The PHCQA Performance & Progress Report on hosptial quality
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Thomas Jefferson University Hospital (Incl. JHN & Methodist)

111 South 11th Street

Philadelphia, PA 19107-5084

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Performance for this hospital includes performance data from the following affiliated hospital campuses:

Thomas Jefferson University Hospital-Methodist Division

2301 South Broad Street

Philadelphia, PA 19148-3594


Jefferson Hospital for Neuroscience

900 Walnut Street

Philadelphia, PA 19107


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.

Appropriate Care

Appropriate Care Measures Indicates how often patients received all recommended treatments for their clinical condition. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Rate * US Rate *+ Top 10% Nationally +
Overall Appropriate Care    92% 85% 85% 96%
   Heart Attack Care    96% 92% 91% 100%
   Heart Failure Care    96% 85% 85% 99%
   Pneumonia Care    74% 79% 82% 97%
   Surgical Care    94% 86% 84% 97%

Heart Attack

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Rate * US Rate * Top 10% Nationally
Aspirin on Arrival    100% 98% 98% 100%
Aspirin Prescribed at Discharge    99% 98% 98% 100%
ACEI or ARB for LVSD    97% 94% 94% 100%
Beta Blocker Prescribed at Discharge    99% 98% 98% 100%
PCI within 90 Minutes    64% 83% 83% 98%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Average    
Heart Attack Mortality   No different than U.S. National Rate
CABG Mortality    1.3 % 1.7 % Not significantly different than the expected rate

Heart Failure

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Rate * US Rate * Top 10% Nationally
Discharge Instructions    97% 85% 84% 99%
ACEI or ARB for LVSD    97% 93% 93% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Average    
Heart Failure Mortality   Better than U.S. National Rate
Readmission Rate for Heart Failure (Complication / Infection)    N/A 7.6 %    
Thomas Jefferson University Hospital-Methodist Division   8.2 % 7.6 % Not significantly different than the expected rate

Pneumonia

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Rate * US Rate * Top 10% Nationally
Pneumococcal Screen/Vaccination    90% 91% 89% 99%
Blood Culture within First 24 hours (ICU)    98% 95% 95% 100%
Blood Culture prior to First Antibiotic    86% 94% 94% 100%
Initial Antibiotic within 6 Hours    90% 95% 94% 100%
Initial Antibiotic Selection    93% 91% 90% 98%
Initial Antibiotic Selection for ICU Patients    56% 65% 63% 100%
Initial Antibiotic Selection for Non-ICU Patients    97% 94% 94% 99%
Influenza Screen/Vaccination    92% 89% 88% 99%

Surgical Care and Infection Prevention

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Rate * US Rate * Top 10% Nationally
Beta Blocker during the Perioperative Period    99% 90% 89% 100%
Prophylactic Antibiotic within 1 hour of incision    98% 95% 94% 99%
Prophylactic Antibiotic Discontinued within 24 hours    99% 93% 91% 99%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose    90% 95% 91% 100%
VTE Ordered prior to Surgery    98% 95% 92% 99%
VTE Received within 24 Hours of Surgery    97% 93% 90% 98%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Average    
Bloodstream Infections    2.0 1.6    
Thomas Jefferson University Hospital-Methodist Division   1.9 1.6    

Consumer Assessment

Patient Experience Measures Measures various aspects of patients’ experiences during their hospital stay. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Thomas Jefferson University Hospital (Incl. JHN & Methodist) PA Avg US Avg Top 10% Nationally
Doctor Communication    74% 78% 80% 87%
Nurse Communication    75% 75% 74% 82%
Responsiveness of Hospital Staff    65% 62% 62% 75%
Pain Well Controlled    68% 68% 68% 76%
Medicine Explained by Staff    59% 58% 59% 67%
Room and Bathroom Kept Clean    66% 68% 70% 81%
Room Quiet at Night    48% 49% 56% 70%
Provided Discharge Information    83% 81% 80% 87%
Hospital Rating    68% 63% 65% 76%
Hospital Recommendation    74% 65% 68% 81%

*The PA and US rates are case-weighted averages. The rates are calculated by dividing the total number of patients who had the recommended care by the total number of patients who met the criteria for that measure across all hospitals.

**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.

+US rates and Top 10% Benchmarks for Overall and Pneumonia Care are calculated using PN-5c in place of PN-5b for all data from April 2007 forward. National benchmark data provided by the Oklahoma Foundation for Medical Quality.

Additional Features

General Inquiries: info@phcqa.org

Executive Director: erik.muther@phcqa.org
Telephone: 215-241-3097
Fax: 717-307-3406

Address
Pennsylvania Health Care Quality Alliance
P.O Box 15896
Philadelphia, PA 19103