The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Bloomington Hospital
Org ID: 7137
601 West Second Street
Bloomington, IN  47403
(812)353-6821
www.bloomingtonhospital.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 10/11/2008 10/10/2008 4/23/2009  
Hospital
Accredited 10/11/2008 10/10/2008 10/10/2008  

Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 6/3/2009  6/2/2009  6/2/2009 


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
2009 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
2008 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 similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is above 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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below 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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Open Heart Surgery
See Detail
Not displayed.
3
Not displayed.
3
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
Advanced Pain Center
888 Auto Mall Road
Bloomington, IN  47401
  • General Outpatient Services (Outpatient)
Aegis Tapp Rd. Lab
2920 McIntyre Drive, Suite 250
Bloomington, IN  47403
    Anticoagulation Clinic & Psychiatric Outpatient Service
    451 Landmark Avenue
    Bloomington, IN  47403
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)
    Bloomington Hospital Ambulance Service
    615 West First Street
    Bloomington, IN  47403
    • General Laboratory Tests
    Bloomington Hospital  *
    601 West Second Street
    Bloomington, IN  47403
    Joint Commission Advanced Certification Programs:
    • Primary Stroke Center
    Services:
    • Behavioral Health (Non 24 Hour Care - Adult)
      (24-hour Acute Care/Crisis Stabilization - Adult)
    • Cancer Center/Oncology (Inpatient, Outpatient)
    • Cardiac Catheterization Lab (Inpatient, Outpatient)
    • Cardiac Surgery (Inpatient)
    • Cardiac Unit/Cardiology (Inpatient, Outpatient)
    • Commodes
    • Continuous Positive Airway Pressure
    • CPM Device
    • CT Scanner (Inpatient, Outpatient)
    • Dialysis (Inpatient)
    • Durable Medical Equipment
    • EEG/EKG/EMG Lab (Inpatient, Outpatient)
    • Emergency Room (Outpatient)
    • Endocrinology (Inpatient)
    • Gastric Suction Pumps
    • Gastroenterology (Inpatient, Outpatient)
    • General Laboratory Tests
    • General Medical Services (Inpatient)
    • General Surgery (Inpatient, Outpatient)
    • GI or Endoscopy Lab (Inpatient, Outpatient)
    • Gynecology (Inpatient, Outpatient)
    • Heat/Cold Applications
    • Hematology/Blood Treatment (Inpatient)
    • Home Medical Equipment
    • Hospital Beds - Electric
    • Imaging/Radiology (Inpatient, Outpatient)
    • Infectious Diseases (Inpatient)
    • Infusion Services (Inpatient, Outpatient)
    • Inpatient Intake (Inpatient)
    • Intensive Care Unit (Inpatient)
    • Internal Medicine (Inpatient)
    • Labor & Delivery (Inpatient)
    • Lithotripsy/Kidney Stone Treatment (Outpatient)
    • Magnetic Resonance Imaging (Inpatient, Outpatient)
    • Medical Detoxification (Inpatient)
    • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
    • Nebulizers
    • Neonatal Intensive Care (Inpatient)
    • Nephrology (Inpatient)
    • Neurology (Inpatient)
    • Neurosurgery (Inpatient)
    • Nuclear Medicine (Inpatient, Outpatient)
    • Nursery (Inpatient)
    • Obstetrics (Inpatient)
    • Off The Shelf Orthotics
    • Operating Room (Inpatient, Outpatient)
    • Ophthalmology/Eye Surgery (Inpatient)
    • Oral Maxillofacial Surgery (Inpatient, Outpatient)
    • Orthopedic Surgery (Inpatient, Outpatient)
    • Orthotics - Custom Fabricated
    • Orthotics - Non-Customized
    • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
    • Outpatient Surgery (Outpatient)
    • Oxygen
    • Pain Management (Inpatient)
    • Patient Lifts and Accessories
    • Pediatric Care (Inpatient)
    • Plastic Surgery (Inpatient, Outpatient)
    • Podiatry (Inpatient, Outpatient)
    • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
    • Power Operated Vehicles (or scooters)
    • Power Wheelchairs
    • Prosthetics
    • Pulmonary Function Lab (Inpatient, Outpatient)
    • Radiation Oncology (Outpatient)
    • Rehabilitation (Inpatient, Outpatient)
    • Respiratory Assist Devices
    • Respiratory Care (Ventilator) (Inpatient)
