The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Community Health Network, Inc.
Org ID: 7172
1500 North Ritter Avenue
Indianapolis, IN  46219
(317)355-5520
www.ecommunity.com


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 7/19/2012 7/18/2012   7/18/2012  
Home Care
Accredited 7/20/2012 7/19/2012   7/19/2012  
Hospital
Accredited 7/21/2012 7/20/2012   7/20/2012  
Laboratory Accreditation Program
Accredited 3/21/2014 3/20/2014   3/20/2014  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Pathology and Clinical Laboratory
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Hospital


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 5/23/2014  5/22/2014  5/22/2014 
Ventricular Assist Device
Certification 7/3/2013     



Certified
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Joint Replacement - Hip
Certification 5/13/2014  5/12/2014  5/12/2014 
Joint Replacement - Knee
Certification 5/13/2014  5/12/2014  5/12/2014 




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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.
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
Behavioral Health Care
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.
*
Home Care
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.
*
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:
Apr  2013 -
Mar  2014
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.
Perinatal Care See Detail
Not displayed.
2
Not displayed.
2
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.
Stroke Care See Detail
Not displayed.
8
Not displayed.
8
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
Not displayed.
3
Not displayed.
3
  • 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 above 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
   
Laboratory Accreditation Program
2014 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
Behavioral Health Services at Southpointe
1030 East County Line Road, Suite C-1
Indianapolis, IN  46227
      CHE Sleep/Wake Disorder Center
      1400 N. Ritter Ave. Suite 481
      Indianapolis, IN  46219
        Services:
        • General Outpatient Services (Outpatient)
        Community Breast Care North
        8040 Clearvista Parkway Suite 290
        Indianapolis, IN  46256
            Community Corporate Health Promotions
            6922 Hillsdale Court
            Indianapolis, IN  46250
              Services:
              • General Laboratory Tests
              Community Group Family Practice
              10122 E. 10th St. #100
              Indianapolis, IN  46229
                Services:
                • General Laboratory Tests
                • General Outpatient Services (Outpatient)
                • Single Specialty Group Practice (Outpatient)
                Community Health Network Behavioral Healthcare Pavillion
                7165 Clearvista Way
                Indianapolis, IN  46256
                  Services:
                  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
                  Community Heart and Vascular Hospital
                  8075 N. Shadeland Avenue, Suite 310
                  Indianapolis, IN  46250
                  Joint Commission Advanced Certification Programs:
                  • Ventricular Assist Device
                      Community Heart and Vascular Pulmonary Rehab
                      8075 N. Shadeland Avenue, Suite 130
                      Indianapolis, IN  46250
                          Community Heart and Vascular Testing Center
                          8075 N. Shadeland Avenue, Suite 140
                          Indianapolis, IN  46250
                              Community Heart and Vascular Testing Center
                              1400 N Ritter Avenue, Suite 500
                              Indianapolis, IN  46227
                                  Community Home Health Services
                                  9894 East 121st Street
                                  Fishers, IN  46037
                                    Services:
