Pennsylvania Health Care Quality Alliance > Reports > UPMC St. Margaret

PHCQA Report of Hospital Quality

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UPMC St. Margaret

815 Freeport Road

Pittsburgh, PA 15215-3399

www.upmc.com

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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 St. Margaret PA Rate PA Top 25% PA Top 10%
Overall Appropriate Care      95% 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      98% 97% 98% 100%
   Preventive Care      96% 93% 99% 100%
   Stroke Care      94% 95% 100% 100%
   Venous Thromboembolism Care      N/A 95% 99% 100%

Healthcare-Associated Infections

Outcome Measures Measures hospital results in specific areas.

  UPMC St. Margaret    
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      Not significantly different than national infection rate
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 St. Margaret PA Rate US Rate Top 10% Nationally
Aspirin on Arrival      98% 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      94% 99% 99% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC St. Margaret PA Average    
30-Day Death Rate for Heart Attack Patients      12.4 % 13.1 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Attack Patients      16.9 % 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.

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

Outcome Measures Measures hospital results in specific areas.

  UPMC St. Margaret PA Average    
30-Day Death Rate for Heart Failure Patients      11.1 % 11.5 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Failure Patients      19.5 % 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.

  UPMC St. Margaret 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      97% 97% 96% 100%
Initial Antibiotic Selection for ICU Patients      100% 92% 89% 100%
Initial Antibiotic Selection for Non-ICU Patients      97% 97% 97% 100%
Influenza Vaccination      98% 95% 94% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC St. Margaret PA Average    
30-Day Death Rate for Pneumonia Patients      14.4 % 15.7 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Pneumonia Patients      16.1 % 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.

  UPMC St. Margaret PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      99% 98% 97% 100%
Discharged on Medication to Prevent Complications      100% 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      97% 99% 98% 100%
Discharged on Statin      98% 98% 97% 100%
Stroke Education      100% 95% 95% 100%
Assessed for Rehabilitation      100% 99% 98% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC St. Margaret PA Average    
30-Day Death Rate for Stroke Patients      13.2 % 14.1 % 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 St. Margaret 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      [ + ] 100% 99% 99% 100%
Prophylactic Antibiotic Discontinued within 24 hours      [ + ] 98% 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      100% 99% 98% 100%
Surgery Patients with Perioperative Temperature Management      N/A 100% 100% 100%
VTE Ordered prior to Surgery      100% 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 St. Margaret PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      N/A 96% 94% 100%
ICU Blood Clot Prevention      N/A 98% 97% 100%
Appropriate Blood Clot Treatment Using Two Blood Thinners      N/A 94% 94% 100%
Heparin with Platelet Count Monitoring      100% 100% 99% 100%
Warfarin Discharge Instructions      100% 92% 93% 100%
Potentially Preventable VTE      0% 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 St. Margaret PA Avg US Avg Top 10% Nationally
Doctor Communication      82% 81% 82% 89%
Nurse Communication      80% 81% 80% 87%
Responsiveness of Hospital Staff      58% 68% 69% 81%
Pain Well Controlled      69% 71% 71% 78%
Medicine Explained by Staff      64% 64% 65% 74%
Room and Bathroom Kept Clean      63% 74% 75% 85%
Room Quiet at Night      44% 56% 63% 76%
Provided Discharge Information      88% 88% 87% 92%
Care Transition      53% 52% 52% 61%
Hospital Rating      71% 71% 73% 83%
Hospital Recommendation      74% 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 St. Margaret PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      97% 92% 92% 99%
Influenza Immunization      97% 94% 93% 100%
Flu Vaccine for Health Care Workers      75% 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 St. Margaret PA Average US Average  
Time from Emergency Department (ED) Arrival to ED Departure for Admitted Patients      221 Minutes 280 Minutes 282 Minutes  
Time from Admit Decision to Departure Time from the Emergency Department (ED) for Admitted Patients      135 Minutes 106 Minutes 102 Minutes  
Median Time From ED Arrival to ED Departure for Discharged ED Patients      162 Minutes 142 Minutes 138 Minutes  
Door to Diagnostic Evaluation by a Qualified Medical Professional      19 Minutes 22 Minutes 20 Minutes  
ED-Median Time to Pain Management for Long Bone Fracture      47 Minutes 56 Minutes 49 Minutes  
ED-Patient Left Without Being Seen      0% 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.