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Quality Report
Summary of Quality Information |
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Accreditation
Programs
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Accreditation
Decision
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Effective
Date
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Last Full Survey Date |
Last On-Site Survey Date |
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Laboratory Accreditation Program
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Accredited
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12/9/2011 |
12/8/2011
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12/8/2011
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Accredited
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8/16/2012 |
8/15/2012
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8/15/2012
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Accredited
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3/28/2013 |
8/17/2012
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3/27/2013
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Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
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Pathology and Clinical Laboratory
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Advanced Certification
Programs
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Certification
Decision
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Effective
Date
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Last Full
Review Date
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Last On-Site
Review Date
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Primary Stroke Center |
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Certification |
6/23/2012
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6/22/2012
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6/22/2012
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Symbol Key |
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This organization
achieved the best possible results
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This organization’s performance is above the target range/value. |
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This organization’s performance is similar to the target range/value. |
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This organization’s performance is below the target range/value. |
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This measure is not applicable for this organization.
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Not displayed |
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Footnote Key |
| 1. |
The measure or measure set was not reported. |
| 2. |
The measure set does not have
an overall result.
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| 3. |
The number is not
enough for comparison
purposes.
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| 4. |
The measure meets the Privacy Disclosure Threshold
rule.
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| 5. |
The organization scored above
90% but was below most other
organizations.
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| 6. |
The measure results are not
statistically valid.
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| 7. |
The measure results are based
on a sample of patients.
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| 8. |
The number of months with
measure data is below the reporting requirement.
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| 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. |
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| National Patient Safety Goals and National Quality Improvement Goals |
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Compared to
other Joint Commission Accredited Organizations
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Nationwide
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Statewide
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| Laboratory Accreditation Program |
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| Behavioral Health Care |
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| Hospital |
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National Quality Improvement Goals: |
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Reporting Period:
Oct
2011
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Sep
2012 |
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| Hospital-Based Inpatient Psychiatric Services |
See Detail
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| Surgical Care Improvement Project (SCIP) |
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| SCIP - Infection Prevention For All Reported Procedures:
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See Detail
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Survey of Patients' Hospital Experiences (see details)
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Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
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Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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The Joint Commission only reports measures endorsed by the National Quality Forum.
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State results are not calculated for the National Patient Safety Goals. |
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* Primary Location
An organization may provide services not listed here. For more information refer to the
Quality Report User Guide
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| Locations of Care |
Available Services |
West Virginia University Hospitals, Inc. *
One Medical Center Drive
Morgantown, WV 26506-8242
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Joint Commission Advanced Certification Programs:
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Other Clinics/Practices located at this site:
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- Betty Puskar Breast Care Center
- Bonnie's Bus
- Clark K Sleeth Family Medicine Clinic
- Mary Babb Randolph Cancer Center
- Neurology Clinic
- Neurosurgery Clinic
- Physician Office Center Dermatology Clinic
- Physician Office Center EEG/EMG
- Physician Office Center Endocrinology Clinic
- Physician Office Center ENT Clinic
- Physician Office Center Lab
- Physician Office Center Medical Center Pharmacy
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- Physician Office Center Medical Group Practice
- Physician Office Center Medical Specialties Clinic
- Physician Office Center Obstetrics and Gynecology Clinic
- Physician Office Center Orthopedics Clinic
- Physician Office Center Pediatrics and Adolescent Medicine
- Physician Office Center Podiatry Clinic
- Physician Office Center Pre-admission Testing
- Physician Office Center Radiology
- Physician Office Center Surgical Specialties Clinic
- Physician Office Center Ultrasound
- Radiation Oncology
- West Virginia University Eye Institute
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Services:
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- Assertive Community Treatment (Non 24 Hour Care - Adult)
- Behavioral Health (Day Programs - Adult)
(24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
(Residential Care - Child/Youth)
(Partial - Adult)
- Brachytherapy (Imaging/Diagnostic Services)
- Cardiac Catheterization Lab (Surgical Services)
- Cardiac Surgery (Surgical Services)
- Cardiothoracic Surgery (Surgical Services)
- Cardiovascular Unit (Inpatient)
- Community Integration (Non 24 Hour Care)
- Coronary Care Unit (Inpatient)
- CT Scanner (Imaging/Diagnostic Services)
- Dialysis Unit (Inpatient)
- Ear/Nose/Throat Surgery (Surgical Services)
- EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
- Gastroenterology (Surgical Services)
- General Laboratory Tests
- GI or Endoscopy Lab (Imaging/Diagnostic Services)
- Gynecological Surgery (Surgical Services)
- Gynecology (Inpatient)
- Hematology/Oncology Unit (Inpatient)
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- Interventional Radiology (Imaging/Diagnostic Services)
- Labor & Delivery (Inpatient)
- Medical /Surgical Unit (Inpatient)
- Medical ICU (Intensive Care Unit)
- Neuro/Spine Unit (Inpatient)
- Neurosurgery (Surgical Services)
- Nuclear Medicine (Imaging/Diagnostic Services)
- Orthopedic Surgery (Surgical Services)
- Orthopedic/Spine Unit (Inpatient)
- Pediatric Unit (Inpatient)
- Plastic Surgery (Surgical Services)
- Post Anesthesia Care Unit (PACU) (Inpatient)
- Radiation Oncology (Imaging/Diagnostic Services)
- Surgical ICU (Intensive Care Unit)
- Surgical Unit (Inpatient)
- Thoracic Surgery (Surgical Services)
- Ultrasound (Imaging/Diagnostic Services)
- Urology (Surgical Services)
- Vascular Surgery (Surgical Services)
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WVU Cheat Lake Physicians operated by WVU Hospitals, Inc.
608 Cheat Road
Morgantown, WV 26508
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Other Clinics/Practices located at this site:
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- Cheat Lake Lab
- Cheat Lake OB/GYN Clinic
- Cheat Lake Radiology
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- Family Medicine Clinic
- Pediatric Clinic
- WVU Wound Management Center
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Services:
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- General Laboratory Tests
- Outpatient Clinics (Outpatient)
- Perform Invasive Procedure (Outpatient)
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WVU Heart Institute operated by WVU Hospitals, Inc.
600 Suncrest Towne Centre
Morgantown, WV 26505
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Other Clinics/Practices located at this site:
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- Heart Institute Clinic
- Heart Institute Pulmonary and Rehabilitation Services
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Services:
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- Administration of High Risk Medications (Outpatient)
- General Laboratory Tests
- Outpatient Clinics (Outpatient)
- Perform Invasive Procedure (Outpatient)
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WVU Pain Management Center operated by WVU Hospitals, Inc.
Suite 150 1075 VanVoorhis Road
Morgantown, WV 26505
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Services:
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- Administration of High Risk Medications (Outpatient)
- Outpatient Clinics (Outpatient)
- Perform Invasive Procedure (Outpatient)
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WVU Sleep Evaluation Center operated by WVU Hospitals, Inc.
205 Bakers Ridge Road
Morgantown, WV 26508
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Services:
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- General Laboratory Tests
- Outpatient Clinics (Outpatient)
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WVU Sports Medicine Center operated by WVU Hospitals, Inc.
943 Maple Drive, Lower Level
Morgantown, WV 26505
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Services:
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- Outpatient Clinics (Outpatient)
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