                                    • Canes and Crutches
                                    • Commodes
                                    • Continuous Positive Airway Pressure
                                    • Durable Medical Equipment
                                    • Enteral Equipment and/or Supplies
                                    • Enteral Nutrients
                                    • External Infusion Pumps and/or Supplies
                                    • Home Health, Non-Hospice Services
                                    • Hospice Care
                                    • Hospital Beds - Electric
                                    • Hospital Beds - Manual
                                    • Nebulizers
                                    • Oxygen
                                    • Parenteral Equipment and/or Supplies
                                    • Parenteral Nutrients
                                    • Patient Lifts and Accessories
                                    • Pharmacy, Clinical Consulting Services
                                    • Pharmacy/Dispensary,General Services
                                    • Respiratory Assist Devices
                                    • Respiratory Equipment
                                    • Suction Pump
                                    • Supplies
                                    • Support Surfaces - For Beds
                                    • Ultaviolet Light Devices
                                    • Walkers, Canes and Crutches
                                    • Wheelchair Seating / Cushions
                                    • Wheelchairs - Manual Non-Custom
                                    • Wheelchairs-Standard Manual Accessories
                                    Community Hospital East  *
                                    1500 N. Ritter Ave.
                                    Indianapolis, IN  46219
                                    Joint Commission Advanced Certification Programs:
                                    • Primary Stroke Center
                                    Joint Commission Certified Programs:
                                    • Joint Replacement - Hip
                                    • Joint Replacement - Knee
                                      Services:
                                      • Audiology (Inpatient, Outpatient)
                                      • Cancer Center/Oncology (Inpatient, Outpatient)
                                      • Cardiac Catheterization Lab (Inpatient, Outpatient)
                                      • Cardiac Unit/Cardiology (Inpatient)
                                      • CT Scanner (Inpatient, Outpatient)
                                      • Dialysis (Inpatient)
                                      • EEG/EKG/EMG Lab (Inpatient, Outpatient)
                                      • Emergency Room (Outpatient)
                                      • Endocrinology (Outpatient)
                                      • Family Practice (Outpatient)
                                      • Gastroenterology (Inpatient, Outpatient)
                                      • General Laboratory Tests
                                      • General Medical Services (Inpatient)
                                      • General Surgery (Inpatient, Outpatient)
                                      • GI or Endoscopy Lab (Inpatient, Outpatient)
                                      • Gynecology (Inpatient)
                                      • Hematology/Blood Treatment (Inpatient, Outpatient)
                                      • Imaging/Radiology (Inpatient, Outpatient)
                                      • Infectious Diseases (Inpatient)
                                      • Infusion Therapy (Outpatient)
                                      • Inpatient Intake (Inpatient)
                                      • Intensive Care Unit (Inpatient)
                                      • Internal Medicine (Inpatient)
                                      • Labor & Delivery (Inpatient)
                                      • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
                                      • Magnetic Resonance Imaging (Inpatient, Outpatient)
                                      • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
                                      • Nephrology (Inpatient)
                                      • Neurology (Inpatient, Outpatient)
                                      • Neurosurgery (Inpatient)
                                      • Nuclear Medicine (Inpatient, Outpatient)
                                      • Nursery (Inpatient)
                                      • Obstetrics (Inpatient)
                                      • Operating Room (Inpatient, Outpatient)
                                      • Ophthalmology/Eye Surgery (Outpatient)
                                      • Oral Maxillofacial Surgery (Outpatient)
                                      • Orthopedic Surgery (Inpatient, Outpatient)
                                      • Otolaryngology/Ear, Nose, and Throat (Outpatient)
                                      • Outpatient Surgery (Outpatient)
                                      • Plastic Surgery (Outpatient)
                                      • Podiatry (Outpatient)
                                      • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
                                      • Pulmonary Function Lab (Outpatient)
                                      • Radiation Oncology (Outpatient)
                                      • Recovery/Infirmary (Outpatient)
                                      • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
                                      • Respiratory Care (Ventilator) (Inpatient)
                                      • Sleep Center (Outpatient)
                                      • Telemetry (Inpatient)
                                      • Thoracic Surgery (Inpatient, Outpatient)
                                      • Toxicology
                                      • Ultrasound (Inpatient, Outpatient)
                                      • Urgent Care/Emergency Medicine (Outpatient)
                                      • Urology (Outpatient)
                                      • Vascular Surgery (Inpatient, Outpatient)
                                      • Wound Care (Inpatient, Outpatient)
                                      Community Imaging Center - East
                                      7910 East Washington Street, Suite 150A
                                      Indianapolis, IN  46219
                                          Community Infusion Center - Speedway
                                          1011 Main Street, Suite 150
                                          Indianapolis, IN  46224
                                              Community Med Check - Speedway
                                              1011 Main Street, Suite 140
                                              Indianapolis, IN  46224
                                                  Community MedCheck - East
                                                  7910 East Washington Street, Suite 110
                                                  Indianapolis, IN  46219-1969
                                                    Services:
                                                    • General Laboratory Tests
                                                    • General Outpatient Services (Outpatient)
                                                    Community Physical Therapy and Rehab - East
                                                    7910 East Washington Street, Suite 150
                                                    Indianapolis, IN  46219
                                                      Services:
                                                      • General Outpatient Services (Outpatient)
                                                      Community Support Service - GMHC
                                                      5470 E. 16th St.
                                                      Indianapolis, IN  46218
                                                        Services:
                                                        • Behavioral Health (Non 24 Hour Care - Adult)
                                                        • Employment Services (Non 24 Hour Care)
                                                        • Family Support (Non 24 Hour Care)
                                                        • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Adult)
