Pennsylvania Health Care Quality Alliance > Reports > WellSpan Surgery & Rehabilitation Hospital

PHCQA Report of Hospital Quality

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WellSpan Surgery & Rehabilitation Hospital

55 Monument Road

York, PA 17403-5023

www.wellspan.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.

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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.

Healthcare-Associated Infections

Outcome Measures Measures hospital results in specific areas.

  WellSpan Surgery & Rehabilitation Hospital    
Urinary Tract Infections (Catheter Associated)      N/A
Bloodstream Infections (Central Line Associated)      N/A
Colon Surgical Site Infections      N/A
MRSA (Staph) Infections      N/A
C. Difficile Infections      N/A

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.

  WellSpan Surgery & Rehabilitation Hospital 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      [ + ] 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      100% 99% 98% 100%
Surgery Patients with Perioperative Temperature Management      N/A 100% 100% 100%
VTE Ordered prior to Surgery      N/A 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.

  WellSpan Surgery & Rehabilitation Hospital PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      100% 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      N/A 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.

  WellSpan Surgery & Rehabilitation Hospital PA Avg US Avg Top 10% Nationally
Doctor Communication      87% 81% 82% 89%
Nurse Communication      93% 81% 80% 87%
Responsiveness of Hospital Staff      89% 68% 69% 81%
Pain Well Controlled      80% 71% 71% 78%
Medicine Explained by Staff      77% 64% 66% 74%
Room and Bathroom Kept Clean      88% 74% 75% 85%
Room Quiet at Night      81% 56% 62% 75%
Provided Discharge Information      94% 88% 87% 92%
Care Transition      69% 52% 53% 61%
Hospital Rating      92% 72% 73% 83%
Hospital Recommendation      92% 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.

  WellSpan Surgery & Rehabilitation Hospital PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      88% 92% 92% 99%
Influenza Immunization      98% 94% 93% 100%
Flu Vaccine for Health Care Workers      98% 91% 88% 99%

*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.