    • Respiratory Equipment
    • Respiratory Services
    • Rheumatology (Inpatient)
    • Seat Lift Mechanisms
    • Sleep Center (Outpatient)
    • Suction Pump
    • Supplies
    • Support Surfaces - For Beds
    • Surgical Dressings
    • Telemetry (Inpatient)
    • Thoracic Surgery (Inpatient)
    • Tracheostomy Supplies
    • Traction Equipment
    • Ultaviolet Light Devices
    • Ultrasound (Inpatient, Outpatient)
    • Urgent Care/Emergency Medicine (Outpatient)
    • Urology (Inpatient)
    • Vascular Surgery (Inpatient)
    • Walkers, Canes and Crutches
    • Wheelchair Related Accessories
    • Wheelchair Seating / Cushions
    • Wheelchairs - Manual
    • Wound Care (Inpatient)
    Bloomington Hospital Home Health
    333 East Miller Drive
    Bloomington, IN  47401
    • Durable Medical Equipment
    • General Laboratory Tests
    • Home Health Services
    • Home Medical Equipment
    • Home Personal Care and/or Support Services
    • Pharmacy Services
    Bloomington Hospital Home Medical Equipment
    1355 W. Bloomfield Road, Suite 4
    Bloomington, IN  47403
    • Commodes
    • Continuous Positive Airway Pressure
    • CPM Device
    • Durable Medical Equipment
    • Gastric Suction Pumps
    • Heat/Cold Applications
    • Home Medical Equipment
    • Hospital Beds - Electric
    • Nebulizers
    • Off The Shelf Orthotics
    • Orthotics - Custom Fabricated
    • Orthotics - Non-Customized
    • Oxygen
    • Patient Lifts and Accessories
    • Power Operated Vehicles (or scooters)
    • Power Wheelchairs
    • Prosthetics
    • Respiratory Assist Devices
    • Respiratory Equipment
    • Respiratory Services
    • Seat Lift Mechanisms
    • Suction Pump
    • Supplies
    • Support Surfaces - For Beds
    • Surgical Dressings
    • Tracheostomy Supplies
    • Traction Equipment
    • Ultaviolet Light Devices
    • Walkers, Canes and Crutches
    • Wheelchair Related Accessories
    • Wheelchair Seating / Cushions
    • Wheelchairs - Manual
    Bloomington OB/GYN
    421 West First Street
    Bloomington, IN  47403
    • General Laboratory Tests
    Cardiac Rehab & Rebound
    5 South Crane Ave
    Spencer, IN  47460
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)
    Cardiopulmonary Rehab YMCA
    105 Willow Street
    Nashville, IN  47448
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)
    Children's Therapy
    321 Landmark Ave.
    Bloomington, IN  47403
    • General Outpatient Services (Outpatient)
    Children's Therapy
    350 Landmark Avenue Suite B
    Bloomington, IN  47403
    • General Outpatient Services (Outpatient)
    Community Health Services
    333 East Miller Drive
    Bloomington, IN  47401
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)
    Congestive Heart Failure Center & Ostomy Center
    714 S. Rogers St.
    Bloomington, IN  47403
    • General Outpatient Services (Outpatient)
    Diabetis Care Center
    225 W. Dodds St.
    Bloomington, IN  47403
    • General Outpatient Services (Outpatient)
    Hospice of Bloomington Hospital
    619 W. First St.
    Bloomington, IN  47403
    • Hospice Care
    MRI & Radiation Oncology Center White River Medical Park
    RR11 Box 493 State Highway 37
    Bedford, IN  47421
    • General Outpatient Services (Outpatient)
    Promptcare East & Rebound East
    326 South Woodcrest
    Bloomington, IN  47401
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)
    Promptcare French Lick
    8695 W. Jack Carnes Way
    French Lick, IN  47432
    • General Outpatient Services (Outpatient)
    Promptcare West & Center for Occupational Health
    3443 W. Third Street
    Bloomington, IN  47404
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)
    Radiation Oncology Center
    2620 Cota Drive
    Bloomington, IN  47403
    • General Outpatient Services (Outpatient)
    Rebound West
    2499 Cota Dr.
    Bloomington, IN  47403
    • General Outpatient Services (Outpatient)
    Rebound YMCA
    YMCA 2125 Highland Ave.
    Bloomington, IN  47401
    • General Outpatient Services (Outpatient)
    Wound Center & Outpatient Diagnostic Center at Medical Park
    2920 S. McIntire Dr
    Bloomington, IN  47403
    • General Laboratory Tests
    • General Outpatient Services (Outpatient)

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