Pennsylvania Health Care Quality Alliance > Reports > Delaware County Memorial Hospital

PHCQA Report of Hospital Quality

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Delaware County Memorial Hospital

501 North Lansdowne Avenue

Drexel Hill, PA 19026-1114

www.crozerkeystone.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.

  Delaware County Memorial Hospital PA Rate PA Top 25% PA Top 10%
Overall Appropriate Care      96% 94% 98% 99%
   Heart Attack Care      N/A 96% 100% 100%
   Heart Failure Care      100% 100% 100% 100%
   Pneumonia Care      100% 97% 100% 100%
   Surgical Care      94% 97% 98% 100%
   Preventive Care      98% 93% 99% 100%
   Stroke Care      96% 95% 100% 100%
   Venous Thromboembolism Care      91% 95% 99% 100%

Healthcare-Associated Infections

Outcome Measures Measures hospital results in specific areas.

  Delaware County Memorial Hospital    
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      Not significantly different than national infection rate
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.

  Delaware County Memorial Hospital 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      N/A 96% 96% 100%
Statin Prescribed at Discharge      95% 99% 99% 100%

Outcome Measures Measures hospital results in specific areas.

  Delaware County Memorial Hospital PA Average    
30-Day Death Rate for Heart Attack Patients      13.8 % 13.1 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Attack Patients      16.1 % 16.3 % No different than U.S. National Rate
CABG Death Rate      N/A 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.

  Delaware County Memorial Hospital PA Rate US Rate Top 10% Nationally
Discharge Instructions      N/A 83% 92% 100%
ACEI or ARB for LVSD      93% 98% 97% 100%

Outcome Measures Measures hospital results in specific areas.

  Delaware County Memorial Hospital PA Average    
30-Day Death Rate for Heart Failure Patients      11.4 % 11.5 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Failure Patients      23.2 % 21.3 % 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.

  Delaware County Memorial Hospital PA Rate US Rate Top 10% Nationally
Pneumococcal Vaccination      99% 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      96% 97% 96% 100%
Initial Antibiotic Selection      99% 97% 96% 100%
Initial Antibiotic Selection for ICU Patients      100% 92% 89% 100%
Initial Antibiotic Selection for Non-ICU Patients      99% 97% 97% 100%
Influenza Vaccination      97% 95% 94% 100%

Outcome Measures Measures hospital results in specific areas.

  Delaware County Memorial Hospital PA Average    
30-Day Death Rate for Pneumonia Patients      16.7 % 15.7 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Pneumonia Patients      17.5 % 16.8 % 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.

  Delaware County Memorial Hospital PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      96% 98% 97% 100%
Discharged on Medication to Prevent Complications      100% 100% 99% 100%
Stroke Patients with Irregular Heartbeat Prescribed Blood Thinner      92% 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      98% 99% 98% 100%
Discharged on Statin      100% 98% 97% 100%
Stroke Education      100% 95% 95% 100%
Assessed for Rehabilitation      97% 99% 98% 100%

Outcome Measures Measures hospital results in specific areas.

  Delaware County Memorial Hospital PA Average    
30-Day Death Rate for Stroke Patients      13.7 % 14.1 % No different than U.S. National Rate

Cancer Care

Process Measures Measures how often hospitals are performing recommended tasks. While a higher rate is considered better, please note that hospitals are not necessarily expected to reach 100% compliance.
The column highlighted in yellow is the benchmark to which the Hospital is compared. Click other column headers to change the comparison.

  Delaware County Memorial Hospital PA Rate US Rate COC Standard
Radiation therapy is administered within one year for women receiving breast conserving surgery for breast cancer      95.0% 94.7% 92.0% 90.0%
Combination chemotherapy is considered or administered within 4 months of diagnosis for women with hormone-receptor negative breast cancer      33.3% 94.6% 93.1% 90.0%
Tamoxifen (or equivalent drug therapy) is considered or administered within one year for women with hormone-receptor positive breast cancer      100.0% 95.9% 92.7% 90.0%
At least 12 regional lymph nodes are removed and examined for colon cancer patients who have had colon surgery      90.9% 92.6% 92.2% 80.0%
Chemotherapy is considered or administered within 4 months of diagnosis for patients with (lymph node positive) colon cancer      100.0% 91.0% 88.7% 90.0%

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.

  Delaware County Memorial Hospital PA Rate US Rate Top 10% Nationally
Beta Blocker during the Perioperative Period      98% 99% 98% 100%
Prophylactic Antibiotic within 1 hour of incision      [ + ] 98% 99% 99% 100%
Appropriate Antibiotic      [ + ] 97% 99% 99% 100%
Prophylactic Antibiotic Discontinued within 24 hours      [ + ] 99% 99% 98% 100%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose      N/A 94% 94% 100%
Urinary Catheter Removal within Two Days of Surgery      98% 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.

  Delaware County Memorial Hospital PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      91% 96% 94% 100%
ICU Blood Clot Prevention      99% 98% 97% 100%
Appropriate Blood Clot Treatment Using Two Blood Thinners      96% 94% 94% 100%
Heparin with Platelet Count Monitoring      100% 100% 99% 100%
Warfarin Discharge Instructions      100% 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.

  Delaware County Memorial Hospital PA Avg US Avg Top 10% Nationally
Doctor Communication      78% 81% 82% 89%
Nurse Communication      75% 81% 80% 87%
Responsiveness of Hospital Staff      59% 68% 69% 81%
Pain Well Controlled      64% 71% 71% 78%
Medicine Explained by Staff      60% 64% 65% 74%
Room and Bathroom Kept Clean      65% 74% 75% 85%
Room Quiet at Night      51% 56% 63% 76%
Provided Discharge Information      87% 88% 87% 92%
Care Transition      45% 52% 52% 61%
Hospital Rating      59% 71% 73% 83%
Hospital Recommendation      56% 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.

  Delaware County Memorial Hospital PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      99% 92% 92% 99%
Influenza Immunization      95% 94% 93% 100%
Flu Vaccine for Health Care Workers      98% 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.

  Delaware County Memorial Hospital PA Average US Average  
Time from Emergency Department (ED) Arrival to ED Departure for Admitted Patients      378 Minutes 280 Minutes 282 Minutes  
Time from Admit Decision to Departure Time from the Emergency Department (ED) for Admitted Patients      139 Minutes 106 Minutes 102 Minutes  
Median Time From ED Arrival to ED Departure for Discharged ED Patients      198 Minutes 142 Minutes 138 Minutes  
Door to Diagnostic Evaluation by a Qualified Medical Professional      44 Minutes 22 Minutes 20 Minutes  
ED-Median Time to Pain Management for Long Bone Fracture      68 Minutes 56 Minutes 49 Minutes  
ED-Patient Left Without Being Seen      4% 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.