                                                        Crestview - GMHC
                                                        2201 Hillcrest.
                                                        Anderson, IN  46011
                                                          Services:
                                                          • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                                                          • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                          • Chemical Dependency (Day Programs - Adult)
                                                            (Non 24 Hour Care - Adult/Child/Youth)
                                                            (Partial - Adult)
                                                          • In-Home Behavioral Health Services (Non 24 Hour Care - Child/Youth)
                                                          • Mental Health/Child/Youth)
                                                            (Non 24 Hour Care - Child/Youth)
                                                          Gallahue Mental Health Services at Lutheran Child
                                                          1525 N Ritter Avenue
                                                          Indianapolis, IN  46219
                                                              Hancock County Office - GMHC
                                                              145 Green Meadows
                                                              Greenfield, IN  46140
                                                                Services:
                                                                • Assertive Community Treatment/Community Support Services (Non 24 Hour Care - Adult)
                                                                • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                                                                • Care Coordination (Non 24 Hour Care)
                                                                • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                                • Chemical Dependency (Non 24 Hour Care - Adult/Child/Youth)
                                                                • Family Support (Non 24 Hour Care)
                                                                • Mental Health/Child/Youth)
                                                                  (Non 24 Hour Care - Child/Youth)
                                                                • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Child/Youth)
                                                                Harmony House Group Home
                                                                8163 East 10th Street
                                                                Indianapolis, IN  46219
                                                                    Healthy Hearts Heart Failure Center
                                                                    8075 N. Shadeland Avenue, Suite 350
                                                                    Indianapolis, IN  46250
                                                                        Lawrence Township/HillsdaleOffice - GMHC
                                                                        6950 Hillside Court
                                                                        Indianapolis, IN  46250
                                                                          Services:
                                                                          • Behavioral Health (Day Programs - Adult/Child/Youth)
                                                                            (Non 24 Hour Care - Adult/Child/Youth)
                                                                            (Partial - Adult/Child/Youth)
                                                                          • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                                          • Chemical Dependency (Non 24 Hour Care - Adult)
                                                                          MedCheck Anderson
                                                                          1030 S. Scatterfield Rd.
                                                                          Anderson, IN  46012
                                                                            Services:
                                                                            • General Laboratory Tests
                                                                            • General Outpatient Services (Outpatient)
                                                                            MedCheck Carmel
                                                                            11911 North Meridian Suite 150
                                                                            Carmel, IN  46032
                                                                              Services:
                                                                              • General Laboratory Tests
                                                                              • General Outpatient Services (Outpatient)
                                                                              MedCheck Castleton
                                                                              8177 Clearvista Pky.
                                                                              Indianapolis, IN  46256
                                                                                Services:
                                                                                • General Laboratory Tests
                                                                                • General Outpatient Services (Outpatient)
                                                                                MedCheck Greenwood
                                                                                1664 W. Smith Valley Rd.
                                                                                Greenwood, IN  46142
                                                                                  Services:
                                                                                  • General Laboratory Tests
                                                                                  • General Outpatient Services (Outpatient)
                                                                                  MedCheck Noblesville
                                                                                  9669 East 146th Street Suite 100
                                                                                  Noblesville, IN  46060
                                                                                    Services:
                                                                                    • General Laboratory Tests
                                                                                    • General Outpatient Services (Outpatient)
                                                                                    Medical Oncology Center East
                                                                                    1400 N. Ritter Avenue
                                                                                    Indianapolis, IN  46219
                                                                                      Services:
                                                                                      • General Outpatient Services (Outpatient)
                                                                                      Medical Oncology Center South
                                                                                      1550 County Line Road South
                                                                                      Indianapolis, IN  46227
                                                                                        Services:
                                                                                        • General Outpatient Services (Outpatient)
                                                                                        Occ Health Castleton
                                                                                        8177 Clearvista Parkway
                                                                                        Indianapolis, IN  46256
                                                                                            Occ Health Center Greenwood
                                                                                            1664 W Smith Valley Rd
                                                                                            Greenwood, IN  46142
                                                                                                Occupational Health Center East
                                                                                                1709 Post Rd
                                                                                                Indianapolis, IN  46219
                                                                                                    Oncology Infusion Center
                                                                                                    1340 North Madison Avenue
                                                                                                    Anderson, IN  46011
                                                                                                      Services:
                                                                                                      • General Outpatient Services (Outpatient)
                                                                                                      Physical Therapy and Rehab - Neuro Specialty Program
                                                                                                      8501 East 56th St. Suite 140
                                                                                                      Indianapolis, IN  46216
                                                                                                        Services:
                                                                                                        • General Outpatient Services (Outpatient)
                                                                                                        Psycho Social Rehab Services
                                                                                                        1640 Ritter Avenue
                                                                                                        Indianapolis, IN  46218
                                                                                                            Regional Cancer Center, Indianapolis
                                                                                                            7229 Clearvista Drive
