The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Portage Hospital, LLC
Org ID: 2827
500 Campus Drive
Hancock, MI  49930-1569
(906)483-1000
www.portagehealth.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Home Care
Accredited 11/18/2011 11/17/2011   11/17/2011  
Hospital
Accredited 11/19/2011 11/18/2011   11/18/2011  
Laboratory Accreditation Program
Accredited 4/17/2014 4/16/2014   4/16/2014  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Pathology and Clinical Laboratory
Hospital





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 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.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2011 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
2011 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  2013 -
Dec  2013
Heart Attack Care See Detail
Not displayed.
3
Not displayed.
3
Heart Failure Care See Detail
Not displayed.
3
Not displayed.
3
Pneumonia Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is above the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Colon/Large Intestine Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • Hip Joint Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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.
SCIP – Venous Thromboembolism (VTE) See Detail
   
Laboratory Accreditation Program
2014 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 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
Portage Health Express Care
921 W. Sharon Avenue
Houghton, MI  49931
    Services:
    • General Laboratory Tests
    • Single Specialty Practitioner (Outpatient)
    Portage Health Home Care & Hospice
    821 West Water Street
    Hancock, MI  49930
      Services:
      • General Laboratory Tests
      • Home Health Aides
      • Home Health, Non-Hospice Services
      • Hospice Care
      • Medical Social Services
      • Occupational Therapy
      • Physical Therapy
      • Skilled Nursing Services
      • Speech Language Pathology
      Portage Health Medical Group
      945 Ninth Street (Bootjack Road)
      Lake Linden, MI  49945
        Services:
        • General Laboratory Tests
        • Single Specialty Practitioner (Outpatient)
        Portage Health Rehab
        56901 S. Sixth Street, Suite 4
        Calumet, MI  49913
          Services:
          • General Laboratory Tests
          • Outpatient Clinics (Outpatient)
          Portage Health Rehab
          600 MacInnes Dr.
          Houghton, MI  49931
            Services:
            • General Laboratory Tests
            • Outpatient Clinics (Outpatient)
            Portage Hospital, LLC  *
            500 Campus Drive
            Hancock, MI  49930
              Services:
              • Canes and Crutches
              • Contracture Treatment: Dynamic Splint
              • CT Scanner (Imaging/Diagnostic Services)
              • Custom Orthotics
              • Durable Medical Equipment
              • Ear/Nose/Throat Surgery (Surgical Services)
              • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
              • Gastroenterology (Surgical Services)
              • General Laboratory Tests
              • Gynecological Surgery (Surgical Services)
              • Gynecology (Inpatient)
              • Heat/Cold Applications
              • Inpatient Unit (Inpatient)
              • Interventional Radiology (Imaging/Diagnostic Services)
              • Labor & Delivery (Inpatient)
              • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
              • Medical /Surgical Unit (Inpatient)
              • Medical ICU (Intensive Care Unit)
              • Normal Newborn Nursery (Inpatient)
              • Nuclear Medicine (Imaging/Diagnostic Services)
              • Off The Shelf Orthotics
              • Ophthalmology (Surgical Services)
              • Orthopedic Surgery (Surgical Services)
              • Orthotics - Non-Customized
              • Outpatient Clinics (Outpatient)
              • Post Anesthesia Care Unit (PACU) (Inpatient)
              • Sleep Laboratory (Sleep Laboratory)
              • Supplies
              • Surgical Dressings
              • Surgical ICU (Intensive Care Unit)
              • Surgical Unit (Inpatient)
              • Teleradiology (Imaging/Diagnostic Services)
              • Toxicology
              • Ultrasound (Imaging/Diagnostic Services)
              • Urology (Surgical Services)

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