M.S. Hershey Medical Center StatisticsSee how M.S. Hershey Medical Center rates for Anemia Managment, Dialysis Adequacy, and Vascular Access as compared to the averages in Hershey, Pennsylvania, and Nationwide.

General Totals

Number of Dialysis Providers

6,236Nation
276Pennsylvania
1Hershey, Pennsylvania
N/AM.S. Hershey Medical Center

Total Number of Dialysis Stations

110,108Nation
4,815Pennsylvania
13Hershey, Pennsylvania
13M.S. Hershey Medical Center

Average Number of Dialysis Stations

17.66Nation
17.45Pennsylvania
13.00Hershey, Pennsylvania
N/AM.S. Hershey Medical Center

Services Totals

Total Number Offering Hemodialysis

6,236Nation
276Pennsylvania
1Hershey, Pennsylvania
1M.S. Hershey Medical Center

Total Number Offering Peritoneal Dialysis

3,114Nation
189Pennsylvania
1Hershey, Pennsylvania
1M.S. Hershey Medical Center

Total Number Offering Home Training

1,705Nation
111Pennsylvania
N/AHershey, Pennsylvania
0M.S. Hershey Medical Center

Have Shifts after 5pm

1,124Nation
45Pennsylvania
N/AHershey, Pennsylvania
0M.S. Hershey Medical Center

Total Number of For Profit Facilities

5,346Nation
241Pennsylvania
N/AHershey, Pennsylvania
0M.S. Hershey Medical Center

Total Number of Non Profit Facilities

890Nation
35Pennsylvania
1Hershey, Pennsylvania
0M.S. Hershey Medical Center

Total Number of Chain Owned

5,347Nation
241Pennsylvania
N/AHershey, Pennsylvania
0M.S. Hershey Medical Center

Total Number of Not Chain Owned

889Nation
35Pennsylvania
1Hershey, Pennsylvania
0M.S. Hershey Medical Center

Performance Scores

Total Performance Score

Nation
81.97Average
0.00Least
100.00Most
Pennsylvania
81.65Average
0.00Least
100.00Most
Hershey, Pennsylvania
65.00Average
65.00Least
65.00Most
M.S. Hershey Medical Center
65.00M.S. Hershey Medical Center

ICH CAHPS Admin Score

Nation
9.60Average
0.00Least
10.00Most
Pennsylvania
9.55Average
0.00Least
10.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

NHSN Event Reporting Score

Nation
9.80Average
0.00Least
10.00Most
Pennsylvania
9.65Average
0.00Least
10.00Most
Hershey, Pennsylvania
5.00Average
5.00Least
5.00Most
M.S. Hershey Medical Center
5.00M.S. Hershey Medical Center

Measure Scores

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation
9.52Average
0.00Least
10.00Most
Pennsylvania
9.50Average
1.00Least
10.00Most
Hershey, Pennsylvania
10.00Average
10.00Least
10.00Most
M.S. Hershey Medical Center
10.00M.S. Hershey Medical Center

Hemoglobin Score Applied

Nation
5,241Achievement
59Improvement
936Not Available
Pennsylvania
227Achievement
2Improvement
47Not Available
Hershey, Pennsylvania
1Achievement
M.S. Hershey Medical Center
Improvement

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation
8.35Average
0.00Least
10.00Most
Pennsylvania
8.91Average
0.00Least
10.00Most
Hershey, Pennsylvania
10.00Average
10.00Least
10.00Most
M.S. Hershey Medical Center
10.00M.S. Hershey Medical Center

URR Score Applied

Nation
5,034Achievement
173Improvement
1,029Not Available
Pennsylvania
218Achievement
6Improvement
52Not Available
Hershey, Pennsylvania
1Achievement
M.S. Hershey Medical Center
Improvement

Vascular Catheter Measure Score

Nation
6.26Average
0.00Least
10.00Most
Pennsylvania
5.68Average
0.00Least
10.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Vascular Catheter Score Applied

Nation
4,992Achievement
337Improvement
907Not Available
Pennsylvania
203Achievement
31Improvement
42Not Available
Hershey, Pennsylvania
1Achievement
M.S. Hershey Medical Center
Improvement

