Providence Health and Services Oregon
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2 Quality Report Providence Health and Services Oregon DBA: Providence Medford Medical Center HCO ID: Crater Lake Avenue (541) w w w.providence.org Summary of Quality Information Programs View History Hospital Accredited 8/15/2013 8/5/2016 Survey 8/5/2016 Laboratory Program Accredited 2/19/2016 2/18/2016 Survey 2/18/2016 Advanced Programs View History Primary Stroke Center 3/22/2016 3/21/2016 Survey 3/21/2016
3 Core Programs Joint Replacement - Hip 9/25/2015 Survey Joint Replacement - Knee 9/25/2015 Survey Sites Central Point MOB 870 South Front Street Central Point, OR, Providence Center for Occupational Medicine 1390 Biddle Road, #101 Providence Eagle Point Outpatient 1332 South Shasta Ave, Suite B Eagle Point, OR, Providence Eagle Point Physical Therapy Clinic 155 Alta Vista Road, Suite B Eagle Point, OR, Providence Hand Clinic 2780 East Barnett Road #310
4 Providence Medford Medical Center 1111 Crater Lake Avenue Brachytherapy (Imaging/Diagnostic Cardiac Catheterization Lab (Surgical Cardiovascular Unit (Inpatient ) CT Scanner (Imaging/Diagnostic Ear/Nose/Throat Surgery (Surgical EEG/EKG/EMG Lab (Imaging/Diagnostic Gastroenterology (Surgical Services ) General Laboratory Tests GI or Endoscopy Lab (Imaging/Diagnostic Gynecological Surgery (Surgical Gynecology (Inpatient ) Inpatient Unit (Inpatient ) Interventional Radiology (Imaging/Diagnostic Labor & Delivery (Inpatient ) Magnetic Resonance Imaging (Imaging/Diagnostic Medical /Surgical Unit (Inpatient ) Medical ICU (Intensive Care Unit ) Neuro/Spine Unit (Inpatient ) Neurosurgery (Surgical Normal Newborn Nursery (Inpatient ) Nuclear Medicine (Imaging/Diagnostic Orthopedic Surgery (Surgical Orthopedic/Spine Unit (Inpatient ) Plastic Surgery (Surgical Positron Emission Tomography (PET) (Imaging/Diagnostic Post Anesthesia Care Unit (PACU) (Inpatient ) Radiation Oncology (Imaging/Diagnostic Rehabilitation Unit (Inpatient )
5 Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization ) Sleep Laboratory (Sleep Laboratory ) Surgical ICU (Intensive Care Unit ) Teleradiology (Imaging/Diagnostic Toxicology Ultrasound (Imaging/Diagnostic Urology (Surgical Vascular Surgery (Surgical Programs Joint Replacement - Hip Joint Replacement - Knee Primary Stroke Center Special Quality Awards Due to our commitment to accurate data reporting, The Joint Commission is suspending the practice of updating Special Quality Awards until further notice 2014 Gold Plus Get With The Guidelines - Stroke Cooperative Agreements Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC) National Patient Safety Goals and National Quality Improvement Goals Show Keys + Symbol Key This organization achieved the best possible results
6 This organization's performance is above the target range/value This organization's performance is similar to the target range/value This organization's performance is below the target range/value This measure is not applicable for this organization Not displayed Measures Footnote Key The measure or measure set was not reported. The measure set does not have an overall result. The number is not enough for comparison purposes. The measure meets the Privacy Disclosure Threshold rule. The organization scored above 90% but was below most other organizations. The measure results are not statistically valid. The measure results are based on a sample of patients. The number of months with measure data is below the reporting requirement. The measure results are temporarily suppressed pending resubmission of updated data. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement. There were no eligible patients that met the denominator criteria. The Joint Commission only reports measures endorsed by the National Quality Forum. * This information can also be viewed at Hospital Compare. ** Indicates per 1000 hours of patient care. *** The measure was not in effect for this quarter Null value or data not displayed.
7 Hospital 2013 National Patient Safety Goals Nationwide Laboratory Program 2016 National Patient Safety Goals Nationwide Reporting Period: January December 2015 National Quality Improvement Goals: Emergency Department National 2 2 Immunization National 2 2 Perinatal Care National Stroke Care National Venous Thromboembolism (VTE) National New Changes to Quarterly Measure Download Quarterly Measure Results The Joint Commission only reports measures endorsed by the National Quality Forum. * State results are not calculated for the National Patient Safety Goals.
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