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Accreditation Quality Report
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Quality Report

Summary of Accreditation Quality Information
Covenant Med Ctr/Covenant Med Ctr - Lakeside/Children Hosp.
Org ID: 266567
3615 19th Street
Lubbock, TX  79410
(806)725-1011
www.covenanthealth.org
Accreditation Decision: Accredited
Decision Effective Date: December 17, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Home Care 12/16/2008 12/16/2008  
Hospital 12/16/2008 12/16/2008  


Other Accredited Programs / Services
Laboratory  -  Accredited by College of American Pathologists
Laboratory  -  Accredited by Commission on Office Laboratory Accreditation

Special Quality Awards


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  Symbol Key
This organization achieved the best possible results
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
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number of patients is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2008 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2008 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2009 -
Dec  2009
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Stroke Care See Detail
Not displayed.
8
Not displayed.
8
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Blood Vessel Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Colon/Large Intestine Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hysterectomy
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
National Quality Forum 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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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Convenant Neuroscience Patient Resource and Rehab Center
3610 22nd St, Ste 301
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Covenant Center for Wound Care and Hyperbaric Medicine
4000 22nd Place Ste. 100
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Covenant Children's Dental Clinic
4122 22nd Place
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Covenant Children's Dental Clinic
702 13th Street
Artesia, NM  88210
  • General Outpatient Services (Outpatient)
Covenant Community Health Education Program
1318 Broadway
Lubbock, TX  79401
  • General Outpatient Services (Outpatient)
Covenant Counseling Center
1302 Broadway
Lubbock, TX  79401
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
  • General Outpatient Services (Outpatient)
Covenant Gamma Southwest
3603 21st Street
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Covenant Home Infusion
3604 23rd Street
Lubbock, TX  79410
  • Durable Medical Equipment
  • Enteral Nutrition
  • Home Medical Equipment, Non-Hospice
  • Parenteral Nutrition
  • Pharmacy, Clinical Consulting Services
  • Pharmacy/Dispensary,General Services
  • Supplies
Covenant Medical Center  *
3615 19th Street
Lubbock, TX  79410
  • Abdominal Aortic Aneurysm (Inpatient, Outpatient)
  • Acute Coronary Syndrome (Inpatient, Outpatient)
  • Acute Myocardial Infarction (Inpatient, Outpatient)
  • Anxiety/panic disorders (Inpatient, Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient)
  • Bariatric Surgery (Inpatient, Outpatient)
  • Bipolar disorder (Inpatient)
  • Brain Injury Rehabilitation (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Breast Cancer (Inpatient, Outpatient)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Rehabilitation (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • Carotid Stenosis (Inpatient)
  • Cellulitis (Inpatient)
  • Cerebral Bleeding (Inpatient, Outpatient)
  • Chronic Kidney Disease (Inpatient, Outpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • Coronary Artery Bypass Graft (Inpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Cystic Fibrosis (Inpatient)
  • Depression (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient, Outpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Heart Failure (Inpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Hemophilia (Inpatient, Outpatient)
  • Hepatitis B/C (Outpatient)
  • High Risk Obstetrics (Inpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • Hodgkin's disease (Inpatient, Outpatient)
  • Hyperbilirubinemia (Inpatient, Outpatient)
  • Hyperlipidemia (Inpatient, Outpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Therapy (Inpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Interventional Cardiac Catheterization (Inpatient, Outpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Intraventricular hemorrhage (Inpatient)
  • Irritable Bowel Syndrome (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Laminectomy (Inpatient, Outpatient)
  • Leukemia (Inpatient, Outpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lumbar Spine Treatment (Inpatient, Outpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Microdiscectomy (Inpatient)
  • Morbid Obesity (Inpatient, Outpatient)
  • Multiple Sclerosis (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatic Cancer (Inpatient, Outpatient)
  • Pancreatitis (Inpatient, Outpatient)
  • Parkinsons Disease (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Outpatient)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prostate Cancer (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient)
  • Rehabilitation and Physical Medicine (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Respite Care (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Schizophrenia (Inpatient, Outpatient)
  • Self Injury (Inpatient, Outpatient)
  • Sleeping Disorder (Inpatient, Outpatient)
  • Spinal Fusion (Inpatient, Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient, Outpatient)
  • Subacute Care (Inpatient)
  • Systemic Lupus Erythematosis (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Spine (Inpatient, Outpatient)
  • Thoracic Surgery (Inpatient)
  • Tobacco Treatment / Cessation (Inpatient, Outpatient)
  • Trauma (Inpatient, Outpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Disease (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient)
  • Ventricular Assist Device (Inpatient)
  • Weight Loss (Inpatient, Outpatient)
  • Women's Health (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Covenant Medical Center - Lakeside
4000 24th Street
Lubbock, TX  79410
  • Addiction Care (Outpatient)
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Behavioral Health (Day Programs - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • Bone Marrow Transplant (Inpatient)
  • Cancer Center/Oncology (Inpatient)
  • Chemical Dependency (Day Programs - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • CT Scanner (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Intake (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respite Care (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urology (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Covenant Outpatient Infusion Center
4000 22nd Place, Ste. 100
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Covenant Sleep Disorder Center
36102 22nd Street, Suite 200
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Covenant Transplant Clinic
3506 21st Street, Suite 501
Lubbock, TX  79410
  • General Outpatient Services (Outpatient)
Joe Arrington Cancer Research and Treatment Center
4101 22nd Place
Lubbock, TX  79410
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
Southwest Medical Park
9812 Slide Road
Lubbock, TX  79424
  • General Outpatient Services (Outpatient)

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