|
|
Quality Report
Summary of Quality Information |
|
Accreditation Programs
|
Accreditation Decision
|
Effective Date
|
Last Full Survey Date |
Last On-Site Survey Date |
|
|
Accredited
|
3/30/2012 |
3/29/2012
|
3/29/2012
|
|
Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
|
| Hospital |
|
Certified Programs
|
Certification Decision
|
Effective Date
|
Last Full Review Date
|
Last On-Site Review Date
|
 |
Stroke Rehabilitation |
|
Certification |
4/13/2013
|
4/12/2013
|
4/12/2013
|
- Top -
|
| |
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. |
|
| National Patient Safety Goals and National Quality Improvement Goals |
| |
|
Compared to
other Joint Commission Accredited Organizations
|
| |
|
Nationwide
|
Statewide
|
| Hospital |
|
|
*
|
|
National Quality Improvement Goals: |
|
|
Reporting Period: Oct
2011
- Sep
2012 |
Surgical Care Improvement Project (SCIP) |
|
|
|
|
|
|
| SCIP - Infection Prevention For All Reported Procedures:
|
See Detail
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
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.
|
 |
The Joint Commission only reports measures endorsed by the National Quality Forum.
|
|
| |
| * |
State results are not calculated for the National Patient Safety Goals. |
|
- Top - * 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 |
Hughston Hospital Inc * 100 Frist Court Columbus, GA 31908-7188
|
Joint Commission Certified Programs:
|
|
|
|
|
Services:
|
- CT Scanner (Imaging/Diagnostic Services)
- Interventional Radiology (Imaging/Diagnostic Services)
- Magnetic Resonance Imaging (Imaging/Diagnostic Services)
- Medical /Surgical Unit (Inpatient)
- Neurosurgery (Surgical Services)
- Nuclear Medicine (Imaging/Diagnostic Services)
|
- Orthopedic Surgery (Surgical Services)
- Orthopedic/Spine Unit (Inpatient)
- Plastic Surgery (Surgical Services)
- Surgical ICU (Intensive Care Unit)
- Teleradiology (Imaging/Diagnostic Services)
- Ultrasound (Imaging/Diagnostic Services)
|
|
 |
Hughston Hospital Outpatient Therapy 839 Veterans Parkway, Suite H Columbus, GA 31909
|
|
|
Services:
|
- Outpatient Clinics (Outpatient)
|
|
 |
- Top - |