Fistula Measure Score

Nation
5.69Average
0.00Least
10.00Most
Pennsylvania
5.90Average
0.00Least
10.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Fistula Score Applied

Nation
5,011Achievement
297Improvement
928Not Available
Pennsylvania
219Achievement
13Improvement
44Not Available
Hershey, Pennsylvania
1Achievement
M.S. Hershey Medical Center
Improvement

Vascular Access Combined Measure Score

Nation
6.22Average
0.00Least
10.00Most
Pennsylvania
6.02Average
0.00Least
10.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Mineral Metabolism Reporting Score

Nation
9.08Average
0.00Least
10.00Most
Pennsylvania
8.75Average
0.00Least
10.00Most
Hershey, Pennsylvania
10.00Average
10.00Least
10.00Most
M.S. Hershey Medical Center
10.00M.S. Hershey Medical Center

Hospitalization Rate

Hospitalization Rate

Nation
5,435As Expected
54Better than Expected
282Worse than Expected
465Not Available
Pennsylvania
221As Expected
33Worse than Expected
22Not Available
Hershey, Pennsylvania
1As Expected
M.S. Hershey Medical Center
Better than Expected

Data Availablilty

Nation
5,771Data Available
232The number of patients is too small to report. Call the facility to discuss this quality measure.
66Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
254Data Available
17The number of patients is too small to report. Call the facility to discuss this quality measure.
3Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patients Included in Hospitalization Summary

Nation
440,405Total
72.23Average
0Least
467Most
Pennsylvania
16,650Total
61.21Average
0Least
214Most
Hershey, Pennsylvania
54Total
54.00Average
54Least
54Most
M.S. Hershey Medical Center
54M.S. Hershey Medical Center

Standardized Hospitalization Ratio

Nation
1.00Average
0.07Least
3.48Most
Pennsylvania
1.23Average
0.46Least
2.35Most
Hershey, Pennsylvania
1.48Average
1.48Least
1.48Most
M.S. Hershey Medical Center
1.48M.S. Hershey Medical Center

Survivability Rate

Survival Rate

Nation
4,741As Expected
462Better than Expected
520Worse than Expected
513Not Available
Pennsylvania
213As Expected
13Better than Expected
26Worse than Expected
24Not Available
Hershey, Pennsylvania
1As Expected
M.S. Hershey Medical Center
Better than Expected

Data Availablilty

Nation
5,723Data Available
294The number of patients is too small to report. Call the facility to discuss this quality measure.
38Data not reported – Call the facility to discuss this quality measure.
15CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
252Data Available
19The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patients Included in Survival Summary

Nation
2,100,956Total
344.53Average
0Least
2,461Most
Pennsylvania
83,126Total
305.61Average
0Least
1,092Most
Hershey, Pennsylvania
335Total
335.00Average
335Least
335Most
M.S. Hershey Medical Center
335M.S. Hershey Medical Center

Standardized Mortality Ratio

Nation
1.02Average
0.00Least
3.29Most
Pennsylvania
1.04Average
0.27Least
2.45Most
Hershey, Pennsylvania
0.87Average
0.87Least
0.87Most
M.S. Hershey Medical Center
0.87M.S. Hershey Medical Center

Anemia Management

Patient Transfusions Rate

Nation
4,983As Expected
27Better than Expected
358Worse than Expected
868Not Available
Pennsylvania
198As Expected
33Worse than Expected
45Not Available
Hershey, Pennsylvania
1As Expected
M.S. Hershey Medical Center
Better than Expected

Data Availablilty

Nation
5,468Data Available
654The number of patients is too small to report. Call the facility to discuss this quality measure.
65Data not reported – Call the facility to discuss this quality measure.
3CMS determined that the percentage was not accurate.
46The facility was not open for the entire reporting period.
Pennsylvania
231Data Available
44The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Rate 1 - Average hemoglobin value greater than 12.0 g/dL

Nation
0.56Average
0.00Least
64.00Most
Pennsylvania
0.51Average
0.00Least
9.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL

