Pennsylvania Health Care Quality Alliance > Reports > Penn State Milton S. Hershey Medical Center

PHCQA Report of Hospital Quality

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Penn State Milton S. Hershey Medical Center

500 University Drive

Hershey, PA 17033-2390

www.pennstatehershey.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.

  Penn State Milton S. Hershey Medical Center PA Rate PA Top 25% PA Top 10%
Overall Appropriate Care      97% 94% 98% 99%
   Heart Attack Care      92% 96% 100% 100%
   Heart Failure Care      100% 100% 100% 100%
   Pneumonia Care      100% 97% 100% 100%
   Surgical Care      98% 97% 98% 100%
   Preventive Care      99% 93% 99% 100%
   Stroke Care      97% 95% 100% 100%
   Venous Thromboembolism Care      95% 95% 99% 100%

Healthcare-Associated Infections

Outcome Measures Measures hospital results in specific areas.

  Penn State Milton S. Hershey Medical Center    
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      Significantly lower 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.

  Penn State Milton S. Hershey Medical Center 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      97% 96% 96% 100%
Statin Prescribed at Discharge      100% 99% 99% 100%

Outcome Measures Measures hospital results in specific areas.

  Penn State Milton S. Hershey Medical Center PA Average    
30-Day Death Rate for Heart Attack Patients      11.6 % 13.1 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Attack Patients      16.3 % 16.3 % No different than U.S. National Rate
CABG Death Rate      1.3 % 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.

  Penn State Milton S. Hershey Medical Center 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.

  Penn State Milton S. Hershey Medical Center PA Average    
30-Day Death Rate for Heart Failure Patients      10.8 % 11.5 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Failure Patients      22.3 % 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.

  Penn State Milton S. Hershey Medical Center PA Rate US Rate Top 10% Nationally
Pneumococcal Vaccination      85% 97% 96% 100%
Blood Culture within First 24 hours (ICU)      98% 98% 98% 100%
Blood Culture prior to First Antibiotic      98% 98% 98% 100%
Initial Antibiotic within 6 Hours      97% 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      96% 97% 97% 100%
Influenza Vaccination      89% 95% 94% 100%

Outcome Measures Measures hospital results in specific areas.

  Penn State Milton S. Hershey Medical Center PA Average    
30-Day Death Rate for Pneumonia Patients      15.1 % 15.7 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Pneumonia Patients      16.9 % 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.

  Penn State Milton S. Hershey Medical Center 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      100% 98% 97% 100%
Clot Buster Given within 3 Hours of Symptoms      94% 91% 88% 100%
Prescribed Medicine to Prevent Complications within 2 Days of Arrival      100% 99% 98% 100%
Discharged on Statin      100% 98% 97% 100%
Stroke Education      96% 95% 95% 100%
Assessed for Rehabilitation      100% 99% 98% 100%

Outcome Measures Measures hospital results in specific areas.

  Penn State Milton S. Hershey Medical Center PA Average    
30-Day Death Rate for Stroke Patients      14.9 % 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.

  Penn State Milton S. Hershey Medical Center PA Rate US Rate COC Standard
Radiation therapy is administered within one year for women receiving breast conserving surgery for breast cancer      91.7% 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      84.6% 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      94.1% 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      92.6% 92.6% 92.2% 80.0%
Chemotherapy is considered or administered within 4 months of diagnosis for patients with (lymph node positive) colon cancer      83.3% 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.

  Penn State Milton S. Hershey Medical Center PA Rate US Rate Top 10% Nationally
Beta Blocker during the Perioperative Period      99% 99% 98% 100%
Prophylactic Antibiotic within 1 hour of incision      [ + ] 99% 99% 99% 100%
Appropriate Antibiotic      [ + ] 99% 99% 99% 100%
Prophylactic Antibiotic Discontinued within 24 hours      [ + ] 98% 99% 98% 100%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose      82% 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      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.

  Penn State Milton S. Hershey Medical Center PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      96% 96% 94% 100%
ICU Blood Clot Prevention      96% 98% 97% 100%
Appropriate Blood Clot Treatment Using Two Blood Thinners      97% 94% 94% 100%
Heparin with Platelet Count Monitoring      100% 100% 99% 100%
Warfarin Discharge Instructions      98% 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.

  Penn State Milton S. Hershey Medical Center PA Avg US Avg Top 10% Nationally
Doctor Communication      78% 81% 82% 89%
Nurse Communication      80% 81% 80% 87%
Responsiveness of Hospital Staff      70% 68% 69% 81%
Pain Well Controlled      70% 71% 71% 78%
Medicine Explained by Staff      66% 64% 65% 74%
Room and Bathroom Kept Clean      69% 74% 75% 85%
Room Quiet at Night      47% 56% 63% 76%
Provided Discharge Information      89% 88% 87% 92%
Care Transition      52% 52% 52% 61%
Hospital Rating      75% 71% 73% 83%
Hospital Recommendation      78% 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.

  Penn State Milton S. Hershey Medical Center PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      89% 92% 92% 99%
Influenza Immunization      96% 94% 93% 100%
Flu Vaccine for Health Care Workers      87% 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.

  Penn State Milton S. Hershey Medical Center PA Average US Average  
Time from Emergency Department (ED) Arrival to ED Departure for Admitted Patients      392 Minutes 280 Minutes 282 Minutes  
Time from Admit Decision to Departure Time from the Emergency Department (ED) for Admitted Patients      113 Minutes 106 Minutes 102 Minutes  
Median Time From ED Arrival to ED Departure for Discharged ED Patients      234 Minutes 142 Minutes 138 Minutes  
Door to Diagnostic Evaluation by a Qualified Medical Professional      26 Minutes 22 Minutes 20 Minutes  
ED-Median Time to Pain Management for Long Bone Fracture      51 Minutes 56 Minutes 49 Minutes  
ED-Patient Left Without Being Seen      2% 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.