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Quality Report

Summary of Accreditation Quality Information
Monongalia County General Hospital Company
Org ID: 6443
1200 J. D. Anderson Drive
Morgantown, WV  26505
(304)598-1200
www.monhealth.com

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 9/17/2009 9/16/2009 9/16/2009  
Hospital
Accredited 9/18/2009 9/17/2009 9/17/2009  


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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
2010 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
2010 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 below 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.
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.
  • 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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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
Fast Care Clinic
4500 University Town Center Drive
Morgantown, WV  26505
  • Convenient Care Center (Outpatient)
Monongalia County General Hospital Company  *
1200 J. D. Anderson Drive
Morgantown, WV  26505
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient)
  • Arthritis (Inpatient)
  • Asthma (Inpatient)
  • Asthma, Pediatrics (Inpatient)
  • Atrial Fibrillation (Inpatient)
  • Benign prostatic hyperplasia (BPH) (Inpatient)
  • Breast Cancer (Inpatient)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Rehabilitation (Inpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • Carotid Stenosis (Inpatient)
  • Cellulitis (Inpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient)
  • Colon/Rectal Cancer (Inpatient)
  • Coronary Artery Bypass Graft (Inpatient)
  • Coronary Artery Disease (Inpatient)
  • Crohn's Disease (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient)
  • End Stage Renal Disease (Inpatient)
  • Esophageal Cancer (Inpatient)
  • Family Practice (Inpatient)
  • Finger Joint Replacement (Inpatient)
  • Gastroenterology (Inpatient)
  • Gastroesophageal Reflux Disease (Inpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient)
  • Heart Failure (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • Hypertension (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Interventional Cardiac Catheterization (Inpatient)
  • Irritable Bowel Syndrome (Inpatient)
  • Ischemic Heart Disease (Inpatient)
  • Joint Replacement - Ankle (Inpatient)
  • Joint Replacement - Finger (Inpatient)
  • Joint Replacement - Knee (Inpatient)
  • Joint Replacement - Shoulder (Inpatient)
  • Labor & Delivery (Inpatient)
  • Leukemia (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient)
  • Lung Cancer (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient)
  • Operating Room (Inpatient)
  • Ophthalmology/Eye Surgery (Inpatient)
  • Oral Maxillofacial Surgery (Inpatient)
  • Orthopedic Surgery (Inpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Pancreatic Cancer (Inpatient)
  • Pancreatitis (Inpatient)
  • Pathology (Inpatient)
  • Pediatric Care (Inpatient)
  • Pneumonia (Inpatient)
  • Podiatry (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Prostate Cancer (Inpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Recovery/Infirmary (Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Respite Care (Inpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient)
  • Vascular Disease (Inpatient)
  • Vascular Surgery (Inpatient)
  • Ventricular Assist Device (Inpatient)
  • Weight Loss (Inpatient)
  • Wound Care (Outpatient)
Monongalia County General Hospital Company
99 J.D. Anderson Drive
Morgantown, WV  26505
  • General Outpatient Services (Outpatient)
Monongalia County General Hospital Company
200 Wedgewood Drive
Morgantown, WV  26505
  • General Outpatient Services (Outpatient)
Morgantown Hospice
1063 Maple Drive Suite 2A
Morgantown, WV  26505
  • Hospice Care

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