Nation
4.99Average
0.00Least
62.00Most
Pennsylvania
4.29Average
0.00Least
32.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Standarized Transfusion Ratio

Nation
1.01Average
0.00Least
7.15Most
Pennsylvania
1.26Average
0.37Least
3.75Most
Hershey, Pennsylvania
1.14Average
1.14Least
1.14Most
M.S. Hershey Medical Center
1.14M.S. Hershey Medical Center

Number of Patients in Summary

Nation
378,886Total
62.56Average
0Least
349Most
Pennsylvania
14,002Total
51.48Average
0Least
185Most
Hershey, Pennsylvania
47Total
47.00Average
47Least
47Most
M.S. Hershey Medical Center
47M.S. Hershey Medical Center

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation
1,604Total
0.29Average
0Least
21Most
Pennsylvania
31Total
0.13Average
0Least
6Most
Hershey, Pennsylvania
0Total
0.00Average
0Least
0Most
M.S. Hershey Medical Center
0M.S. Hershey Medical Center

Data Availablilty

Nation
5,486Data Available
401The number of patients is too small to report. Call the facility to discuss this quality measure.
181Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
236Data Available
27The number of patients is too small to report. Call the facility to discuss this quality measure.
11Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Patient(s) who had an average hemoglobin value less than 10.0 g/dL

Nation
70,587Total
12.87Average
0Least
91Most
Pennsylvania
2,802Total
11.87Average
0Least
55Most
Hershey, Pennsylvania
14Total
14.00Average
14Least
14Most
M.S. Hershey Medical Center
14M.S. Hershey Medical Center

Data Availablilty

Nation
5,486Data Available
401The number of patients is too small to report. Call the facility to discuss this quality measure.
181Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
236Data Available
27The number of patients is too small to report. Call the facility to discuss this quality measure.
11Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Dialysis Patients with Hemoglobin Data

Nation
275,176Total
45.44Average
0Least
283Most
Pennsylvania
9,255Total
34.03Average
0Least
145Most
Hershey, Pennsylvania
22Total
22.00Average
22Least
22Most
M.S. Hershey Medical Center
22M.S. Hershey Medical Center

Number of Hemoglobin Eligible Patients - Performance Period

Nation
274,010Total
47.04Average
0Least
274Most
Pennsylvania
9,374Total
35.51Average
0Least
151Most
Hershey, Pennsylvania
22Total
22.00Average
22Least
22Most
M.S. Hershey Medical Center
22M.S. Hershey Medical Center

Number of Hemoglobin Eligible Patients - Baseline Period

Nation
279,098Total
47.91Average
0Least
317Most
Pennsylvania
9,468Total
35.86Average
0Least
146Most
Hershey, Pennsylvania
29Total
29.00Average
29Least
29Most
M.S. Hershey Medical Center
29M.S. Hershey Medical Center

Dialysis Adequacy - URR

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation
98.77Average
0.00Least
100.00Most
Pennsylvania
98.92Average
83.00Least
100.00Most
Hershey, Pennsylvania
100.00Average
100.00Least
100.00Most
M.S. Hershey Medical Center
100.00M.S. Hershey Medical Center

Data Availablilty

Nation
5,394Data Available
346The number of patients is too small to report. Call the facility to discuss this quality measure.
237Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
92The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Pennsylvania
234Data Available
27The number of patients is too small to report. Call the facility to discuss this quality measure.
12Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Rate #1 - Urea Reduction Ratio greater than or equal to 65%

Nation
98.79Average
57.00Least
100.00Most
Pennsylvania
99.18Average
86.00Least
100.00Most
Hershey, Pennsylvania
100.00Average
100.00Least
100.00Most
M.S. Hershey Medical Center
100.00M.S. Hershey Medical Center

Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%

Nation
97.27Average
34.00Least
100.00Most
Pennsylvania
97.57Average
75.00Least
100.00Most
Hershey, Pennsylvania
95.00Average
95.00Least
95.00Most
M.S. Hershey Medical Center
95.00M.S. Hershey Medical Center

