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Quality Report

Summary of Accreditation Quality Information
Florida Hospital Memorial Medical Center
Org ID: 6879
301 Memorial Medical Parkway
Daytona Beach, FL  32117
(386)676-6000
www.fhmd.com

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 9/16/2006 9/15/2006 9/15/2006  
Hospital
Accredited 9/4/2009 9/3/2009 9/3/2009  


Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons/Commission on Cancer

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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
2006 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:
Jul  2008 -
Jun  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 similar to the target range/value.
This organization’s performance is below 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 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 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
Center for Neurohealth Sciences
873 Sterthaus Avenue
Ormond Beach, FL  32174
  • Single Specialty Practitioner (Outpatient)
Christian Birkedal, M.D.
305 Memorial Medical Parkway, Suite 205
Daytona Beach, FL  32117
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Christopher Windham, M.D.
305 Memorial Medical Parkway, Suite 205
Daytona Beach, FL  32117
  • General Outpatient Services (Outpatient)
  • Single Specialty Practitioner (Outpatient)
Dr. Jessy Casimiro
290 Clyde Morris Blvd Suite A2
Ormond Beach, FL  32174
  • Single Specialty Practitioner (Outpatient)
Dr. Ronald Rasmussen
305 Memorial Medical Parkway, Suite 209
Daytona Beach, FL  32117
  • Single Specialty Practitioner (Outpatient)
Ehringer Medical
1182 Oceanshore Boulevard
Ormond Beach, FL  32176
  • General Outpatient Services (Outpatient)
Florida Hospital Cancer Care Institute
873 Sterthaus Avenue
Ormond Beach, FL  32174
  • General Outpatient Services (Outpatient)
Florida Hospital Imaging
335 Clyde Morris Blvd, Suite 250
Ormond Beach, FL  32174
  • General Outpatient Services (Outpatient)
Florida Hospital Memorial Medical Center  *
301 Memorial Medical Parkway
Daytona Beach, FL  32117
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Services (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pediatric Care (Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Florida Hospital Port Orange Rehabilitation Services
851 Dunlawton Avenue, Suite 201
Port Orange, FL  32127
  • General Outpatient Services (Outpatient)
Julie Schneider, MD
335 Clyde Morris Blvd, Suite 240
Ormond Beach, FL  32174
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Maria Gontcharova, M.D., Internal Medicine
394 S. Atlantic Avenue
Ormond Beach, FL  32176
  • General Outpatient Services (Outpatient)
  • Single Specialty Practitioner (Outpatient)
Mark Murphy, MD
305 Memorial Medical Parkway, Suite 206
Daytona Beach, FL  32117
  • Single Specialty Group Practice (Outpatient)
Medical Oncology-Clyde Morris
345 Clyde Morris Blvd., Suite 490
Ormond Beach, FL  32174
  • General Outpatient Services (Outpatient)
Memorial Family Care - Daytona Beach
1130 Beville Road
Daytona Beach, FL  32114
  • Single Specialty Practitioner (Outpatient)
Memorial Family Care - Ormond Beach
700 Sterthaus Avenue
Ormond Beach, FL  32174
  • Single Specialty Practitioner (Outpatient)
Memorial Hospital- Peninsula
264 South Atlantic Avenue
Ormond Beach, FL  32176
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • General Medical Services (Inpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infusion Services (Inpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Pediatric Care (Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
Memorial Medical Oncology Sterthaus
873 Sterthaus Ave, Suite 104
Ormond Beach, FL  32174
  • Single Specialty Practitioner (Outpatient)
Robert J. Martin, M.D.
305 Memorial Medical Parkway, Suite 206
Daytona Beach, FL  32117
  • Single Specialty Practitioner (Outpatient)
Steve H. Levine, MD
305 Memorial Medical Parkway, Suite 207
Daytona Beach, FL  32117
  • Single Specialty Practitioner (Outpatient)

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