%
Provided Discharge Information      89% 88% 87% 92%
Care Transition      53% 52% 53% 61%
Hospital Rating      67% 71% 73% 84%
Hospital Recommendation      67% 70% 72% 84%

Prevention

Process Measures Measures how often hospitals are performing recommended tasks.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  UPMC Pinnacle Lancaster PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      97% 92% 92% 99%
Influenza Immunization      94% 94% 93% 100%
Flu Vaccine for Health Care Workers      64% 91% 88% 99%

Emergency Department

System Measures Measures reflect the way in which whole "systems" of care (hospitals, doctor offices, nursing homes, etc.) work. As a result, these measures may or may not be specifically indicative of Hospital quality.

Emergency Department (ED) Measures Display how timely and effective the care in a hospital's emergency department is delivered. Measures which show ED timeliness of care are displayed as an average in minutes, and thus may not reflect daily fluctuations of ED care. For these measures, a lower score in better. Please note that all ED measures are based on a limited sample each quarter and do not reflect the median score of all ED patients.

  UPMC Pinnacle Lancaster PA Average US Average  
Time from Emergency Department (ED) Arrival to ED Departure for Admitted Patients      321 Minutes 280 Minutes 281 Minutes  
Time from Admit Decision to Departure Time from the Emergency Department (ED) for Admitted Patients      144 Minutes 110 Minutes 102 Minutes  
Median Time From ED Arrival to ED Departure for Discharged ED Patients      108 Minutes 143 Minutes 140 Minutes  
Door to Diagnostic Evaluation by a Qualified Medical Professional      17 Minutes 21 Minutes 20 Minutes  
ED-Median Time to Pain Management for Long Bone Fracture      54 Minutes 54 Minutes 48 Minutes  
ED-Patient Left Without Being Seen      1% 2% 2%  

*These PA and US rates are case-weighted averages, which are calculated by dividing the total number of patients/cases that meet the received the recommended care according to the measure’s criteria by the total number of patients/cases that are eligible to be counted based on the measure’s inclusion criteria for all facilities included in the specified Hospital population.

**The Hospital quality measures reported on this website come from a variety of sources using several data collection processes and update schedules. While the PHCQA website contains the most recent publicly available information, the time periods represented by these data range from 6 to 24 months old. Caution should be used when drawing conclusions from these data as a Hospital’s performance may have changed significantly since the data was collected and reported. The PHCQA recommends you contact the Hospital directly to obtain the most recent performance data.