Number of Hemodialysis Patients with URR Data

Nation
269,264Total
44.46Average
0Least
297Most
Pennsylvania
9,113Total
33.50Average
0Least
119Most
Hershey, Pennsylvania
19Total
19.00Average
19Least
19Most
M.S. Hershey Medical Center
19M.S. Hershey Medical Center

Number of URR Eligible Patients - Performance Period

Nation
265,552Total
45.59Average
0Least
273Most
Pennsylvania
9,012Total
34.14Average
0Least
123Most
Hershey, Pennsylvania
19Total
19.00Average
19Least
19Most
M.S. Hershey Medical Center
19M.S. Hershey Medical Center

Number of URR Eligible Patients - Baseline Period

Nation
256,555Total
44.04Average
0Least
283Most
Pennsylvania
8,633Total
32.70Average
0Least
117Most
Hershey, Pennsylvania
21Total
21.00Average
21Least
21Most
M.S. Hershey Medical Center
21M.S. Hershey Medical Center

Dialysis Adequacy - Adult HD

Adult hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation
88.05Average
0.00Least
100.00Most
Pennsylvania
89.72Average
0.00Least
99.00Most
Hershey, Pennsylvania
87.00Average
87.00Least
87.00Most
M.S. Hershey Medical Center
87.00M.S. Hershey Medical Center

Data Availablilty

Nation
5,616Data Available
188The number of patients is too small to report. Call the facility to discuss this quality measure.
160Data not reported – Call the facility to discuss this quality measure.
22CMS determined that the percentage was not accurate.
84The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Pennsylvania
254Data Available
14The number of patients is too small to report. Call the facility to discuss this quality measure.
4Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
1The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Adult HD Patients with Kt/V Data

Nation
69.74Average
0.00Least
641.00Most
Pennsylvania
51.16Average
0.00Least
167.00Most
Hershey, Pennsylvania
46.00Average
46.00Least
46.00Most
M.S. Hershey Medical Center
46.00M.S. Hershey Medical Center

Number of Adult HD Patient-Months with Kt/V Data

Nation
507.90Average
0.00Least
3,182.00Most
Pennsylvania
380.90Average
0.00Least
1,399.00Most
Hershey, Pennsylvania
218.00Average
218.00Least
218.00Most
M.S. Hershey Medical Center
218.00M.S. Hershey Medical Center

Dialysis Adequacy - Adult PD

Adult Peritoneal Dialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.7

Nation
80.98Average
0.00Least
99.00Most
Pennsylvania
80.45Average
0.00Least
97.00Most
Hershey, Pennsylvania
71.00Average
71.00Least
71.00Most
M.S. Hershey Medical Center
71.00M.S. Hershey Medical Center

Data Availablilty

Nation
1,189Data Available
1,272The number of patients is too small to report. Call the facility to discuss this quality measure.
598Data not reported – Call the facility to discuss this quality measure.
18CMS determined that the percentage was not accurate.
2,993The facility does not provide peritoneal dialysis.
166The facility was not open for the entire reporting period.
Pennsylvania
31Data Available
107The number of patients is too small to report. Call the facility to discuss this quality measure.
55Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
80The facility does not provide peritoneal dialysis.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Adult PD Patients with Kt/V Data

Nation
6.12Average
0.00Least
172.00Most
Pennsylvania
4.23Average
0.00Least
65.00Most
Hershey, Pennsylvania
12.00Average
12.00Least
12.00Most
M.S. Hershey Medical Center
12.00M.S. Hershey Medical Center

Number of Adult PD Patient-Months with Kt/V Data

Nation
46.35Average
0.00Least
1,533.00Most
Pennsylvania
31.46Average
0.00Least
525.00Most
Hershey, Pennsylvania
80.00Average
80.00Least
80.00Most
M.S. Hershey Medical Center
80.00M.S. Hershey Medical Center

Dialysis Adequacy - Ped. HD

Pediatric hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation
84.15Average
63.00Least
94.00Most
Pennsylvania
N/AAverage
N/ALeast
N/AMost
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center

Data Availablilty

Nation
13Data Available
207The number of patients is too small to report. Call the facility to discuss this quality measure.
313Data not reported – Call the facility to discuss this quality measure.
5,535The facility does not provide hemodialysis to pediatric patients.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
4The number of patients is too small to report. Call the facility to discuss this quality measure.
8Data not reported – Call the facility to discuss this quality measure.
262The facility does not provide hemodialysis to pediatric patients.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data not reported – Call the facility to discuss this quality measure.
M.S. Hershey Medical Center
3The facility does not provide hemodialysis to pediatric patients.

