Pennsylvania Health Care Quality Alliance > Reports > UPMC Susquehanna Muncy

PHCQA Report of Hospital Quality

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UPMC Susquehanna Muncy

215 East Water Street

Muncy, PA 17756-8700

www.susquehannahealth.org

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NOTE: This is a Critical Access Hospital

Critical Access Hospitals (CAH) are rural hospitals that provide essential services to their communities. These hospitals are designed by Medicare to receive cost-based reimbursement which is intended to improve their financial performance and thereby prevent hospital closures. Use caution when comparing these hospitals to larger institutions as they tend to have a smaller sample sizes and different reporting requirements.

Key

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 Susquehanna Muncy PA Rate PA Top 25% PA Top 10%
Overall Appropriate Care      98% 94% 98% 99%
   Heart Attack Care      Critical Access Hospital — No data available
   Heart Failure Care      Critical Access Hospital — No data available
   Pneumonia Care      100% 97% 100% 100%
   Surgical Care      Critical Access Hospital — No data available
   Preventive Care      100% 93% 99% 100%
   Stroke Care      Critical Access Hospital — No data available
   Venous Thromboembolism Care      96% 95% 99% 100%

Healthcare-Associated Infections

Outcome Measures Measures hospital results in specific areas.

  UPMC Susquehanna Muncy    
Urinary Tract Infections (Catheter Associated)      Critical Access Hospital — No data available
Bloodstream Infections (Central Line Associated)      Critical Access Hospital — No data available
Colon Surgical Site Infections      Critical Access Hospital — No data available
MRSA (Staph) Infections      Critical Access Hospital — No data available
C. Difficile Infections      Critical Access Hospital — No data available

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 Susquehanna Muncy PA Rate US Rate Top 10% Nationally
Aspirin on Arrival      100% 99% 99% 100%
Aspirin Prescribed at Discharge      Critical Access Hospital — No data available
ACEI or ARB for LVSD      100% 97% 97% 100%
Beta Blocker Prescribed at Discharge      100% 99% 99% 100%
PCI within 90 Minutes      Critical Access Hospital — No data available
Statin Prescribed at Discharge      Critical Access Hospital — No data available

Outcome Measures Measures hospital results in specific areas.

  UPMC Susquehanna Muncy PA Average    
30-Day Death Rate for Heart Attack Patients      Critical Access Hospital — No data available
30-Day All-Cause Readmission Rate for Heart Attack Patients      Critical Access Hospital — No data available
CABG Death Rate      Critical Access Hospital — No data available

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 Susquehanna Muncy PA Rate US Rate Top 10% Nationally
Discharge Instructions      Critical Access Hospital — No data available
ACEI or ARB for LVSD      Critical Access Hospital — No data available

Outcome Measures Measures hospital results in specific areas.

  UPMC Susquehanna Muncy PA Average    
30-Day Death Rate for Heart Failure Patients      11.8 % 11.5 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Heart Failure Patients      21.8 % 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 Susquehanna Muncy PA Rate US Rate Top 10% Nationally
Pneumococcal Vaccination      100% 97% 96% 100%
Blood Culture within First 24 hours (ICU)      Critical Access Hospital — No data available
Blood Culture prior to First Antibiotic      100% 98% 98% 100%
Initial Antibiotic within 6 Hours      100% 97% 96% 100%
Initial Antibiotic Selection      97% 97% 96% 100%
Initial Antibiotic Selection for ICU Patients      Critical Access Hospital — No data available
Initial Antibiotic Selection for Non-ICU Patients      Critical Access Hospital — No data available
Influenza Vaccination      95% 95% 94% 100%

Outcome Measures Measures hospital results in specific areas.

  UPMC Susquehanna Muncy PA Average    
30-Day Death Rate for Pneumonia Patients      15.3 % 15.7 % No different than U.S. National Rate
30-Day All-Cause Readmission Rate for Pneumonia Patients      15.9 % 16.8 % 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 Susquehanna Muncy PA Rate US Rate Top 10% Nationally
Beta Blocker during the Perioperative Period      Critical Access Hospital — No data available
Prophylactic Antibiotic within 1 hour of incision      [ + ] Critical Access Hospital — No data available
Appropriate Antibiotic      [ + ] Critical Access Hospital — No data available
Prophylactic Antibiotic Discontinued within 24 hours      [ + ] Critical Access Hospital — No data available
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose      Critical Access Hospital — No data available
Urinary Catheter Removal within Two Days of Surgery      Critical Access Hospital — No data available
Surgery Patients with Perioperative Temperature Management      Critical Access Hospital — No data available
VTE Ordered prior to Surgery      100% 99% 98% 100%
VTE Received within 24 Hours of Surgery      Critical Access Hospital — No data available

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 Susquehanna Muncy PA Rate US Rate Top 10% Nationally
Blood Clot Prevention      89% 96% 94% 100%
ICU Blood Clot Prevention      Critical Access Hospital — No data available
Appropriate Blood Clot Treatment Using Two Blood Thinners      Critical Access Hospital — No data available
Heparin with Platelet Count Monitoring      Critical Access Hospital — No data available
Warfarin Discharge Instructions      Critical Access Hospital — No data available
Potentially Preventable VTE      Critical Access Hospital — No data available

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 Susquehanna Muncy PA Avg US Avg Top 10% Nationally
Doctor Communication      88% 81% 82% 89%
Nurse Communication      83% 81% 80% 87%
Responsiveness of Hospital Staff      76% 68% 69% 81%
Pain Well Controlled      76% 71% 71% 78%
Medicine Explained by Staff      74% 64% 66% 74%
Room and Bathroom Kept Clean      84% 74% 75% 85%
Room Quiet at Night      58% 56% 62% 75%
Provided Discharge Information      92% 88% 87% 92%
Care Transition      52% 52% 53% 61%
Hospital Rating      72% 72% 73% 83%
Hospital Recommendation      73% 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 Susquehanna Muncy PA Rate US Rate Top 10% Nationally
Pnuemococcal Immunization      Critical Access Hospital — No data available
Influenza Immunization      98% 94% 93% 100%
Flu Vaccine for Health Care Workers      89% 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 Susquehanna Muncy PA Average US Average  
Time from Emergency Department (ED) Arrival to ED Departure for Admitted Patients      218 Minutes 280 Minutes 281 Minutes  
Time from Admit Decision to Departure Time from the Emergency Department (ED) for Admitted Patients      40 Minutes 108 Minutes 102 Minutes  
Median Time From ED Arrival to ED Departure for Discharged ED Patients      100 Minutes 142 Minutes 140 Minutes  
Door to Diagnostic Evaluation by a Qualified Medical Professional      25 Minutes 22 Minutes 20 Minutes  
ED-Median Time to Pain Management for Long Bone Fracture      60 Minutes 55 Minutes 49 Minutes  
ED-Patient Left Without Being Seen      1% 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.