ER Inspector MONONGAHELA VALLEY HOSPITALMONONGAHELA VALLEY HOSPITAL

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Updated September 19, 2019

This database was last updated in September 2019. It should only be used as a historical snapshot.Researchers can find more recent data on timely and effective care in the Centers for Medicare and Medicaid Services’ hospitals datasets and guidance about hospital regulations.

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ER Inspector » Pennsylvania » MONONGAHELA VALLEY HOSPITAL

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MONONGAHELA VALLEY HOSPITAL

1163 country club road, monongahela, Pa. 15063

(724) 258-1000

72% of Patients Would "Definitely Recommend" this Hospital
(Pa. Avg: 70%)

2 violations related to ER care since 2015

Hospital Type

Acute Care Hospitals

Hospital Owner

Voluntary non-profit - Private

ER Volume

Medium (20K - 40K patients a year)

See this hospital's CMS profile page or inspection reports.

Patient Pathways Through This ER

After a patient arrives at the emergency room, they are typically seen by a doctor or medical practitioner and then either sent home or admitted to the hospital and taken to a room. A small percentage of patients leave without being seen. The chart below shows on average how long each of these pathways take. Lower numbers are better, and all times refer to the average length of time people waited.

Arrives at ER
1% of patients leave without being seen
4hrs 13min Admitted to hospital
5hrs 37min Taken to room
2hrs 35min Sent home

All wait times are average.

Detailed Quality Measures

Here is a more in depth look at each quality measure, compared to state and national averages for hospitals with medium ER volumes. Experts caution that very small differences between hospitals for a given measure are unlikely to correspond to noticeable differences in the real world.

Measure
Average for this Hospital
How this Hospital Compares

(to other hospitals with similar
ER volumes, when available)

Discharged Patients
Time Until Sent Home

Average time patients spent in the emergency room before being sent home (if not admitted).

2hrs 35min
National Avg.
2hrs 23min
Pa. Avg.
2hrs 33min
This Hospital
2hrs 35min
Impatient Patients
Left Without
Being Seen

Percentage of patients who left the emergency room without being seen by a doctor or medical practitioner.

1%
Avg. U.S. Hospital
2%
Avg. Pa. Hospital
2%
This Hospital
1%
Admitted Patients
Time Before Admission

Average time patients spent in the emergency room before being admitted to the hospital.

4hrs 13min

Data submitted were based on a sample of cases/patients.

National Avg.
4hrs 21min
Pa. Avg.
4hrs 52min
This Hospital
4hrs 13min
Admitted Patients
Transfer Time

Among patients admitted, additional time they spent waiting before being taken to their room (sometimes referred to as "boarding time.")

1hr 24min

Data submitted were based on a sample of cases/patients.

National Avg.
1hr 33min
Pa. Avg.
2hrs 2min
This Hospital
1hr 24min
Special Patients
CT Scan

Percentage of patients who arrived with stroke symptoms and did not receive brain scan results within 45 mins.

6%
National Avg.
27%
Pa. Avg.
22%
This Hospital
6%

Violations Related to ER Care

Problems found in emergency rooms at this hospital since 2015, as identified during the investigation of a complaint. About This Data →

Violation
Full Text
COMPLIANCE WITH 489.24

Sep 30, 2016

review of facility documentation and staff interviews (EMP).

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review of facility documentation and staff interviews (EMP). It was determined that the facility failed to develop policies and procedures for on call physicians to respond, examine, and treat patients who present to the Emergency Department (ED) with a potential emergency medical condition (EMC) and failed to define the qualified medical person to perform the initial medical screening examination (MSE) in order to determine if an underlying emergency medical condition existed. Findings include: 1) On September 29, 2016, at approximately 11:00AM a request was made for a copy of the facility's policy and procedure for the On Call Physicians in the ED. In response to the Department's request EMP1 stated, "We do not have an on call policy." 2) A review of the facility's "Department of Emergency Medicine Rules and Regulations" dated September 14, 2016, revealed that the facility failed to define and identify who the qualified medical person is to perform the initial medical screening examination and make the determination if an underlying emergency medical condition exists. 3) On September 30, 2016, at approximately 1:00 PM EMP1 confirmed the above findings.