Number of Pediatric HD Patients with Kt/V Data

Nation
0.10Average
0.00Least
15.00Most
Pennsylvania
0.03Average
0.00Least
4.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Number of Pediatric HD Patient-Months with Kt/V Data

Nation
0.54Average
0.00Least
112.00Most
Pennsylvania
0.14Average
0.00Least
34.00Most
Hershey, Pennsylvania
0.00Average
0.00Least
0.00Most
M.S. Hershey Medical Center
0.00M.S. Hershey Medical Center

Vascular Catheters

Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer

Nation
10.76Average
0.00Least
58.00Most
Pennsylvania
12.83Average
1.00Least
54.00Most
Hershey, Pennsylvania
25.00Average
25.00Least
25.00Most
M.S. Hershey Medical Center
25.00M.S. Hershey Medical Center

Data Availablilty

Nation
5,671Data Available
184The number of patients is too small to report. Call the facility to discuss this quality measure.
127Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
87The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Pennsylvania
260Data Available
10The number of patients is too small to report. Call the facility to discuss this quality measure.
3Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Period - Catheter Rate

Nation
12.54Average
0.00Least
63.00Most
Pennsylvania
14.68Average
0.00Least
60.00Most
Hershey, Pennsylvania
39.00Average
39.00Least
39.00Most
M.S. Hershey Medical Center
39.00M.S. Hershey Medical Center

Performance Period - Number of Catheter Patient Months

Nation
2,822,013Total
484.47Average
0Least
2,871Most
Pennsylvania
96,833Total
366.79Average
0Least
1,380Most
Hershey, Pennsylvania
195Total
195.00Average
195Least
195Most
M.S. Hershey Medical Center
195M.S. Hershey Medical Center

Baseline Period - Catheter Rate

Nation
15.13Average
0.00Least
82.00Most
Pennsylvania
18.57Average
0.00Least
56.00Most
Hershey, Pennsylvania
39.00Average
39.00Least
39.00Most
M.S. Hershey Medical Center
39.00M.S. Hershey Medical Center

Baseline Period - Number of Catheter Patient Months

Nation
2,011,527Total
345.33Average
0Least
2,281Most
Pennsylvania
67,951Total
257.39Average
0Least
1,077Most
Hershey, Pennsylvania
159Total
159.00Average
159Least
159Most
M.S. Hershey Medical Center
159M.S. Hershey Medical Center

Arteriovenous Fistulae

Percentage of Patients with Arteriovenous Fistulae in Place

Nation
63.16Average
0.00Least
100.00Most
Pennsylvania
63.82Average
19.00Least
95.00Most
Hershey, Pennsylvania
51.00Average
51.00Least
51.00Most
M.S. Hershey Medical Center
51.00M.S. Hershey Medical Center

Data Availablilty

Nation
5,671Data Available
184The number of patients is too small to report. Call the facility to discuss this quality measure.
127Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
87The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Pennsylvania
260Data Available
10The number of patients is too small to report. Call the facility to discuss this quality measure.
3Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1Data Available
M.S. Hershey Medical Center
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Period - Fistula Rate

Nation
62.10Average
0.00Least
98.00Most
Pennsylvania
63.19Average
29.00Least
97.00Most
Hershey, Pennsylvania
43.00Average
43.00Least
43.00Most
M.S. Hershey Medical Center
43.00M.S. Hershey Medical Center

Performance Period - Number of Fistula Patient Months

Nation
3,060,336Total
525.38Average
0Least
3,083Most
Pennsylvania
105,307Total
398.89Average
0Least
1,442Most
Hershey, Pennsylvania
193Total
193.00Average
193Least
193Most
M.S. Hershey Medical Center
193M.S. Hershey Medical Center

