The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Fairfield Medical Center
Org ID: 7060
401 North Ewing Street
Lancaster, OH  43130-3371
(740)687-8000
www.fmchealth.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 6/7/2014 6/6/2014   12/17/2015  


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





Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)


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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.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2015 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  2014 -
Jun  2015
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
Immunization See Detail
Not displayed.
2
Not displayed.
2
Perinatal 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.
Stroke Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Venous Thromboembolism (VTE) See Detail
Not displayed.
8
Not displayed.
8
 
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
DHS - Colonade
1550 Sheridan Dr
Lancaster, OH  43130
    Services:
    • Laboratory Draw Station (Outpatient)
    DHS - Millersport
    DBA:  Lab
    12135 Lancaster Street NE
    Millersport, OH  43046
      Services:
      • Outpatient Clinics (Outpatient)
      DHS- Granville Pike
      1781 Country Side Dr
      Lancaster, OH  43130
        Services:
        • Laboratory Draw Station (Outpatient)
        Diagnostic Health Care Services
        1159 East Main Street
        Lancaster, OH  43130
          Services:
          • Outpatient Clinics (Outpatient)
          Ewing Square
          DBA:  Ambulatory Infusion Center
          1253 East Main Street
          Lancaster, OH  43130
            Services:
            • Administration of Blood Product (Outpatient)
            • Administration of High Risk Medications (Outpatient)
            • Outpatient Clinics (Outpatient)
            Fairfield Diagnostic Imaging
            DBA:  Fairfield Diagnostic Imaging
            1241 River Valley Boulevard
            Lancaster, OH  43130
              Services:
              • Outpatient Clinics (Outpatient)
              Fairfield Medical Center  *
              401 N. Ewing Street
              Lancaster, OH  43130
                Services:
                • Behavioral Health (24-hour Acute Care/Crisis Stabilization - 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)
                • 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)
                • Inpatient Unit (Inpatient)
                • Interventional Radiology (Imaging/Diagnostic Services)
                • Labor & Delivery (Inpatient)
                • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                • Medical /Surgical Unit (Inpatient)
                • Normal Newborn Nursery (Inpatient)
                • Nuclear Medicine (Imaging/Diagnostic Services)
                • Ophthalmology (Surgical Services)
                • Orthopedic Surgery (Surgical Services)
                • Orthopedic/Spine Unit (Inpatient)
                • Outpatient Clinics (Outpatient)
                • Pediatric Unit (Inpatient)
                • Peer Support (Non 24 Hour Care)
                • Plastic Surgery (Surgical Services)
                • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                • Post Anesthesia Care Unit (PACU) (Inpatient)
                • Radiation Oncology (Imaging/Diagnostic Services)
                • Sleep Laboratory (Sleep Laboratory)
                • Surgical ICU (Intensive Care Unit)
                • Surgical Unit (Inpatient)
                • Teleradiology (Imaging/Diagnostic Services)
                • Thoracic Surgery (Surgical Services)
                • Ultrasound (Imaging/Diagnostic Services)
                • Urology (Surgical Services)
                • Vascular Surgery (Surgical Services)
                Fairfield Medical Diagnostic Services at Riverview
                DBA:  Fairfield Medical Diagnostic Services at Riverview
                2405 N. Columbus St
                Lancaster, OH  43130
                  Services:
                  • Outpatient Clinics (Outpatient)
                  Rehabilitation Services
                  1143 East Main Street
                  Lancaster, OH  43130
                    Services:
                    • Outpatient Clinics (Outpatient)
                    River Valley Laboratory
                    1203-B River Valley Boulevard
                    Lancaster, OH  43130
                      Services:
                      • Laboratory Draw Station (Outpatient)
                      Riverview Surgery Center
                      2401 N. Columbus Street
                      Lancaster, OH  43130
                        Services:
                        • Administration of High Risk Medications (Outpatient)
                        • Ambulatory Surgery Center (Outpatient)
                        • Anesthesia (Outpatient)
                        • Perform Invasive Procedure (Outpatient)
                        Wound Care Services
                        135 North Ewing Street, Suite 302
                        Lancaster, OH  43130
                          Services:
                          • Administration of High Risk Medications (Outpatient)
                          • Ambulatory Surgery Center (Outpatient)
                          • Anesthesia (Outpatient)
                          • Outpatient Clinics (Outpatient)
                          • Perform Invasive Procedure (Outpatient)

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