See Less ↑
APPROPRIATE TRANSFER

Sep 30, 2016

Based on review of facility documentation, medical records (MR), and staff interviews (EMP), it was determined that the facility failed to follow its policy for appropriate transfer, for physician to physician discussion between the sending and accepting facility, and accepting physician for one medical record reviewed (MR1). Findings include: Review of facility policy "Transfers to other Hospitals" last reviewed October 2015, revealed, "PURPOSE: To provide appropriate medical screening and stabilizing treatment to any individual prior to transfer.

See More ↓

Based on review of facility documentation, medical records (MR), and staff interviews (EMP), it was determined that the facility failed to follow its policy for appropriate transfer, for physician to physician discussion between the sending and accepting facility, and accepting physician for one medical record reviewed (MR1). Findings include: Review of facility policy "Transfers to other Hospitals" last reviewed October 2015, revealed, "PURPOSE: To provide appropriate medical screening and stabilizing treatment to any individual prior to transfer. To ensure proper professional care of the patient throughout the transfer. To ensure appropriate communication of information regarding the transfers. POLICY: ... B. The receiving hospital and physician have available space and qualified personnel for the treatment of the individual and has agreed to accept the transfer of the individual and to provide the appropriate medical treatment. The transferring physician will make the arrangements. ...11. Documentation shall include: ... Communications with the receiving hospital and/or physician." 1. Review of MR1's Emergency Department Provider Documentation, dated September 16, 2016, revealed, "ED Course/Decision Making ... The case was discussed with (obstetrician on call at sending hospital) who requested that the patient be transferred to (receiving hospital) for monitoring for preterm labor." Further review of MR1 revealed, "Accepting Physician: (sending hospital on call obstetrician.)" No documentation of an accepting physician at the receiving hospital was noted. 2. Interview with EMP9, (sending physician) on September 29, 2016, at 9:45 AM, "[Obstetrician on duty at accepting hospital] called me and said that she did not hear about this transfer, so I told her a history, high risk twin pregnancy, was admitted last month for pre-term labor. ... I don't think she was in active labor but [the sending hospital on call obstetrician] said we need to transfer her for a non-stress test. When I spoke with [obstetrician on duty at accepting hospital], she wanted us to discharge the patient and have her come in as an outpatient. I told [obstetrician on duty at accepting hospital] that I respectfully disagree. [Obstetrician on duty at accepting hospital] wanted to speak with [obstetrician on call at sending hospital] first. The ambulance came and I stopped them from leaving until they accepted the patient. [Obstetrician on call at sending hospital] called me and said to transfer the patient." When asked if obstetrician on call at sending hospital was at the receiving hospital, EMP stated, "No, he wasn't."

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Notes

“Average time” refers to the median wait time (the midpoint of all patients' wait times). References to “doctor or medical practitioner” indicate a doctor, nurse practitioner or physician's assistant. CMS reports the CT scan quality measure as the percentage of patients who received a scan within 45 minutes. We have reversed that measure so that all measures follow a “lower is better” pattern.

Additional design and development by Mike Tigas and Sisi Wei.

Sources

All data comes from the Centers for Medicare and Medicaid Services. Detailed quality measures at the hospital, state and national level were last updated September 2019. Most data was collected between October 2017 and October 2018. Data on ER-related violations is from January 2015 to June 2019.

Additional Info

How We've Updated ER Inspector | Download ProPublica's Emergency Room Planning Toolkit | About This Data

Don’t See Your ER?

In some cases we aren’t able to identify the exact location of a hospital, so it doesn’t appear on our mapped search results. However, it may still be in our database – try looking for it in the list of hospitals on each state's page.

In other cases, the hospital is missing from our database because it doesn't have an emergency department.

In other cases, the hospital is missing from the federal government’s Centers for Medicare and Medicaid Services (CMS) data. There are a couple of reasons why a hospital isn’t included in CMS data: it may not participate in Medicare, or it may share a certification number with another hospital (common across large hospital systems).

If you notice a hospital missing from our database, please first check if you can find it on CMS' website, and that it is listed as having an ER. If so, please email us with the hospital name and address.