QualityReport

Accreditation Quality Report
>	Summary of Accreditation Quality Information
>	Accredited Programs
>	Accreditation National Patient Safety Goals
>	Sites and Services
>	Accreditation History
>	Download Accreditation PDF Report
>	Download Accreditation PDF Report - Include Quarterly Data
>	Accreditation Quality Report User Guide
Certification Quality Report
>	View Certification Quality Report
Additional Links
>	The Joint Commission
>	International Center for Patient Safety
>	Joint Commission International

Quality Report

Summary of Quality Information

Bluffton Regional Medical Center
Org ID: 7138
303 South Main Street
Bluffton, IN 46714
(260)824-3210
www.blufftonregional.com

Accreditation
Programs

Accreditation
Decision

Effective
Date

Last Full Survey Date

Last On-Site Survey Date

Hospital

Accredited

3/5/2009

3/4/2009

12/2/2009

Pathology and Clinical Laboratory

Accredited

11/13/2008

11/12/2008

Advanced Certification
Programs

Certification
Decision

Effective
Date

Last Full
Review Date

Last On-Site
Review Date

Primary Stroke Center

Certification

5/30/2008

5/29/2008

Other Accredited Programs / Services

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

- Top -

	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

Hospital

2010 National Patient Safety Goals

See Detail

National Quality Improvement Goals:

Reporting Period:
Jul 2008 -
Jun 2009

Heart Attack Care

See Detail

Heart Failure Care

See Detail

Pneumonia Care

See Detail

Surgical Care Improvement Project (SCIP)

SCIP - Cardiac

See Detail

SCIP - Infection Prevention

For All Reported Procedures:

See Detail

Blood Vessel Surgery

See Detail

Colon/Large Intestine Surgery

See Detail

Coronary Artery Bypass Graft

See Detail

Hip Joint Replacement

See Detail

Hysterectomy

See Detail

Knee Replacement

See Detail

Open Heart Surgery

See Detail

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)

Pathology and Clinical Laboratory

2008 National Patient Safety Goals

See Detail

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.
	The Joint Commission only reports measures endorsed by the National Quality Forum.

*	State results are not calculated for the National Patient Safety Goals.

- Top -

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

Bluffton Regional Medical Center *
303 South Main Street
Bluffton, IN 46714

Joint Commission Advanced Certification Programs:
Primary Stroke Center
Services:
CT Scanner (Inpatient, Outpatient) EEG/EKG/EMG Lab (Inpatient, Outpatient) Emergency Room (Outpatient) Gastroenterology (Inpatient, Outpatient) General Laboratory Tests General Medical Services (Inpatient) General Surgery (Inpatient, Outpatient) GI or Endoscopy Lab (Inpatient, Outpatient) Gynecology (Inpatient, Outpatient) Imaging/Radiology (Inpatient, Outpatient) Infusion Services (Outpatient) Intensive Care Unit (Inpatient) Internal Medicine (Inpatient) Labor & Delivery (Inpatient) Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient) Long Term Care Magnetic Resonance Imaging (Inpatient, Outpatient) Neurology (Inpatient) Nuclear Medicine (Inpatient, Outpatient) Nursery (Inpatient) Obstetrics (Inpatient, Outpatient)	Operating Room (Inpatient, Outpatient) Ophthalmology/Eye Surgery (Outpatient) Orthopedic Surgery (Inpatient, Outpatient) Otolaryngology/Ear, Nose, and Throat (Outpatient) Outpatient Surgery (Outpatient) Pain Management (Outpatient) Pediatric Care (Inpatient, Outpatient) Podiatry (Outpatient) Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient) Pulmonary Function Lab (Inpatient) Rehabilitation (Inpatient, Outpatient) Rehabilitation Services Respiratory Care (Ventilator) (Inpatient) Skilled Nursing Care Skilled Nursing Facility (Inpatient) Sleep Center (Outpatient) Telemetry (Inpatient) Toxicology Ultrasound (Inpatient, Outpatient) Urology (Inpatient, Outpatient)

Bluffton Regional Medical Center South Campus
1100 South Main Street
Bluffton, IN 46714

General Outpatient Services (Outpatient)

Bluffton Regional Rehabilitation Services
105 West Hillcrest Drive
Ossian, IN 46777

General Outpatient Services (Outpatient)

Medical Arts
1026 South Main Street
Bluffton, IN 46714

General Outpatient Services (Outpatient)

- Top -