                                                                                                            Indianapolis, IN  46256
                                                                                                              Services:
                                                                                                              • General Outpatient Services (Outpatient)
                                                                                                              Rehab & Sports Medicine East
                                                                                                              10122 E. 10th Street, Suite 225
                                                                                                              Indianapolis, IN  46229
                                                                                                                Services:
                                                                                                                • General Outpatient Services (Outpatient)
                                                                                                                Rehab and Sports Medicine Shadeland
                                                                                                                2040 N. Shadeland Avenue Suite 100
                                                                                                                Indianapolis, IN  46219
                                                                                                                  Services:
                                                                                                                  • General Outpatient Services (Outpatient)
                                                                                                                  Shadeland Family Care Center
                                                                                                                  2040 N. Shadelande Avenue Suite 300
                                                                                                                  Indianapolis, IN  46219
                                                                                                                    Services:
                                                                                                                    • General Outpatient Services (Outpatient)
                                                                                                                    Shelby County Office - GMHC
                                                                                                                    7 East Hendricks
                                                                                                                    Shelbyville, IN  46176
                                                                                                                      Services:
                                                                                                                      • Behavioral Health (Day Programs - Adult)
                                                                                                                        (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                        (Partial - Adult)
                                                                                                                      • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                      • Chemical Dependency (Day Programs - Adult)
                                                                                                                        (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                        (Partial - Adult)
                                                                                                                      • Family Support (Non 24 Hour Care)
                                                                                                                      • In-Home Behavioral Health Services (Non 24 Hour Care - Child/Youth)
                                                                                                                      • Mental Health/Child/Youth)
                                                                                                                        (Non 24 Hour Care - Child/Youth)
                                                                                                                      • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Child/Youth)
                                                                                                                      Shelbyville Group Home
                                                                                                                      18 East Mechanic Street
                                                                                                                      Shelbyville, IN  46176
                                                                                                                          Sleep Lab
                                                                                                                          7250 Clearvista Drive Suite 350
                                                                                                                          Indianapolis, IN  46256
                                                                                                                            Services:
                                                                                                                            • General Outpatient Services (Outpatient)
                                                                                                                            Stepping Stones Group Home
                                                                                                                            1356 North Graham Avenue
                                                                                                                            Indianapolis, IN  46219
                                                                                                                                Warren Out-Patient Office (Adult and Youth MI Services)
                                                                                                                                2040 Shadeland Avenue
                                                                                                                                Indianapolis, IN  46219
                                                                                                                                  Services:
                                                                                                                                  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                                  • Care Coordination (Non 24 Hour Care)
                                                                                                                                  • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                                  • Family Support (Non 24 Hour Care)
                                                                                                                                  • In-Home Behavioral Health Services (Non 24 Hour Care - Child/Youth)
                                                                                                                                  • Mental Health/Child/Youth)
                                                                                                                                    (Non 24 Hour Care - Child/Youth)
                                                                                                                                  • Services Supporting Rehabilitation and Resilience (Non 24 Hour Care - Child/Youth)
                                                                                                                                  Warren Township Alcohol and Drug Services
                                                                                                                                  2040 Shadeland Ave.
                                                                                                                                  Indianapolis, IN  46219
                                                                                                                                    Services:
                                                                                                                                    • Behavioral Health (Day Programs - Adult)
                                                                                                                                      (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                                      (Partial - Adult)
                                                                                                                                    • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                                    • Chemical Dependency (Day Programs - Adult)
                                                                                                                                      (Non 24 Hour Care - Adult/Child/Youth)
                                                                                                                                      (Partial - Adult)
                                                                                                                                    Work-Site Care Clinic
                                                                                                                                    8101 Clearvista Parkway, Suite 110
                                                                                                                                    Indianapolis, IN  46256
                                                                                                                                        Work-Site Care Clinic
                                                                                                                                        8921 Southpointe Drive, Suite B1
                                                                                                                                        Indianapolis, IN  46227
                                                                                                                                            Work-Site Care Clinic
                                                                                                                                            1500 N Ritter Avenue, Suite 100
                                                                                                                                            Indianapolis, IN  46219

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