The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Gwinnett Medical Center
Org ID: 6705
1000 Medical Center Boulevard
Lawrenceville, GA  30046
(678)312-4321
www.gwinnettmedicalcenter.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 12/8/2012 12/7/2012   12/7/2012  
Nursing Care Center
Accredited 12/5/2012 12/4/2012   12/4/2012  


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


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 4/20/2013  4/19/2013  4/19/2013 



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 2/26/2014  1/13/2014  1/13/2014 
Joint Replacement - Knee
Certification 2/26/2014  1/14/2014  1/14/2014 




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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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2012 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:
Jul  2012 -
Jun  2013
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 above the target range/value.
This organization’s performance is above the target range/value.
Pneumonia Care See Detail
This organization’s performance is above 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.
  • 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.
  • 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 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.
SCIP – Venous Thromboembolism (VTE) See Detail
   
Nursing Care Center
2012 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
Glancy Rehabilitation Center
3215 McClure Bridge Road
Duluth, GA  30096
Other Clinics/Practices located at this site:
  • Center for Sleep Disorders
  • Center for Surgical Weight Management
  • Diabetes & Nutrition Education Center - Duluth
  • Glancy Rehabilitation Outpatient Program
Services:
  • Medical /Surgical Unit (Inpatient)
  • Outpatient Clinics (Outpatient)
  • Sleep Laboratory (Sleep Laboratory)
Gwinnett Extended Care Center
650 Professional Drive
Lawrenceville, GA  30046
    Services:
    • Dementia Care
    • On Site Pharmacy
    • Rehabilitation Services
    • Skilled Nursing Care
    Gwinnett Medical Center
    DBA:  GMC Imaging Center - Hamilton Mill
    2078 Teron Trace, Suite 200
    Dacula, GA  30019
      Services:
      • Outpatient Clinics (Outpatient)
      Gwinnett Medical Center  *
      1000 Medical Center Boulevard
      Lawrenceville, GA  30046
      Joint Commission Advanced Certification Programs:
      • Primary Stroke Center
      Joint Commission Certified Programs:
      • Joint Replacement - Hip
      • Joint Replacement - Knee
      Other Clinics/Practices located at this site:
      • 631 Imaging Center (PET/CT & MRI)
      • Center for Cancer Care - Lawrenceville
      • Diabetes & Nutrition Education Center - Lawrenceville
      • Gwinnett Breast Center
      • Gwinnett SportsRehab - Lawrenceville
      • Wound Treatment Center
      Services:
      • Cardiac Catheterization Lab (Surgical Services)
      • Cardiac Surgery (Surgical Services)
      • Cardiothoracic Surgery (Surgical Services)
      • Cardiovascular Unit (Inpatient)
      • Coronary Care Unit (Inpatient)
      • CT Scanner (Imaging/Diagnostic Services)
      • Ear/Nose/Throat Surgery (Surgical Services)
      • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
      • Gastroenterology (Surgical Services)
      • GI or Endoscopy Lab (Imaging/Diagnostic Services)
      • Gynecological Surgery (Surgical Services)
      • Gynecology (Inpatient)
      • Hematology/Oncology 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)
      • Neuro/Spine Unit (Inpatient)
      • Neurosurgery (Surgical Services)
      • Normal Newborn Nursery (Inpatient)
      • Nuclear Medicine (Imaging/Diagnostic Services)
      • Ophthalmology (Surgical Services)
      • Orthopedic Surgery (Surgical Services)
      • Orthopedic/Spine Unit (Inpatient)
      • Outpatient Clinics (Outpatient)
      • Plastic Surgery (Surgical Services)
      • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
      • Post Anesthesia Care Unit (PACU) (Inpatient)
      • Sleep Laboratory (Sleep Laboratory)
      • Surgical Unit (Inpatient)
      • Teleradiology (Imaging/Diagnostic Services)
      • Thoracic Surgery (Surgical Services)
      • Ultrasound (Imaging/Diagnostic Services)
      • Urology (Surgical Services)
      • Vascular Surgery (Surgical Services)
      Gwinnett Medical Center
      DBA:  575 Outpatient Imaging Center
      575 Professional Drive
      Lawrenceville, GA  30046
      Other Clinics/Practices located at this site:
      • GMC Pain Management Center
      Services:
      • Anesthesia (Outpatient)
      • Outpatient Clinics (Outpatient)
      • Perform Invasive Procedure (Outpatient)
      Gwinnett Medical Center
      DBA:  Center for Cancer Care - Snellville
      1700 Tree Lane, Suite 490
      Snellville, GA  30078
        Services:
        • Administration of High Risk Medications (Outpatient)
        • Outpatient Clinics (Outpatient)
        • Perform Invasive Procedure (Outpatient)
        Gwinnett Medical Center
        DBA:  Gwinnett Cardiac Imaging
        755 Walther Road, Suite 130
        Lawrenceville, GA  30045
          Services:
          • Outpatient Clinics (Outpatient)
          Gwinnett Medical Center - Duluth
          DBA:  Johns Creek Orthopedic Surgery Center
          10670 Medlock Bridge Road
          Duluth, GA  30097
            Services:
            • Administration of High Risk Medications (Outpatient)
            • Ambulatory Surgery Center (Outpatient)
            • Anesthesia (Outpatient)
            • Perform Invasive Procedure (Outpatient)
            Gwinnett Medical Center - Duluth
            3620 Howell Ferry Road
            Duluth, GA  30096
            Joint Commission Advanced Certification Programs:
            • Primary Stroke Center
            Joint Commission Certified Programs:
            • Joint Replacement - Hip
            • Joint Replacement - Knee
            Other Clinics/Practices located at this site:
            • Center for Cancer Care - Duluth
            • Center for Screening Mammography
            • Gwinnett SportsRehab - Duluth
            • The Concussion Institute at Gwinnett Medical Center - Duluth
            Services:
            • CT Scanner (Imaging/Diagnostic Services)
            • Ear/Nose/Throat Surgery (Surgical Services)
            • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
            • Gastroenterology (Surgical Services)
            • GI or Endoscopy Lab (Imaging/Diagnostic Services)
            • Gynecological Surgery (Surgical Services)
            • Interventional Radiology (Imaging/Diagnostic Services)
            • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
            • Medical /Surgical Unit (Inpatient)
            • Medical ICU (Intensive Care Unit)
            • Nuclear Medicine (Imaging/Diagnostic Services)
            • Ophthalmology (Surgical Services)
            • Orthopedic Surgery (Surgical Services)
            • Orthopedic/Spine Unit (Inpatient)
            • Outpatient Clinics (Outpatient)
            • Plastic Surgery (Surgical Services)
            • Teleradiology (Imaging/Diagnostic Services)
            • Thoracic Surgery (Surgical Services)
            • Ultrasound (Imaging/Diagnostic Services)
            • Urology (Surgical Services)
            • Vascular Surgery (Surgical Services)

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