Pennsylvania Health Care Quality Alliance > Reports > Roxborough Memorial Hospital

PHCQA Report of Hospital Quality

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Roxborough Memorial Hospital

5800 Ridge Avenue

Philadelphia, PA 19128-1737

www.roxboroughmemorial.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.

  Roxborough Memorial Hospital 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.

  Roxborough Memorial Hospital PA Average    
Urinary Tract Infections (Catheter Associated)      Not significantly different than national infection rate
Bloodstream Infections (Central Line Associated)      N/A

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.

  Roxborough Memorial Hospital PA Rate US Rate Top 10% Nationally
Aspirin on Arrival      97% 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      94% 99% 99% 100%
PCI within 90 Minutes      N/A 96% 96% 100%
Statin Prescribed at Discharge      100% 99% 99% 100%

Outcome Measures Measures hospital results in specific areas.

  Roxborough Memorial Hospital PA Average    
30-Day Death Rate for Heart Attack Patients      12.7 % 13.1 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Attack Patients      15.7 % 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.

  Roxborough Memorial Hospital 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.

  Roxborough Memorial Hospital PA Average    
30-Day Death Rate for Heart Failure Patients      9.6 % 11.5 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Failure Patients      23.6 % 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.

  Roxborough Memorial Hospital PA Rate US Rate Top 10% Nationally
Pneumococcal Vaccination      94% 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      97% 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      89% 95% 94% 100%

Outcome Measures Measures hospital results in specific areas.

  Roxborough Memorial Hospital 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      20.5 % 16.8 % Worse 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.

  Roxborough Memorial Hospital PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      100% 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      100% 99% 98% 100%
Discharged on Statin      100% 98% 97% 100%
Stroke Education      100% 95% 95% 100%
Assessed for Rehabilitation      100% 99% 98% 100%

Outcome Measures Measures hospital results in specific areas.

  Roxborough Memorial Hospital PA Average    
30-Day Death Rate for Stroke Patients      14.5 % 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.

  Roxborough Memorial Hospital PA Rate US Rate Top 10% Nationally
Beta Blocker during the Perioperative Period      95% 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      [ + ] 100% 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      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.

  Roxborough Memorial Hospital PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      100% 96% 94% 100%
ICU Blood Clot Prevention      100% 98% 97% 100%
Appropriate Blood Clot Treatment Using Two Blood Thinners      95% 94% 94% 100%
Heparin with Platelet Count Monitoring      100% 100% 99% 100%
Warfarin Discharge Instructions      N/A 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.

  Roxborough Memorial Hospital PA Avg US Avg Top 10% Nationally
Doctor Communication      81% 80% 82% 89%
Nurse Communication      79% 81% 80% 87%
Responsiveness of Hospital Staff      68% 68% 69% 81%
Pain Well Controlled      69% 71% 71% 78%
Medicine Explained by Staff      60% 64% 65% 74%
Room and Bathroom Kept Clean      73% 74% 75% 85%
Room Quiet at Night      60% 56% 63% 76%
Provided Discharge Information      89% 88% 87% 92%
Care Transition      49% 52% 52% 61%
Hospital Rating      72% 72% 73% 83%
Hospital Recommendation      68% 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.

  Roxborough Memorial Hospital PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      99% 92% 92% 99%
Influenza Immunization      100% 94% 94% 100%
Flu Vaccine for Health Care Workers      99% 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.

  Roxborough Memorial Hospital PA Average US Average  
Time from Emergency Department (ED) Arrival to ED Departure for Admitted Patients      232 Minutes 276 Minutes 280 Minutes  
Time from Admit Decision to Departure Time from the Emergency Department (ED) for Admitted Patients      64 Minutes 103 Minutes 100 Minutes  
Median Time From ED Arrival to ED Departure for Discharged ED Patients      146 Minutes 140 Minutes 138 Minutes  
Door to Diagnostic Evaluation by a Qualified Medical Professional      20 Minutes 21 Minutes 20 Minutes  
ED-Median Time to Pain Management for Long Bone Fracture      64 Minutes 56 Minutes 50 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.