Jefferson Regional Medical Center

Doing business as Jefferson Hospital

Hospital in Jefferson Hills, PA, Medicare certification number 390265. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 390265The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Mar 14, 1977
Last certification: Sep 26, 2019
Beds: 390
Overall star rating: 4 of 5Care Compare
Address: 565 Coal Valley Road
Jefferson Hills, PA 15025
(412) 469-5000

NPI records for this facility (CCN to NPI Mapping) 2

Jefferson Regional Medical Center
- Clinic/Center
- Clairton, PA
- NPI 1366488108
Medicare enrollment
Jefferson Regional Medical Center
- General Acute Care Hospital
- Clairton, PA
- NPI 1578560504
Medicare enrollment

Units certified under this facility 2

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Jefferson Hospital Inpatient rehabilitation facility, CCN 39T265, 18 measures, 1 providers
Jefferson Regional Medical Center Hospital, CCN 39S265

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.47 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.77 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.59 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.13 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.8 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.38 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.85 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.67 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.33 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,154

Page 1 of 47Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Heitham Abdul-Baki, M.D.
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1790978542
Alyssa N Acquaviva, PA-C
- Physician Assistant
- Pittsburgh, PA
- NPI 1649743907
Rajashekar Adurty, MD
- Pulmonary Disease Physician
- Pittsburgh, PA
- NPI 1659481570
Akash D Agarwal, MD
- Neurological Surgery Physician
- Monroeville, PA
- NPI 1073622346
Alphonse Roderick Agbodzie, NP
- Family Nurse Practitioner
- Monroeville, PA
- NPI 1821587486
Arcadio Agudelo Hernandez, M.D
- Internal Medicine Physician
- Washington, PA
- NPI 1477866093
Jennifer Ahn
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891257770
Khattar Aizooky, M.D.
- Internal Medicine Physician
- Presto, PA
- NPI 1750460614
Tunc Aksehirli, MD
- Surgery Physician
- Pittsburgh, PA
- NPI 1548559743
Melissa Carrie Albert, PA-C
- Physician Assistant
- Jefferson Hills, PA
- NPI 1760552392
Allison Marie Albitz, PA-C
- Surgical Physician Assistant
- Pittsburgh, PA
- NPI 1609479492
Nael Aldweib, MD
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1710242615
Margaret M Alexander, PA-C
- Physician Assistant
- Pittsburgh, PA
- NPI 1336274687
James Edgar Allen, MD
- Urology Physician
- Clairton, PA
- NPI 1285783282
Jordan Luke Allen, MD
- Urology Physician
- Jefferson Hills, PA
- NPI 1245626266
Craig Michael Alpert, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Pittsburgh, PA
- NPI 1811215577
Steven Alsobrook
- Hospitalist Physician
- Jefferson Hills, PA
- NPI 1316324007
Katherine Elizabeth Altavilla, PA-C
- Medical Physician Assistant
- Clairton, PA
- NPI 1629620158
Andrea N Altieri, PA-C
- Physician Assistant
- Jefferson Hills, PA
- NPI 1710288311
Daniel T. Altman, MD
- Orthopaedic Surgery Physician
- Pittsburgh, PA
- NPI 1184623167
Gregory Theodore Altman, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Pittsburgh, PA
- NPI 1285633123
Ganya E Alvarado-Reagans, MD
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
- NPI 1053370692
Mumtaz A Alvi, MD, PC
- Specialist
- White Oak, PA
- NPI 1861454852
Helen I Analo, MD
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1275535601
Katerina Ancevski Hunter
- Hematology & Oncology Physician
- Greensburg, PA
- NPI 1598023558

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.92
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 619 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.17
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected174.99
- State average 176.01 (computed here)
- National average 173.3
- No different than the national rate
- 38 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.3
- State average 2.21 (computed here)
- National average 2.4
- No different than the national rate
- 55 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.4
- State average 8.11 (computed here)
- National average 8.6
- No different than the national rate
- 76 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.7
- State average 11.71 (computed here)
- National average 11.9
- No different than the national rate
- 124 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10
- State average 10.73 (computed here)
- National average 11.1
- No different than the national rate
- 336 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.4
- State average 14.97 (computed here)
- National average 15.2
- No different than the national rate
- 311 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.2
- State average 11.35 (computed here)
- National average 11.9
- No different than the national rate
- 249 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.7
- State average 3.79 (computed here)
- National average 3.9
- No different than the national rate
- 3,607 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.29
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 3,417 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 3,527 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.29
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 927 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.36
- State average 1.63 (computed here)
- National average 1.67
- No different than the national rate
- 378 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.07
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 899 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected5.61
- State average 8.98 (computed here)
- National average 9.42
- No different than the national rate
- 379 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.78
- State average 5.24 (computed here)
- National average 5.27
- No different than the national rate
- 369 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.69
- State average 1.72 (computed here)
- National average 1.77
- No different than the national rate
- 180 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.7
- State average 0.63 (computed here)
- National average 0.63
- Worse than the national rate
- 2,957 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.8
- State average 4.17 (computed here)
- National average 4.1
- No different than the national rate
- 118 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.21
- State average 0.56
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.1
- State average 0.59
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.27
- State average 0.44
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.61
- State average 0.77
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.07
- State average 0.84
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.3
- State average 6.22 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 8.4
- State average 8.63 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.97
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 95
- State average 94.33 (computed here)
- National average 92.79 (computed here)
- 129 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 68
- State average 60
- National average 65
- 182 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 174
- State average 191
- National average 168
- 498 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 256
- State average 340
- National average 287
- 11 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 170
- State average 186
- National average 162
- 471 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 280
- State average 297
- National average 257
- 17 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.94 (computed here)
- National average 96.1 (computed here)
- 156 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 95
- National average 93
- 64 patients
- Period from 01/01/2024
Head CT results 78
- State average 69
- National average 69
- 32 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 39
- State average 83
- National average 78
- 1,826 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.15 (computed here)
- National average 1.09 (computed here)
- 3,097 patients
- Period from 01/01/2024
Left before being seen 0
- State average 2
- National average 2
- 52,440 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 16
- National average 15
- 2,775 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 85
- State average 70
- National average 73
- 84 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 88
- State average 85
- National average 87
- 60 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 84
- State average 78
- National average 81
- 182 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 93
- National average 93
- 122 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
- State average 14.5 (computed here)
- National average 14.4
- No different than the national rate
- 371 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.7
- State average 21.59 (computed here)
- National average 21.3
- No different than the national rate
- 1,004 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 11.7
- State average 0.71 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 118 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 10.2
- State average -1.7 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 389 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 24.4
- State average 2.03 (computed here)
- National average 5.65 (computed here)
- More days than average per 100 discharges
- 311 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.5
- State average 17.56 (computed here)
- National average 17.3
- No different than the national rate
- 808 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.5
- State average 5.1 (computed here)
- National average 5.4
- No different than the national rate
- 58 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.9
- State average 10.83 (computed here)
- National average 10.7
- No different than the national rate
- 58 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.7
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 101 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.8
- State average 10.99 (computed here)
- National average 11
- No different than the national rate
- 154 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.4
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 276 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.6
- State average 12.89 (computed here)
- National average 13
- No different than the national rate
- 545 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 488 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Jefferson Hills, PA

Jefferson Regional Medical Center

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.