Baseline Period - Fistula Rate

Nation
57.98Average
3.00Least
100.00Most
Pennsylvania
58.16Average
21.00Least
99.00Most
Hershey, Pennsylvania
47.00Average
47.00Least
47.00Most
M.S. Hershey Medical Center
47.00M.S. Hershey Medical Center

Baseline Period - Number of Fistula Patient Months

Nation
2,906,552Total
498.98Average
0Least
3,197Most
Pennsylvania
98,866Total
374.49Average
0Least
1,525Most
Hershey, Pennsylvania
230Total
230.00Average
230Least
230Most
M.S. Hershey Medical Center
230M.S. Hershey Medical Center

Hypercalcemia

Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL

Nation
2.36Average
0.00Least
96.00Most
Pennsylvania
2.10Average
0.00Least
17.00Most
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center

Data Availablilty

Nation
5,707Data Available
221The number of patients is too small to report. Call the facility to discuss this quality measure.
141Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
257Data Available
7The number of patients is too small to report. Call the facility to discuss this quality measure.
10Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1The number of patients is too small to report. Call the facility to discuss this quality measure.
M.S. Hershey Medical Center
2Data not reported – Call the facility to discuss this quality measure.

Number of Patients in Summary

Nation
487,975Total
80.58Average
0Least
494Most
Pennsylvania
19,300Total
70.96Average
0Least
238Most
Hershey, Pennsylvania
1Total
1.00Average
1Least
1Most
M.S. Hershey Medical Center
1M.S. Hershey Medical Center

Number of Patient Months in Summary

Nation
4,102,316Total
677.40Average
0Least
4,454Most
Pennsylvania
160,756Total
591.01Average
0Least
2,079Most
Hershey, Pennsylvania
2Total
2.00Average
2Least
2Most
M.S. Hershey Medical Center
2M.S. Hershey Medical Center

Serum Phosphorus

Number of Patients in Serum Phosphorus Summary

Nation
514,568Total
84.97Average
0Least
524Most
Pennsylvania
20,491Total
75.33Average
0Least
276Most
Hershey, Pennsylvania
1Total
1.00Average
1Least
1Most
M.S. Hershey Medical Center
1M.S. Hershey Medical Center

Data Availablilty

Nation
5,727Data Available
211The number of patients is too small to report. Call the facility to discuss this quality measure.
131Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Pennsylvania
256Data Available
8The number of patients is too small to report. Call the facility to discuss this quality measure.
10Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Hershey, Pennsylvania
1The number of patients is too small to report. Call the facility to discuss this quality measure.
M.S. Hershey Medical Center
2Data not reported – Call the facility to discuss this quality measure.

Number of Patient Months in Summary

Nation
4,294,671Total
709.16Average
0Least
4,692Most
Pennsylvania
169,816Total
624.32Average
0Least
2,515Most
Hershey, Pennsylvania
2Total
2.00Average
2Least
2Most
M.S. Hershey Medical Center
2M.S. Hershey Medical Center

Percentage of Adult Patients with SP Less Than 3.5 mg/dL

Nation
10.46Average
0.00Least
44.00Most
Pennsylvania
11.44Average
3.00Least
25.00Most
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center

Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl

Nation
28.52Average
0.00Least
54.00Most
Pennsylvania
30.15Average
16.00Least
44.00Most
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center

Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl

Nation
31.56Average
3.00Least
57.00Most
Pennsylvania
30.82Average
19.00Least
47.00Most
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center

Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl

Nation
19.11Average
0.00Least
48.00Most
Pennsylvania
18.32Average
3.00Least
36.00Most
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center

Percentage of Adult Patients with SP Greater Than 7.0 mg/dl

Nation
10.36Average
0.00Least
70.00Most
Pennsylvania
9.31Average
2.00Least
25.00Most
Hershey, Pennsylvania
N/AAverage
N/ALeast
N/AMost
M.S. Hershey Medical Center
N/AM.S. Hershey Medical Center